Katherine Vital-Daley, MD

Background and credentials

Dr. Stefan is a psychiatrist with extensive experience in outpatient care, inpatient care, and assertive community treatment. She has served as a medical director for large institutions, overseeing the treatment of individuals with complex mental illnesses. Born and raised in Puerto Rico, she is fluent in both English and Spanish. She earned her medical degree from the University of Puerto Rico School of Medicine and completed her psychiatry residency at the University of Florida, where she received recognition for her skills as a psychotherapist.

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Treatment approach

Dr. Stefan is deeply committed to patient-centered care, adapting her role to the individual needs of each patient. She believes in treating the whole person, rather than just a diagnosis, recognizing that each patient has unique psychosocial circumstances. She has a strong foundation in psychotherapeutic interventions and is dedicated to providing engaging, compassionate, and meaningful therapy in every patient interaction. With over 10 years of experience as a psychiatrist, she has worked extensively in telemedicine since 2013, ensuring that remote care is as effective and personal as in-person visits.

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What you can expect in a first visit

Patients meeting Dr. Stefan for the first time can expect a comprehensive and holistic evaluation that considers their symptoms, personal history, and life circumstances. She takes the time to build strong therapeutic relationships, fostering a caring and engaging environment where patients feel understood and supported. Whether through telemedicine or in-person care, she prioritizes personalized treatment plans that integrate medication management and psychotherapy, ensuring the highest quality of 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. Sujith Maracheril is a board-eligible psychiatrist who provides comprehensive patient care while building a physician-patient relationship centered on communication, empathy, and respect. His primary focus is medication management, and he also provides supportive psychotherapy to help patients work toward long-term improvements. While aligning treatment toward patient goals, he takes a practical approach to changes that can be made to empower patients in their lives. Dr. Maracheril is a graduate of the Sophie Davis Biomedical Education Program at the CUNY School of Medicine, a 7-year BS/MD program. He completed his residency training in psychiatry at the Zucker School of Medicine/Northwell Health at Mather Hospital. He has trained in many settings including inpatient psychiatric units, general and specialized outpatient clinics, and at a partial hospitalization program. Dr. Maracheril has experience treating a broad range of mental health conditions including depressive disorders, bipolar disorder, anxiety disorders, ADHD, and OCD. He understands that people may experience these conditions in different ways, and he aims to treat each patient in an individualized and holistic way.

Dr. Gotsche is a board-certified adult psychiatrist who is dedicated to helping individuals navigate their mental health journey. Originally from Illinois, she completed her undergraduate studies at Illinois State University before earning her medical degree from Kansas City University. She went on to complete her psychiatry residency at the University of Oklahoma. Following residency, she worked at the Kansas City VA Medical Center where she primarily focused on outpatient mental health. Outside of her clinical work, she enjoys cooking, reading, cycling, and hiking.

Dr. Gotsche takes a holistic, integrative, and evidence-based approach to mental health care. She emphasizes the importance of building a strong therapeutic alliance and working closely with each patient to ensure treatment fits their unique needs and goals. She is experienced in treating a variety of psychiatric conditions including mood disorders, anxiety, trauma-related disorders, and ADHD. She is committed to providing comprehensive care in a supportive environment.

Dr. Gotsche will conduct a thorough evaluation to learn each patient’s medical history, current symptoms, and treatment goals. She values open communication and a collaborative approach, ensuring that patients are actively involved in the decision-making process. An individualized treatment plan will be developed which may include medication management, psychotherapy, or referrals to additional services as needed. Her goal is to provide integrated, patient-centered care that promotes long-term well-being.

Dr. Boski Patel holds the position of psychiatrist at Talkiatry. She is double board-certified in geriatric and adult psychiatry and she has been practicing for over 3 years. Dr. Patel's practice focuses on medication management and she typically in conjunction with supportive therapy in 30-minute follow-up visits. On occasion, Dr. Patel may believe that additional therapy is also needed and asks that you bring a therapist into your care team to provide the best outcome. She received her undergraduate degree from the University of Pittsburgh, and then went on to receive her medical degree from Penn State University. Following medical school, she completed general psychiatry residency training at the University of Connecticut where she was Chief resident of outpatient psychiatric services. During that time, she was also chosen as an Honors scholar by the American Association of Geriatric Psychiatry. After training, she moved to California to do her geriatric psychiatry fellowship at Stanford. Following her fellowship, she worked at Kaiser Permanente in clinical roles of outpatient, geriatric, and C/L.

Dr. Carter chose the field of psychiatry with the goal of empowering her patients and equipping them with the skills and tools to improve their mental health. She strives to create a safe, nonjudgmental space where patients feel heard and supported. She strives to destigmatize mental illness and normalize seeking help when struggling. Her passion for psychiatry stems from a deep interest in connecting with people and understanding their unique stories.

Dr. Carter believes the patient-physician relationship should be a partnership, built on trust, empathy, and shared goals. She encourages honesty, collaboration, and open communication, and believes there are no wrong questions, and your voice matters. She encourages questions and feedback and tailors care to each person’s goals, comfort level, and pace.

Dr. Carter wants to get to know the whole person, not just their symptoms. Together, she works with patients to create a personalized and thoughtful treatment plan that may include therapy, lifestyle support, and/or medication, always with room to adjust based on your evolving needs and preferences.

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Erin Snider, PMHNP, brings more than seven years of experience as an Advanced Practice Registered Nurse at Lindner Center of HOPE, a full-service psychiatric facility affiliated with the University of Cincinnati and Cincinnati Children’s Hospital. Her work has spanned the full spectrum of psychiatric care, including inpatient crisis intervention, partial hospitalization, and outpatient services. She holds a bachelor’s degree in psychology from the University of Kentucky and both a BSN and MSN from Wright State University. Erin also recently earned a Mindfulness and Yoga-Studies Certificate from the University of Cincinnati.

Erin prioritizes building a strong therapeutic relationship and values open communication to create a supportive environment for healing. She views psychiatry as a holistic practice, integrating evidence-based approaches that address mental, emotional, physical, and spiritual well-being. Patients working with Erin can expect compassion, respect, and a collaborative partnership in their care.

Erin begins each appointment with open conversation to better understand each individual’s story and experiences. She works with patients to identify their concerns, explore barriers to growth, and highlight strengths. Together, she collaborates on a treatment plan that aligns with the patient’s personal goals, ensuring care is both personalized and empowering.