David Eiler, MD

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. Sahadevan took an adventurous path to Talkiatry. After perhaps thinking a little too hard about Intro to Philosophy in college - "the unexamined life is not worth living” - he first used his chemistry degree to work in pharmaceutical research. He changed course, working in computer network engineering, before deciding to find a more meaningful path. He worked as an EMT, then earned a Master's in Physiology before finally landing in medical school at Ohio State. Finding a surprising interest in psychiatry, he stayed at Ohio State for residency, and then a fellowship in forensic psychiatry. He is board-certified in both Psychiatry and Forensic Psychiatry. He previously worked as a forensic psychiatrist and evaluator at Ohio's maximum-security state psychiatric facility, as an attending psychiatrist running an inpatient unit for violent or dangerous patients, performing court-ordered evaluations, writing reports, and testifying when necessary. Dr. Sahadevan has also worked as a consultation-liaison psychiatrist, performing psychiatric consults at several general hospitals in Central Ohio's largest hospital system. He found great enjoyment in teaching successive generations of residents and medical students, serving as an adjunct faculty member at Ohio State, Ohio University, Wright State, and OhioHealth Riverside Methodist Hospital. He is excited for the next chapter of his journey, exploring another area of psychiatry at Talkiatry!

Getting to know meDr. Kishan Peddanna is a board-certified general psychiatrist with experience treating patients across the lifespan. He attended The Ohio State University for his undergraduate studies and earned his medical degree from the University of Cincinnati. Dr. Peddanna completed his residency in General Psychiatry at The Ohio State University and a fellowship in Child and Adolescent Psychiatry at Nationwide Children’s Hospital.

Dr. Peddanna values continuity of care and collaboration, working with patients toward long-term improvements while building meaningful connections. His approach is grounded in shared decision-making, ensuring treatment plans align with each patient’s goals. He has extensive experience managing conditions such as ADHD, mood disorders, and anxiety.

Dr. Peddanna’s practice focuses on medication management complemented by supportive psychotherapy. He uses evidence-based assessments and interventions to guide individualized treatment planning, fostering a care experience that is both effective and patient-centered.

Dr. Kira Posteraro is double board-certified in Adult and Addiction Psychiatry and has over 10 years of clinical experience. She completed her General Adult Psychiatry Residency at Allegheny General Hospital in Pittsburgh, PA, followed by a fellowship in Addiction Psychiatry at Beth Israel Medical Center in New York, NY.

Dr. Posteraro’s career has included serving as Director of Psychiatric Services at an addiction treatment center in Pittsburgh, PA, where she provided care across the full continuum of substance use disorder treatment—including residential, acute PHP, IOP, outpatient, and aftercare services. She later held the role of Section Chief Psychiatrist for the Center for Treatment of Addictive Disorders at VA Pittsburgh Healthcare System, offering both residential and outpatient services and acting as Medical Director for the SAMHSA-certified Opioid Treatment Program. Most recently, she served as Chief of Psychiatry for the Behavioral Health Service Line at VA Pittsburgh, where she had the honor of caring for our nation’s Veterans.

While her clinical expertise centers on the diagnosis and treatment of substance use disorders, Dr. Posteraro also has extensive experience treating a wide range of psychiatric conditions, including depressive and bipolar spectrum disorders, anxiety disorders, and trauma-related disorders.

Dr. Posteraro uses a collaborative, supportive approach to care, incorporating motivational interviewing to help guide patients on their journey to wellness. She integrates holistic strategies alongside medication management and is dedicated to meeting patients where they are in treatment to build individualized, effective recovery plans.

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What has motivated Dr. Wheatley over the course of her career as a caregiver? Dr. Wheatley is a native Houstonian who grew up in a working-class community. Through curiosity and hard work, she was able to attend a university that included people of vastly different life experiences. She was molded by both communities to appreciate the commonalities of humanity. That broad exposure extended her empathetic spectrum to grasp the needs of the American diaspora.

Dr. Wheatley uses a biopsychosocial approach to evaluate the patient. She gathers patient history with a mindset that considers the neuroscience that chemically shapes mood, thoughts, and behavior. She is able to uncover factors that can inhibit psychological growth and development. She has experience in seeing how the social conditions of the “then” can influence the resiliency of the “now”. Dr. Wheatley appreciates, and is proficient in, advances in technology, but prioritizes the analog relationship between doctor and patient.

Meeting people where they are. It is an old trope, but describes how one allows a patient to set the path forward. An open-ended interview is conducted with an open mind towards resolution. When being evaluated and treated by Dr. Wheatley, a patient can expect to be met in a cordial but professional manner. Treatments are discussed and considered based on the mental state of the patient and the clinical efficacy and scientific evidence of benefit. The patient is invited to ask questions and consider whether they wish to pursue the suggested treatment plan.

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Dr. Seth Flesher is double board-certified in adult psychiatry and addiction medicine.  Dr. Flesher’s practice focuses on medication management of psychiatric illness without the use of controlled substances.  Typically, he offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. However, occasionally Dr. Flesher may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome.

Before joining Talkiatry Dr. Flesher was Medical Director of Advanced Psychiatric Services [complex/high profile cases] at Kings County Hospital and Unit Chief of the Covid19 positive unit.  He was also a clinical professor at Downstate Medical College where he was voted educator of the year numerous times by psychiatric residents and medical students.  Dr. Flesher is a graduate of the prestigious combined 6-year BS/MD program at The Sophie Davis School of Biomedical Education.  He did research at the neuropsychiatric branch of the National Institute of Mental Health, completed his psychiatric residency at St. Lukes/Roosevelt Hospital, and he received his master’s degree in public health from Columbia University.

Dr. Flesher believes that psychiatry should start with a thorough assessment to arrive at an accurate diagnosis.  Then a discussion with the patient of the different evidence-based options available.  Followed by shared decision-making to arrive at an effective treatment plan to achieve the goals that the patient identifies as being important.  This should be done in an honest, open, non-judgmental, but realistic environment.  Understanding that the ultimate goal is to get the patient to a position where they will no longer need medication and/or therapy.