Andrew Wilbur, MD

Dr. Kyra Munzenmaier is a board-certified psychiatrist dedicated to providing compassionate, personalized mental health care. A graduate of the University of South Florida's College of Medicine and former Chief Resident at St. Luke’s in Pennsylvania, Dr. Munzenmaier brings extensive training and experience in outpatient psychiatry. She particularly enjoys helping individuals dealing with insomnia, ADHD, anxiety, OCD, mood disorders, and medical trauma. As a Perinatal Mental Health-certified expert, she advocates for women’s mental health needs and supports individuals navigating mental health concerns during pregnancy and beyond.

Dr. Munzenmaier’s treatment approach is rooted in shared decision-making, prioritizing patient goals and preferences to create customized care plans, which typically include psychotherapy in combination with medication. She often integrates evidence-based lifestyle modifications and natural treatments to optimize personal well-being. By taking a holistic view of her patients’ challenges, Dr. Munzenmaier empowers her patients to lead their most fulfilling lives.

Dr. De Jesus is a bilingual psychiatrist, fluent in English and Spanish. She is a double board-certified psychiatrist in Adult Psychiatry and Child & Adolescent Psychiatry. Dr. De Jesus provides medication management services in combination with supportive therapy during 30-minute follow-up visits. Dr. De Jesus received her medical degree from the Universidad Central del Caribe School of Medicine in Bayamon, Puerto Rico. She completed her Adult Psychiatry residency at Jackson Memorial Hospital in Miami, FL. Subsequently, Dr. De Jesus pursued her fellowship in Child and Adolescent Psychiatry at Thomas Jefferson University Hospital in Pennsylvania and was a Chief Resident during her last year of training. Dr. De Jesus has been providing psychiatric services in the community mental health setting for 8 years. Her clinical focus has been in treating children, adolescents, and young adults with depression, anxiety, posttraumatic stress disorder, and ADHD. Dr. De Jesus believes in the importance of establishing an individualized treatment approach to meet each individual's need while providing comprehensive care to her patients.

Tammi Schrager, LCSW, CCBT, is a bilingual (Spanish-fluent) therapist licensed in Texas and Illinois with over 20 years of experience. She earned her MSW from Loyola University Chicago and her BA in Human Services from Kendall College, receiving the Distinguished Student Award. She completed intensive Spanish language study in Mexico and Costa Rica. Her career spans Alzheimer’s care (Distinguished Service Award), Director of Social Services in skilled nursing, discharge coordination at Schwab Rehabilitation Hospital, police liaison and crisis responder, and community mental health serving diverse and underserved populations.

Tammi provides a safe, confidential, HIPAA-compliant space grounded in cultural humility and respect. She works with individuals, couples, and families facing trauma, PTSD, anxiety, depression, ADHD, ASD, mood disorders, and work or collegiate stress. Her style is collaborative, compassionate, and systems-oriented, integrating CBT, EFT, IFS, attachment work, and ABA. She values measurable progress and uses tools such as PHQ-9 and GAD-7 to guide care.

Tammi begins with a comprehensive assessment of personal, cultural, and environmental factors. She develops individualized, evidence-based treatment plans with clear goals and regular progress reviews. Sessions combine cognitive restructuring with skills training and mind-body techniques such as progressive muscle relaxation and paced breathing to reduce anxiety and trauma responses.

Dr. Amy Lowry is a board-certified psychiatrist who earned her medical degree from the University of Texas Medical Branch in Galveston after completing her undergraduate studies at Texas Lutheran University. She was commissioned as an officer in the U.S. Navy and completed her psychiatry residency at Naval Medical Center Portsmouth. She has provided psychiatric care in outpatient settings across Louisiana and North Carolina, focusing on adult and young adult populations. Dr. Lowry brings extensive experience in comprehensive psychiatric evaluations, medication management, and psychotherapy, utilizing cognitive-behavioral (CBT), psychodynamic, supportive, and dialectical behavioral (DBT) therapy approaches. Her passion lies in holistic, compassionate, and evidence-based care for a wide range of conditions including depression, anxiety, PTSD, ADHD, and life transitions.

