Kyra Munzenmaier, MD

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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Neena Tressa Mathew has built an impressive career in the medical field, with a strong focus on mental health. She is dually board-certified as a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) and Family Nurse Practitioner (FNP-BC), providing care across all age groups. Fluent in English, Hindi, and Malayalam, she is licensed to practice in Florida, New York, Texas, and Georgia. Neena offers a patient-centered approach that integrates her diverse experience and certifications.

Her dedication to mental health is evident through her extensive hands-on experience in assessing, treating, and evaluating patients with a wide range of psychiatric conditions, including ADHD, depression, anxiety, PTSD, OCD, schizophrenia, and bipolar disorder. She has delivered exceptional care at institutions such as Mindful Behavioral Healthcare, AdventHealth Hospital, and Park Place Behavioral Health Care. Her international experience includes roles in Canada, where she further developed her expertise in geriatric psychiatry. Neena has also worked in various practice areas, including addiction medicine, grief counseling, and primary care.

Her academic background includes a Post-Master’s Certification from Florida State University and a Master of Science from D’Youville College in Buffalo, NY. She also holds a Bachelor of Science in Nursing from Delhi University and a Master’s Degree in Social Work from the Delhi School of Social Work. Her professional affiliations, including membership in the American Nurses Association, reflect her commitment to the field. Recognized for her academic, leadership, and research capabilities, Neena was invited to join Sigma Theta Tau International (STTI) as a graduate nursing student for her excellence in scholarship and outstanding achievements in nursing.

Neena has contributed to several U.S. nursing journals and magazines and has published and presented research articles in international peer-reviewed journals. She maintains an active academic presence through platforms like Google Scholar and ResearchGate.

Her approach to care is both traditional—prescribing evidence-based psychiatric medications—and holistic, incorporating natural treatments such as vitamins, supplements, lifestyle modifications, nutrition, exercise, and stress management. She believes in the mind-body-spirit connection, viewing individuals as whole beings rather than a collection of symptoms, echoing the philosophy of Hippocrates, the "Father of Medicine." Her holistic philosophy is evident in her skillful management of psychotropic medications and her integration of psychotherapy, including supportive therapy, cognitive behavioral therapy (CBT), and psychodynamic therapy.

Neena’s primary interest lies in exploring the relationship between mental, physical, and spiritual health. She finds great fulfillment in helping others and goes beyond diagnosis and treatment by conducting thorough mental health assessments to ensure accurate identification of psychiatric conditions. What sets her apart is her commitment to patient education—empowering individuals and their families with a deep understanding of their conditions and treatment plans, including medication as part of a comprehensive care strategy.

In addition to her clinical work, Neena serves as a clinical instructor, sharing her knowledge and insights with future healthcare professionals. This dual role highlights her multifaceted contribution to healthcare, emphasizing both treatment and education in supporting individuals on their mental health journeys.

Outside of her professional life, Neena enjoys reading, writing, beach activities, hiking, and traveling with her family. She is also actively involved in charitable work through the Lions Club. She lives by the principle:

“Give, and it will be given to you. A good measure, pressed down, shaken together and running over, will be poured into your lap. For with the measure you use, it will be measured to you.” (Luke 6:38)

Indeed, she believes that it is in giving that we truly receive.

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Bethany McCann is a board-certified Adult and Forensic Psychiatrist. After obtaining her Bachelor of Arts degree in Psychology at Kent State University, she received her medical degree from Ohio Heritage College of Osteopathic Medicine. She then went on to complete her Psychiatry Residency training at The Ohio State University, where she served as a Chief Resident for two years.

Following residency, Dr. McCann pursued an additional year of training through Ohio State, where she completed a Forensic Psychiatry Fellowship. A large portion of her time was spent in the state hospital system, where she learned more about the interplay between psychiatry and the law, provided high-quality psychiatric services to an inpatient forensic population, conducted forensic evaluations, and educated the Court on psychiatric topics through expert testimony.

