Katherine Vital-Daley, MD

Dr. Megan Wynne is board certified in adult psychiatry and completed fellowship training in Consultation-Liaison Psychiatry (Psychosomatic Medicine). She has been in practicing psychiatry since 2006. Dr. Wynne completed her medical degree at Drexel University School of Medicine in Philadelphia, PA, her psychiatric residency at Thomas Jefferson University Hospital in Philadelphia, PA and her consultation/liaison psychiatric fellowship at Long Island Jewish Hospital in Queens, NY. She continued to work in Consultation Liaison Psychiatry at North Shore Hospital in NY, before working for nine years at Philadelphia Veterans Administration Hospital as a staff psychiatrist and associate at the University of Pennsylvania University Hospital. During this time, she worked closely with patients struggling with Traumatic Brain Injury, Post Traumatic Stress Disorder, Depression and Anxiety. She acted as an attending psychiatrist in training medical students, psychiatric residents and fellows. Following a move to New Zealand, she worked as lead psychiatrist for Te Puna Waiora, Maori Mental Health team (Indigenous Person mental health clinic) at Counties Manakau District Health Board. She worked with multiple patients facing cultural challenges, as well as psychosocial stressors (poverty, family fragmentation, poor education). During this time, she worked within the indigenous system of mental health, which treats not just emotional or physical issues for a person, but spiritual and familial as well. She has incorporated this into her treatment approach for all patients. Dr. Wynne has always believed that medication must be used in conjunction with psychodynamic therapy, and medical and social supports to most appropriately treat a patient. She offers 30-minute sessions consisting of medication management and brief therapeutic support. She specializes in treating victims of trauma, medical comorbidity.

Margaret Mary Reyes, MSN, APRN, PMHNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner committed to delivering patient-centered and compassionate mental health care. A proud Florida native, she earned her Bachelor of Science in Nursing (BSN), Master of Science in Nursing (MSN), and post-master’s certification in Psychiatric Mental Health Nursing from Florida Atlantic University (FAU). Her academic research focused on improving outcomes for women living with Premenstrual Dysphoric Disorder (PMDD).

Margaret has advanced practice experience in both inpatient and outpatient psychiatric settings. She has treated individuals with a wide range of mental health conditions, including psychotic disorders, bipolar spectrum disorders, depressive and anxiety disorders, trauma-related disorders, attention deficit disorders, personality disorders, substance use and co-occurring disorders, eating disorders, suicidality, homelessness, and severe mental illness (SMI) within the criminal justice system. Her clinical background also includes acute care experience in oncology, medical-surgical, telemetry/cardiac step-down, intensive care, nursing research, and consultation-liaison psychiatry.

She takes an integrative and comprehensive approach to mental health care, combining medication management with evidence-based complementary and alternative interventions. Her practice is grounded in the understanding of the mind-body-spirit connection and the gut-brain axis. Margaret incorporates supportive therapy, motivational interviewing, and mindfulness-based cognitive techniques to support her patients’ overall well-being.

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Dr. Ramsey is board certified in general and child and adolescent psychiatry. His practice primarily focuses on medication management. He sees himself as a collaborator with therapists and counselors in caring for their shared patients and their families. He received his medical degree from the University of Tennessee Health Science Center in Memphis, TN. He completed his residency at West Virginia University Hospitals and WVU School of Medicine and a fellowship in child and adolescent psychiatry at the Yale Child Study Center, Yale University School of Medicine, and Yale-New Haven Hospital in New Haven and Middletown, CT. He completed his undergraduate studies at the University of Memphis. Dr. Ramsey remained in CT for two additional years, working in the Department of Children and Families, serving the state's at-risk youth and adolescents at a psychiatric residential treatment facility. He then returned to West Virginia University as clinical faculty in its School of Medicine. During the 12-year academic appointment, he had active roles in educating, training, and supervising medical students, general psychiatry residents, child and adolescent psychiatry fellows, and trainees from various disciplines. He worked for many years with adolescent males at both the Dually Diagnosed and Specialized Residential Treatment Centers within West Virginia University Healthcare. He provided outpatient and acute inpatient care, as well as hospital-based consultation services. Within the community, he provided medication evaluation and management services to residential treatment facilities and university student health. He has been seeing patients and collaborating with providers through telemedicine since 2016. While Dr. Ramsey specializes in working with patients with anxiety, he does not prescribe benzodiazepines.‍

Dr. Caleb Cheatham is a board-certified psychiatrist who completed his undergraduate studies at Stetson University in DeLand, FL, before earning his medical degree and completing his psychiatry residency at the University of Tennessee Health Science Center in Memphis, TN. He brings a strong foundation in psychopharmacology and a deep commitment to person-centered care.

Dr. Cheatham takes an open, nonjudgmental approach and strives to create a safe space for patients to share vulnerably. He believes in leading with compassion and listening as a core tool for understanding. His treatment philosophy is integrative—combining thoughtful medication management with supportive, individualized therapy—and he encourages patients to consider the role of lifestyle factors like sleep, nutrition, and exercise.

Dr. Cheatham begins with a conversational consultation focused on understanding each patient’s story and needs. Together, they co-create a personalized treatment plan grounded in the patient’s values. He emphasizes clear communication and routinely revisits treatment goals to ensure alignment, progress, and ongoing support.

Dr. Meena Shah is a board-eligible psychiatrist and has been practicing for over 16 years. She specializes in child and adolescent psychiatry. Dr. Shah's practice focuses on medication management in conjunction with supportive and emotionally focused therapy in 30-minute follow up visits. Dr. Shah believes in the importance of building a therapeutic relationship with her patients and families to help achieve their emotional goals. Dr. Shah completed her residency training through Richmond University Medical Center with NY Medical College and completed her fellowship at Brookdale University Medical Center in Brooklyn, NY. Dr. Shah has extensive experience with the child and adolescent population and worked with foster care programs as well as juvenile residential facility programs .Dr. Shah served as Children's Associate Medical Director at Directions for Living Mental Health Clinic and went on to become Medical Director at Sequel Care of Florida. In addition, Dr. Shah also received her Master's degree in Hyperbaric Medicine. She completed her undergraduate studies at the University of Florida with a major in psychology. Dr. Shah's primary clinical focus has been treating children, and young adults with ADHD, mood disorders, anxiety, and helping them establish coping skills to overcome any life obstacle.

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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