Peter McGowan, MD

Denise White, PMHNP, has worked in the mental health field for over 30 years following the completion of her Bachelor’s degree in Psychology from Suffolk University in Boston. She began her career as a mental health technician in a geriatric residential program and later pursued additional education in nursing, earning an Associate Degree in Nursing from Quincy College, a Bachelor’s Degree in Nursing from South University, and a Master’s in Nursing from Eastern Kentucky University. Over the years, she has held diverse roles in adult and children’s case management, residential and intensive outpatient programs, inpatient psychiatric care, and crisis stabilization. Denise has provided care in both inpatient and outpatient settings as well as through hospital consult services across the country.

Denise prides herself on her ability to empathize with her patients and meet them exactly where they are in their journey. She believes that trust is the foundation of the therapeutic relationship and works diligently to create a supportive, nonjudgmental environment where patients feel safe, heard, and respected.

In the initial evaluation, Denise focuses on gathering comprehensive information to form a complete understanding of each patient’s unique background and needs. From there, she develops an individualized treatment plan that aligns with the patient’s prioritized goals. Each session begins from that foundation, allowing her to support patients at their own pace as trust deepens and progress unfolds.

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. Catherine Shim is a board-certified psychiatrist and completed her training at the University of Washington, where she received additional certifications in Psychotherapy and Community Psychiatry.  Prior to joining Talkiatry, she spent years serving the mental health needs of underserved communities as well as our Veteran population.  Dr. Cat is excited to bring that same dedication and selfless service to her Talkiatry patients!

Dr. Cat is experienced in managing a multitude of mental health conditions, but her specialty is providing behaviorally oriented trauma-informed care.  Her approach is to treat primarily through psychotherapy and behavioral change, with medication management serving as an important (and often essential) adjuvant to optimizing mental health.

Dr. Cat tends to have a very casual engagement style, so expect a frank but open conversation during your first meetings with her.  Following that initial screening, anticipate a candid discussion about her 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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Avi Adri is a board-certified psychiatric nurse practitioner with a passion for helping others achieve their goals through medication management and psychotherapy. He is trained in cognitive behavioral therapy, psychodynamic therapy, and supportive therapy. Avi has experience supporting individuals with depression, anxiety, OCD, bipolar disorder, PTSD, and ADHD. He is an LGBTQIA+ affirming provider who believes in empowering individuals in their lives.

He earned his Master of Science in Nursing with a specialty in psychiatry from Stony Brook University and a nursing practice degree from Chatham University. Avi is committed to providing evidence-based, compassionate treatment for mental health conditions to enhance quality of life. His previous experience includes two years at Columbia University Medical Center on an inpatient psychiatric unit and four years on the medical consultation-liaison psychiatric team, where he treated patients with a range of acute and chronic medical conditions while providing medication management and psychotherapy. His work at Columbia involved treating a wide spectrum of psychiatric conditions with the goal of achieving symptom remission.

Additionally, Avi has practiced at a private clinic in New York City, focusing on interventional techniques such as TMS and ketamine therapy, alongside medication management and psychotherapy.

Through mindful techniques and compassionate care, Avi is dedicated to the well-being of his clients. He views each person as more than a diagnosis and approaches care through a client-centered, holistic lens.

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Dr. Chelsea Karson is a board-certified psychiatrist who completed her residency training at Advocate Lutheran General Hospital where she was Chief Resident of her program. Dr. Karson is passionate about patient care, believing in caring for the whole person. While completing her residency training, she led an interprofessional team to bring miniature-therapy horses to the inpatient psychiatry unit and thereby forge a relationship between the organization and all of Advocate Aurora Healthcare. Dr. Karson partnered with a mental health counselor to create a virtual therapy program of resources, the Bridge Project, to close the gap between inpatient and outpatient care that is now used throughout the Advocate Aurora network. At graduation Dr. Karson received the 2024 Advocate Lutheran General Hospital Ruggie Humanitarian Award. The Ruggie Award selects and honors a graduating resident or fellow who displays academic excellence, commitment to the education of others, professional bearing, and a concern for the patient within the light of Human Ecology. Dr. Karson attended undergraduate at Elmhurst University, a biology major with minors in chemistry and medical humanities. She went to medical school at Rosalind Franklin University and was chosen to join the Gold Humanism Honor Society for her dedication to compassionate patient care.

Dr. Sarah Ramos, MD, has experience practicing in a variety of outpatient settings, including community mental health and military care, serving active-duty service members, their families, and veterans. She earned her medical degree from Vanderbilt School of Medicine and completed psychiatry residency training at the University of California San Diego and Thomas Jefferson University in Philadelphia.

Dr. Ramos values open communication, privacy, and a collaborative approach with her patients. She creates a warm, supportive environment where individuals feel heard, respected, and empowered to participate in their care.

In initial sessions, Dr. Ramos thoroughly assesses patients’ history, concerns, and goals to ensure care is personalized and effective. She develops comprehensive treatment plans that align with each patient’s objectives, providing ongoing support to help them achieve meaningful outcomes.