Bryce Thacker, PMHNP

Dr. Bernard is a board-certified Psychiatrist from New Orleans, LA, with fellowship training in Consultation-Liaison Psychiatry at Stanford University. His career has spanned both academic medicine and clinical leadership, including serving as Medical Director of a hospital-based C-L Psychiatry service and teaching medical students and residents. His background in academics, leadership and subspecialty training allows him to bridge all aspects of his patient's health. His hobbies include yoga, meditation, martial arts, snowboarding and inline hockey.

Patients can expect a thoughtful, respectful, and collaborative approach. He works to understand both the biological and psychological aspects of each person’s experience, and he believes in creating individualized treatment plans that are practical and evidence-based. His style emphasizes open communication, setting clear goals together, and making sure patients feel heard and supported throughout their care.

He begins with a comprehensive assessment to understand each patient’s medical, psychological, and social background. From there, he partners with patients to identify their goals and tailor a treatment plan that may include psychotherapy, medication, lifestyle modifications or coordination with other healthcare providers. He regularly checks in on progress, adjusts as needed, and strives to create a therapeutic relationship that feels safe, structured, and effective.

Jennifer Hewitt is a board-certified psychiatric nurse practitioner, credentialed through the American Nurses Credentialing Center (ANCC). She earned her master’s degree in nursing from Gonzaga University and has extensive experience treating a wide range of mental health conditions, including anxiety, depression, obsessive-compulsive disorder (OCD), bipolar disorder, schizophrenia, and post-traumatic stress disorder (PTSD).

Her passion for psychiatry and dedication to patient care are rooted in her background as an emergency room nurse and her experience in emergency medical services (EMS). This foundation has given her a unique perspective on the critical role mental health plays in overall well-being.

Jennifer provides compassionate care to adults, children, and adolescents, recognizing that each individual’s path to mental wellness is unique. She believes that while medication can be an important part of treatment, self-care and therapy are equally essential components of a holistic approach.

She is known for her empathetic listening and genuine connection with patients. Through collaboration, she helps individuals set realistic goals and empowers them to take an active role in their recovery. Her kindness and commitment create a supportive environment where patients can thrive on their journey toward mental wellness

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Dr. Peppers works with patients to meet the goals that matter to them. She believes that feeling heard and being understood are key factors in a successful treatment relationship.

She has been working in telehealth since 2018. She has worked extensively with patients dealing with trauma from childhood abuse, assaults, combat, and accidents. She also has a lot of experience treating depression, anxiety disorders, bipolar disorder, ADHD, and personality disorders.

After completing her training, Dr. Peppers worked in private practice and in various roles for the Department of Veterans Affairs. She most enjoys working in the clinic because of the long term follow-up.        

Dr. Peppers enjoys her work and includes psychotherapy in her appointments. She offers medication options to treat symptoms but also works with patients to examine behaviors and defenses that may be contributing to their problems. For patients who would benefit from more extensive psychotherapy, she may refer patients to a therapist and work collaboratively with the therapist.

She starts off with a thorough evaluation to make a diagnosis. Then, she works with patients to determine what their treatment goals are and develops a treatment plan to meet those goals.

Dr. Desir is a Board-Certified Psychiatrist who completed her undergraduate training at The University of Scranton followed by medical school at the New York Institute of Technology College of Osteopathic Medicine. She completed psychiatry residency at Nassau University Medical Center where she served as the Administrative Chief Resident in her final year. Dr. Desir has been in practice for 4 years and has provided patients with compassionate psychiatric care. She has worked in community mental health settings throughout her career, in which she served a wide variety of patient populations. Dr. Desir is experienced in treating various psychiatric illnesses including mood disorders, anxiety disorders, OCD, PTSD, and ADHD. At the heart of Dr. Desir's clinical approach is a strong emphasis on establishing trust and building a therapeutic relationship. She also provides psychoeducation to help patients make informed decisions regarding their care. She works collaboratively with patients to develop individualized treatment plans to help them achieve their goals. Dr. Desir's practice focuses on medication management. Typically, she offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. Occasionally, Dr. Desir may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. Talkiatry takes medication management seriously. All state-controlled substance databases are reviewed and taken into consideration during your initial evaluation.

Gabrielle Delarose is a dually boarded Psychiatric Mental Health and Family nurse practitioner with over ten years of clinical experience. Gabrielle is dedicated to providing culturally competent and evidence-based medication management and psychotherapy to assist individuals in achieving their goals to live their best life. I believe in holistic treatment of individuals, and focus on the individual’s overall well-being, including how they are functioning socially and professionally. In addition to medication and psychotherapy, she is a proponent of incorporating research-supported alternative modalities, including dietary changes, exercise, social interaction, and yoga. She also advocates of forest bathing (“shinrin-yoku”), a practice of spending time in nature that yields both medical and mental health benefits as discovered in research trials from around the world. As a professionally trained cellist, she also frequently incorporates art and music into appointments and treatment plans with patients. Her goal for all her patients is to improve all facets of a person’s life with treatment. Gabrielle is an LGBTQ+ affirming provider and has extensive experience working with diverse populations.

New patients should know that the initial appointment will consist of obtaining their social history in addition to their medical history. This is an important part of establishing a therapeutic relationship in addition to obtaining health information to use in formulating treatment plans. A person’s identity and life experiences are a significant influence on a person’s health and well-being, and Gabrielle believes in discussing these experiences in order to best understand a patient’s background and incorporate that into their care. Patients are encouraged to write down any questions they may have prior to the appointment, as well as any significant points they want to discuss. This is encouraged because, as patients, we may forget to address these points without a prompt from the provider. Gabrielle also encourages patients to actively participate in their care and firmly believes in a patient’s right to autonomy and agency. This patient-centered approach empowers patients to help guide treatment plans that best fit the patient’s needs and abilities at any given time. Patients are also encouraged to discuss any concerns about medications or treatment, particularly if there are concerns about side effects.

Gabrielle works collaboratively with patients to determine appropriate and preferred treatment plans, including medication and therapy. She uses cognitive behavioral therapy (CBT) as the primary therapy modality, in conjunction with existential therapy, depending on the patient’s needs and preferences. She prefers to allow patients flexibility in their treatment, so the process may look less structured depending on the immediate needs of the patient. Other times, particularly while working through a specific problem in therapy, appointment agendas may be planned out for several weeks. If at any time, however, a need arises to deviate from preplanned appointment agenda, patients are encouraged to discuss this at the beginning of the appointment. Above all, patients’ needs will guide the agenda.

Dr. Erica Cusick is a board-certified psychiatrist at Talkiatry. She completed her undergraduate training at the University of Rochester and medical school at Lake Erie College of Osteopathic Medicine. She is committed to treating a wide range of mental health disorders and addressing the psychological and emotional challenges faced by adults of all ages. During her residency training at Allegheny General Hospital, Dr. Cusick developed a keen interest in the nuances of medication management, including drug interactions and side effects, ensuring accurate diagnoses, the mental health needs of women, identification of attention-deficit/hyperactivity disorder in adults, and addressing mental health issues that may arise with concussions, traumatic brain injuries, strokes, Parkinson's Disease or dementia. Dr. Cusick approaches patient care collaboratively by actively listening to patients and involving them in their treatment planning while providing evidence-based care.