Joy James, MD

Dr. Kyra Munzenmaier is a board-certified psychiatrist dedicated to providing compassionate, personalized mental health care. A graduate of the University of South Florida's College of Medicine and former Chief Resident at St. Luke’s in Pennsylvania, Dr. Munzenmaier brings extensive training and experience in outpatient psychiatry. She particularly enjoys helping individuals dealing with insomnia, ADHD, anxiety, OCD, mood disorders, and medical trauma. As a Perinatal Mental Health-certified expert, she advocates for women’s mental health needs and supports individuals navigating mental health concerns during pregnancy and beyond.

Dr. Munzenmaier’s treatment approach is rooted in shared decision-making, prioritizing patient goals and preferences to create customized care plans, which typically include psychotherapy in combination with medication. She often integrates evidence-based lifestyle modifications and natural treatments to optimize personal well-being. By taking a holistic view of her patients’ challenges, Dr. Munzenmaier empowers her patients to lead their most fulfilling lives.

Dr. Desir is a Board-Certified Psychiatrist who completed her undergraduate training at The University of Scranton followed by medical school at the New York Institute of Technology College of Osteopathic Medicine. She completed psychiatry residency at Nassau University Medical Center where she served as the Administrative Chief Resident in her final year. Dr. Desir has been in practice for 4 years and has provided patients with compassionate psychiatric care. She has worked in community mental health settings throughout her career, in which she served a wide variety of patient populations. Dr. Desir is experienced in treating various psychiatric illnesses including mood disorders, anxiety disorders, OCD, PTSD, and ADHD. At the heart of Dr. Desir's clinical approach is a strong emphasis on establishing trust and building a therapeutic relationship. She also provides psychoeducation to help patients make informed decisions regarding their care. She works collaboratively with patients to develop individualized treatment plans to help them achieve their goals. Dr. Desir's practice focuses on medication management. Typically, she offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. Occasionally, Dr. Desir may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. Talkiatry takes medication management seriously. All state-controlled substance databases are reviewed and taken into consideration during your initial evaluation.

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.

Dr. Jen Wygant is a board-certified psychiatrist who specializes in adult psychiatry. She completed her residency training in general adult psychiatry at the University of Michigan and received her medical degree from Rocky Vista University College of Osteopathic Medicine. However, she took a non-traditional path to medical school. She earned her undergraduate degree in nursing at Northern Michigan University where she also did Army ROTC and competed on their cross-country ski team. After graduation, she went on to work as a nurse in the Army and compete on the US National Biathlon Team.

During her training, Dr. Wygant gained extensive experience treating a wide range of diagnoses with particular emphasis on PTSD, anxiety and depression in diverse populations, including college students, LGBTQIA+ individuals, perinatal individuals, Veterans and those with socioeconomic disadvantages.

Through her work as an Army nurse, lifestyle as an elite level athlete, and training as an Osteopathic physician she has developed a holistic and compassionate approach to providing care as well as an understanding of challenges unique to athletes and Service members. She integrates multiple types of therapy into her medication management appointments and collaborates with patients to form an individualized and empowering care plan that aligns with their goals and priorities.  

Dr. Wygant looks forward to working with you!

Dr. Gulati is a board-certified adult psychiatrist who has been in practice for over 10 years. She has worked in inpatient units, private practice, and community mental health, as well as served as Chief Medical Officer of a large psychiatric hospital. In 2018 she was awarded the Charleston Choice Award for Best Psychiatrist in Charleston, South Carolina. She currently resides in South Florida. Dr. Gulati's practice centers around treating the whole patient: mind, body, and spirit. She believes the judicious use of psychiatric medications, coupled with psychotherapy and alternative treatments such as meditation and yoga, can bring about transformative changes in the lives of those suffering from depression, anxiety, and other mental conditions and life issues. Dr. Gulati graduated with Honors in Psychology from The University of Florida, received her medical degree from The University of South Alabama School of Medicine, completed a clinical postdoctoral research fellowship at Boston University School of Medicine, and completed her Psychiatry residency training at The University of North Carolina. She is currently obtaining her MBA. After residency, she worked as a psychiatric hospitalist at Trident Medical Center in Charleston and has also worked in private practice. Most recently she served as Chief Medical Officer for an 80-bed psychiatric hospital, Coral Shores Behavioral Hospital in Stuart, FL. In addition to general adult psychiatry, Dr. Gulati received extensive training in one of the nation's largest women's mood disorder programs at The University of North Carolina Chapel Hill and enjoys treating peripartum and postpartum mood and anxiety disorders. She is also well trained in addiction medicine and received additional training in buprenorphine use for opioid addiction.

Dr. Caitlin Tillberg (she/her) is a board-certified psychiatrist. She has a BA in musicology and cognitive science from Oberlin College, an MD from Quinnipiac University in Connecticut, and completed general adult psychiatry residency at Duke University. Dr. Tillberg practices patient-centered and trauma-informed care, valuing patient autonomy and collaborative decision-making, acknowledging the burden many people carry from intersecting oppressions. She believes therapy is important � often equally important as medication, or more � and will work together with you to make a realistic treatment plan that will fit into your life. Dr. Tillberg also has a niche working with people with complicated relationships with their bodies, whether due to disordered eating, gender dysphoria, chronic illness/disability, or trauma. She welcomes LGBTQ+ patients, including trans and non-binary adults. She also enjoys working with patients with OCD, as well as autistic/neurodivergent adults (including those seeking adult autism evaluation). Please note Talkiatry is most appropriate for autistic patients with Level 1 (or case-by-case Level 2) support needs and who are verbal. Regarding eating disorders: Please note that for patient safety, per Talkiatry policy, Dr. Tillberg is unable to work with patients with current active anorexia nervosa or bulimia nervosa (or significant relapse in the last 6 months), or with patients requiring current regular medical or lab monitoring for complications of binge-eating disorder or ARFID. Bariatric surgery patients are welcome if medically stable. Patients with current disordered eating that does not rise to the level of a formal diagnosis of anorexia or bulimia, or with a past history of anorexia or bulimia in sustained remission, will be evaluated on a case-by-case basis at the first appointment. Dr. Tillberg looks forward to meeting you.