Andrew Wilbur, MD

Dr. Perington is a Staff Psychiatrist with Talkiatry. She previously served in the US Air Force, where she completed her residency training in psychiatry (Lackland AFB) and was the medical director for a small-sized mental health clinic (Hill AFB). Dr. Perington uses a person-centered approach to tailor treatment to the individual, with an emphasis on shared decision making. She prefers to focus on psychotherapy and behavioral interventions as a primary part of the treatment plan, in addition to any indicated medication.

Motivation for change is a large part of the healing process, and for many people recovery doesn't happen with medication alone. Dr. Perington asks all her patients to play an active role in their treatment.

A thorough diagnostic assessment with discussion of the best treatment setting and modality, then regular follow up visits with emphasis on psychotherapy in addition to medication management (if indicated).

Elizabeth Shaffer, MD, is an accomplished psychiatrist specializing in child and adolescent psychiatry. She earned her M.D. degree from St. George's University School of Medicine and holds a Bachelor of Science in Child Development from Appalachian State University where she graduated summa cum laude. Dr. Shaffer's passion for working with children and families developed during her involvement in a pre-K Head Start Program in Rural North Carolina. She completed her General Psychiatry Residency and Child & Adolescent Psychiatry Fellowship at Jerry M. Wallace School of Osteopathic Medicine at Campbell University. Dr. Shaffer obtained ABPN Board Certification in General Psychiatry in 2023 and is working towards Board Certification in Child & Adolescent Psychiatry. Dr. Shaffer has received honors and awards for her contributions to psychiatry, including the Laughlin fellowship through The American College of Psychiatrists and Resident of the Year at Cape Fear Valley Health System in 2022.Her areas of interest focus on neurodevelopmental disorders such as ADHD, Autism, and Intellectual Delay. Dr. Shaffer is affiliated with professional organizations like AACAP and APA, demonstrating her commitment to professional development. Dr. Shaffer is dedicated to promoting mental health awareness and family and patient psychoeducation. Dr. Shaffer emphasizes a joint decision-making approach to treatment options and utilizes local resources to provide wrap-around support. Dr. Shaffer is a respected psychiatrist known for her excellence, compassion, and innovative approach to mental health care. Her extensive education, accolades, research contributions, professional affiliations, and community involvement reflect her commitment to making a positive impact in her patients' lives and the broader community.

Dr. Thomas O’Brien holds a Bachelor of Science degree from the University of Wisconsin–Madison and earned his medical degree from Midwestern University Chicago College of Osteopathic Medicine. He completed his psychiatry residency at Loyola University Medical Center. Dr. O’Brien has experience practicing across outpatient, PHP, IOP, and inpatient settings.

He strives to create a supportive environment where patients feel heard, respected, and understood. His approach emphasizes a holistic, whole-person method to healing, guided by the patient’s own goals and values. Dr. O’Brien integrates psychotherapy with medication management, drawing on his background in psychodynamic psychopharmacology and acceptance and commitment therapy.

Dr. O’Brien focuses on understanding each patient as a whole to create individualized treatment plans. This begins with a comprehensive history during the initial session to identify biopsychosocial factors. Treatment is then tailored to align with the patient’s unique goals and values, promoting meaningful progress.

Dr. Satveet Khela is a board certified physician specializing in adult psychiatry. She has been practicing since 2021. In addition to focusing on medication management, Dr. Khela's practice also prioritizes a whole person approach, incorporating aspects of nutrition, lifestyle, mindfulness, and supportive or brief cognitive behavioral therapy into the treatment plan. Occasionally, Dr. Khela may believe that additional therapy is also needed and ask that you see a separate therapist to provide the best outcome. Dr. Khela received her undergraduate degree from the University of California, Berkeley and her medical degree from A.T. Still University. She completed her residency at University of California San Francisco Fresno, where she served as chief resident in her final year. After completing her training, Dr. Khela worked with medically ill patients with co-morbid psychiatric illnesses. Throughout her career, Dr. Khela has worked with a diverse set of patients in various stages of their lives. Dr. Khela focuses on treating patients with anxiety, depression, PTSD, bipolar, OCD, and other mental health issues. She believes in empowering her patients to be active players in their treatment plans to facilitate the best care possible.

Margaret Ngumi, MSN, APRN, FNP-C, PMHNP-BC, is a dual board-certified Psychiatric Mental Health and Family Nurse Practitioner with over 20 years of experience in healthcare. She began her career as a Family Nurse Practitioner and later pursued a post-master’s certification in psychiatry to address the growing need for accessible mental health services. Margaret has extensive experience in both inpatient and outpatient settings, treating conditions such as depression, anxiety, PTSD, mood disorders, and substance use disorders.

She takes a collaborative, patient-centered approach to care, creating a safe and supportive environment where individuals feel heard and empowered. With a strong emphasis on holistic care, Margaret considers all aspects of a patient’s well-being—including lifestyle, relationships, and overall health. Whether through medication management, therapy, or lifestyle modifications, she is committed to helping patients achieve meaningful and lasting improvements in their mental health.

Margaret begins with a comprehensive psychiatric evaluation to understand each patient’s history, concerns, and goals. She then works closely with them to develop a personalized care plan that may include medication, therapy, and evidence-based lifestyle interventions. She prioritizes open communication, patient education, and ongoing collaboration to ensure treatment remains effective and evolves with each patient’s needs. Through her compassionate and evidence-based approach, Margaret is dedicated to helping individuals find balance and improve their overall quality of life.

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Dr. Megan Freeman is board certified by the American Board of Psychiatry and Neurology in Adult Psychiatry. She completed her residency training at Vidant Medical Center at East Carolina University in Greenville, North Carolina in 2021 where she was the chief resident. Since then, she has worked as an attending physician at an inpatient adult psychiatric unit in Burlington, North Carolina. As a resident and attending she has treated adults of all ages and in all areas of mental health. Dr. Freeman's talkiatry practice will mostly focus on medication management in conjunction with support or acceptance-based therapy during 30-minute follow-up visits. During this time, Dr. Freeman hopes to collaborate with her patients to help set treatment goals and ways to track progress in between appointments. Dr. Freeman is board certified in adult psychiatry. She enjoys seeing patients with a wide variety of diagnoses including, but not limited to, major depressive disorder, bipolar disorder, post-traumatic stress disorder, obsessive-compulsive disorder, and generalized anxiety disorder. She enjoys combining medication management with various therapy techniques.‍