Matthew Deise, PMHNP

Michelle E. Vásquez has been a Licensed Professional Counselor for over 27 years. She has been specializing in grief work since 2012. Many of her clients are living with the loss of loved ones or experiencing other types of non-death loss, such as divorce, job loss, and other significant life changes. Her primary goal is to truly listen to your experience and help you work through it, creating a plan of action together. It is your therapy, and your active involvement is crucial. When dealing with grief, you may still be in pain and need to talk about it long after others want you to stop talking. This is when therapy can be helpful. Your grief journey is at your pace. Michelle uses Cognitive Behavioral Therapy and Solution-Focused Therapy, along with other approaches that help you address loss and trauma in unique ways to begin to write your healing story. She has also worked with domestic violence survivors and child abuse survivors. Michelle works with clients both in English and Spanish and has experience with immigrant populations from many countries. Michelle graduated from Our Lady of the Lake University in 1993. She is currently studying Internal Family Systems Therapy to help her provide you with new ways to address the challenges that bring you to therapy.

Dr. Pressley Warrick is a double board-certified psychiatrist specializing in general psychiatry and child and adolescent psychiatry. Dr. Warrick currently practices full-time, offering comprehensive psychiatric care to children, adolescents, and adults. She previously established and led a Behavioral Health Clinic integrated within a Family Medicine Practice. Prior to this role, Dr. Warrick provided dedicated psychiatric care at a private psychiatry practice for over a decade.

Dr. Warrick earned her medical degree from the Medical University of South Carolina, completed residency training at Baylor College of Medicine's Menninger Department of Psychiatry and Behavioral Sciences, and pursued additional specialization through a Child and Adolescent Psychiatry fellowship at Palmetto Health/USC School of Medicine.

Known for a collaborative and holistic treatment approach, Dr. Warrick emphasizes individualized care and evidence-based practices to support patients’ mental wellness. Her professional excellence has earned recognition as Sumter’s Best Psychiatrist for consecutive years.

Dr. Warrick’s preferred treatment modalities include medication management, psychodynamic psychotherapy, and supportive psychotherapy. She specializes in treating depression, anxiety, ADHD, autism, OCD, bipolar disorder, and PTSD. Her typical approach for new patients involves taking a detailed patient history, establishing rapport, and setting clear treatment goals in partnership with her patients.

Background and credentials

Dr. Vansickle is a board-certified adult psychiatrist with over 25 years of clinical experience. She earned her medical degree from the University of Texas Health Sciences Center San Antonio and completed her internship at UAB. She then completed her psychiatry residency at the University of Louisville Hospital, where she served as chief resident and received a national award in community psychiatry. Throughout her career, she has worked in both inpatient and outpatient settings as a staff psychiatrist, primarily in Texas and Alabama.

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Treatment approach

Dr. Vansickle places a strong emphasis on establishing trust and building therapeutic relationships to help patients achieve their goals. Her practice focuses on medication management, often combined with supportive or emotionally focused therapy during 30-minute follow-up visits. If she believes additional therapy would be beneficial, she may recommend that patients work with a therapist as part of their care team. She has extensive experience treating patients in various settings, including community mental health centers, VAMC-affiliated clinics, and hospital-based psychiatric units. She also has expertise in psychiatric consultations for medically ill patients, as well as guardianship and competency evaluations.

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What you can expect in a first visit

Patients can expect a thorough initial evaluation, where Dr. Vansickle takes the time to understand their symptoms, history, and treatment goals. She provides a structured yet compassionate approach to care, ensuring that each patient feels heard and supported. Follow-up visits typically last 30 minutes, during which she monitors progress and adjusts treatment as necessary. If additional therapy is needed, she collaborates with therapists to ensure comprehensive care tailored to each patient’s needs.

