Christa DeFries, MD

Mariah Ide is a Licensed Clinical Mental Health Counselor who has a passion for helping people see their true potential. Mariah earned her master's degree in mental health counseling from Stetson University in Deland, Florida, and also graduated with a bachelor's degree in psychology and criminology from the University of Florida located in Gainesville, Florida. Mariah has experience with children, adolescents, and adults. Mariah has worked in school, hospital, and outpatient based settings. She has clinical practice experience with mood disorders, self esteem issues, gender identity, crisis intervention, family issues and trauma, with a certification in complex trauma. In addition to counseling, Mariah has also worked in case management and has a unique perspective behind resource utilization. She has worked on countless projects in the community to promote mental health awareness. Mariah believes in advocacy for her clients as well as the mental health field, and hopes to promote acceptance and decrease stigma related to mental health and mental health treatment. Mariah takes a person-centered approach with her clients and believes in meeting the clients where they are. Mariah hopes to empower her clients by giving them a safe environment to explore and learn more about themselves without judgment. She sees the importance in looking at the whole picture when working with a client. Mariah hopes to create rounded goals to promote long term success, and help the client feel more balanced overall. She uses solution focused and cognitive behavioral interventions to help clients build a tool box of skills that can help them cope with daily life. Mariah wishes to help her clients reach their full potential, while hopefully making them laugh once in a while during the process.

Dr. Katherine Vital-Daley is an adult psychiatrist at Talkiatry. She treats all adults and her passion lies in providing accessible care for women facing challenges throughout pregnancy, childbirth, and postpartum and in reproductive psychiatry. Dr. Vital-Daley's academic background is rooted in science, with an undergraduate degree in biochemistry and molecular biology from the University of California, Merced. She then pursued her medical doctorate at the Medical University of the Americas. Following medical school, she completed her psychiatry residency training. The first two years were spent at East Carolina University, Brody School of Medicine, with a culmination of her last two years of residency at Allegheny Health Network in Pittsburgh, Pennsylvania, to further specialize in women's mental health, which solidified her expertise in this vital area.‍At Allegheny Health Network's Women's Behavioral Health clinic, Dr. Vital-Daley honed her skills in treating a range of conditions, including depression, anxiety, PTSD, OCD, bipolar disorder, and related issues, and served as a medical provider for their intensive perinatal/postpartum outpatient clinic. She also developed a deep understanding of perinatal mental health, supporting patients coping with perinatal loss and traumatic birthing experiences. In her practice, she employs supportive psychotherapy and mindfulness along with evidence-based medication management, utilizing the most current clinical guidelines and treatment modalities. ‍Dr. Vital-Daley's approach is rooted in a collaborative treatment approach. She works closely with patients, exploring past and current stressors and any relevant medical conditions to develop a comprehensive understanding of their individual needs. Recognizing the importance of cultural competency, she incorporates patients' unique backgrounds, beliefs, and core values into her care plans.

Dr. Krista Alexander is a board-certified psychiatrist who loves equipping her fellow human beings to feel and function better. She studied medicine at the University of Texas Southwestern Medical School and completed her residency at Duke University. She has worked in both private practice and integrated primary care/behavioral health care settings. She is a member of the American Psychiatric Association and the North Carolina Psychiatric Association. Krista offers medication management and supportive psychotherapy for mood disorders, anxiety disorders, trauma, ADHD, substance use disorders, and other mental health issues. She strives to embody "relational prescribing” and believes that med management is most effective in the context of a relationship of mutual trust, emotional safety, and shared decision-making between provider and patient. She has trained in psychodynamic psychotherapy and various forms of cognitive behavioral therapy, and tailors her approach to each patient's individual strengths and needs. Krista understands that the needs of the whole person must be addressed in order to facilitate growth and healing. She enjoys collaborating with fellow medical/mental health providers to address a patient's complex needs as an integrated team.