While Dr. McCann has had experience working in a variety of settings, she has maintained a passion for outpatient psychiatry and building a strong, therapeutic relationship with her patients. Dr. McCann will provide an evidence-based medication management visit for a variety of psychiatric conditions including depression, anxiety, bipolar disorder, ADHD, PTSD, and OCD, while incorporating therapeutic techniques that are tailored to the individual and their goals.

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Dr. Buonopane is Board Certified in Adult Psychiatry by the American Board of Psychiatry and Neurology. She obtained her medical degree with Laude from the University of Rome, La Sapienza, and completed her residency in Psychiatry from Yale School of Medicine. Dr. Buonopane has extensive experience in psychopharmacology and offers state-of-the-art medication management with compassion and empathy. She practices a holistic approach, combining psychiatric medications with elements of psychotherapy and mindfulness. She offers individualized and comprehensive treatment plans which address the whole person, including lifestyle and social engagement, because the latest research findings show that both play an important role in mental and physical health. Education on mental illness and recommendations on diet and exercise are always discussed with the patients, according to the individuals' needs. Dr. Buonopane spends time listening to patients and makes plans based on clinical evidence without an authoritative approach, taking into consideration the patient's level of comfort and views because, in her experience, the best outcomes are always reached when patients fully understand and agree with the management of their conditions. Dr. Buonopane has been in practice for more than twenty years and has extensive experience in general Adult Psychiatry with a focus on mood disorder and anxiety. She has been leading clinical programs and teaching medical students, residents, and fellows in psychiatry and addiction in various clinical settings, such as private institutions and universities, including Yale School of Medicine. Prior to joining Talkiatry, Dr Buonopane had her own in-person clinical services for over ten years and telehealth services over the past four years, treating patients suffering mainly from depression, bipolar disorder, and anxiety. When working in private practice, Dr Buonopane received the Compassionate Doctor Recognition (Vitals) and the Patient's Choice Awards (Vitals), both based on patients' reviews.

Dr. Delane Casiano is a board-certified adult psychiatrist with specialized interest and expertise in cultural psychiatry. She earned her undergraduate degree from Brown University and her medical degree from Morehouse School of Medicine. She completed psychiatry residency and research fellowship at the University of Pennsylvania. Such organizations as the American Psychiatric Association, National Institute of Mental Health, and Philadelphia Department of Behavioral Health have recognized her research examining cultural influences on mental health beliefs and service utilization.

Dr. Casiano brings a systems-based, culturally informed perspective to her work. With over 15 years of experience, she has supported individuals with diverse backgrounds and identities. Examples of her leadership of multidisciplinary teams include serving as associate medical director of a women's trauma program and founding an integrated care program for underserved communities. She has directed academic training programs, presented at national conferences, and led numerous community-based events focused on mental health awareness and stigma reduction.

Dr. Casiano values compassion and collaboration in the treatment relationship. She helps patients navigate depression, anxiety, ADHD, and post-traumatic stress, while also supporting those facing major life transitions.

Her approach combines evidence-based medication management, supportive therapy, and

psychoeducation. She tailors each treatment plan to the individual while offering encouragement and structure.

Sonya R. Isler, PMHNP-BC, began her nursing journey over 30 years ago in a state psychiatric hospital in Goldsboro, NC, inspired by the poised nurse she admired at church as a child. Her path includes roles as LPN, RN, BSN, and multiple advanced practice degrees. Sonya has worked in inpatient and outpatient settings, VA clinics, and private practices. She also serves as a preceptor for PMHNP students at her alma mater, the University of North Carolina at Chapel Hill.

Sonya creates a welcoming, respectful space where patients feel safe to communicate openly. She practices active listening and values patient input when setting therapy goals. Her approach is holistic—treating the whole person—and she encourages collaboration, helping patients feel seen, heard, and empowered in their care.

Sonya reviews a patient's history before each session and begins with clear introductions and goal setting. She invites open discussion of concerns and tailors' treatment plans with patient input. She often incorporates CBT, motivational interviewing, and solution-focused therapy into care, promoting growth through supportive, personalized strategies.