Paula Wilt, MD

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.

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.

‍

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. Holly Shiao is a psychiatrist who has worked extensively with medically complex patients, including a special focus in psycho-oncology with cancer patients. She is double board-certified in Consultation-Liaison Psychiatry and Adult Psychiatry. She has been practicing for over 7 years. Before Talkiatry, Dr. Shiao worked as an Assistant Professor at the University of Washington and Fred Hutchinson Cancer Center. She also worked as an Assistant Professor and was Director of Emergency Psychiatry at the University of Chicago. She has presented nationally at the Academy of Consultation-Liaison Psychiatry and written a book chapter about psycho-oncology. Dr. Shiao attended medical school at John P. and Kathrine G. McGovern Medical School at the University of Texas Health Science Center at Houston. She then completed an Adult Psychiatry residency at the University of Texas Medical Branch at Galveston, followed by a Consultation-Liaison fellowship at Dell Medical School at the University of Texas at Austin. Dr. Shiao is interested in the mind-body connection in overall emotional and mental well-being. She likes to integrate therapy modalities, such as cognitive behavioral therapy, supportive therapy, mindfulness and meditation with medication management to optimize a patient's mental health.

Damaris Chukwura, DNP, PMHNP-BC, is a Board-Certified Family Psychiatric Mental Health Nurse Practitioner with over a decade of experience in mental health care. She began her nursing career in 2007 and has been practicing as a psychiatric nurse practitioner since 2014. Damaris has worked in a wide range of settings including inpatient hospitals, residential treatment centers, partial and intensive outpatient programs, correctional psychiatry, and substance abuse treatment. Her clinical experience spans various conditions such as ADHD, eating disorders, mood disorders, psychotic disorders, PTSD, and treatment-resistant depression. She earned her BSN from Texas Christian University, MSN from The University of Texas at Arlington, and her DNP from The University of Alabama in Huntsville.

Damaris values open communication and collaboration with her patients. She creates a warm, caring environment where individuals feel heard and respected. Her approach is both evidence-based and supportive, blending professionalism with a welcoming demeanor. She is passionate about mental health advocacy and reducing stigma. Outside of work, Damaris enjoys spending time with her husband and three children, traveling, decorating, and watching reality TV.

During initial psychiatric evaluations, Damaris takes time to fully understand each patient’s history, concerns, and goals. She develops individualized treatment plans that align with these goals and may include supportive therapy or referrals for more intensive therapy if needed. Follow-up appointments typically last 30 minutes, allowing time to track progress and make adjustments as necessary.

Dr. Natalie Cummings is a board-certified adult psychiatrist, and board-eligible geriatric psychiatrist. She obtained her medical degree from the University of North Carolina at Chapel Hill, and completed her residency training in psychiatry at the University of Miami Miller School of Medicine and Jackson Memorial Hospital. She then went on to complete her geriatric psychiatry fellowship at Icahn School of Medicine at Mount Sinai Beth Israel. During her fellowship, Dr. Cummings participated in Mount Sinai's Visiting Doctors Program, providing patient-centered and compassionate care to homebound elder adults in New York City. She also received training at Coler Rehabilitation and Nursing Care Center on Roosevelt Island during her fellowship, and presented at the American Association for Geriatric Psychiatry annual meeting. During her training, Dr. Cummings gained extensive experience providing psychiatric care to various patient populations in multiple patient care settings, including in the outpatient clinic, inpatient unit, and emergency department. Following her training, Dr. Cummings worked at New York Presbyterian's Gracie Square Hospital, serving first in the position of float psychiatrist, providing care to patients on every inpatient psychiatric unit (including the young adult/college student program, Orthodox Jewish program, psychotic disorders program, crisis-stabilization program, dual focus program, and Asian Psychiatry program), before transitioning to an established psychiatric attending for the older adult program. During her time at Gracie Square Hospital, Dr. Cummings received the Physician of the Year Award, and served as a Clinical Assistant Professor of Psychiatry at Weill Cornell Medicine. She worked closely alongside staff psychologist, social workers and nurses to provide multidisciplinary, collaborative care to patients suffering from a variety of mental health conditions. Dr. Cummings primarily focuses on medication management and supportive psychotherapy, but has extensive training in utilizing various therapy modalities, including cognitive behavioral therapy, interpersonal therapy, reminiscence therapy, and psychodynamic psychotherapy. When appropriate, Dr. Cummings will refer for more extensive psychotherapy and/or collaborate with your established psychotherapist for comprehensive care. Dr. Cummings strongly believes that addressing psychosocial and interpersonal factors (including relationship health, economic stressors, social isolation and loneliness) is as essential as pharmacologic management in treating mental health conditions. She has particular experience and interest in treating older adults and those suffering from memory disorders, but provides treatment for a variety of psychiatric conditions including depression, anxiety, bipolar disorder, obsessive-compulsive disorders, trauma-related disorders and substance use disorders. Dr. Cummings is a member of the American Psychiatric Association and American Association for Geriatric Psychiatry.