Mary Phelps, DO

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.

Nakia is a Licensed Professional Counselor Supervisor and Certified Sex Therapist with a Master of Education in Counseling and Development from Sam Houston State University. With extensive experience in education and private practice, she has helped individuals and couples navigate life's challenges and create meaningful change. Her expertise includes issues related to sexual health, intimacy, relationships, depression, anxiety, self-esteem, life transitions, and grief and loss. Specializing in working with individuals and couples, Nakia creates a warm and supportive environment where others feel heard and empowered. She guides them in making choices to change hindering situations and gain clarity through clinical tools to interpret and respond differently to life's challenges. Her approach is collaborative and tailored, ensuring therapy meets the unique needs of each person while celebrating progress. Nakia uses a holistic approach that integrates Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy, and Person-Centered Therapy. She is also trained in Gottman Levels 1 and 2, providing evidence-based techniques to strengthen relationships and improve intimacy and communication. She believes change happens when individuals are honest with themselves and willing to do the work. As Carl Rogers said, "One must accept themselves as they are before change can occur.” Nakia considers it a privilege to support others as they heal, grow, and embrace life's possibilities.

***Provider does not prescribe controlled substances*** Dr. David Eiler is a staff psychiatrist at Talkiatry. He is board certified in adult psychiatry. Before joining Talkiatry, Dr. Eiler was a staff psychiatrist at Dartmouth-Hitchcock Medical Center (DHMC), where he had an academic appointment and served as clinical director of transcranial magnetic stimulation (TMS) and intranasal esketamine services. In his practice, Dr. Eiler has focused on medication management and interventional techniques, including TMS, for the treatment of depression and other disorders. Dr. Eiler received his MD from the University of Wisconsin School of Medicine and Public Health and completed his residency at DHMC.

Angelica Luciano, PMHNP, has been dedicated to health care for over 22 years. Her journey began in 2003 when she enlisted in the Air Force as a medic and later served as a nurse in the Department of Defense. She earned her bachelor’s degree in Nursing from Indiana State University, was commissioned as a Nurse Officer in the U.S. Public Health Service, and went on to complete her master’s at Gonzaga University. Inspired by her work as a psychiatric RN, Angelica pursued her calling in mental health and became board certified as a Psychiatric-Mental Health Nurse Practitioner in 2017.

Angelica provides care through a warm, direct, and nonjudgmental style. She takes a biopsychosocial approach, recognizing the interplay of biological, psychological, and social factors in mental health. By combining psychopharmacology, patient education, and brief supportive therapy, she offers care that is accessible, collaborative, and authentic. Patients can expect to feel heard, respected, and actively involved in their treatment decisions.

Angelica begins with a comprehensive consultation to understand each patient’s history, concerns, and goals. This may take several appointments before finalizing a treatment plan. Plans may include lab work, collaboration with a patient’s broader health care team, and involvement of supportive family members if desired. Her goal is to create individualized care tailored to patient needs while ensuring comfort, advocacy, and trust. She emphasizes that patients are never defined by a diagnosis but valued as whole individuals.

Dr. Jerry Sayers is a double board-certified psychiatrist in General Psychiatry and Consultation-Liaison Psychiatry. Dr. Sayers completed an Internal Medicine internship in Youngstown, Ohio. He then completed his residency in General Psychiatry at The Johns Hopkins Hospital followed by fellowship training in Neuropsychiatry and Behavioral Neurology at Johns Hopkins Bayview. He most recently finished his fellowship in Consultation-Liaison Psychiatry at the University of Maryland. Dr. Sayers has had the opportunity to care for a diverse group of patients with neuropsychiatric, neurological, and other general medical conditions. His work allowed him to work on a proactive, collaborative psychiatric consultation team designed to be involved early in the care of vulnerable patients with complex neuropsychiatric conditions. Dr. Sayers has experience in outpatient, inpatient, residential, and partial hospitalization programs. He works hard to tailor therapy to the needs of the individual patient by adapting techniques that have been successful across different treatment settings. His desire to ensure exceptional care is evident in his ability to relate to and understand an individual patient's needs and concerns.

Barb VanHouten, LCSW, provides a safe, non-judgmental atmosphere where clients feel heard and supported. She brings a wealth of personal and professional experiences that have shaped her insight, knowledge, and empathy, enabling her to walk alongside others during their most difficult times. Barb believes that everyone has a story, and that life’s challenges can sometimes become overwhelming, leading to feelings of hopelessness, helplessness, and despair.

Barb specializes in treating a wide range of concerns, including anxiety, depression, anger management, addiction, bipolar disorder, antisocial behaviors, family relationships, grief and bereavement, life transitions, job and employment issues, medical and physical health concerns, PTSD, somatic symptom disorders, learning disorders, stress, and trauma. Her goal is to create a therapeutic space where clients feel empowered to explore challenges and build resilience.

Barb uses a variety of evidence-based approaches tailored to each individual’s needs. Her methods include Cognitive Behavioral Therapy (CBT), Motivational Therapy, Solution-Focused Brief Therapy, Emotionally Focused Therapy, Mindfulness, Family Systems, Acceptance and Commitment Therapy (ACT), Trauma-Informed Care, Behavioral Modification, Internal Family Systems, Strength-Based approaches, and Dialectical Behavioral Therapy (DBT). She collaborates with clients to develop practical, effective solutions for growth and healing.