Rachel Cash, MD

Bryan Larson is a Psychiatric Mental Health Nurse Practitioner (PMHNP) with a Doctorate of Nursing Practice from Washington State University (2019). He earned his Bachelor of Science in Nursing from Walla Walla University in 2003 and worked for over a decade as an emergency department nurse. Since 2019, he has provided outpatient psychiatric care for diverse patients, offering medication management and support for a variety of mental health diagnoses.

Bryan works with patients from all backgrounds with a focus on treating each individual uniquely. He emphasizes meeting patients “where they’re at” and collaborates in a supportive environment to achieve personalized treatment goals, ensuring every patient feels understood and valued.

During the initial appointment, Bryan reviews a patient’s psychiatric history and current concerns to develop a tailored treatment plan, which may include medication and/or therapy services. He fosters a welcoming environment and continually adjusts care plans to align with each patient’s goals, supporting long-term mental health improvement.

Dr. Cecilia Fitz-Gerald is a board-certified psychiatrist trained in adult psychiatry and consultation-liaison psychiatry, formerly known as psychosomatic medicine. She has been practicing for over five years and has extensive experience working in a variety of clinical settings, including inpatient, outpatient, and emergency psychiatry. In addition, she specializes in working with patients with acute and chronic medical conditions that may be affecting their mental health, such as cancer, stroke, or a heart condition. She provides patient-centered care utilizing a collaborative approach to help her patients reach their goals. She is a native of Louisiana and a graduate of the LSU School of Medicine in Shreveport. She was elected to the prestigious medical honor society, Alpha Omega Alpha, during her fourth year of medical school and was awarded the John W. Bick Excellence in Psychiatry award. She completed her psychiatry residency training at the University of Texas Southwestern Medical Center where she served as Chief Resident and was a PRITE Fellow. Afterwards, she completed a fellowship in consultation-liaison psychiatry at Yale-New Haven Hospital. Dr. Fitz-Gerald has multiple scholarly publications, particularly in the fields of emergency psychiatry and hospital delirium and has presented at the annual conference for the Academy of Consultation-Liaison Psychiatry. She is passionate about academic medicine and enjoys teaching medical students and residents. Her other areas of clinical interest include ICU delirium and cardiac psychiatry.

Dr. Bernard is a board-certified Psychiatrist from New Orleans, LA, with fellowship training in Consultation-Liaison Psychiatry at Stanford University. His career has spanned both academic medicine and clinical leadership, including serving as Medical Director of a hospital-based C-L Psychiatry service and teaching medical students and residents. His background in academics, leadership and subspecialty training allows him to bridge all aspects of his patient's health. His hobbies include yoga, meditation, martial arts, snowboarding and inline hockey.

Patients can expect a thoughtful, respectful, and collaborative approach. He works to understand both the biological and psychological aspects of each person’s experience, and he believes in creating individualized treatment plans that are practical and evidence-based. His style emphasizes open communication, setting clear goals together, and making sure patients feel heard and supported throughout their care.

He begins with a comprehensive assessment to understand each patient’s medical, psychological, and social background. From there, he partners with patients to identify their goals and tailor a treatment plan that may include psychotherapy, medication, lifestyle modifications or coordination with other healthcare providers. He regularly checks in on progress, adjusts as needed, and strives to create a therapeutic relationship that feels safe, structured, and effective.

Jennifer Garner is a board-certified Family Psychiatric Nurse Practitioner with Talkiatry. She obtained a Bachelor of Science in Nursing from the University of Tennessee, Knoxville, in 2009 and a master's degree from Vanderbilt University in 2011. Jennifer enjoys treating all adults and has outpatient experience with community mental health, corrections, and private practice. Besides outpatient care, she has worked in crisis stabilization and ambulatory detox for adults with primary psychiatric and dual diagnosis illnesses. Jennifer is skilled in treating a wide range of conditions including ADHD, bipolar disorder, substance misuse, anxiety, OCD, and PTSD. She is committed to fostering a welcoming and inclusive environment, ensuring all gender identities feel safe and respected. With a focus on patient-centered care, her approach is carefully tailored to each person's individual needs and goals, promoting a collaborative therapeutic relationship. During appointments, she combines medication management with therapy techniques to empower patients with the skills for their well-being. Appointments are as unique as each individual that she meets with. If you're ready (and even if you're not so sure) take the first step and let's talk.

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. James “Jim” Staudenmeier is a physician with a distinguished career in military and civilian psychiatry. A retired Colonel in the U.S. Army, he has served as a plenary and invited speaker at national and international conferences on topics including addiction, electroconvulsive therapy, hypnotherapy, and quality improvement. He is a Certified Healthcare Executive, holds a master’s degree in preventive medicine and biometrics, and has published in peer-reviewed journals. His clinical background includes pain management, addiction psychiatry, child and adult psychiatry, and academic appointments at multiple universities.

Dr. Staudenmeier values collaboration and encourages patients to ask questions, clarify expectations, and identify their primary concerns from the start. While medication management is part of care, he emphasizes insight, goal setting, and skill building. He integrates hypnotherapy, guided imagery, relaxation, and meditation to support wellness, pain management, sleep, anxiety, and addiction, tailoring treatment to each patient’s needs.

Dr. Staudenmeier takes a flexible, whole-person approach, combining medication management with evidence-based therapies such as CBT, CPT, motivational interviewing, and family-based interventions. He works comfortably with children, adults, families, service members, Veterans, and individuals facing life transitions, including end-of-life concerns. His goal is to help patients develop practical tools for lasting mental, emotional, and spiritual well-being.