Peter McGowan, MD

Background  and credentials    

Dr. Christa DeFries is a board-certified Adult Psychiatrist. She earned her  medical degree from UT Southwestern Medical School in Dallas, Texas, and  completed her residency in Adult Psychiatry at Baylor Scott & White in  Temple, Texas. Following residency, Dr. DeFries gained additional experience  treating homeless and formerly homeless populations in New York City,  particularly focusing on individuals with histories of trauma and substance  addiction, prior to joining Talkiatry.    

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Treatment approach    

Dr. DeFries practices Adult Psychiatry, employing an integrative treatment  approach combining medication management, psychotherapeutic methods, and  lifestyle modifications. She recognizes that each patient benefits from a  personalized mix of these three aspects of care. Dr. DeFries specializes in  treating diverse psychiatric conditions, including those related to trauma,  substance addictions, and various mental health disorders.    

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What you can expect in a first visit    

In a first visit with Dr. DeFries, patients can expect a comprehensive  evaluation aimed at understanding their individual mental health history,  specific concerns, and overall treatment goals. Dr. DeFries emphasizes an  individualized approach, carefully exploring the best combination of  medication, therapy, and lifestyle adjustments tailored specifically to each  patient's needs. Patients can anticipate an empathetic and collaborative  environment focused on their personal experiences and goals.    

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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.

Dr. Clara Kim is a board-certified psychiatrist trained in Adult Psychiatry. She received her medical degree from Yale University and completed her residency training at Cambridge Health Alliance - Harvard Medical School, where she served as Chief Resident of Quality Improvement. Dr. Kim treats each patient with a holistic, evidence-based approach that incorporates psychopharmacological and psychotherapeutic best practices. Her priority is to build a safe and trusting working relationship with each patient, keeping in mind their unique biological, psychological, social, and spiritual contexts. Dr. Kim has extensive experience treating depression, anxiety, trauma-related disorders, personality disorders, OCD, and perinatal conditions such as postpartum depression. Other professional interests include forensic psychiatry, combined psychopharmacological and psychotherapy treatment, and ECT, in which she was certified by the Beth Israel Deaconess Medical Center. She has worked with individuals from diverse backgrounds and all socioeconomic strata.

Dr. Megan Freeman is board certified by the American Board of Psychiatry and Neurology in Adult Psychiatry. She completed her residency training at Vidant Medical Center at East Carolina University in Greenville, North Carolina in 2021 where she was the chief resident. Since then, she has worked as an attending physician at an inpatient adult psychiatric unit in Burlington, North Carolina. As a resident and attending she has treated adults of all ages and in all areas of mental health. Dr. Freeman's talkiatry practice will mostly focus on medication management in conjunction with support or acceptance-based therapy during 30-minute follow-up visits. During this time, Dr. Freeman hopes to collaborate with her patients to help set treatment goals and ways to track progress in between appointments. Dr. Freeman is board certified in adult psychiatry. She enjoys seeing patients with a wide variety of diagnoses including, but not limited to, major depressive disorder, bipolar disorder, post-traumatic stress disorder, obsessive-compulsive disorder, and generalized anxiety disorder. She enjoys combining medication management with various therapy techniques.‍

Wayne R. McIntosh, PMHNP-BC, is a dedicated mental health professional with over a decade of experience in psychiatric care. He earned his advanced nursing degree with distinction from Arizona State University and also holds a Bachelor of Science in Nursing from Grand Canyon University and an Associate of Science in Nursing from Harry S. Truman College. He has been a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) since 2015.

Wayne specializes in family-centered care, working with individuals aged 18 to 65. Whether supporting patients through anxiety, depression, ADHD, or life transitions, he develops personalized diagnostic and treatment plans that may include therapy, coping strategies, and, when appropriate, medication. His approach emphasizes clear communication and collaboration, empowering patients to understand their challenges, apply practical tools, and achieve lasting change.

Throughout his career, Wayne has served as a Psychiatric Nurse Practitioner and Associate Director of Medical Services, leading multidisciplinary teams and promoting accessible, high-quality care. As a Faculty Associate at Arizona State University, he has mentored future nurse leaders, focusing on clinical excellence and patient advocacy. His military background and volunteer work further reflect his commitment to serving diverse populations with compassion and respect.

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Dr. Caitlin Gardiner is a board-certified psychiatrist specializing in child and adolescent psychiatry and psychotherapy. Dr. Caitlin Gardiner's practice is based on the biopsychosocial model and believes that the foundation of healing is in psychotherapy and human connection. She is known for incorporating therapy into her medication management practice. Typically she offers 30-minute follow-up visits for medication management with focused therapy based on individual needs. As a known helper, Dr. Gardiner started her career with a bachelor's degree in social work from Cazenovia College in Cazenovia, NY. After changing career paths, she received her medical degree from SUNY Upstate Medical University in Syracuse, NY. She stayed upstate to complete her general psychiatry residency, where she was chief resident at the beginning of the COVID-19 pandemic. Following this, she completed her child and adolescent psychiatry fellowship at Upstate due to the high quality of training. Dr. Gardiner has completed 3 years of advanced training in Dynamic Deconstructive Psychotherapy as well as specialized training in DBT. Dr. Gardiner is a well-rounded psychiatrist who enjoys treating youth and young adults during transitional phases of life while providing a safe and supportive environment. She believes strongly in reducing polypharmacy and providing high-quality medication management through a therapeutic and developmental lens.

Dr. Samuel Russell is a psychiatrist at Talkiatry. He is board certified in Addiction Psychiatry and Adult Psychiatry. His particular clinical focus is on the treatment of Obsessive Compulsive Disorder, and behavior addictions, as well as trauma, mood, and anxiety disorders. Dr. Russell's practice focuses on evidence-based treatments for psychiatric illness that utilizes a combination of medications and psychotherapy modalities best suited for an individual patient and their needs. He offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. Weekly hour-long psychotherapy may be available if indicated. However, occasionally, Dr. Russell may believe that different therapies are also needed and ask that you bring a therapist into your care team to provide the best outcome. He received his medical education at the University of Washington in Seattle after completing undergraduate studies in psychology and later a post-baccalaureate at Boston University. After residency at the University of Chicago where he specialized in addiction psychiatry and psychotherapy, he completed an Addiction Psychiatry Fellowship at the University of Washington in Seattle.