Katherine Vital-Daley, MD

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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Dr. Lorangelly Rivera is board-certified in Adult psychiatry and has been practicing for over 5 years. Dr. Rivera focuses on medication management and brief psychotherapy utilizing techniques from cognitive behavioral therapy, psychodynamic therapy, and supportive therapy in 30-minute appointments. When appropriate, Dr. Rivera may recommend additional psychotherapy with a psychologist as part of the treatment plan. She is fluent in both Spanish and English and is passionate about working with the Latinx population. She completed her bachelor's degree in Cellular Molecular Biology from Metropolitan University, San Juan, Puerto Rico, and her postgraduate work at the National Cancer Institute in Bethesda, Maryland. Dr. Rivera received her medical degree from Ponce Health Sciences University School of Medicine, Ponce, Puerto Rico. She completed her residency training in psychiatry at the University of Rochester Medical Center. After completing her training, she began working for Lifespan Physician Group where she became program director for Lifespan Latinx Mental Health Services and served as Staff Psychiatrist at Rhode Island Hospital and The Miriam Hospital. She holds a faculty position in The Warren Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior as a Clinical Instructor. ‍

Dr. Peter Hsieh has experience practicing in both outpatient and inpatient psychiatric settings. He earned his medical degree from the Zucker School of Medicine at Hofstra/Northwell and completed his psychiatry residency at Zucker SOM at Mather Hospital.

Dr. Hsieh values patient education and shared decision-making. He fosters a nonjudgmental environment where patients feel heard and supported, working collaboratively to develop a treatment plan that fits their goals and needs.

Dr. Hsieh begins with a comprehensive psychiatric evaluation and partners with each patient to create an individualized treatment plan that aligns with their values and evidence-based care. His approach often combines medication management with psychotherapeutic modalities.

Dr. Vargas is an adult psychiatrist who received her medical degree from the University of Texas Health Science Center of San Antonio. She subsequently completed her psychiatry residency training at UT Health San Antonio.

Dr. Vargas has a patient-centered and thorough approach to treatment. She has experience treating a broad spectrum of mental health disorders, with particular interest in depression, anxiety, and post-traumatic stress disorder. She has also worked in clinic with severely mentally ill patients at the South Texas VA in San Antonio.

Dr. Vargas's primary focus is medication management with an emphasis on shared decision-making; however, she frequently also utilizes supportive therapy, cognitive behavioral therapy, and psychodynamic therapy principles in her approach. She may refer patients to a therapist if further support would be beneficial.

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Dr. Kristin Ratz is a Board-Certified psychiatrist who is an expert in the diagnosis, treatment, and prevention of mental, emotional and behavioral disorders. She specializes in medication management combined with supportive therapy during 30-minute follow-up sessions. Dr. Ratz recognizes that each patient is unique and believes in an environment of collaboration, in which the patient and psychiatrist work together in order to develop the best individualized treatment plan. A California local, Dr. Ratz obtained her undergraduate education at University of California, Davis, graduating magna cum laude with a degree in Human Development. She then attended medical school at Loma Linda University School of Medicine, obtaining her Medical Doctorate. Following this, she completed her adult psychiatry residency training at the distinguished University of California, Irvine. Dr. Ratz has worked in a diverse range of healthcare settings, including county and community clinics, and is very experienced in telepsychiatry. She pays close attention to not only an individual's emotional state, but also their physical, spiritual, and social well-being, in order to provide her patients with exceptional holistic care.

Background and credentials

Dr. Tyler Josephs is a staff psychiatrist at Talkiatry. He earned his medical degree from Kansas City University in 2017 and completed his psychiatric residency at the University of Kansas Medical Center in 2021. During his residency, he served as Chief Resident at both the University of Kansas Medical Center and the Kansas City VA Medical Center. Most recently, Dr. Josephs worked at the Kansas City VA Medical Center, where he was the psychiatric director of the outpatient mental health clinic and served as Psychiatry Executive for behavioral health services.

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Treatment approach

Dr. Josephs believes in a holistic approach to mental health treatment, integrating medication management, supportive psychotherapy, and collaboration with therapists and support staff. He tailors treatment to each patient's unique needs, ensuring a comprehensive and individualized approach to care. His expertise includes treating a variety of psychiatric diagnoses, such as depression, anxiety disorders (including OCD), ADHD, and PTSD.

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What you can expect in a first visit

In a first visit, patients can expect a thorough evaluation, where Dr. Josephs takes the time to understand their medical history, symptoms, and treatment goals. He emphasizes open communication and collaborative decision-making, ensuring that patients feel heard and supported. Based on this initial assessment, he will develop a personalized treatment plan, which may include medication management and referrals to therapy or other supportive services as needed.

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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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