Bryce Thacker, PMHNP

Dr. Sarah Ramos, MD, has experience practicing in a variety of outpatient settings, including community mental health and military care, serving active-duty service members, their families, and veterans. She earned her medical degree from Vanderbilt School of Medicine and completed psychiatry residency training at the University of California San Diego and Thomas Jefferson University in Philadelphia.

Dr. Ramos values open communication, privacy, and a collaborative approach with her patients. She creates a warm, supportive environment where individuals feel heard, respected, and empowered to participate in their care.

In initial sessions, Dr. Ramos thoroughly assesses patients’ history, concerns, and goals to ensure care is personalized and effective. She develops comprehensive treatment plans that align with each patient’s objectives, providing ongoing support to help them achieve meaningful outcomes.

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. Carrie Schmitt, DO, graduated from Edward Via College of Osteopathic Medicine in Spartanburg, South Carolina in 2016. She completed her psychiatry residency at Henry Ford Allegiance Health in Jackson, Michigan in 2020 and a subspecialty in Forensic Psychiatry at the University of Maryland in 2021. Dr. Schmitt is dual board certified in Adult and Forensic Psychiatry and has practiced in inpatient, outpatient, community, academic, and forensic settings.

Dr. Schmitt values compassionate, well-rounded care and works collaboratively with patients to develop effective treatment plans. She emphasizes communication, active listening, and dignity, creating a supportive, nonjudgmental environment where patients feel understood and empowered.

Dr. Schmitt begins by understanding each patient’s history, concerns, and goals. She works together with patients to establish clear, practical treatment objectives and ensures each plan is tailored to their unique needs, fostering progress and long-term wellness.

Dr. Rachel Sherhart is a board-certified adult psychiatrist who has been in practice for over 4 years. She specializes in medication management with 30-minute follow-up visits. This may be accompanied by elements of supportive therapy, Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and psychodynamic therapy. If more in-depth work is needed, she may refer patients to a collaborating psychotherapist. ‍Dr. Sherhart received her medical degree from Texas A&M Health Science Center and completed her psychiatry residency training at the University of Texas Southwestern in Dallas, Texas. She has served as faculty at Texas A&M University College of Medicine, providing education and supervision for psychiatry residents and medical students. ‍She has experience treating adult patients from many walks of life with a broad range of diagnoses, including depression, anxiety, bipolar disorder, ADHD, and trauma-related disorders. Dr. Sherhart has a passion for providing excellent patient care and education. Her goal is for patients to feel heard and find a safe place to discuss their concerns. She is motivated to work collaboratively with patients to find a solution that best fits their treatment goals and improves their overall quality of life.‍

Dr. Gamberino is a board certified adult psychiatrist who has been in practice for over 25 years. He has always been fascinated by how the brain works, especially in the setting of stress, anxiety, and trauma. He completed his training at the Pennsylvania State University College of Medicine MD/PhD program and earned his PhD in Neuroscience. He subsequently completed a Residency in Adult Psychiatry including an Anxiety Disorder Research Fellowship at the University of Florida. Dr. Gamberino had a private practice for over 10 years with a focus on providing psychotherapy integrated with pharmacological management. He worked for 25 years with adult and geriatric Veterans at Department of Veterans Affairs with focus on treating PTSD, as well as a full range of anxiety and mood disorders including 7 years of providing care through telehealth treatment. Dr. Gamberino also has 10 years of experience working with adolescents in the juvenile justice system.

Dr. Gamberino is experienced and comfortable treating a wide variety of psychiatric conditions including PTSD, mood disorders such as major depression and bipolar disorder, and all anxiety disorders such as generalized anxiety disorder, social phobia, panic disorder, and OCD. He enjoys sharing knowledge with patients to help them better understand the origins of their symptoms and a range of strategies to manage them.

Dr. Gamberino utilizes a non-paternalistic approach respecting the autonomy of his patients while helping them gain insight into their presenting problems utilizing a collaborative shared decision making approach to help reduce symptoms and optimize functioning. His practice combines evidence-based medication management with psychotherapy utilizing elements of supportive, cognitive behavior, and insight-oriented therapy. Dr. Gamberino utilizes a patient, caring approach, meeting patients where they are to empower them with making changes that lead toward improvement and optimization of their wellness.

Dr. Megan Wynne is board certified in adult psychiatry and completed fellowship training in Consultation-Liaison Psychiatry (Psychosomatic Medicine). She has been in practicing psychiatry since 2006. Dr. Wynne completed her medical degree at Drexel University School of Medicine in Philadelphia, PA, her psychiatric residency at Thomas Jefferson University Hospital in Philadelphia, PA and her consultation/liaison psychiatric fellowship at Long Island Jewish Hospital in Queens, NY. She continued to work in Consultation Liaison Psychiatry at North Shore Hospital in NY, before working for nine years at Philadelphia Veterans Administration Hospital as a staff psychiatrist and associate at the University of Pennsylvania University Hospital. During this time, she worked closely with patients struggling with Traumatic Brain Injury, Post Traumatic Stress Disorder, Depression and Anxiety. She acted as an attending psychiatrist in training medical students, psychiatric residents and fellows. Following a move to New Zealand, she worked as lead psychiatrist for Te Puna Waiora, Maori Mental Health team (Indigenous Person mental health clinic) at Counties Manakau District Health Board. She worked with multiple patients facing cultural challenges, as well as psychosocial stressors (poverty, family fragmentation, poor education). During this time, she worked within the indigenous system of mental health, which treats not just emotional or physical issues for a person, but spiritual and familial as well. She has incorporated this into her treatment approach for all patients. Dr. Wynne has always believed that medication must be used in conjunction with psychodynamic therapy, and medical and social supports to most appropriately treat a patient. She offers 30-minute sessions consisting of medication management and brief therapeutic support. She specializes in treating victims of trauma, medical comorbidity.