Emily Sykes, MD

Dr. Koster is board certified in psychiatry and forensic psychiatry. After completing her medical education, residency, and fellowship, she started working on a Forensic Assertive Community Treatment (FACT) team, followed by working at a community hospital. She then transitioned to a clinic serving patients who were determined severely mentally ill (SMI). Dr. Koster has been involved with teaching residents and working within an academic institution. Dr. Koster is a Fellow of the American Psychiatric Association, a member of the American Academy of Psychiatry and the Law and the American Osteopathic Association. Dr. Koster enjoys working with people of diverse backgrounds and experiences. She uses a culturally sensitive and holistic approach in the evaluation and treatment of brain health conditions. She believes in a team approach and her patients' active participation in treatment planning. She incorporates a variety of modalities in her treatment that can include medications, personal medicine, psychotherapy, mindfulness, and lifestyle changes. Dr. Koster specializes in psychopharmacology and believes in using medications when indicated at the lowest effective dose to minimize the risk of side effects. She is experienced in treating depression, bipolar disorder, anxiety disorders, OCD, PTSD and schizophrenia. If Dr. Koster believes you would benefit from additional therapy, she will collaborate with your therapist to achieve the best outcome.

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.

***Provider does not prescribe controlled substances*** Dr. David Eiler is a staff psychiatrist at Talkiatry. He is board certified in adult psychiatry. Before joining Talkiatry, Dr. Eiler was a staff psychiatrist at Dartmouth-Hitchcock Medical Center (DHMC), where he had an academic appointment and served as clinical director of transcranial magnetic stimulation (TMS) and intranasal esketamine services. In his practice, Dr. Eiler has focused on medication management and interventional techniques, including TMS, for the treatment of depression and other disorders. Dr. Eiler received his MD from the University of Wisconsin School of Medicine and Public Health and completed his residency at DHMC.

Dr. Maria Teresa Carvajal is an adult, child, and adolescent psychiatrist. She is originally from Guayaquil, Ecuador, and is bilingual in Spanish and English. Dr. Carvajal earned her medical degree from Universidad de Guayaquil in Ecuador. She then participated in a medical program at The William J. Harrington Training Program for Latin America and the Caribbean, at Jackson Memorial Hospital, an affiliate of the University of Miami in Florida. Afterwards, she completed her adult psychiatry residency at Icahn School of Medicine at Mount Sinai, Bronx Care Health System, and her fellowship in child and adolescent psychiatry at Northwell Health in New York. She has experience working in various settings, including inpatient, outpatient, and emergency departments. Dr. Carvajal has submitted and presented work to the American Psychiatric Association and has also collaborated on a book publication. Dr. Carvajal has experience treating children and adults with anxiety, depression, OCD, PTSD, ADHD, dementia, etc. She utilizes medication management in conjunction with emotional and supportive therapy in 30-minute follow-up visits. She is passionate about her work and understands the impact of mental illnesses in daily life activities and in the family system. She will work with each patient in an individualized manner and will tailor personalized treatment plans that may include pharmacological treatment. In addition, Dr. Carvajal may recommend including a therapist in your care team to provide the best outcome.‍

Tiffany Vickers is a board-certified Psychiatric Nurse Practitioner who earned her Master of Science Degree from Southeastern Louisiana University. She takes a holistic approach to mental health by recognizing the essential connection between the mind and body. Tiffany has 26 years of diverse experience in the clinical, home, and telepsychiatry settings.

Tiffany is committed to creating a safe, supportive, and nonjudgmental space where clients feel heard. She is especially passionate about reducing the stigma surrounding mental illness and believes in partnering closely with clients to help them achieve meaningful and lasting progress.

New patients working with Tiffany can expect a collaborative, respectful, and goal-oriented approach to care. She specializes in treating adults with ADHD, anxiety, bipolar disorder, depression, OCD, and PTSD. Tiffany's treatment approach utilizes a combination of medication management, lifestyle modifications, supportive therapy, and solution-focused techniques.

Her approach is grounded in empathy, clinical expertise, and a commitment to helping each individual achieve their mental health goals.

Tiffany follows a multi-stage, personalized approach when working with clients. She begins by gathering a comprehensive history, understanding the client's primary concerns, and identifying both short- and long-term goals. From there, she collaborates with each individual to develop a tailored treatment plan that includes client-specific interventions.

Tiffany's process is dynamic and adaptive! She monitors each client's progress and adjusts care as needed to ensure it remains aligned with their needs and goals. This thoughtful, individualized approach supports lasting outcomes and empowers clients to take an active role in their mental health journey.

Dr. Gloria Odum is a board-certified psychiatrist who treats adult patients. She completed her undergraduate studies at Johns Hopkins University, Baltimore, MD, where she received her Bachelor's degree with Honors in Public Health, then completed her medical degree at The University of Texas at Houston. She completed her residency in psychiatry at the University of Texas Dell Medical School in Austin, where she served as chief resident. Dr. Odum has worked in several clinical, leadership and administrative positions and has been actively involved in teaching and community outreach. She previously worked at The Menninger Clinic, which specializes in psychotherapeutic treatments. Dr. Odum has expertise in treating a wide variety of mental health disorders including depression, anxiety, PTSD, trauma disorders, bipolar disorder, schizophrenia, ADHD, OCD, and addiction. Dr. Odum strongly believes in treating the person and not the diagnosis. Dr. Odum's approach is holistic, collaborative, supportive, and patient-centered. Dr. Odum has been in practice since 2011.