Deborah Ford, PMHNP

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. 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. Maaeesha Pushpita, MD, is a board-certified psychiatrist with experience caring for patients across all age groups in both inpatient and outpatient settings. She holds a special interest in college-age populations, women’s and reproductive health, trauma-related care, nutritional psychiatry, and psychodynamic psychotherapy and psychopharmacology. Dr. Pushpita earned her medical degree from Northeast Ohio Medical University and completed her psychiatry residency at OhioHealth Riverside Methodist Hospital.

Dr. Pushpita’s approach to care is patient-centered, holistic, empathic, evidence-based, and culturally competent. She values building trust and fostering an environment where patients feel heard, supported, and empowered in their care.

In the initial session, Dr. Pushpita takes time to understand each patient’s history, concerns, and goals. She carefully rules out underlying physical conditions that may impact mental health and cognitive functioning, and collaborates with patients to identify lifestyle changes that can support their well-being. Treatment plans are tailored, evidence-based, and designed to be practical and achievable.

Marie Thompson, PMHNP, has over a decade of experience practicing in outpatient settings. She earned her undergraduate, graduate, and post-graduate degrees from Ursuline College in Pepper Pike, Ohio. Marie is dual certified as a Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner, allowing her to provide well-rounded, holistic care to her patients.

Marie uses a team-based approach to help patients meet their treatment goals. She is dedicated to creating a trusting, non-judgmental environment where individuals feel safe, heard, and supported. Her goal is to enhance daily functioning and improve each patient’s overall quality of life.

Marie creates individualized treatment plans to meet each patient's unique needs. She works collaboratively to develop patient-centered goals and uses a thoughtful, compassionate approach to guide treatment. Her process prioritizes open communication, shared decision-making, and long-term wellness.

Lance Briggs is a dedicated Psychiatric Nurse Practitioner with over a decade of clinical and leadership experience. A graduate of the University of North Dakota, Lance began as a psychiatric RN in acute inpatient settings before becoming a psychiatric RN supervisor in a major Houston hospital while pursuing advanced practice.

After becoming a PMHNP, Lance initially worked with outpatient addiction treatment and severe mental illness populations, later expanding into bariatric psychiatry to support patients preparing for weight-loss surgery. When the COVID-19 pandemic paused bariatric procedures, Lance founded a private practice—Grey Matters Mental Health—in Seattle, which was later sold to a larger healthcare organization in Minnesota. Lance then transitioned into correctional mental health, serving underserved populations within the criminal justice system. Currently, Lance is working at Talkiatry, providing compassionate, high-quality care informed by experience across diverse and challenging environments.

Lance understands that every patient is unique. His approach is grounded in Carl Rogers’ principle of unconditional positive regard, creating a safe, calming space where patients feel heard and valued. Lance takes time to explore developmental history, family background, and major life events, recognizing how past experiences shape present challenges. He aims to understand each symptom fully and offers thoughtful, collaborative treatment options.

Dr. Pipalia is board-certified in both adult psychiatry and internal medicine. Since graduation from residency, he gained specialized experience in treating veterans with terminal illness, specifically Amyotrophic Lateral Sclerosis (aka Lou Gehrig's Disease), at the VA Medical Center in Portland, OR. He combines both psychotherapy and medication treatment to provide holistic care that addresses not only your mental health but also the parts of your life that surround and are deeply intertwined with your mental health. When more intensive psychotherapy is warranted, he collaborates with an experienced psychotherapist to serve you better. With his experience of internal medicine, he is also comfortable with navigating complex medical issues that may interact with your mental health. Dr. Pipalia is a graduate of St. George's University School of Medicine. He completed a combined Psychiatry & Internal Medicine residency training program at East Carolina University. He went on to complete a fellowship in Clinical Informatics at Oregon Health & Science University, learning how to use modern digital technologies and patient data to improve patient care. His academic activities include a presentation he has given multiple times on Illness Identity, teaching other clinicians how having an illness can change how we perceive our place in the world and how to help patients manage their relationship with illness.