Samuel Russell, MD

Dr. Mayra Valdivia Carlisle is a bilingual Spanish and English-speaking board-certified Adult Psychiatrist and Child & Adolescent Psychiatrist. She earned her master's degree in public health and her medical degree from Oklahoma State University Center for Health Sciences. She went on to complete her residency training in Adult Psychiatry at the University of Texas Health Science Center in San Antonio and subsequently completed her fellowship in Child and Adolescent Psychiatry. She was awarded the Excellence in Public Health Award by the U.S. Public Health Service and Surgeon General for her work addressing health disparities in healthcare. Dr. Carlisle has extensive experience in outpatient and community mental health settings.

Dr. Carlisle provides patient-centered and compassionate psychiatric care combining medication management, psychotherapeutic methods, and lifestyle modifications to create a unique treatment plan. She recognizes that each person benefits from a personalized and holistic approach to healing. Dr. Carlisle specializes in treating diverse psychiatric conditions including ADHD, anxiety disorders, depression, and post-traumatic stress disorder in children, adolescents, and adults.

During an initial visit one can expect a comprehensive evaluation aimed at understanding individual mental health history, specific concerns, and overall treatment goals. Dr. Carlisle practices a holistic approach to treating mental disorders. This is done through an individualized plan for each patient with careful consideration to medication management, therapy techniques, and lifestyle modifications. Patients can expect an empathetic and collaborative environment focused on their personal experiences and goals.

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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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Melissa Sims, MSN, APRN, PMHNP-BC is a board certified psychiatric mental health nurse practitioner (PMHNP-BC) who is passionate about providing quality, compassionate, and comprehensive mental health services. She earned a Master of Science in Nursing from the University of Alabama at Birmingham in 2022 and has worked in community mental health and corrections since that time.

Melissa believes in a collaborative approach to care which includes utilizing other mental health professionals, medical providers, family, and other resources that may be pertinent to the patient’s treatment. She takes a patient-centered and individualized approach to treatment, utilizing both medication management and psychotherapy to address the unique needs of each patient.

When working with Melissa, a patient should expect to have a comprehensive evaluation, diagnosis, and treatment plan tailored to his or her mental health needs. One of Melissa’s primary goals is to empower each person to make informed decisions about his or her mental health care by providing information and education based on research, evidence-based practices and clinical experience.

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Dr. Amanda Wright is a board-certified adult Psychiatrist who has been in practice for ten years. Her practice offers in-depth evaluations for new patients, personalized medication management, and supportive and motivational therapy within 30-minute follow up visits. Dr. Wright's professional interest is in mind-body wellness; she believes in psychotropic medication management as one of the tenants of overall wellness and also recognizes that non-medicinal interventions such as psychotherapy can enhance patients' ability to reach their full potential. To that end, if Dr. Wright feels you would benefit from working with a therapist in conjunction to medication management, she welcomes collaboration with your therapy provider. Dr. Wright is a graduate of the University of Texas Health Science Center in San Antonio, where she completed her psychiatric internship and residency training in 2013. From 2013 through 2022 she practiced Psychiatry in Louisiana. While practicing with Ochsner Health System, Dr. Wright was recognized locally (within her practice region) as "Provider of the Month” and later, "Provider of the Quarter” for the larger system of Ochsner. These awards were based primarily on patient feedback and highlight her warm and open approach as well as her genuine care for each patient's best long-term outcomes. In 2022, Dr. Wright and her family moved back to her home state of Texas where she has been practicing both in- and outpatient Psychiatry within a hospital system in the Rio Grande Valley. The broad scope of her professional experience lends itself to working with a variety of Psychiatric issues ranging from mood to anxiety spectrum disorders. Dr. Wright looks forward to returning her focus to outpatient Psychiatry and providing compassionate, individualized care for those seeking treatment.

Gabrielle Delarose is a dually boarded Psychiatric Mental Health and Family nurse practitioner with over ten years of clinical experience. Gabrielle is dedicated to providing culturally competent and evidence-based medication management and psychotherapy to assist individuals in achieving their goals to live their best life. I believe in holistic treatment of individuals, and focus on the individual’s overall well-being, including how they are functioning socially and professionally. In addition to medication and psychotherapy, she is a proponent of incorporating research-supported alternative modalities, including dietary changes, exercise, social interaction, and yoga. She also advocates of forest bathing (“shinrin-yoku”), a practice of spending time in nature that yields both medical and mental health benefits as discovered in research trials from around the world. As a professionally trained cellist, she also frequently incorporates art and music into appointments and treatment plans with patients. Her goal for all her patients is to improve all facets of a person’s life with treatment. Gabrielle is an LGBTQ+ affirming provider and has extensive experience working with diverse populations.

New patients should know that the initial appointment will consist of obtaining their social history in addition to their medical history. This is an important part of establishing a therapeutic relationship in addition to obtaining health information to use in formulating treatment plans. A person’s identity and life experiences are a significant influence on a person’s health and well-being, and Gabrielle believes in discussing these experiences in order to best understand a patient’s background and incorporate that into their care. Patients are encouraged to write down any questions they may have prior to the appointment, as well as any significant points they want to discuss. This is encouraged because, as patients, we may forget to address these points without a prompt from the provider. Gabrielle also encourages patients to actively participate in their care and firmly believes in a patient’s right to autonomy and agency. This patient-centered approach empowers patients to help guide treatment plans that best fit the patient’s needs and abilities at any given time. Patients are also encouraged to discuss any concerns about medications or treatment, particularly if there are concerns about side effects.

Gabrielle works collaboratively with patients to determine appropriate and preferred treatment plans, including medication and therapy. She uses cognitive behavioral therapy (CBT) as the primary therapy modality, in conjunction with existential therapy, depending on the patient’s needs and preferences. She prefers to allow patients flexibility in their treatment, so the process may look less structured depending on the immediate needs of the patient. Other times, particularly while working through a specific problem in therapy, appointment agendas may be planned out for several weeks. If at any time, however, a need arises to deviate from preplanned appointment agenda, patients are encouraged to discuss this at the beginning of the appointment. Above all, patients’ needs will guide the agenda.

Jacqueline Bowling began her counseling career in 2013, and for the past 7 years, she has worked in Outpatient Services, working with people of all ages and with all mental illnesses as well. Prior to outpatient services, she worked with in-home services, providing counseling services to individuals as well as their natural support system. Jacqueline got her Undergraduate and Master's degree in Education and Human Services, completed in December 2013, at the University of Lindsey Wilson, Columbia, Kentucky. In June of 2021, she became Clinic Coordinator, and in October 2021 she completed training for Licensed Professional Clinical Counselor Supervisor. She is currently a Licensed Professional Clinical Counselor in Texas and Kentucky. Her areas of professional focus are cognitive behavioral therapy (CBT), motivational interviewing (MI), and Solution-focused, along with integrating other clinical modalities to fit the needs of clients/patients as they work towards meeting goals/objectives.