Mark Helms, 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.

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.

Dr. Miranda Morgan is a board-certified psychiatrist licensed in New York and Texas. She is a Diplomate of the American Board of Psychiatry and Neurology and a member of the American Psychiatric Association. She earned her undergraduate degree in Psychology from The University of Texas at San Antonio and her medical degree from the Alabama College of Osteopathic Medicine. She completed her residency in psychiatry at Texas A&M University - Temple/Baylor Scott & White Hospital, where she was Recruitment Chief Resident.

Dr. Morgan is passionate about collaborative care and telemedicine, and has held positions in primary care mental health and collaborative care settings. She previously worked as staff psychiatrist at the Department of Veterans Affairs, and held an academic appointment as Clinical Instructor for the Department of Psychiatry at New York University Grossman School of Medicine.

Dr. Morgan describes her practice style as, “patient-centered, compassionate care tailored to each individual's unique mental health needs. As a psychiatrist, I am dedicated to helping my patients overcome their mental health challenges and achieve their goals.

Dr. Mayra Valdivia Carlisle is a bilingual Spanish and English-speaking board-certified Adult Psychiatrist and Child & Adolescent Psychiatrist. She earned her master's degree in public health and her medical degree from Oklahoma State University Center for Health Sciences. She went on to complete her residency training in Adult Psychiatry at the University of Texas Health Science Center in San Antonio and subsequently completed her fellowship in Child and Adolescent Psychiatry. She was awarded the Excellence in Public Health Award by the U.S. Public Health Service and Surgeon General for her work addressing health disparities in healthcare. Dr. Carlisle has extensive experience in outpatient and community mental health settings.

Dr. Carlisle provides patient-centered and compassionate psychiatric care combining medication management, psychotherapeutic methods, and lifestyle modifications to create a unique treatment plan. She recognizes that each person benefits from a personalized and holistic approach to healing. Dr. Carlisle specializes in treating diverse psychiatric conditions including ADHD, anxiety disorders, depression, and post-traumatic stress disorder in children, adolescents, and adults.

During an initial visit one can expect a comprehensive evaluation aimed at understanding individual mental health history, specific concerns, and overall treatment goals. Dr. Carlisle practices a holistic approach to treating mental disorders. This is done through an individualized plan for each patient with careful consideration to medication management, therapy techniques, and lifestyle modifications. Patients can expect an empathetic and collaborative environment focused on their personal experiences and goals.

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Background and credentials

Dr. Schaefer is a board-certified adult psychiatrist with over 16 years of experience. She earned her medical degree from the University of Nebraska Medical Center in Omaha, NE, and completed her adult psychiatry residency at Oregon Health and Science University in Portland, OR. She then specialized further by completing a forensic psychiatry fellowship at Yale University. She has worked as a staff psychiatrist at Atrium Health System for over 16 years.

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Treatment approach

Dr. Schaefer’s practice primarily focuses on medication management, which she offers in conjunction with supportive therapy and elements of cognitive-behavioral therapy (CBT). She takes a patient-centered and collaborative approach, ensuring that treatment is tailored to each individual’s needs. If additional therapy is required, she may recommend working with a therapist as part of a comprehensive care plan. Her primary focus areas include depression, anxiety disorders, and obsessive-compulsive disorder (OCD).

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What you can expect in a first visit

During the first visit, patients can expect a thorough psychiatric evaluation, where Dr. Schaefer carefully assesses their symptoms, treatment history, and mental health goals. She works collaboratively with patients to develop a personalized treatment plan, which may include medication management and therapy recommendations. Follow-up visits are typically 30 minutes and focus on monitoring progress, adjusting treatment as needed, and ensuring the best possible patient outcomes.

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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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Dr. Ruchir Arvind is an Adult General psychiatrist. He is a Diplomat of the American Board of Psychiatry and Neurology. He has been practicing for 4 years.

Dr. Arvind believes in collaborative and educational approaches to address his client’s needs. He believes that therapy is a foundational part in building a long term therapeutic relationship with his clients. He tries to put some educational part in helping his client’s to have a deeper understanding about their illness and related struggles and needs. He likes to follow up closely regarding progress towards his client’s goals. He integrates psycho education in all sessions into explaining his reasoning behind the choice of treatment options based on evidence based medicine. He also provides a brief supportive psychotherapy and Cognitive Behavioral Therapy to aid in treatment for depression, anxiety and insomnia.

Dr. Arvind received his medical degree from PramukhSwami Medical College in India and completed his residency training at University of Texas Health Science Center in his Hometown of Houston, Texas. He held an academic position as a faculty with University of Texas Health Science Center – McGovern Medical School in Houston as assistant professor and enjoyed teaching opportunities.

During his pursuit for residency training in psychiatry Dr. Arvind had been extensively involved in clinical research understanding neurobiological and psychological aspects of development of different anxiety disorders and bipolar disorders as early as in childhood populations. He has had Publications for several peer-reviewed articles and manuscripts and presentations at annual conferences.

Dr. Arvind has experience in treating versatile patient populations. His areas of focus have been anxiety disorders, Acute stress and Post traumatic stress disorder, Attention Deficit Hyperactivity Disorder( ADHD ) and Attention Deficit Disorder ( ADD ) , Tics  and Tourette Syndrome ,Insomnia and depression. He has also worker with adults with Bipolar illness and pregnancy related anxiety and depression and helping clients with any psychiatric illness due to underlying neurological issues like Seizures, Multiple Sclerosis and NeuroCognitive Issues along with addressing Caregiver Burden for some clients.

Patients looking for a psychiatric provider will find Dr. Arvind’s approach in a gentle, friendly and educational way with a composed demeanor. He tends to approach Individualized treatment plans based on different needs for different clients and will always welcome any questions regarding the plan to reach Client’s Goals.