Beatrice Desir, DO

Dr. Shahan Syed is a Board-Eligible Psychiatrist who offers personable, compassionate, and empathetic care. Before completing his residency in psychiatry, Dr. Syed graduated from International American University College of Medicine and recently completed his residency at Bergen New Bridge Medical Center in Paramus, NJ. He gained experience as a clinical researcher, emergency medical technician, and a registered nurse in both psychiatric and emergency departments prior to his formal training. This diverse background equipped him with valuable tools to deliver empathetic care to a wide range of patients with experience treating anxiety disorder, traumatic disorders, depressive and bipolar disorders, substance use disorders, ADHD, OCD, and psychotic disorders. During his residency, Dr. Syed also took on the role of chief resident, demonstrating a remarkable ability to educate both his patients and colleagues. Throughout his residency, Dr. Syed actively pursued additional training opportunities at various safety net hospitals in New Jersey to care for underserved populations.

Dr. Syed places significant importance on collaborating with patients and all relevant parties to gain a comprehensive understanding of the factors affecting the patient's life before making treatment recommendations. Additionally, Dr. Syed emphasizes the importance of lifestyle, sleep, mindfulness, and nutrition, and their impact on overall mental health. He has experience in utilizing interpersonal and supportive psychotherapy, along with principles of motivational interviewing and cognitive-behavioral therapy, to foster resilience and meaningful change in partnership with other mental health professionals involved in patient care.

Dr. Syed employs a range of therapeutic methods alongside medication management to ensure a thorough and holistic approach for every patient. His goal is to create a safe environment that encourages healing and wellness, enabling individuals to remain motivated and live their lives to the fullest.

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Dr. Pipalia is board-certified in both adult psychiatry and internal medicine. Since graduation from residency, he gained specialized experience in treating veterans with terminal illness, specifically Amyotrophic Lateral Sclerosis (aka Lou Gehrig's Disease), at the VA Medical Center in Portland, OR. He combines both psychotherapy and medication treatment to provide holistic care that addresses not only your mental health but also the parts of your life that surround and are deeply intertwined with your mental health. When more intensive psychotherapy is warranted, he collaborates with an experienced psychotherapist to serve you better. With his experience of internal medicine, he is also comfortable with navigating complex medical issues that may interact with your mental health. Dr. Pipalia is a graduate of St. George's University School of Medicine. He completed a combined Psychiatry & Internal Medicine residency training program at East Carolina University. He went on to complete a fellowship in Clinical Informatics at Oregon Health & Science University, learning how to use modern digital technologies and patient data to improve patient care. His academic activities include a presentation he has given multiple times on Illness Identity, teaching other clinicians how having an illness can change how we perceive our place in the world and how to help patients manage their relationship with illness.

Dr. Dominic Adams earned his medical degree from Eastern Virginia Medical School and completed his residency at the University of Mississippi Medical Center. He has experience treating a broad range of mental health conditions using both medicinal and psychotherapeutic interventions. Dr. Adams works with children, adolescents, and adults, and has training in cognitive behavioral and psychodynamic psychotherapy.

Dr. Adams strives to create a cooperative therapeutic experience that fosters open and empathetic communication. He values patient choice in treatment and prioritizes empowering patients through psychoeducation. Drawing on a variety of psychotherapeutic techniques, he tailors care to meet the unique needs of each individual.

Initial appointments with Dr. Adams include a thorough review of the patient’s concerns and the development of both patient and physician treatment goals. He discusses treatment options in detail, providing education on any medications, therapies, or interventions. Together, he and the patient select a dynamic treatment plan and set a follow-up schedule to monitor progress.

Dr. Garrick Gaffney is board certified in psychiatry by the American Board of Psychiatry and Neurology (ABPN). He earned his medical degree from Kansas City University and completed his psychiatry residency at John Peter Smith Hospital in Fort Worth, Texas. A combat veteran, he served in the U.S. Marine Corps, including a tour in Iraq, and was honored with the Navy and Marine Corps Achievement Medal and a Certificate of Commendation for exemplary leadership.

During medical school, Dr. Gaffney pursued advanced training as an Osteopathic Manipulative Medicine fellow. As a resident, he served as Chief Academic Resident and earned accolades such as Intern of the Year and Outstanding Educator of the Year twice consecutively.

Dr. Gaffney specializes in treating complex psychiatric conditions, including depression, anxiety, PTSD, OCD, bipolar disorder, and insomnia. He has presented case studies and quality improvement projects at national conferences, including the American Psychiatric Association (APA), Academy of Consultation-Liaison Psychiatry, and Association for Academic Psychiatry.

A proponent of holistic care, Dr. Gaffney integrates psychotherapy into medication management and emphasizes lifestyle modifications and evidence‑based integrative medicine.

New patients receive comprehensive evaluations to rule out medical causes of symptoms, followed by tailored treatment plans combining therapy, medication, and lifestyle adjustments. Follow‑up visits focus on symptom management through supportive, brief dynamic, or cognitive behavioral therapy, with frequent appointments until stabilization is achieved.

Dr. Gaffney is committed to collaborative, patient‑centered care that addresses both mental and physical well‑being.

Background and credentials

Dr. Vansickle is a board-certified adult psychiatrist with over 25 years of clinical experience. She earned her medical degree from the University of Texas Health Sciences Center San Antonio and completed her internship at UAB. She then completed her psychiatry residency at the University of Louisville Hospital, where she served as chief resident and received a national award in community psychiatry. Throughout her career, she has worked in both inpatient and outpatient settings as a staff psychiatrist, primarily in Texas and Alabama.

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Treatment approach

Dr. Vansickle places a strong emphasis on establishing trust and building therapeutic relationships to help patients achieve their goals. Her practice focuses on medication management, often combined with supportive or emotionally focused therapy during 30-minute follow-up visits. If she believes additional therapy would be beneficial, she may recommend that patients work with a therapist as part of their care team. She has extensive experience treating patients in various settings, including community mental health centers, VAMC-affiliated clinics, and hospital-based psychiatric units. She also has expertise in psychiatric consultations for medically ill patients, as well as guardianship and competency evaluations.

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What you can expect in a first visit

Patients can expect a thorough initial evaluation, where Dr. Vansickle takes the time to understand their symptoms, history, and treatment goals. She provides a structured yet compassionate approach to care, ensuring that each patient feels heard and supported. Follow-up visits typically last 30 minutes, during which she monitors progress and adjusts treatment as necessary. If additional therapy is needed, she collaborates with therapists to ensure comprehensive care tailored to each patient’s needs.

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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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Dr. Amanda Kerr is a board-certified Psychiatrist. Her practice focuses on medication management, though she passionately believes in a holistic approach. She attended Boston University for her undergraduate studies and Loyola Marymount University for graduate school. She then completed her training at Midwestern University Arizona College of Osteopathic Medicine for medical school and Rowan University School of Osteopathic Medicine for residency, where she was selected to serve as Chief Resident during her final year. After completion of her residency in 2016, she dedicated seven years to serving a wide range of patients in a community mental health setting, both in-person and via telepsychiatry. She also serves as a provider at an Intensive Outpatient Program. She has experience treating patients with depressive and bipolar disorders, anxiety disorders, PTSD, and OCD. She also has extensive teaching experience in various settings. Dr. Kerr has a gentle and approachable style when providing medication management in conjunction with supportive psychotherapy, and at times Cognitive Behavioral Therapy techniques to more fully address each individual's needs. She utilizes mindfulness approaches as well, which she finds personally meaningful in her practices of meditation and yoga. If Dr. Kerr feels you would benefit from working with a therapist as well, she may recommend and values a collaborative approach.