Dr. Lowry creates a warm, respectful environment where patients feel heard and valued. She encourages autonomy through mental health education and open dialogue, working to ensure patients are informed and engaged in their treatment. She prioritizes empathy and trust, believing a strong doctor-patient relationship is key to achieving lasting therapeutic outcomes.

Dr. Lowry begins with a comprehensive understanding of each patient's history, concerns, and goals. She develops individualized treatment plans and incorporates psychotherapy into each session to align with patient goals and enhance treatment response. Patient goals are revisited regularly to adapt plans as progress is made.

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Background and credentials

Dr. Matthew Koller is a board-certified adult psychiatrist who completed his undergraduate training at The University of Texas at Austin. He earned his medical degree from The University of Texas Health Science Center at San Antonio and completed his general adult psychiatry residency at Baylor College of Medicine in Houston, TX, where he served as Chief Resident of Education in his final year of training.

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Treatment approach

Dr. Koller believes that understanding a patient fully is essential before treatment begins, emphasizing a collaborative and patient-centered approach to care. His practice is primarily focused on medication management, but he also incorporates supportive therapy and other therapeutic modalities as needed. He may recommend including a therapist in the treatment plan to ensure comprehensive, well-rounded care. He has experience treating a wide range of mental health conditions, including depression, anxiety, insomnia, personality disorders, bipolar disorder, PTSD, and psychotic disorders.

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What you can expect in a first visit

During the first visit, patients can expect a thorough and individualized psychiatric evaluation, where Dr. Koller takes the time to understand their symptoms, history, and treatment goals. He prioritizes open communication and shared decision-making, working closely with patients to develop personalized treatment plans. While medication management is the foundation of his approach, he remains flexible and adaptive, incorporating therapy and other interventions as needed to help patients achieve optimal mental health.

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Why Talkiatry?

We’re a virtual mental health practice that makes it easy to find great care. We combine quality and convenience to help you thrive—faster. Our providers, like this one, are highly trained experts who specialize in medication management and collaborate with you on a treatment plan that fits your needs and comfort level.

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Therapist Kim Heath has decades of experience collaborating with patients providing mental health care and interventions to facilitate health and wellness. Kim has worked in all aspects of mental health ranging from crisis care to rehabilitation. Kim has a great depth of community service connections and resources to link individuals in the community and an opportunity to extend support networks for greater health. Kim received her bachelor’s from the University of Kansas and master’s from the University of Missouri and continues educational opportunities in counseling/therapy and theology. Kim is a Christian counselor and believes people have need of mind/body/spirit balance to address the emotional pain, psychological turmoil, and physical challenges in life. Kim meets individuals where they are and with the focus of accomplishing the wellness goals of the individual answers the need for therapeutic interventions. Kim Heath uses a variety of modalities dependent on the needs of the patient to include Cognitive Behavioral Therapy, Person Centered Therapy, Solution-Focused Therapy and Christ Centered Christian Counseling Intervention.

Patients should be aware that Kim specializes in straight forwardness and application of the structure of Cognitive Behavioral Therapy in sessions. Patients are of the utmost importance when receiving therapy with Kim Heath and are the key to mental health intervention and thereby change. Kim Health respects the wishes of patients with target goals, behaviors as well as providing support, care, and help. Kim acknowledges and is knowledgeable about getting to the heart of problems, issues, and concerns and identifying what is best in the patient’s opinion to address, then addressing them.

Kim Health typically will address the dynamics of a therapeutic relationship with patients   along with asking and assessing what patients hope to obtain or accomplish in therapy. Kim will discuss each clinical step taken to get to the accomplishments of the patient. Kim has worked with a wide range of diagnoses including Anxiety, Depression, Bipolar, Schizophrenia, Marital, Grief, Alcohol and Substance Use, Addictions, Workplace Issues, Relationship and Social Issues, Multicultural Issues, Faith Crisis, and Adjustment Issues.