Cedric Skillon, MD

Michelle Hamilton is a Board-Certified Psychiatric Mental Health Nurse Practitioner with a special interest in the care of adults with mood disorders, anxiety disorders, and PTSD. She earned her Master of Science Degree from The Ohio State University and her Bachelor’s Degree in Nursing from The Oregon Health & Science University in Portland, Oregon. Her background includes both inpatient and outpatient psychiatry, crisis stabilization, and Consult-Liaison Psychiatry. Michelle has a passion for incorporating a holistic, evidenced-based approach to improve the mental health needs of each individual client through medication and therapy while emphasizing practical lifestyle changes such as the incorporation of exercise, healthy nutrition, and stress management techniques.

Dr. Atkins is a staff psychiatrist at Talkiatry. He is board-certified in adult psychiatry and has been in practice for the past 2 years. He has received several awards for teaching and the treatment of chronically ill patients, including Stony Brook University's "William Turner Award" for excellence in education and leadership. Dr. Atkins has focused his practice primarily on medication management. He combines medication management with a therapeutic style that is a blend of supportive therapy, cognitive behavioral therapy, and motivational interviewing. Follow‐up appointments with Dr. Atkins typically last 20‐30 minutes. While Dr. Atkins is trained in a variety of therapeutic techniques, he works collaboratively with therapists and may recommend their inclusion as part of your treatment team, depending on your individualized treatment plan .Dr. Atkins attended the University of Connecticut School of Medicine where he received his medical degree. He completed his psychiatry residency at Stony Brook University Hospital in New York. Post residency, he worked with general adult patients as well as older adults at Manchester Memorial Hospital where he served as both an outpatient psychiatrist and Director of the Geriatric Intensive Outpatient Program. Although Dr. Atkins does not treat child or adolescent patients, he has experience working with people of all ages, from young adults to adults. He has experience treating mood disorders, anxiety disorders, obsessive-compulsive disorder, patients in the perinatal period, and patients with co‐co-occurring substance use disorders. He has regularly managed behavioral problems in adults with autism spectrum disorders as well as dementia. He particularly enjoys working with patients dealing with life or role transitions, older adults, and patients with bipolar or other affective disorders.

Dr. Tsujimoto-Ryzewski is a board-certified adult psychiatrist. She received her medical degree from the University of Nevada, Reno School of Medicine. She completed her residency at the University of Nevada, Reno School of Medicine, where she served as a chief resident during her last year of training. Dr. Tsujimoto-Ryzewski has treated patients with a wide variety of diagnoses both during her residency and after her training while working at a busy private practice clinic as well as for the Veterans Administration. Dr Tsujimoto-Ryzewski focuses on medication management and supportive psychotherapy. If she feels that additional therapy is needed, she will ask that you bring in a therapist as part of the treatment team. Dr. Tsujimoto-Ryzewski will work collaboratively with you in a caring environment to assist you in reaching your goals.

Mary Birse is a board-certified Psychiatric Mental Health Nurse Practitioner (ANCC) with over 20 years of nursing experience. She graduated magna cum laude with a BSN from Florida Atlantic University and earned her MSN from the University of Florida. She completed a Psychiatric NP Residency at the VA in Charleston, SC. Mary has worked in a variety of settings including the West Palm Beach VA Medical Center, the Palm Beach County Firefighter’s Clinic, various outpatient telehealth platforms, and a child and adolescent inpatient facility. She was also an adjunct professor at Palm Beach State College.

Mary believes in empowering patients through education and collaboration so they can play an active role in their mental health journey. She works to create a warm and welcoming space where patients feel safe, heard, and understood. Whether the treatment path includes therapy, medication, integrative approaches, or a combination, she ensures that the plan reflects the patient's needs and goals.

Mary takes a thorough and holistic approach to care. She spends time understanding each patient’s history and past treatments—what has or hasn’t worked—and listens carefully to their current concerns and future goals. By factoring in lifestyle and preferences, she works with patients to build thoughtful, individualized treatment plans.

Background and credentials

Dr. Tyler Josephs is a staff psychiatrist at Talkiatry. He earned his medical degree from Kansas City University in 2017 and completed his psychiatric residency at the University of Kansas Medical Center in 2021. During his residency, he served as Chief Resident at both the University of Kansas Medical Center and the Kansas City VA Medical Center. Most recently, Dr. Josephs worked at the Kansas City VA Medical Center, where he was the psychiatric director of the outpatient mental health clinic and served as Psychiatry Executive for behavioral health services.

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Treatment approach

Dr. Josephs believes in a holistic approach to mental health treatment, integrating medication management, supportive psychotherapy, and collaboration with therapists and support staff. He tailors treatment to each patient's unique needs, ensuring a comprehensive and individualized approach to care. His expertise includes treating a variety of psychiatric diagnoses, such as depression, anxiety disorders (including OCD), ADHD, and PTSD.

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What you can expect in a first visit

In a first visit, patients can expect a thorough evaluation, where Dr. Josephs takes the time to understand their medical history, symptoms, and treatment goals. He emphasizes open communication and collaborative decision-making, ensuring that patients feel heard and supported. Based on this initial assessment, he will develop a personalized treatment plan, which may include medication management and referrals to therapy or other supportive services as needed.

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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. Hussain is known for his compassionate, thoughtful approach to psychiatry and his commitment to helping patients feel genuinely seen and supported. He takes pride in getting to know each person as a whole—beyond just symptoms or diagnoses—and works to build on that from the very first session. Originally from New York, Dr. Hussain completed his undergraduate studies at the University of Buffalo, earned his medical degree from St. George’s University, and completed residency training at Northwell Health in New York and Connecticut.

Dr. Hussain treats a wide range of mental health conditions including depression, anxiety, ADHD, PTSD, OCD, bipolar and psychotic disorders. His approach is collaborative and patient-centered, with a strong focus on shared decision-making. Treatment often includes medication management and therapy techniques like cognitive behavioral therapy and motivational interviewing. Sessions are always a judgment-free space where patients feel safe, respected, and empowered.

During an initial visit, Dr. Hussain conducts a thoughtful and collaborative assessment focused on understanding a patient’s symptoms, experiences, and treatment goals. From there, he works closely with each person to develop a personalized plan, including medication options and other therapeutic strategies. His goal is to create a safe, respectful space where patients feel heard, empowered, and supported throughout their care.

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