Margaret Reyes, PMHNP

Dr. Lanier Summerall attended Yale University, where she studied philosophy in the Great Books Program. She later studied Molecular Biology at the University of Colorado, where she and her husband moved after getting married. She received her medical degree from the University of Colorado Health Sciences Program, and completed her residency at Dartmouth Medical School. She also trained at Massachusetts General Hospital with Dr. Theodore Stern in his area of expertise (Consult Psychiatry) and learned from his immense skill at building strong rapport with all patients.

Dr. Summerall has experience in inpatient, and outpatient settings, along with teaching and research. She has worked in hospital administration, government entities, most importantly the Senate Veterans’ Affairs Committee.

Dr. Summerall values transparent communication and will work with you to create the change. She treats patients as unique individuals and treatment is put into place with individualized plans in mind. Her approach to patients, which emphasizes holistic, patient centered, strength based treatment built on a foundation of strong doctor-patient alliance and evidence based medical knowledge.

Your appointment with Dr. Summerall will be a conversation. She is there to work towards goals together and is a good translator of "medical-ese". She enjoys working with patients on all aspects of their health and caters treatment plans to you.

Dr. Meena Shah is a board-eligible psychiatrist and has been practicing for over 16 years. She specializes in child and adolescent psychiatry. Dr. Shah's practice focuses on medication management in conjunction with supportive and emotionally focused therapy in 30-minute follow up visits. Dr. Shah believes in the importance of building a therapeutic relationship with her patients and families to help achieve their emotional goals. Dr. Shah completed her residency training through Richmond University Medical Center with NY Medical College and completed her fellowship at Brookdale University Medical Center in Brooklyn, NY. Dr. Shah has extensive experience with the child and adolescent population and worked with foster care programs as well as juvenile residential facility programs .Dr. Shah served as Children's Associate Medical Director at Directions for Living Mental Health Clinic and went on to become Medical Director at Sequel Care of Florida. In addition, Dr. Shah also received her Master's degree in Hyperbaric Medicine. She completed her undergraduate studies at the University of Florida with a major in psychology. Dr. Shah's primary clinical focus has been treating children, and young adults with ADHD, mood disorders, anxiety, and helping them establish coping skills to overcome any life obstacle.

Dr. Lindsay Legnon is board-certified in Psychiatry and has 15 years of experience in outpatient clinical psychiatry. Her focus is primarily on medication management, but she does incorporate brief cognitive behavioral therapy and supportive therapy when appropriate. If more extensive psychotherapy is felt to be beneficial, she will recommend a therapist and collaborate with them for optimal care. She completed her medical degree at Louisiana State University in Shreveport and her residency at Tulane University in New Orleans, where she served as Chief Resident. After completing her residency, she worked primarily in outpatient clinics treating a wide range of mental health disorders. She has extensive experience treating major depressive disorder, a variety of anxiety disorders, OCD, PTSD, and bipolar disorder, among others. Medication is felt to be an important tool for many in achieving wellness, and she encourages a holistic approach to improve outcomes. Her hope is to provide relief and help people achieve their goals in their journey back to wellness.

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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Ashley is an ANCC board-certified Psychiatric Mental Health Nurse Practitioner with over a decade of experience in Psychiatry. She has worked in inpatient and outpatient settings, crisis centers, and psychiatric emergency rooms. Ashley is deeply committed to working collaboratively with individuals to enhance their well-being, creating a personalized care plan tailored to each person’s unique needs.

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Her approach integrates medication management, supportive psychotherapy, and lifestyle interventions. As a prescriber specializing in psychopharmacology, Ashley provides comprehensive medication management while utilizing a shared decision-making model. She actively involves clients in their treatment planning, discussing various options to determine the most effective path forward.

During the initial session, Ashley prioritizes establishing a comfortable, open environment where clients feel at ease. She will review medical and psychiatric history, discuss treatment goals, and explore different therapeutic options based on individual preferences. Ashley encourages questions throughout the process to ensure a collaborative and supportive treatment experience.

Dr. Routhier was born in Quebec, Canada. She attended medical school at Ross University School of Medicine and graduated in three years with high honors. She trained as a psychiatry resident at Case Western Reserve School of Medicine in Cleveland, OH where she served as a junior attending and the medical student coordinator. She then was recruited by Monterey County Behavioral Health, CA as a clinical psychiatrist where she provided medication management and psychotherapy services to over 400 patients over the course of five years. She also created and led two dialectical behavior therapy groups for teens and young adults while training therapists and social workers to become group facilitators.

Dr. Routhier firmly believes in the mind-body connection. She feels that when the mind suffers, the body hurts as well and vice versa. As a result, she has developed a holistic approach to psychiatry and is comfortable offering a wide array of treatment modalities such as breathwork, dialectical behavior therapy, guided meditation, supportive psychotherapy, behavioral activation and medication management. She maintains that autonomy and a thorough understanding of one’s diagnosis and prognosis are critical for progress and healing. Her broad range of worldly experiences gives her the ability to work in a non judgemental, open-minded and authentic fashion. She connects with clients with ease and is passionate about self-awareness, constant evolution and empowering people so they can find their own way to happiness and health. She pushes her clients to find ways to build a life worth living, way beyond the goal of symptom resolution typical to psychiatry.

1. Getting to know you/understanding your “why”. Why are you seeking mental health treatment and why now? 2. Establish a list of issues and improvement zones. 3. Creating therapeutic goals. What do you want to work on? 4. Choosing treatment modalities to directly address these goals within a specific time frame. I provide updated and evidence-based information, and YOU choose what we do. 5. Figuring out the root causes to problems, symptoms and maladaptive behaviors/habits. How did this all start? Where does it come from? 6. Regular check-ins on how the treatment plan and therapeutic relationship are working for you. Are we a good fit? Are we meeting your goals/expectations? If not, back to the drawing board!