Marla Richard, MD

Dr. Desir is a Board-Certified Psychiatrist who completed her undergraduate training at The University of Scranton followed by medical school at the New York Institute of Technology College of Osteopathic Medicine. She completed psychiatry residency at Nassau University Medical Center where she served as the Administrative Chief Resident in her final year. Dr. Desir has been in practice for 4 years and has provided patients with compassionate psychiatric care. She has worked in community mental health settings throughout her career, in which she served a wide variety of patient populations. Dr. Desir is experienced in treating various psychiatric illnesses including mood disorders, anxiety disorders, OCD, PTSD, and ADHD. At the heart of Dr. Desir's clinical approach is a strong emphasis on establishing trust and building a therapeutic relationship. She also provides psychoeducation to help patients make informed decisions regarding their care. She works collaboratively with patients to develop individualized treatment plans to help them achieve their goals. Dr. Desir's practice focuses on medication management. Typically, she offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. Occasionally, Dr. Desir may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. Talkiatry takes medication management seriously. All state-controlled substance databases are reviewed and taken into consideration during your initial evaluation.

Amber Gordon, PMHNP-BC, is a board-certified psychiatric nurse practitioner dedicated to providing personalized mental health care. She holds a Bachelor of Science in Healthcare Administration from the University of Memphis, a Bachelor of Science in Nursing from Union University, and a nursing practice degree from the University of Tennessee Health Science Center.

With over a decade of clinical experience, Gordon has worked in a variety of settings, including psychiatry, intensive care, and dialysis. Her psychiatric experience spans inpatient and outpatient care, as well as residential and correctional facilities. She has served diverse populations, addressing a wide range of mental health conditions such as mood disorders, anxiety disorders, substance use disorders, trauma- and stressor-related disorders, and perinatal psychiatric conditions.

Gordon’s approach to mental health emphasizes the complex interplay between mental and physical well-being, lifestyle choices, and environmental factors. She integrates conventional medicine with alternative therapies, recognizing the importance of medication while also advocating for therapy, nutrition, and lifestyle changes. This holistic philosophy reflects her belief in each patient’s unique journey to mental wellness. Her therapeutic style is described as warm, empathetic, and empowering, with a strong focus on building a trusting and connected therapeutic relationship.

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Bryce Thacker grew up in a rural community, where he learned the value of helping others achieve their best selves to support overall community health and well-being. With a passion for helping people live their best lives, he earned his undergraduate degree in biology from the University of Nebraska and completed his nursing education at Creighton University. He went on to earn a Master of Science in Nursing, specializing as a Family Nurse Practitioner and in Community Health, from Creighton University, and later completed a nursing practice degree at the University of Colorado with a focus on population and community health. He also holds a post-graduate certification in psychiatric mental health from Washburn University.

Bryce practiced family medicine for 18 years before transitioning to psychiatric mental health in 2022. His background in both physical and mental health gives him a holistic perspective on care. Since shifting his focus, he has helped individuals improve their quality of life through medication management for mood disorders, PTSD, anxiety, ADHD, and other mental health conditions. He continues to live in a rural community with his family and remains committed to helping people become their best selves.

Bryce believes that each person’s “best self” is unique and that mental health care should meet individuals where they are. He emphasizes a collaborative, client-centered approach, always keeping the individual’s goals at the heart of care. He is dedicated to helping clients identify and overcome the symptoms and stressors that interfere with their well-being, and he works to dismantle limiting beliefs or labels that may have been placed on them.

By taking the time to understand each person’s challenges and aspirations, Bryce helps clients find sustainable, holistic paths to wellness. His care is grounded in empathy, respect, and a deep commitment to supporting each person’s journey toward a fulfilling and balanced life.

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Dr. Perington is a Staff Psychiatrist with Talkiatry. She previously served in the US Air Force, where she completed her residency training in psychiatry (Lackland AFB) and was the medical director for a small-sized mental health clinic (Hill AFB). Dr. Perington uses a person-centered approach to tailor treatment to the individual, with an emphasis on shared decision making. She prefers to focus on psychotherapy and behavioral interventions as a primary part of the treatment plan, in addition to any indicated medication.

Motivation for change is a large part of the healing process, and for many people recovery doesn't happen with medication alone. Dr. Perington asks all her patients to play an active role in their treatment.

A thorough diagnostic assessment with discussion of the best treatment setting and modality, then regular follow up visits with emphasis on psychotherapy in addition to medication management (if indicated).

Dr. Nathan Schulz attended the Ohio State University College of Medicine where he received his degree before completing a residency in psychiatry at the University of Illinois, Chicago. After several years working with veterans at the Jesse Brown VA in Chicago, he returned to his home state of Iowa in 2022. Since then, he has continued to work with a wide variety of clients and conditions in both inpatient and outpatient settings, including at the University of Iowa and Clive Behavioral Health hospital.

Dr. Schulz values open, honest, and ongoing dialogue about how mental health treatment can improve wellbeing and lead to healing. Over time, he tailors treatment recommendations based on individual needs, which may include medication, therapy, lifestyle changes, or other approaches. He avoids a one-size-fits-all model and creates an environment where patients feel respected, understood, and supported as unique individuals.

In the first meeting, Dr. Schulz works to understand each patient’s goals, experiences, and preferences. Some arrive knowing what they want, while others are new to exploring mental health challenges. His goal is to meet patients where they are and adjust treatment focus as needs evolve. He emphasizes collaborative decision-making, clearly discussing treatment options, pros and cons, and next steps, while ensuring patients feel informed and empowered throughout care.

Lauren is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) who earned her Master of Science in Nursing from Kent State University in 2020. She has experience treating a wide range of mental health conditions, including depression, anxiety, psychotic disorders, bipolar disorder, ADHD, OCD, PTSD, and substance use disorders.

Lauren’s approach combines medication management with psychotherapy to create a well-rounded, individualized treatment plan. She takes time to listen to her patients’ concerns, fostering a safe and open environment for dialogue. Her therapeutic methods include supportive therapy, motivational interviewing, and cognitive behavioral therapy. Recognizing that medication alone may not fully address the root causes of distress, she incorporates talk therapy, lifestyle changes, stress management, self-care strategies, supplements, and social health into her care plans.

With a laid-back, non-judgmental, and empathetic style, Lauren collaborates closely with patients to ensure their treatment aligns with their unique needs and goals. Every decision is grounded in evidence-based practices and patient-centered care.

Lauren begins with a comprehensive initial assessment, gathering detailed information about each patient’s mental and physical health history, lifestyle, symptoms, concerns, and goals. This assessment informs a potential diagnosis and serves as the foundation for a personalized treatment plan. Regular follow-up appointments are scheduled to monitor progress, make adjustments as needed, and provide ongoing support.

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