Ian Provo, LCSW

Zaccaheaus (Zacc) Adams is a licensed clinical counselor in both Maryland and North Carolina. Zacc graduated from the University of North Carolina at Pembroke with his master's in clinical mental health counseling. He has been effective in providing therapy for many presenting concerns such as depression, anxiety, self-esteem/confidence, trauma, career conflicts, and relationship issues. Zacc has extensive experience working with adolescents, adults, couples, friends, and families. He aims to create a warm and inviting environment that will allow clients to further develop growth and empowerment within themselves. Zacc uses an integrative therapeutic approach to meet each client where they are in each session.

Dr. Niles Drake is a board certified psychiatrist skilled in prescribing medications and working in psychotherapy. He combines a warm demeanor with excellent clinical skills, and has over 15 years' experience working with adult patients of all ages and many walks of life. He has special expertise combining medication and psychotherapy to help patients reduce symptoms and grow as individuals. Dr. Drake's additional training and experience in psychological modes of treatment enhance the quality of care he provides to all his patients, to meet them where they are and prioritize their individual needs and goals. He also provides medication management-only treatments for people who aren't looking for psychotherapy or who already have therapists. Dr. Drake completed his psychiatric residency at Columbia University Medical Center in New York. He also completed psychoanalytic training at the Columbia Center for Psychoanalytic Training and Research. He went on to teach classes at the Center, educating candidates about the nuances of combining psychotherapy with other treatment modalities. In addition to providing outpatient psychiatric treatment for over 10 years in private practice, he has worked extensively in psychiatric emergency settings, supervising residents as attending physician at Columbia-New York Presbyterian Hospital and Long Island Jewish Hospital psychiatric emergency rooms. He also has special expertise treating college-aged and young adult patients, having served as staff psychiatrist at Barnard College's Furman Counseling Center and worked with many students from Barnard and Columbia in his private practice. Dr. Drake offers treatment for many psychiatric conditions, including but not limited to depression, anxiety disorders, bipolar disorder, ADHD, and personality disorders. He identifies helping people ease and overcome their psychiatric conditions as his calling, and approaches each patient with humility, diligence, and a collaborative spirit.

Thomas Sargent, MD, holds a master's degree in pharmacology and a Doctor of Medicine from Tulane University School of Medicine. He completed his psychiatry residency at the Icahn School of Medicine at Mount Sinai West/Morningside in New York City. Over the past four years, he has treated a wide range of mental health conditions in various clinical settings. Dr. Sargent has extensive experience treating mood, anxiety and psychotic disorders, PTSD, OCD, personality disorders, and substance use issues. He utilizes both medication management and psychotherapy to provide comprehensive care. Dr. Sargent has received specialized training at the VA and the Center for Intensive Treatment of Personality Disorders in NYC. Passionate about holistic treatment, Dr. Sargent considers the biological, psychological, and social factors that influence mental health. He believes in addressing core issues through targeted care rather than defaulting to prescribing multiple medications. Dr. Sargent strives to create a supportive environment where patients can openly express their concerns. He believes in shared decision-making to ensure that care is evidence-based but also tailored to each patient's unique needs. Dr. Sargent takes the time to thoroughly explain diagnoses and treatment options, empowering patients to make informed decisions about their mental health. His approach emphasizes patient autonomy and aims to build trust, leading to more effective and personalized care outcomes.

Wayne R. McIntosh, PMHNP-BC, is a dedicated mental health professional with over a decade of experience in psychiatric care. He earned his advanced nursing degree with distinction from Arizona State University and also holds a Bachelor of Science in Nursing from Grand Canyon University and an Associate of Science in Nursing from Harry S. Truman College. He has been a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) since 2015.

Wayne specializes in family-centered care, working with individuals aged 18 to 65. Whether supporting patients through anxiety, depression, ADHD, or life transitions, he develops personalized diagnostic and treatment plans that may include therapy, coping strategies, and, when appropriate, medication. His approach emphasizes clear communication and collaboration, empowering patients to understand their challenges, apply practical tools, and achieve lasting change.

Throughout his career, Wayne has served as a Psychiatric Nurse Practitioner and Associate Director of Medical Services, leading multidisciplinary teams and promoting accessible, high-quality care. As a Faculty Associate at Arizona State University, he has mentored future nurse leaders, focusing on clinical excellence and patient advocacy. His military background and volunteer work further reflect his commitment to serving diverse populations with compassion and respect.

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Dr. Morales is a board-certified psychiatrist who is dedicated to the bio-psycho-sociocultural model. This has been reflected in Dr. Morales' pursuit of treating patients suffering from diverse medical and psychiatric conditions, respective psychological mindedness, and varied socio-economic and cultural backgrounds. As an individual, Dr. Morales is fascinated by the human mind, its mechanisms to pursue goals, and the cyclical patterns seen in maladaptation and suffering. He believes in understanding patients' experiences and developing comprehensive treatment plans towards reconciliation. After completing his medical education at the East Carolina Brody School of Medicine, as a Brody Scholar, he subsequently completed psychiatry residency at Jackson Health System/University of Miami. Dr. Morales has had the opportunity to work with a diverse array of patients including high-functioning patients, veterans, trafficking victims, the severely mentally ill of low socio-economic status, and cancer patients across three distinct hospital systems via telemedicine and face-to-face interactions. His experience includes working with patients suffering from post-traumatic stress disorder, adjustment disorder, mood disorders, generalized anxiety disorder, panic disorder, and more. He honors active listening, analytic understanding, supportive psychotherapy techniques, and evidence-based and methodological treatment for patient care and actualization. His goal is to assist patients in navigating short- and long-term goals as well as improved quality of life. As a result, Dr. Morales focuses on medication management, which is offered in conjunction with supportive therapy, which is offered in 1-hour initial and 30-minute follow-up visits. Dr. Morales believes that appropriate patients can benefit from additional exploratory and self-actualizing therapy from other valued and specialized therapists to support targeted goals. He will not hesitate to recommend and promote consultations with therapists for such patients who are ready to pursue. Ultimately, Dr. Morales seeks to understand, validate, and treat patients in a collaborative therapeutic alliance.

Background and credentials

Dr. Vansickle is a board-certified adult psychiatrist with over 25 years of clinical experience. She earned her medical degree from the University of Texas Health Sciences Center San Antonio and completed her internship at UAB. She then completed her psychiatry residency at the University of Louisville Hospital, where she served as chief resident and received a national award in community psychiatry. Throughout her career, she has worked in both inpatient and outpatient settings as a staff psychiatrist, primarily in Texas and Alabama.

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Treatment approach

Dr. Vansickle places a strong emphasis on establishing trust and building therapeutic relationships to help patients achieve their goals. Her practice focuses on medication management, often combined with supportive or emotionally focused therapy during 30-minute follow-up visits. If she believes additional therapy would be beneficial, she may recommend that patients work with a therapist as part of their care team. She has extensive experience treating patients in various settings, including community mental health centers, VAMC-affiliated clinics, and hospital-based psychiatric units. She also has expertise in psychiatric consultations for medically ill patients, as well as guardianship and competency evaluations.

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What you can expect in a first visit

Patients can expect a thorough initial evaluation, where Dr. Vansickle takes the time to understand their symptoms, history, and treatment goals. She provides a structured yet compassionate approach to care, ensuring that each patient feels heard and supported. Follow-up visits typically last 30 minutes, during which she monitors progress and adjusts treatment as necessary. If additional therapy is needed, she collaborates with therapists to ensure comprehensive care tailored to each patient’s needs.

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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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