Kristina Schnitzer, MD

Tiffany Vickers is a board-certified Psychiatric Nurse Practitioner who earned her Master of Science Degree from Southeastern Louisiana University. She takes a holistic approach to mental health by recognizing the essential connection between the mind and body. Tiffany has 26 years of diverse experience in the clinical, home, and telepsychiatry settings.

Tiffany is committed to creating a safe, supportive, and nonjudgmental space where clients feel heard. She is especially passionate about reducing the stigma surrounding mental illness and believes in partnering closely with clients to help them achieve meaningful and lasting progress.

New patients working with Tiffany can expect a collaborative, respectful, and goal-oriented approach to care. She specializes in treating adults with ADHD, anxiety, bipolar disorder, depression, OCD, and PTSD. Tiffany's treatment approach utilizes a combination of medication management, lifestyle modifications, supportive therapy, and solution-focused techniques.

Her approach is grounded in empathy, clinical expertise, and a commitment to helping each individual achieve their mental health goals.

Tiffany follows a multi-stage, personalized approach when working with clients. She begins by gathering a comprehensive history, understanding the client's primary concerns, and identifying both short- and long-term goals. From there, she collaborates with each individual to develop a tailored treatment plan that includes client-specific interventions.

Tiffany's process is dynamic and adaptive! She monitors each client's progress and adjusts care as needed to ensure it remains aligned with their needs and goals. This thoughtful, individualized approach supports lasting outcomes and empowers clients to take an active role in their mental health journey.

Wayne R. McIntosh, PMHNP-BC, is a dedicated mental health professional with over a decade of experience in psychiatric care. He earned his advanced nursing degree with distinction from Arizona State University and 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 has been a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) since 2015.

Wayne specializes in family-centered care, working with individuals aged 18 to 65. Whether supporting patients through anxiety, depression, ADHD, or life transitions, he develops personalized diagnostic and treatment plans that may include therapy, coping strategies, and, when appropriate, medication. His approach emphasizes clear communication and collaboration, empowering patients to understand their challenges, apply practical tools, and achieve lasting change.

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

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Dr. Chelsea Karson is a board-certified psychiatrist who completed her residency training at Advocate Lutheran General Hospital where she was Chief Resident of her program. Dr. Karson is passionate about patient care, believing in caring for the whole person. While completing her residency training, she led an interprofessional team to bring miniature-therapy horses to the inpatient psychiatry unit and thereby forge a relationship between the organization and all of Advocate Aurora Healthcare. Dr. Karson partnered with a mental health counselor to create a virtual therapy program of resources, the Bridge Project, to close the gap between inpatient and outpatient care that is now used throughout the Advocate Aurora network. At graduation Dr. Karson received the 2024 Advocate Lutheran General Hospital Ruggie Humanitarian Award. The Ruggie Award selects and honors a graduating resident or fellow who displays academic excellence, commitment to the education of others, professional bearing, and a concern for the patient within the light of Human Ecology. Dr. Karson attended undergraduate at Elmhurst University, a biology major with minors in chemistry and medical humanities. She went to medical school at Rosalind Franklin University and was chosen to join the Gold Humanism Honor Society for her dedication to compassionate patient care.

Dr. Thistlethwaite is a board eligible adult psychiatrist and internal medicine physician. He completed his medical education at West Virginia University School of Medicine. Following completion of medical school, Dr. Thistlethwaite completed residency training at WVU/Charleston Area Medical Center with a dual specialization in internal medicine and psychiatry. Dr. Thistlethwaite's training included treatment of patients both in the inpatient and outpatient setting as well as management of patients with comorbid medical conditions. During his training Dr. Thistlethwaite became passionate about approaching patients in a holistic manner that addressed both their physical and mental health. He is especially passionate about ensuring that patients with mental health disorders are provided with appropriate general medical care as they are a marginalized and underserved group. Dr. Thistlethwaite's practice focuses on medication management for a wide array of conditions including depression, anxiety disorders, bipolar disorder, obsessive compulsive disorder, tic disorder/Tourette's, and post traumatic stress disorder. Dr. Thistlethwaite incorporates supportive psychotherapy, cognitive behavioral therapy interventions, and some psychodynamic therapy skills in his practice as well. Dr. Thistlethwaite believes in a collaborative and holistic approach to mental healthcare that incorporates the patient as well as all members of the healthcare team in every aspect of care.

Dr. Sallie Jo Hadley holds the position of Staff Psychiatrist at Talkiatry. She is board-certified in psychiatry and pediatrics and is board-eligible in child and adolescent psychiatry. She has been practicing for 22 years. Dr. Hadley's practice is focused on medication management with supportive therapy in follow-up sessions of 15 or 30 minutes. Dr. Hadley is experienced with collaborative treatment and encourages adding a therapist to your care team in those situations where additional therapy might be helpful. Dr. Hadley is a graduate of the Mount Sinai School of Medicine's triple-board program (psychiatry, pediatrics, and child and adolescent psychiatry). She completed post-doctoral research fellowships at Mount Sinai's Seaver Center for Autism Research/Compulsive-Impulsive Anxiety Disorders and at Columbia University's New York State Psychiatric Institute, the latter focusing on metabolic and weight issues in children and adolescents with psychiatric disorders. Dr. Hadley had an early background as a nurse, receiving her B.S. in Nursing from the University of North Carolina-Chapel Hill. Her experience in neonatal, psychiatric, and hospice nursing led her to pursue her degree in medicine. Dr. Hadley has worked in pharmacologic research in both academic and industry settings. Prior to joining Talkiatry, she practiced in a multi-specialty clinic for individuals and families dealing with autism or intellectual disabilities and complex medical co-morbidities. Dr. Hadley enjoys working with motivated individuals of all ages who are seeking to better their life or better cope with life circumstances. She has particular expertise in working with individuals and their families suffering from anxiety, depression, and obsessive-compulsive disorders.

Dr. Richard Shehane completed medical school at the University of Nevada School of Medicine and then went on to complete psychiatry residency training at Naval Medical Center San Diego. Dr. Shehane is a board-certified psychiatrist that specializes in the treatment of depression, anxiety, PTSD, bipolar disorder, schizophrenia, personality disorders and ADHD. Dr. Shehane has also worked extensively with patients that have experienced sexual trauma in their past and patients struggling with substance and alcohol use addictions.

Dr. Shehane will focus on two main approaches to mental health treatment: medication management and psychotherapy. Appointments will focus on a mix of interactions aimed at tailoring each patient’s specific medication needs as well as promoting mental health wellness through different types of evidence-based therapy techniques including mindfulness, CBT, CPT and psychodynamic psychotherapy.

Dr. Shehane works together patients to develop a plan that fits each patient’s individual needs. Initial appointments will focus on identifying and treating primary concerns, and then later appointments will center on building upon the therapeutic relationship to increase self-awareness, promote emotional insight, and secure lasting positive mental health changes.

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