Margaret Ngumi, PMHNP

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Cecilia Wild is a board-certified psychiatric-mental health nurse practitioner (PMHNP-BC) with a strong background in treating patients across the mental health spectrum. She earned her Bachelor of Science in Nursing from Illinois State University and began her career in a women’s residential facility specializing in mood disorders, eating disorders, and PTSD. She then transitioned to inpatient adolescent psychiatry, where she became a charge nurse and obtained her Psychiatric-Mental Health Nursing Certification (PMH-BC) from the American Nurses Credentialing Center (ANCC). Inspired by her passion for mental health, she pursued her master's degree at the University of St. Francis to become a PMHNP.

Cecilia has extensive experience treating patients at all levels of care, including inpatient, PHP/IOP, and outpatient settings. She later transitioned to telehealth, providing medication management to college students. She is passionate about mental health advocacy, particularly within the LGBTQ+ community.

Cecilia takes a team-based, individualized approach to care. She believes in the importance of education, open communication, and empowering patients in their treatment journey. She emphasizes a holistic perspective, incorporating medication management, therapy, and lifestyle modifications.

Cecilia prioritizes a trauma-informed approach, recognizing the significant role trauma plays in mental health. She integrates mindfulness techniques, motivational interviewing, and lifestyle changes to support overall well-being. By fostering a collaborative and supportive environment, she helps patients build resilience and achieve their mental health goals.

Thayanne Delima-Tokarz, DO

Staff Psychiatrist

Dr. Delima-Tokarz is double Board Certified in Psychiatry and Lifestyle medicine. She completed her psychiatry residency training at the University of Maryland/Sheppard Pratt, where she served as the chief resident. She has practiced in various settings over her career, including working for the Department of Defense, private practice, and community mental health. Dr. Delima-Tokarz is fluent in Portuguese, English, and Spanish. Dr. Delima-Tokarz has more than five years of experience treating patients with anxiety, depression, PTSD, Bipolar, OCD, ADHD, and other mental health issues. She employs pharmacotherapy along with supportive therapy and integrative approaches. Dr. Delima-Tokarz is currently working on completing her Ph.D. in Integrative Medicine and is passionate about a holistic and integrative approach to mental health. Her philosophy includes a healing-oriented approach that considers the whole person, including all lifestyle aspects. Dr. Delima-Tokarz aims to provide collaborative and comprehensive care, which may include medication management, lifestyle interventions, stress reduction techniques, and other integrative approaches. She believes building a strong therapeutic relationship where the patient feels empowered is the key to healing.‍

Melissa Buhler, LMHC

Staff Licensed Mental Health Counselor

Melissa knows first-hand how powerful the counseling experience can be. Melissa committed herself to the hard work of deep interpersonal counseling and has a passion to help others build a life of hope, joy, and resiliency. As an undergraduate, she studied at Toccoa Falls College in the mountains of North Georgia. She finished her master's degree in Clinical Mental Health Counseling and began working in the Crisis Stabilization Unit. Melissa assisted with the opening of a psychiatric hospital, advocating for the needs of the patient. She has served in Jerusalem and Africa and strives to be inclusive of everyone as an individual of significant value. Melissa focuses on building a strong rapport with her patients, highlighting their strengths, teaching mindfulness, boundaries, emotional regulation strategies, and often writing trauma narratives. She utilizes Solution Focused Therapy, Dialectical Behavioral Therapy, and Trauma-Focused Cognitive Behavioral Therapy. ‍

Jennifer DeSetto, PMHNP

Staff Nurse Practitioner

Jennifer DeSetto, RN, MSN, PMHNP-BC is a dedicated and compassionate Psychiatric Nurse Practitioner with extensive experience in a variety of settings, including inpatient psychiatry, private practice, and emergency psychiatry. Since beginning her practice in 2013, she has been committed to providing exceptional care for individuals facing mental health challenges.

She holds a Master of Science in Nursing as a Psychiatric Nurse Practitioner, and she is board-certified by the American Nurses Credentialing Center (ANCC). Over the years, Jennifer has honed her skills in treating a broad spectrum of mental health conditions, with a special focus on adolescents, postpartum depression, and post-traumatic stress disorder (PTSD).

Jennifer is deeply passionate about empowering her patients and believes in a non-judgmental, laid-back approach that ensures a welcoming and comfortable space for healing. Her treatment style is individualized and tailored to each person’s specific needs, providing a thorough and holistic approach to care. She emphasizes building strong, trusting relationships with her patients, ensuring that each individual feels heard, respected, and supported on their mental health journey.

