Katrina Myers, LPC

Wayne R. McIntosh, DNP, PMHNP-BC, is a dedicated mental health professional with over a decade of experience in psychiatric care. A graduate of Arizona State University, where he earned his Doctor of Nursing Practice with distinction, Wayne also holds a Bachelor of Science in Nursing from Grand Canyon University and an Associate of Science in Nursing from Harry S. Truman College. He is certified as a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) and has been actively practicing since 2015.

Wayne specializes in family-centered care, working with individuals aged 18 to 65. Whether navigating anxiety, depression, ADHD, or life changes, he guides patients through tailored diagnostic and treatment plans that may include therapy, coping strategies, and, when appropriate, medication. With a focus on clear communication and collaboration, he empowers patients in their mental health journey, helping them understand their challenges, implement practical tools for improvement, and create lasting change.

Throughout his career, Wayne has served as a Psychiatric Nurse Practitioner and Associate Director of Medical Services, managing multidisciplinary teams and fostering accessible, high-quality care. As a Faculty Associate at Arizona State University, he has mentored future nurse leaders, emphasizing clinical excellence and patient advocacy. His military background and volunteer efforts further highlight his commitment to serving diverse populations with compassion and dignity.

Megan is a Board-Certified Psychiatric Mental Health Nurse Practitioner specializing in medication management and various therapeutic techniques. She earned a Master of Science in Nursing as a Psychiatric Nurse Practitioner from Regis College and has board certification from the American Nurses Credentialing Center (ANCC).

Megan has extensive experience in psychiatric settings, including private practice, inpatient facilities, and substance use treatment programs. She has worked on community initiatives, such as the Mobile Suboxone Van program, which provides treatment to individuals in high-need areas.

She utilizes evidence-based practices in treating clients with mood and anxiety disorders, ADHD, trauma, and substance use disorders, among other mental health disorders.

The first priority is establishing a therapeutic relationship and providing adequate support, which can substantially impact outcomes. The combination of medication management and therapy can effectively reduce symptoms and contribute to the remission of mental health symptoms.

The first session will involve a 60-minute psychiatric evaluation to gather history and discuss current symptoms and goals. Clients starting medication will need more frequent 30-minute follow-up appointments for medication management and therapy, ensuring a positive response to treatment.

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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.

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Dr. Pan is a board-certified psychiatrist with over 10 years of experience. She holds a Doctor of Medicine degree from UT Southwestern Medical School and completed her medical specialty training in the Department of Psychiatry at UT Southwestern Medical Center. She has served as faculty at UT Southwestern, teaching medical students and mentoring psychiatry residents.

Dr. Pan is a diplomate of the American Board of Psychiatry and Neurology. Dr. Pan specializes in medication management for adults with a broad range of psychiatric conditions, including anxiety, bipolar, depression, insomnia, PTSD/trauma-related disorders. Medication treatment may be complemented with elements of supportive psychotherapy, psychodynamic therapy, and cognitive behavioral therapy.

Dr. Pan works collaboratively with patients to develop evidence-based treatment plans tailored to their unique needs. If further psychotherapy is needed, she may recommend working with a therapist as well. Asking for help can be difficult, especially when it comes to mental health. During the first visit, patients can expect a welcoming space where they can share their concerns. The visit will also focus on a psychiatric evaluation covering symptom details, psychiatric and other medical history, prior treatments, and how the current symptoms affect the person as a whole.‍

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Dr. Ioana Horotan-Enescu is a board-certified Psychiatrist. Before joining Talkiatry, she was an Active-Duty staff psychiatrist at Blanchfield Army Community Hospital, Fort Campbell, KY. Her military service also included roles such as Medical Director of Behavioral Health and Interim Clinic Chief for Embedded Behavioral Health Clinic. She completed her internship and residency at Walter Reed National Military Medical Center and earned her Doctor of Osteopathy Degree from the University of New England College of Osteopathic Medicine. Her clinical experience spanned from the inpatient to the outpatient setting and afforded her the opportunity to develop comprehensive skills in the treatment of PTSD, mood disorders, thought disorders, addiction and perinatal mood disorders. Her teaching experience spanned multiple institutions, where she has served as a preceptor and mentor for medical students, nurse practitioner and physician assistant students. In addition to medication management, she augments her practice by implementing mindfulness, psychodynamic and supportive therapy techniques in her everyday practice to enhance treatment and improve treatment response. Dr. Horotan-Enescu holds several certifications, including in Cognitive Behavioral Health Therapy for Suicide Prevention, Motivational Interviewing and Battlefield Acupuncture. She has delivered presentations at national and international conferences on various topics, reinforcing her commitment to advancing the field of psychiatry.

Dr. Pereira is a board-certified adult psychiatrist who is dedicated to providing compassionate care for a wide range of mental health concerns. He received his Bachelor of Arts from Harvard University and his medical degree from The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, where he graduated with the Department of Psychiatry's award of distinction. He went on to complete his psychiatric residency training at Northwell Health's Zucker Hillside Hospital, with a specialization in the assessment and treatment of obsessive compulsive disorder and related conditions. Dr. Pereira's clinical approach emphasizes building trust with his patients and working collaboratively to develop an individualized treatment plan. He uses medication management along with cognitive behavioral therapy, exposure and response prevention, psychodynamic psychotherapy, interpersonal psychotherapy, and supportive therapy as needed. His practice treats a wide range of conditions, including depression, anxiety, OCD, family and relationship struggles, and other mental health issues. He has been trained in a wide range of settings including inpatient, outpatient, emergency departments, and behavioral health crisis centers. He also has experience teaching and supervising medical students and psychiatry residents.