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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. Patricia Michel-Garrison is a board-certified psychiatrist by the American Osteopathic Board of Neurology and Psychiatry (AOBNP) with over a decade of experience in inpatient psychiatry. She completed her undergraduate training in Chemistry in Florida, having moved there from Chicago in 2000, followed by medical school at the Lake Erie College of Osteopathic Medicine (LECOM). She completed her residency in Psychiatry in Largo, Florida. Dr. Michel-Garrison specializes in treating adults aged 18 and over, addressing a wide range of psychiatric conditions including anxiety, mood disorders, and personality disorders. She is known for her holistic approach, integrating both traditional and osteopathic principles to provide comprehensive care. Her treatment style is patient-centered, emphasizing individualized care plans tailored to each patient's unique needs. Dr. Michel-Garrison fosters a collaborative therapeutic relationship, promoting open communication and trust with her patients. Throughout her career, Dr. Michel-Garrison has remained committed to staying current with the latest advancements in psychiatric care. She is dedicated to helping her patients achieve optimal mental health and well-being through a combination of evidence-based practices and empathetic support.

Dr. Illise Perlmutter is the Director of Child and Adolescent Psychiatry at Talkiatry. She is double board-certified in child and adolescent psychiatry and adult psychiatry. Before joining Talkiatry, Dr. Perlmutter was the Chair of Behavioral Health and Addiction Services at Bergen New Bridge Medical Center. Prior to Bergen New Bridge, she was the Director of Inpatient Psychiatry at Montefiore Medical Center-Wakefield, in New York. Over 35 years, Dr. Perlmutter has held numerous leadership roles with some of the largest hospital systems in the New York Metro Area. Dr. Perlmutter is a Distinguished Life Fellow of the American Psychiatric Association, a Fellow of the American College of Psychiatrists, and a Distinguished Fellow of the American Academy of Child and Adolescent Psychiatry. She has received awards for her contributions both locally and nationally. Dr. Perlmutter was included in Castle Connolly's "America's Top Doctors” list from 2006-2011 and 2017, as well as "Best Doctors in America” from 2009- 2012. Dr. Perlmutter received her MD from George Washington University School of Medicine and Health Sciences. After an internship in pediatrics, she completed a residency in Psychiatry at Mt. Sinai Medical Center followed by a fellowship in Child and Adolescent Psychiatry at Columbia University/New York State Psychiatric Institute. Dr. Perlmutter has held leadership roles in several academic institutions and is a Clinical Associate Professor of Psychiatry and Behavioral Science at George Washington University School of Medicine and Health Sciences in Washington, D.C. Dr. Perlmutter has authored numerous publications and research articles and has lectured and presented extensively on clinical, epidemiologic, and psychopharmacologic issues in child and adolescent psychiatry. She has made frequent media appearances addressing topical issues in disaster psychiatry during the course of her work in disaster psychiatry outreach.

Background  and credentials    

Dr. Andrew Lelin is a board-certified Psychiatrist in Adult Psychiatry. He  received his bachelor's degree from Johns Hopkins University and a master's  in Medical Humanities, Compassionate Care, and Bioethics from Stony Brook  University. Dr. Lelin earned his medical degree from Hofstra-Northwell School  of Medicine and completed his residency at Rutgers-Robert Wood Johnson School  of Medicine, where he specialized in advanced psychopharmacology with diverse  patient populations. He also has extensive training and experience in  psychotherapeutic modalities, including psychodynamic therapy,  cognitive-behavioral therapy, habit-reversal therapy, and cognitive  processing therapy. Following his training, Dr. Lelin provided inpatient  consultation and crisis intervention services in New York City.    

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Treatment approach    

Dr. Lelin employs a compassionate, humanistic approach designed to align  closely with his patients' personal goals and values. His method integrates  advanced psychopharmacology with psychotherapeutic techniques such as  psychodynamic, cognitive-behavioral, habit-reversal, and cognitive processing  therapies. He aims to carefully balance diagnosis, avoiding both  overdiagnosis and underdiagnosis, to ensure precise and tailored care. Dr.  Lelin’s approach is particularly effective in addressing conditions like  anxiety, depression, bipolar disorder, OCD, trauma-related issues, and other  psychiatric conditions.    

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What you can expect in a first visit    

During the initial visit, patients can expect a comprehensive, detailed  evaluation designed to thoroughly understand their individual experiences and  needs. Dr. Lelin prioritizes establishing a compassionate and comfortable  environment where patients can openly discuss their concerns and goals. This  initial assessment is followed by meticulous and thoughtful follow-ups,  providing clarity and direction in the treatment process.    

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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 speciualize in  medication management and collaborate with you on a treatment plan that fits  your needs and comfort level.