Her diverse background working across various healthcare environments has equipped her with a broad understanding of mental health care and a flexible approach to treatment, allowing her to adapt her strategies to meet the unique challenges faced by those she serves. With her wealth of experience and commitment to individualized care, Jennifer DeSetto, PMHNP-BC continues to be a trusted provider in the mental health field, dedicated to helping her patients lead healthier, more fulfilling lives.

Lena Champlin, PMHNP

Staff Psychiatric Nurse Practitioner

Lena Champlin, PMHNP-BC is a dual certified Family Practice and Psychiatric Mental Health Nurse Practitioner. She received her Family Nurse Practitioner degree from the University of South Florida and her Psychiatric Mental Health Nurse Practitioner degree from Augusta University. Since beginning practice in 2013, she has worked in inpatient and outpatient settings seeing a wide range of clients. Her expertise covers psychiatric issues of all types, including anxiety, depression, mood disorders, and ADHD. She is committed to finding solutions for her clients by using a holistic approach that takes into account physical and mental issues. Treatments include therapy, medication, and lifestyle modifications. She enjoys working with clients who are motivated to change and feel better. She takes time to listen to clients and treats each as an individual.

Luna Sanchez Rivera, MD

Staff Psychiatrist

Dr. Luna Sanchez Rivera holds the position of Staff Psychiatrist at Talkiatry. After completing residency in 2016 at the Ponce Medical School Psychiatry Residency in Puerto Rico, she then moved to North Carolina to complete a subspecialty in Child and Adolescent Psychiatry at Duke University Health System. There, she transitioned into an assistant professor position, focused on structuring pediatric emergency psychiatric services, and helped support the consult and liaison pediatric service. Her years of experience have included working as an integrated care child psychiatrist within outpatient clinics at Duke University Health System, and she trained and worked as a staff psychiatrist at the Inpatient State Facility in North Carolina. She also served in the Dayton Children's Hospital outpatient clinics in Dayton, Ohio, the Appalachian Health System outpatient clinics in Linville, North Carolina, and more recently has been serving the Child and Adolescent inpatient population in Bangor, Maine. Dr. Sanchez Rivera has an approachable style aimed at providing a comprehensive evaluation for all age ranges and is comfortable managing various levels of diagnostic complexities. She provides supportive psychotherapy while using psychodynamic therapy skills to clarify her patient's constellation of symptoms, identify unifying themes and provide thorough psychoeducation throughout the process to drive positive outcomes. She integrates psychodynamic medication management approaches and is adept at family therapy interventions.

Megan Green, DO

Staff Psychiatrist

Dr. Green (she/her) holds the position of staff psychiatrist at Talkiatry. She is board-certified in adult psychiatry. She has extensive experience in various settings including inpatient, outpatient, consult-liaison, emergency, Veteran, and community-based environments. She is licensed in the states of Maryland, New York, and Virginia. Dr. Green's practice focuses on the integration of medication management and psychotherapy. Her practice style is collaborative to establish trust and build rapport while meeting patient-specific goals. Dr. Green approaches patient care from a holistic perspective that is individualized, evidence-based, and patient-centered. She received her medical degree from the New York Institute of Technology's College of Osteopathic Medicine on Long Island, NY. Her adult residency training was completed at Virginia Commonwealth University (VCU) in Richmond, VA. In addition to general, adult psychiatry, Dr. Green is clinically experienced and interested in treating patients of a wide variety. She is particularly interested in treating patients with mood disorders, anxiety disorders, obsessive compulsive disorder, eating disorders, trauma-related disorders, and personality disorders. Dr. Green enjoys exploring with patients a holistic approach to mental health treatment, which includes a discussion of interpersonal relationships, lifestyle behaviors (exercise, diet, sleep), and self-compassion. ‍**Dr. Green's current practice does not include the use of any controlled substance medication, such as stimulants or benzodiazepines.

Rachel Sherhart, MD

Staff Psychiatrist

Dr. Rachel Sherhart is a board-certified adult psychiatrist who has been in practice for over 4 years. She specializes in medication management with 30-minute follow-up visits. This may be accompanied by elements of supportive therapy, Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and psychodynamic therapy. If more in-depth work is needed, she may refer patients to a collaborating psychotherapist. ‍Dr. Sherhart received her medical degree from Texas A&M Health Science Center and completed her psychiatry residency training at the University of Texas Southwestern in Dallas, Texas. She has served as faculty at Texas A&M University College of Medicine, providing education and supervision for psychiatry residents and medical students. ‍She has experience treating adult patients from many walks of life with a broad range of diagnoses, including depression, anxiety, bipolar disorder, ADHD, and trauma-related disorders. Dr. Sherhart has a passion for providing excellent patient care and education. Her goal is for patients to feel heard and find a safe place to discuss their concerns. She is motivated to work collaboratively with patients to find a solution that best fits their treatment goals and improves their overall quality of life.‍

