Michael Fiori, MD

Dr. Stephen Byrd is a clinical psychiatrist at Talkiatry. He is board-certified in both psychiatry and addiction medicine. He has been practicing for over 31 years in a wide variety of settings, including working with inpatients and outpatients in private practice, community mental health, geriatric, VA, and community hospital/medical center settings. Dr. Byrd's practice focuses on evidence-based medication management, usually provided in conjunction with 30-minute supportive psychotherapy, which is informed by cognitive behavior therapy, psychodynamic psychotherapy, and motivational enhancement. When more intensive therapy is needed, Dr Byrd may ask you to include a therapist as part of your care team. He received his medical degree from the University of Cincinnati College of Medicine in Ohio and completed his residency training in psychiatry at Case Western Reserve University School of Medicine, University Hospitals of Cleveland. Throughout his career, he has treated patients with a wide variety of conditions in both inpatient and outpatient settings. Additionally, He has served as director of inpatient geropsychiatry at Lutheran Hospital in Cleveland, Ohio, program manager of the substance abuse treatment program at the Charlie Norwood Veterans Affairs Medical Center in Augusta, Georgia, and medical director of outpatient behavioral health at Saint Alphonsus Regional Medical Center in Boise, Idaho. Throughout his career, Dr. Byrd has been active in training medical students and psychiatry residents, and he has held clinical teaching appointments at Case Western Reserve University School of Medicine, Northeastern Ohio Universities College of Medicine, Medical College of Georgia, University of Washington School of Medicine, Idaho College of Osteopathic Medicine and Pacific Northwest University of Health Sciences College of Osteopathic Medicine.�.�

Dr. Angela Durham is a licensed psychiatrist with over 15 years of experience providing compassionate care in both outpatient and telehealth settings. She has a strong background in treating a wide range of mental health conditions, including mood disorders, anxiety disorders, and ADHD. Dr. Durham earned her medical degree from the University of Louisville and completed her psychiatry residency at the University of Kentucky. She maintains an active medical license and DEA registration.

Dr. Durham creates a supportive, nonjudgmental environment where patients feel comfortable sharing their experiences. She values collaboration and open communication throughout the treatment process, focusing on empowering individuals with education and tools to better manage their mental health. Her approach emphasizes tailoring care to each person’s unique needs and goals to promote long-term wellness.

Dr. Durham begins each therapeutic relationship with a thorough assessment of the patient’s history, symptoms, and goals. She works collaboratively to develop an individualized treatment plan that may include medication management, lifestyle strategies, and coordination with therapists or other healthcare providers. Dr. Durham regularly reviews progress, adjusts treatment plans as needed, and encourages patients to take an active role in their care and decision-making.

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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Dr. Michael Underriner is an adult psychiatrist. His approach to treatment is holistic, taking into account the entire person, and emphasizes the importance of the therapeutic bond to help people reduce suffering and achieve their goals. He is a member of the Gold Humanism Honor Society. Dr. Underriner's practice focuses on a mix of medication management, offered in conjunction with supportive therapy in 30-minute follow-up visits, and insight-oriented psychotherapy offered in weekly 45-minute visits. He works with people struggling with ADHD, depression, anxiety, obsessive-compulsive and related disorders, and difficulties with self-esteem and relationships. Occasionally Dr. Underriner may believe that additional therapy is warranted and recommend a separate therapist to provide the best outcome. He received his medical degree from the University of Chicago Pritzker School of Medicine and completed his residency training at New York University. During training, he gained experience treating patients with various psychiatric illnesses in several different clinics and hospital-based settings. He worked with experts in the field of depression and provided consultations for patients considering transcranial magnetic stimulation. He also published a review article on long-term injectable medications for psychosis. Dr. Underriner has maintained an interest in teaching and remains connected to the psychiatry department at NYU. He has supervised and taught junior residents and medical students. Additionally, he is interested in global health and disparities in access to care and has traveled to Ghana to teach medical students rotating through psychiatry at the university there.

Dr. Anil Joseph (AJ) Kulangara completed additional training in Psychiatry at the University of Washington after working primarily in women’s health, primary care, and military medicine as a Battalion Surgeon in the United States Army.  Following his military service, he trained in Psychiatry and served the mental health needs of our Veteran population. He is excited to now bring his unique expertise and experiences to Talkiatry, as well as his additional training in Women’s Mental Health, Reproductive and Perinatal Psychiatry, PTSD, and trauma-informed ADHD evaluation and treatment.

Dr. AJ’s approach focuses on behavioral change, with medication management and supportive therapies serving as important (and often essential) adjuvants to optimizing mental health.

During your first meetings with Dr. AJ, you should expect a thorough evaluation of your clinical and social histories, as well as some introductory psychoeducation.  Following that screening, anticipate a discussion about his approach to your condition and an initial treatment plan.  Please feel free to bring up any questions or concerns at any time during this process, and note-taking is highly encouraged!

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Dr. Madiha Halim, MD, has experience practicing psychiatry in both Pakistan and the United States, giving her a well-rounded understanding of mental health across diverse cultures. She earned her medical degree from Army Medical College in Pakistan and completed her psychiatry residency at the University of North Dakota School of Medicine and Health Sciences, where she also served as Chief Resident Physician. In this role, she gained extensive academic and administrative experience while mentoring junior residents and contributing to program development.

Dr. Halim values open communication and strives to create a therapeutic environment rooted in empathy, warmth, and respect. She collaborates with patients to develop individualized treatment plans that integrate cultural, biological, psychological, and social factors. While her primary focus is on medication management, she often incorporates supportive therapy, cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and motivational interviewing for a holistic and patient-centered approach.

Dr. Halim begins by taking time to understand each patient’s background, concerns, and goals during the initial session. She emphasizes collaboration, ensuring patients are informed and involved in their treatment decisions. Her process fosters empowerment and partnership, helping patients gain insight, build coping strategies, and achieve long-term mental wellness.