Dr. Delima-Tokarz is double Board Certified in Psychiatry and Lifestyle medicine. She completed her psychiatry residency training at the University of Maryland/Sheppard Pratt, where she served as the chief resident. She has practiced in various settings over her career, including working for the Department of Defense, private practice, and community mental health. Dr. Delima-Tokarz is fluent in Portuguese, English, and Spanish. Dr. Delima-Tokarz has more than five years of experience treating patients with anxiety, depression, PTSD, Bipolar, OCD, ADHD, and other mental health issues. She employs pharmacotherapy along with supportive therapy and integrative approaches. Dr. Delima-Tokarz is currently working on completing her Ph.D. in Integrative Medicine and is passionate about a holistic and integrative approach to mental health. Her philosophy includes a healing-oriented approach that considers the whole person, including all lifestyle aspects. Dr. Delima-Tokarz aims to provide collaborative and comprehensive care, which may include medication management, lifestyle interventions, stress reduction techniques, and other integrative approaches. She believes building a strong therapeutic relationship where the patient feels empowered is the key to healing.‍

Dr. Andrew Miller is a board-certified psychiatrist with extensive experience treating patients across Indiana. He earned his undergraduate degree in Biology with a minor in Chemistry from Indiana University, followed by his Doctorate of Medicine and residency training in psychiatry. He went on to complete a fellowship in child and adolescent psychiatry and maintains active involvement in professional organizations, including serving as past president of the Indiana Council of Child and Adolescent Psychiatry. Outside of medicine, Dr. Miller values time with his wife and two children and enjoys sports, Lego building, and supporting Indiana athletics.

Dr. Miller believes in building a collaborative therapeutic relationship grounded in respect and open communication. He strives to create a safe, supportive environment where patients of all ages—children, adolescents, and adults—feel heard and understood. He works to balance medical expertise with patient preferences, encouraging shared decision-making and honoring each individual’s goals in treatment.

Dr. Miller begins with a thorough evaluation to gain a complete understanding of each patient’s history, strengths, and challenges. From there, he develops a personalized treatment plan that may include therapy, medication management, and integration of other supportive resources. He is committed to ongoing follow-up, adjusting care as needed, and helping patients move toward lasting improvement in their mental health and overall well-being.

Dr. Mary O'Malley is board certified in Adult Psychiatry and Sleep Medicine. She received her medical degree from Weill Cornell Medical School and PhD in Neurobiology from The Rockefeller University. She completed her Psychiatry residency and Sleep Medicine Fellowship training at the New York University Medical Center. In her psychiatric practice, Dr. O'Malley uses an integrative approach to health, combining evidence-based concepts in neurobiology with psychological, social and spiritual/existential worldviews to understand and treat every patient. Her primary practice is medication management. She also integrates elements of psychotherapy into her work, typically within 30-minute follow-up visits. In addition to medication and psychotherapy, she incorporates wellness tools into visits, such as mindfulness exercises and sleep management strategies. If she believes that additional psychotherapy is needed, she will recommend that you add a therapist to your care team. Dr. O'Malley has extensive experience working with people from many stages of life, with diverse world views and cultural backgrounds. She has always had an inclusive practice and welcomes people who identify as LBGTQIA+. As part of her own life path she became an Interfaith Minister and enjoys including spirituality and the supportive role it can play in healing for her patients. Her primary focus is working with adults with mood and anxiety disorders, trauma symptoms, ADHD, and problems with sleep. She enjoys working with people facing life transitions, especially older adults and women who are struggling with mental health challenges related to pregnancy and post-partum health. Prior to joining Talkiatry, Dr. O'Malley was working at Hartford Healthcare with adults in intensive outpatient programs and at Hackensack Meridian Health outpatient clinics. She was the medical director of the Consultation Liaison Service at Berkshire Medical Center in Pittsfield, Massachusetts, and an assistant professor at UMass Medical School. She has published and presented widely on topics related to Wellness in Psychiatry, Ethics and Sleep Medicine. She is an advocate for finding your voice in medical decision-making and enjoys using sound healing for relaxation and stress management.