Richard Rise, MD

Alicia Brigham holds the position of therapist at Talkiatry. Alicia is a Licensed Professional Counselor in Texas and Oklahoma with over 10 years of experience. Alicia currently resides in Dallas, TX and graduated from Dallas Baptist University with her Masters in Counseling. Alicia has worked in an inpatient hospital, a nonprofit outpatient clinic, and in private practice settings providing therapy to a variety of populations. Alicia also has experience in advocating for clients to receive care based on medical necessity and treatment efficacy.

A new patient should know to come as they are, without fear of judgment. Their vulnerability will be safe with in the hands of Alicia. Alicia has a direct, yet calming and compassionate approach that creates comfort and ease for the client. Her goal is to create a warm, open, and interactive environment.

Alicia approaches each patient with respect, sensitivity, and eagerness to learn. The goal is to learn as much as possible about the patient and collaborate with the patient on a plan of action for the most effective care.

Bridgette K. Hathaway, LCSW holds the position of clinical therapist at Talkiatry. She is board-certified in clinical social work. She has been practicing for over 5 years. Ms. Hathaway's practice focuses on individual psychotherapy. Typically, she offers this in conjunction with solution-focused motivational interviewing and cognitive behavioral therapy, in 60-minute visits. She received her bachelor's degree in liberal arts with a focus in behavioral neurobiology and women's studies from Harpur College at Binghamton University, and her master's degree in social work at the College of Community and Public Affairs at Binghamton University. Additionally, Ms. Hathaway studied abroad in Blantyre, Malawi, Africa, completing an Asset-Based Community Development program promoting social-emotional wellbeing for youth. After completing training, she returned and worked in her local community, Binghamton, NY, in myriad roles. First, with adolescents at the Promise Zone Summer Zone Summer Camp as program coordinator, continuing to focus on the wellbeing of youth, before becoming the MICA enhanced residential coordinator for Fairview Recovery Services, where she spent time providing addiction services to the dually diagnosed. She was then the residential treatment center social worker at the Children's Home of Wyoming Conference focused on service provision to adolescent males, before becoming a behavioral health counselor providing integrated mental health and addiction services to individuals of all ages, at Family and Children's Counseling Services. Further, Ms. Hathaway participated in continuing education in LGBTQ, Gender Identity, Expression, and Behavioral Health; OASAS Person-Centered Care and Harm-Reduction; Integrated Mental Health Addictions Treatment; NYSED Safe Schools Against Violence in Education; Borderline Personality Disorder; Integrated Treatment-Individual Interventions; and Motivational Interviewing. Her auxiliary certifications include Child and Adolescent Needs and Strengths Needs Assessments, Therapeutic Crisis Intervention, ASIST-Applied Suicide Intervention Skills, and NYSDOH Opioid Overdose Naloxone Program.‍

Dr. Niles (he/him) holds the position of Staff Psychiatrist at Talkiatry. He has four years of experience in outpatient psychiatry and is board-certified for adult psychiatry. He has received training in the use of cognitive behavioral therapy, supportive therapy, motivational interviewing, psychodynamic therapy, and dialectical behavioral therapy skills. He uses his training in therapy in tandem with medicine management to provide holistic, person-centered care. During his undergraduate studies at the University of Pittsburgh, while completing his pre-medical classes, he also pursued certification in the history and philosophy of medicine. Additionally, he studied the effect of culture and ethics on healthcare. He earned a Bachelor of Science in Psychology with a minor in Chemistry. He attended medical school at the West Virginia School of Osteopathic Medicine. His psychiatry residency training was completed at Charleston Area Medical Center. While in residency, he worked to improve cultural awareness in the outpatient setting. Dr. Niles is interested in treating patients with a wide variety of diagnoses. He treats mood disorders, anxiety disorders, trauma-related disorders, personality disorders, OCD, comorbid addiction, mild eating disorders, neurodevelopmental disorders such as autism spectrum disorder, and more. He also strives to provide care that affirms LGBTQIA+ identities and underwent additional training in transgender mental healthcare.

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. Jennifer Shoenfelt is a staff psychiatrist at Talkiatry. She is double board certified in child and adolescent psychiatry and adult psychiatry. She has been practicing for over 14 years. Dr. Shoenfelt's practice focuses on child and adolescent medication management. Typically, she offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. However, occasionally Dr. Shoenfelt may believe that additional therapy is needed and will ask that you bring a therapist into your care team to provide the best outcome. She provides treatment plans that include holistic recommendations for diet, exercise, and educational and psychosocial/spiritual aspects of care. She is known for listening to and respecting patients' stories and walking them on a path of recovery and growth. Dr. Shoenfelt received her medical degree from the Boonshoft School of Medicine at Wright State University in Dayton, Ohio. She earned her Bachelor of Science degree in Physical Therapy from The Ohio State University. Dr. Shoenfelt practiced for 14 years in physical therapy with a specialization in children with developmental and neurological disabilities before attending medical school. Dr. Shoenfelt has held multiple positions in hospital and outpatient psychiatry, including community mental health, developmental and foster care settings, and medical director positions. She has served as clinical faculty for both the Wright State Department of Psychiatry and the University of Cincinnati School of Medicine. She has a passion for the education of medical students, residents, and patients. Dr. Jennifer Shoenfelt is a staff psychiatrist at Talkiatry. She is double board certified in child and adolescent psychiatry and adult psychiatry. She has been practicing for over 14 years.

Dr. Steve Paschos is a board-certified Psychiatrist at Talkiatry. He attended Loyola University Chicago on the Lake Shore campus, completing a bachelor's degree in science and a Degree in Classical Studies. He then attended Medical School at Rush Medical College in Chicago and completed a 5-year combined Internal Medicine & Psychiatry residency in 2011. Dr. Paschos subsequently completed a 1-year fellowship in Geriatric Medicine at Rush University Medical Center. He has spent the last 12 years fulfilling his passion for integrating Internal Medicine & Psychiatry, working with a diverse range of patients suffering from severe mental illnesses. ‍Dr. Paschos' years of experience have included working at Cook County Health Services � Cermak Health Services at Cook County Department of Corrections with an extremely diverse patient population with varying psychiatric illnesses. He has also worked as an inpatient psychiatric hospitalist and as the director of the Intensive Care Unit at Chicago Behavioral Hospital in Illinois. Dr. Paschos also acted as a medical director of an IOP and established an outpatient psychiatric practice in conjunction with the Intensive Outpatient Program. He has had the opportunity and privilege of treating individuals who suffer from various diagnoses, especially challenging patients who have suffered from integrated or Med-Psych concerns involving primary mood disorders, Bipolar Affective disorders, prior trauma, severe medical problems/diagnoses along with concurrent personality pathology. ‍Dr. Paschos utilizes supportive psychotherapy, brief cognitive behavioral therapy, and at times psychodynamic therapy to address his patients' current complaints and to identify the locus of their symptoms. He believes in utilizing an all-encompassed approach using mindfulness and various psychotherapies along with comprehensive medication management. To quote Hippocrates "Where there is love for the art of medicine there is a love of humanity.”