Deborah Bearman, PMHNP

Staff Nurse Practitioner

Deborah Bearman, PMHNP, is a board-certified psychiatric nurse practitioner who is dedicated to helping those struggling with mental health concerns to live a more fulfilling life. Deborah received her Master of Science in Nursing with a specialty in psychiatry from SUNY Upstate Medical University. She is trained in psychiatric diagnosis, medication management, and psychodynamic and cognitive behavioral therapies. Over the past 10 years, she has gained valuable experience in a number of settings, including inpatient and outpatient facilities, community mental health clinics, and private practice. Deborah is devoted to addressing adult mental health from a holistic perspective, utilizing a combination of medication management with supportive counseling, which she offers during 30-minute follow up sessions. While she focuses on medication management, she believes most people benefit from therapy as well and has extensive experience in psychodynamic and cognitive behavior therapies. She also believes in providing psychoeducation to patients, families, and caregivers. As a psychiatric nurse practitioner, Deborah understands the value of the therapeutic relationship and the positive impact it can have on daily function. By working with patients to create comprehensive and effective treatment plans, Deborah supports her patients in living healthier and more satisfying lives.

Bracha Winograd, LCSW

Staff Therapist

Bracha (Brooke) Winograd is a licensed clinical social worker with comprehensive experience working in the mental health field. Brooke has worked directly with clients of various ages and demographics living with a variety of mental health conditions. Brooke completed her undergraduate degree with The College at Brockport in Upstate New York and her master's degree in social work through Nazareth University in Rochester, NY. In her work with an outpatient mental health clinic and day treatment programming, Brooke collaborated closely with psychiatric prescribers to meet clients� diagnostic and therapeutic mental health needs. Brooke has been practicing clinical social work in a variety of settings, focusing on treating depression, anxiety, trauma, and other mental health symptoms that challenge individuals on their journey to wellness. Working with Brooke is collaborative in nature, with the goal being to have the client's goals and preferences front and center throughout treatment. Brooke is trained in cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), trauma-focused CBT, person-centered care, and motivational interviewing (MI). Brooke is passionate about her work and empowering her clients to build the skills necessary to reach their goals.

Maxine Zhou, MD

Staff Psychiatrist

Dr. Zhou is a board-certified psychiatrist who has more than 4 years of experience practicing in various clinical settings with an emphasis on mental health care in outpatient settings. She practices a holistic approach to developing an individualized plan to work toward a patient's goals. Dr. Zhou is experienced in treating depression, bipolar spectrum disorders, obsessive-compulsive disorders, post-traumatic stress disorder, generalized anxiety, and other related psychiatric disorders. Dr. Zhou received her medical degree from Texas Tech University Health Sciences Center School of Medicine and completed her adult psychiatry residency training at LSU Health Shreveport. Dr. Zhou's background and experiences have broadened her understanding of cultural stigmas and the relationship it plays in psychiatric care. She incorporates a multitude of treatment modalities such as supportive therapy, cognitive behavioral therapy, and mindfulness practices as an adjunct to pharmacotherapy. Dr. Zhou recognizes the value of a multifaceted approach to wellbeing and may recommend treatment modalities that are complementary to medication management.

Frank Miller, LPC

Staff Therapist

Frank Miller is a Licensed Professional Counselor with years of experience in a variety of mental health settings. Frank has worked in hospitals, community mental health care, a treatment center for clients struggling with co-occurring mental health and substance use disorders, as well as providing individual outpatient therapy to a wide variety of clients.

Frank attended graduate school at Midwestern State University in Wichita Falls, TX, while working in the mental health field, earning a Masters degree in their Clinical Mental Health Counseling Program in 2019. Frank has provided individualized, client-focused therapy for adults and adolescents since that time, helping others to find purpose and meaning in their lives.

Frank utilizes a combination of Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and Reality Therapy, depending on the client’s needs. Frank believes that we can all benefit from eliminating distorted thinking leading to negativity and self-defeat, and becoming more emotionally regulated, stress tolerant, and mindful, putting us back into the driver’s seat of our daily lives. We may then achieve the freedom to positively fulfill our needs, pursue our goals, and feel confident in our journey towards balance and peace of mind.

Margaret Ngumi, PMHNP

Education and training

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