Janeen Paul, MD

Dr. Garrick Gaffney is board certified in psychiatry by the American Board of Psychiatry and Neurology (ABPN). He earned his medical degree from Kansas City University and completed his psychiatry residency at John Peter Smith Hospital in Fort Worth, Texas. A combat veteran, he served in the U.S. Marine Corps, including a tour in Iraq, and was honored with the Navy and Marine Corps Achievement Medal and a Certificate of Commendation for exemplary leadership.

During medical school, Dr. Gaffney pursued advanced training as an Osteopathic Manipulative Medicine fellow. As a resident, he served as Chief Academic Resident and earned accolades such as Intern of the Year and Outstanding Educator of the Year twice consecutively.

Dr. Gaffney specializes in treating complex psychiatric conditions, including depression, anxiety, PTSD, OCD, bipolar disorder, and insomnia. He has presented case studies and quality improvement projects at national conferences, including the American Psychiatric Association (APA), Academy of Consultation-Liaison Psychiatry, and Association for Academic Psychiatry.

A proponent of holistic care, Dr. Gaffney integrates psychotherapy into medication management and emphasizes lifestyle modifications and evidence‑based integrative medicine.

New patients receive comprehensive evaluations to rule out medical causes of symptoms, followed by tailored treatment plans combining therapy, medication, and lifestyle adjustments. Follow‑up visits focus on symptom management through supportive, brief dynamic, or cognitive behavioral therapy, with frequent appointments until stabilization is achieved.

Dr. Gaffney is committed to collaborative, patient‑centered care that addresses both mental and physical well‑being.

Background and credentials

Dr. Gerald Matthews is a board-certified adult psychiatrist. He earned his medical degree from the University of Louisville School of Medicine in Louisville, KY. Following medical school, he entered active duty service in the U.S. Army, where he completed his psychiatry residency at Tripler Army Medical Center in Honolulu, HI. After completing his training, he practiced as a staff psychiatrist at Fort Hood, TX, fulfilling his service obligation.

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Treatment approach

Dr. Matthews specializes in medication management, working primarily with adult patients in an outpatient setting. While his primary focus is pharmacological treatment, he frequently collaborates with therapists to provide comprehensive care when indicated. He has extensive experience treating civilians, active-duty military personnel, and veterans, addressing conditions such as mood and anxiety disorders, psychosis, and trauma-related disorders.

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What you can expect in a first visit

During the first visit, patients can expect a thorough psychiatric evaluation where Dr. Matthews takes time to understand their history, symptoms, and treatment goals. He provides a structured yet compassionate approach to care, discussing medication options and potential therapeutic interventions. For patients who may benefit from additional therapy, he collaborates with therapists to ensure a well-rounded treatment plan tailored to each individual'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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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.

Shelah Radke, MD, JD, is a double board-certified Child and Adolescent and Adult Psychiatrist with over a decade of extensive experience in mental health care, specializing in the well-being of children, adolescents, and young adults. She currently serves in St. Louis, MO, where she is known for her dynamic leadership as a Medical Director and her robust clinical practice. Throughout her career, Dr. Radke has held pivotal roles, including Medical Director of Crisis Psychiatry Services at Mercy Hospital and key positions in several reputable outpatient clinics across the U.S. Her clinical acumen spans a diverse range of settings, from private practice and crisis care to specialized programs in residential and educational institutions.

A staunch advocate for evidence-based approaches, Dr. Radke integrates lifestyle and pharmacological interventions to foster mental health resilience among her patients. She is particularly passionate about the shared decision-making model, which enhances patient empowerment and satisfaction by actively involving them in their treatment plans. Dr. Radke's academic contributions are equally notable. She has developed educational curriculums that significantly improve health outcomes and has shared her expertise through numerous media appearances and professional talks. Her commitment to medical education is reflected in her mentorship of nurse practitioners and her involvement in creating community psychiatry programs.

Complementing her medical expertise, Dr. Radke holds a Juris Doctorate, with a focus on public health and social policy, which enriches her understanding of the legal and systemic aspects of healthcare. Her approach is deeply holistic, informed by her training in integrative medicine and her personal commitment to wellness, which she practices through nutrition, exercise, and travel with her family. Dr. Radke's professional journey is driven by a commitment to optimizing mental health outcomes and enhancing the quality of life for her patients and their families.

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Jessica Fairchilds is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with over 8 years of experience in many psychiatric settings and populations. She earned her Master of Science in Nursing from the University of Mississippi Medical Center and is passionate about providing high quality, comprehensive mental health services. Jessica prides herself in her patient-centered approach by fostering strong provider-patient relationships to achieve optimal treatment outcomes. In her free time, Jessica enjoys spending time with her husband and young daughters, traveling the globe, or getting lost in a historical fiction novel.

Jessica is highly focused on building a strong therapeutic relationship with her clients while making them feel heard and validated. She strives to provide the highest level of care while exploring different treatment options to find what works best for each individual.

Jessica will focus on learning about the client as an individual and learning the concerns of the client while working to develop an individualized treatment plan. She uses her extensive knowledge of medications and therapy techniques to guide treatment options for the best outcomes.

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.