Ruchir Arvind, MD

Dr. Debbarma is double board certified in General Psychiatry and Addiction Medicine. Dr. Debbarma is also certified in mindfulness therapy. Prior to joining Talkiatry, Dr. Debbarma worked as an attending psychiatrist and teaching faculty member in an academic hospital. She has experience of managing diverse patients ranging from chronic severe mental illness, dual diagnosis patients, crisis management, and a high functioning outpatients population. Dr. Debbarma is an International medical graduate from India with postgraduate training in Psychiatry and Family Medicine. To better understand public health and preventive care in the USA, Dr. Debbarma pursued an advanced degree in Master of Public Health from Thomas Jefferson University, Philadelphia. Due to interest in global health, Dr. Debbarma worked as a post-doctoral fellow in Global Health at Rutgers University. Dr. Debbarma completed psychiatry residency from Cooper University Hospital and served as a chief resident. Dr. Debbarma has diverse experiences in health care. Prior to moving to the USA, she worked as a medical officer in the government hospital system. Dr. Debbarma has years of experience in treating patients from different cultural and religious backgrounds. As an individual, Dr. Debbarma is intrigued by the human mind and behavior, and that's why she chose to specialize in psychiatry. She focuses on "wholeness" by understanding the whole person not just their symptoms. Her treatment approach includes a bio-psycho-sociocultural model and patient-centered care. She offers medication management and supportive therapy. Based on clinical needs, Dr. Debbarma also incorporates CBT, mindfulness, and MI. Dr. Debbarma has a special interest in women's mental health and cultural psychiatry.

KaShunda "Shun” Davis is a Licensed Professional Counselor in Texas. She received her Master of Science in Counseling at Amberton University and postgraduate studies in Professional Counseling and Development at Lamar University. Shun has worked in various settings in the mental health field including community-based counseling centers, private practice, and large group practices providing counseling services to adults, couples, and adolescents. Her professional experience has focused on mood disorders (depression, bipolar disorder, persistent affective disorder), anxiety, trauma, personality disorders, self-esteem and confidence, gender identity and LGBTQIA+ concerns; relationship concerns, and life transitions. Shun's integrative therapeutic style provides an emotionally safe space that supports self-exploration, empowerment, and authenticity. Specializing in cognitive behavior therapy, dialectical behavior therapy, trauma-focused therapy, narrative therapy, and mindfulness; she tailors her approach to meet the unique needs of each individual. She is dedicated and passionate about assisting individuals to work through barriers to create the lives and relationships that they desire and to develop a sense of personal strength and self-acceptance. She celebrates and welcomes the diversity of all clients and strives to create an affirming, inclusive, and non-judgmental space to explore individual needs and therapeutic goals.

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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Wayne R. McIntosh, DNP, PMHNP-BC, is a dedicated mental health professional with over a decade of experience in psychiatric care. A graduate of Arizona State University, where he earned his Doctor of Nursing Practice with distinction, Wayne 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 is certified as a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) and has been actively practicing since 2015.

Wayne specializes in family-centered care, working with individuals aged 18 to 65. Whether navigating anxiety, depression, ADHD, or life changes, he guides patients through tailored diagnostic and treatment plans that may include therapy, coping strategies, and, when appropriate, medication. With a focus on clear communication and collaboration, he empowers patients in their mental health journey, helping them understand their challenges, implement practical tools for improvement, and create lasting change.

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

Shelah Radke, MD, JD, is a double board-certified Child and Adolescent and Adult Psychiatrist with over a decade of extensive experience in mental health care, specializing in the well-being of children, adolescents, and young adults. She currently serves in St. Louis, MO, where she is known for her dynamic leadership as a Medical Director and her robust clinical practice. Throughout her career, Dr. Radke has held pivotal roles, including Medical Director of Crisis Psychiatry Services at Mercy Hospital and key positions in several reputable outpatient clinics across the U.S. Her clinical acumen spans a diverse range of settings, from private practice and crisis care to specialized programs in residential and educational institutions. A staunch advocate for evidence-based approaches, Dr. Radke integrates lifestyle and pharmacological interventions to foster mental health resilience among her patients. She is particularly passionate about the shared decision-making model, which enhances patient empowerment and satisfaction by actively involving them in their treatment plans. Dr. Radke's academic contributions are equally notable. She has developed educational curriculums that significantly improve health outcomes and has shared her expertise through numerous media appearances and professional talks. Her commitment to medical education is reflected in her mentorship of nurse practitioners and her involvement in creating community psychiatry programs. Complementing her medical expertise, Dr. Radke holds a Juris Doctorate, with a focus on public health and social policy, which enriches her understanding of the legal and systemic aspects of healthcare. Her approach is deeply holistic, informed by her training in integrative medicine and her personal commitment to wellness, which she practices through nutrition, exercise, and travel with her family. Dr. Radke's professional journey is driven by a commitment to optimizing mental health outcomes and enhancing the quality of life for her patients and their families.

Dr. Patricia Klaine is an attending physician working at Talkiatry. She is board certified in adult psychiatry. After completing her training in adult psychiatry, she continued her education by completing a fellowship in consultation-liaison psychiatry, which enables her to treat patients with a variety of medical comorbidities confidently. Dr. Klaine focuses on medication management. She offers this in addition to supportive psychotherapy in 30-minute follow up visits. For some patients, it may be important to bring in additional psychotherapy for well-rounded care. Dr. Klaine received her medical degree from St. George's University in Grenada, and after that, she completed her training in general adult psychiatry at Maimonides Medical Center in Brooklyn, New York. She went on to complete a fellowship in consultation-liaison psychiatry at Mount Sinai Hospital in New York. After completing her training, she worked on an inpatient psychiatric unit before deciding to transition into outpatient psychiatric care. She looks forward to a collaborative relationship with her patients.