Christine Reyes, MD

Dr. Patel is a distinguished psychiatrist with over 24 years of experience. He completed his psychiatric residency at the University of South Dakota School of Medicine, where he served as chief resident and earned the Outstanding Resident of the Year award. He then pursued a fellowship in Consultation-Liaison Psychiatry at Harvard Medical School/Beth Israel Deaconess Medical Center.

He is triple Board certified in Adult Psychiatry, Consultation-Liaison Psychiatry, and Sleep Medicine and also holds certification in Behavioral Neurology and Neuropsychiatry from the United Council for Neurological Subspecialties. These credentials reflect his expertise in psychiatry, neurology, and the management of complex psychiatric conditions in medically ill patients.

Dr. Patel has worked in diverse settings including inpatient units, psychiatric consult services, outpatient clinics, and nursing homes. He is skilled in neuromodulation treatments such as Electroconvulsive Therapy (ECT) and Transcranial Magnetic Stimulation (TMS).

In addition to clinical practice, he has served leadership roles of chairman of a psychiatric department, medical director of a behavioral health service line in a regional health system, and founder/CEO of a private psychiatric and TMS clinic. Dedicated to ongoing professional growth, Dr. Patel remains at the forefront of psychiatric advancements in psychiatric care, earning a reputation as a respected leader in the field.

Dr. Patel combines deep knowledge of neurobiology, behavioral health, and the mind-body connection to offer a collaborative, evidence-based, and holistic approach to care. He integrates diet, exercise, yoga, meditation, and lifestyle modifications with psychotherapy and medication management.

His approach emphasizes active listening, curiosity, compassion, and even humor—creating a warm and supportive environment. By encouraging patients to integrate their unique life experiences into their treatment, he fosters ownership, empowerment, and active participation in the healing process.

During your first visit, Dr. Patel will review your symptoms, medical and psychiatric history, past treatments, substance use, psychosocial factors, and family history. He will discuss treatment options—including risks and benefits—and determine if his expertise and the telehealth platform are the right fit for your needs. Your safety is his top priority.

Follow-up visits focus on monitoring progress, adjusting treatments, maintaining stability, and supporting your motivation to achieve your fullest potential.

Dr. Tamoria is a California native whose career has taken him around the country. As a medical student at Temple School of Medicine in Philadelphia, PA he worked in a culturally diverse, urban community. He was Chief Resident at the “President’s Hospital” in Washington DC and spent the first part of his career serving as an active-duty Navy psychiatrist helping servicemembers and veterans. After the Navy, he returned west to WA whereas a Medical Director he led one of the state’s most successful behavioral health programs through COVID and into the telehealth revolution. Now he serves as Talkiatry’s first West Coast Chief leading and supporting psychiatrists across the western US.

Dr. Tamoria works with adults to diagnose and treat a wide variety of mental health conditions including Depression, Anxiety, ADHD, Bipolar Disorder, PTSD, and more. He uses a combination of medication management and psychotherapy treatment to help patients improve and thrive. He is well experienced in caring for patients with complex histories or co-morbid medical conditions.

In the first appointment with Dr. Tamoria he completes a comprehensive evaluation of mental health symptoms, medical history, social supports, and stressors. He works collaboratively with patients to develop a treatment plan that may include lab tests, managing medications, initiating psychotherapy, or referring to other specialists. Over time he builds on the patient’s strengths and resilience to lead to recovery.

‍

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. Shaughnessy is boarded in adult psychiatry and has over 30 years of experience. Dr. Shaughnessy practices medication management in a supportive collaborative environment. Treatment recommendations may include psychotherapy with another professional in addition to medication management .Dr. Shaughnessy has worked with individuals having the spectrum of psychiatric disorders but is particularly interested in working with those with mood and anxiety disorders.

Dr. Kyra Munzenmaier is a board-certified psychiatrist dedicated to providing compassionate, personalized mental health care. A graduate of the University of South Florida's College of Medicine and former Chief Resident at St. Luke’s in Pennsylvania, Dr. Munzenmaier brings extensive training and experience in outpatient psychiatry. She particularly enjoys helping individuals dealing with insomnia, ADHD, anxiety, OCD, mood disorders, and medical trauma. As a Perinatal Mental Health-certified expert, she advocates for women’s mental health needs and supports individuals navigating mental health concerns during pregnancy and beyond.

Dr. Munzenmaier’s treatment approach is rooted in shared decision-making, prioritizing patient goals and preferences to create customized care plans, which typically include psychotherapy in combination with medication. She often integrates evidence-based lifestyle modifications and natural treatments to optimize personal well-being. By taking a holistic view of her patients’ challenges, Dr. Munzenmaier empowers her patients to lead their most fulfilling lives.

Dr. Erlach is a board certified adult psychiatrist who has previously worked for the United States Air Force and the Department of Veterans Affairs. He attended medical school at the Uniformed Services University of Health Sciences, graduating in 2009, followed by active duty military service in the United States Air Force until 2024. He completed residency training at the combined military-civilian Wright State University/Wright Patterson AFB training program in Dayton, Ohio.

Dr. Erlach enjoys working with all types of patients. He takes a collaborative approach to patient care and develops a treatment plan alongside the patient so that both are fully invested in the plan. He generally has weekend and evening appointments only.

Dr. Erlach incorporates therapy into medication management appointments. Dr. Erlach feels that addressing psychosocial stressors and developing coping mechanisms are a vital component to treatment.

‍