Jessica Fairchilds, PMHNP

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Dr. Jerry Sayers is a double board-certified psychiatrist in General Psychiatry and Consultation-Liaison Psychiatry. Dr. Sayers completed an Internal Medicine internship in Youngstown, Ohio. He then completed his residency in General Psychiatry at The Johns Hopkins Hospital followed by fellowship training in Neuropsychiatry and Behavioral Neurology at Johns Hopkins Bayview. He most recently finished his fellowship in Consultation-Liaison Psychiatry at the University of Maryland. Dr. Sayers has had the opportunity to care for a diverse group of patients with neuropsychiatric, neurological, and other general medical conditions. His work allowed him to work on a proactive, collaborative psychiatric consultation team designed to be involved early in the care of vulnerable patients with complex neuropsychiatric conditions. Dr. Sayers has experience in outpatient, inpatient, residential, and partial hospitalization programs. He works hard to tailor therapy to the needs of the individual patient by adapting techniques that have been successful across different treatment settings. His desire to ensure exceptional care is evident in his ability to relate to and understand an individual patient's needs and concerns.

Mary Birse is a board-certified Psychiatric Mental Health Nurse Practitioner (ANCC) with over 20 years of nursing experience. She graduated magna cum laude with a BSN from Florida Atlantic University and earned her MSN from the University of Florida. She completed a Psychiatric NP Residency at the VA in Charleston, SC. Mary has worked in a variety of settings including the West Palm Beach VA Medical Center, the Palm Beach County Firefighter’s Clinic, various outpatient telehealth platforms, and a child and adolescent inpatient facility. She was also an adjunct professor at Palm Beach State College.

Mary believes in empowering patients through education and collaboration so they can play an active role in their mental health journey. She works to create a warm and welcoming space where patients feel safe, heard, and understood. Whether the treatment path includes therapy, medication, integrative approaches, or a combination, she ensures that the plan reflects the patient's needs and goals.

Mary takes a thorough and holistic approach to care. She spends time understanding each patient’s history and past treatments—what has or hasn’t worked—and listens carefully to their current concerns and future goals. By factoring in lifestyle and preferences, she works with patients to build thoughtful, individualized treatment plans.

Dr. Sharon Kahler is Board Certified in Adult and Child & Adolescent Psychiatry and treats patients of all ages. She has over a decade of experience in both community mental health centers and private practice, working with individuals from diverse backgrounds. She earned her medical degree from New York Medical College, completed Adult Psychiatry Residency at New York-Presbyterian/Weill Cornell, and completed Child and Adolescent Fellowship training at NYU Langone and Bellevue Hospital. Her clinical interests include mood and anxiety disorders, PTSD, and childhood psychiatric disorders.

Dr. Kahler is committed to providing compassionate, high-quality mental health care. She fosters a therapeutic, nonjudgmental environment where patients can openly share their concerns and values. Viewing treatment as a partnership, she encourages patients to play an active role in their care and takes a whole-person approach, considering lifestyle, environmental, and social factors that contribute to healing.

Dr. Kahler begins with a comprehensive assessment to understand each patient’s history, background, and treatment priorities. She develops individualized treatment plans using evidence-based approaches, supporting patients in navigating life’s challenges and finding a path to mental wellness.

Dr. Tobias Murphy is a psychiatrist with Talkiatry who is licensed to provide care in the states of Ohio, West Virginia, and New York. He completed medical school and psychiatry residency at Marshall University's School of Medicine. He has additional training in neuropsychiatry and geriatric psychiatry. During his training, Dr. Murphy was actively involved in teaching medical students and residents. His most frequent lectures included LGBT and transgender mental health. He is a member of the American Psychiatric Association, the American Association of Gay and Lesbian Psychiatrists, the Gay and Lesbian Medical Association, the World Professional Association for Transgender Health. He was inducted into the Gold Humanism Honor Society and given awards for Inclusion and Advocacy as well as Honors in Community Service during training. He has published papers, presented at conferences, and served as an ad-hoc reviewer for medical journals. Dr. Murphy approaches medication management through the lens of compassionate listening and psychotherapy, seeking to reduce the stigma of mental illness and put patients at ease during their visits. He has experience treating a variety of conditions, including bipolar disorder, depression, OCD, PTSD, ADHD, and anxiety. He enjoys working with a diverse population of patients providing culturally informed care. Follow-up patient visits will include both supportive therapy and medication management during 30-minute encounters.

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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