Gregory Miller, DO

Amy Gonzalez is a board certified Psychiatric Mental Health Nurse Practitioner as well as a Family Nurse Practitioner. She has been practicing in the field of nursing since 1996. Amy has been a practicing Family Nurse Practitioner since 2007, and she started to focus on substance abuse treatment in 2010. She found that many people with substance use disorder also struggle with their mental health and went on to get her Psychiatric Mental Health Nurse Practitioner degree completing it in 2017. Her past experience includes working in both outpatient and inpatient psychiatry, 24-hour crisis care, substance use treatment, mental health court, and both adult and geriatric psychiatry. Amy has expertise in treating depression, bipolar spectrum disorder, anxiety, insomnia, PTSD, substance use disorders and thought disorders.

Amy believes in providing a safe and supportive environment where she really gets to know her patients as individuals and works collaboratively with them to develop a treatment plan. She is concerned with a patient's overall wellness, emphasizing nutrition, movement, hobbies, social connection, and mindfulness. She takes a holistic approach to treatment which focuses on evidence-based treatments including conventional medications, supplements, and alternative and complementary treatments.

Amy focuses on medication management as well as providing supportive therapy, psychoeducation, and motivational interviewing to her patients in 30-minute follow up appointments. Sometimes Amy may recommend more intense therapy and ask that you bring a therapist into your care team to provide the best outcome.

Melissa knows first-hand how powerful the counseling experience can be. Melissa committed herself to the hard work of deep interpersonal counseling and has a passion to help others build a life of hope, joy, and resiliency. As an undergraduate, she studied at Toccoa Falls College in the mountains of North Georgia. She finished her master's degree in Clinical Mental Health Counseling and began working in the Crisis Stabilization Unit. Melissa assisted with the opening of a psychiatric hospital, advocating for the needs of the patient. She has served in Jerusalem and Africa and strives to be inclusive of everyone as an individual of significant value. Melissa focuses on building a strong rapport with her patients, highlighting their strengths, teaching mindfulness, boundaries, emotional regulation strategies, and often writing trauma narratives. She utilizes Solution Focused Therapy, Dialectical Behavioral Therapy, and Trauma-Focused Cognitive Behavioral Therapy. ‍

Dr. Jacobs is board-certified in Adult Psychiatry by the American Board of Psychiatry and Neurology. She specializes in medication management for adult patients across a range of psychiatric conditions, with a focus on treating depression, anxiety, bipolar disorders, and ADHD. Dr. Jacobs employs a therapeutic approach to medication management, incorporating supportive and psychodynamic psychotherapies into her sessions. She selects psychopharmacological treatments and therapies tailored to each patient's individual needs and symptoms. Dr. Jacobs earned her Bachelor of Science in Science and Business from the University of Notre Dame. She graduated from medical school at the University of Mississippi, where she was honored with membership in the Gold Humanism Honor Society for her exceptional clinical skills, interpersonal abilities, and dedication to patient care. She then returned to Texas to follow her passion for mental health, completing her residency in Psychiatry at the University of Texas Southwestern Medical Center. Dr. Jacobs developed a strong enthusiasm for enhancing mental health care within communities and completed a fellowship in Community Psychiatry through the UT Southwestern Altshuler Center for Education and Research in the Dallas-Fort Worth area. Over the years, she has worked with major community mental health organizations across Texas and has recently focused on leveraging telemedicine to coordinate mental health support with primary care providers. Throughout her career, Dr. Jacobs has been committed to psychiatric research, educational initiatives, and organizational efforts to advance mental health care education and patient care in communities. She is an active member and leader in several medical and psychiatric organizations. Dr. Jacobs takes great pleasure in connecting with patients via telemedicine, focusing on meeting them where they are in their mental health journey and supporting their needs and goals.

Background and credentials

Dr. Tyler Josephs is a staff psychiatrist at Talkiatry. He earned his medical degree from Kansas City University in 2017 and completed his psychiatric residency at the University of Kansas Medical Center in 2021. During his residency, he served as Chief Resident at both the University of Kansas Medical Center and the Kansas City VA Medical Center. Most recently, Dr. Josephs worked at the Kansas City VA Medical Center, where he was the psychiatric director of the outpatient mental health clinic and served as Psychiatry Executive for behavioral health services.

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Treatment approach

Dr. Josephs believes in a holistic approach to mental health treatment, integrating medication management, supportive psychotherapy, and collaboration with therapists and support staff. He tailors treatment to each patient's unique needs, ensuring a comprehensive and individualized approach to care. His expertise includes treating a variety of psychiatric diagnoses, such as depression, anxiety disorders (including OCD), ADHD, and PTSD.

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What you can expect in a first visit

In a first visit, patients can expect a thorough evaluation, where Dr. Josephs takes the time to understand their medical history, symptoms, and treatment goals. He emphasizes open communication and collaborative decision-making, ensuring that patients feel heard and supported. Based on this initial assessment, he will develop a personalized treatment plan, which may include medication management and referrals to therapy or other supportive services as needed.

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Why Talkiatry?

We’re a virtual mental health practice that makes it easy to find great care. We combine quality and convenience to help you thrive—faster. Our providers, like this one, are highly trained experts who specialize in medication management and collaborate with you on a treatment plan that fits your needs and comfort level.

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Dr. Hess is double board-certified in Adult and Geriatric Psychiatry. He completed his psychiatry internship and residency training at St. Vincent's Hospital and Medical Center in New York City, and then completed a geriatric psychiatry fellowship at Mount Sinai Beth Israel Medical Center. Dr. Hess has practiced inpatient psychiatry at the Long Island College Hospital, NYU Langone Brooklyn, and Kingsbrook Jewish Medical Center. He has also worked in emergency rooms, day hospitals, and consultation-liaison settings, as well as seeing geriatric outpatients at a naturally-occurring retirement community (NORC) on the Lower East Side of Manhattan. Dr. Hess has taught St. George's University medical students during their clinical rotations in psychiatry. Dr. Hess has more than 24 years of experience providing patients with compassionate psychiatric care for depressive and bipolar disorders, anxiety, obsessive-compulsive disorder, post-traumatic stress disorder, and dementia. He uses pharmacotherapy as well as supportive psychotherapy. Dr. Hess may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. The philosophy of his practice is to collaborate with patients to meet their specific needs and make an impact in various stages of their lives.

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