Sarah Debrey, MD

Melissa Sims, MSN, APRN, PMHNP-BC, is a board-certified psychiatric mental health nurse practitioner who is passionate about delivering high-quality, compassionate, and comprehensive mental health care. She earned her Master of Science in Nursing from the University of Alabama at Birmingham in 2022 and has since worked in both community mental health and correctional settings.

Melissa takes a collaborative approach to care, working closely with other mental health professionals, medical providers, families, and relevant support systems to ensure well-rounded treatment. She emphasizes a patient-centered, individualized approach, combining medication management with psychotherapy to meet each person’s unique needs.

Patients working with Melissa can expect a thorough evaluation, accurate diagnosis, and a personalized treatment plan tailored to their mental health goals. One of her core priorities is to empower individuals to make informed decisions about their care by providing education grounded in research, evidence-based practices, and clinical experience.

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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.

Bethanie is a board-certified Mental Health Nurse Practitioner who earned her Psychiatric Mental Health Nursing credentials and a Master’s in Psychiatric and Mental Health Nursing from Columbia University School of Nursing, where she was inducted into the Sigma Theta Tau Nursing Honor Society. She has been in practice for over 10 years, providing care to individuals with anxiety, depression, bipolar disorder, and schizophrenia. Bethanie also has a strong passion for supporting women’s mental health during the perinatal phase of life.

She believes in a collaborative partnership with her clients, working together to develop a mutually agreed-upon plan of action that maximizes the chances of success.

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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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Background and credentials

Dr. Joyln Ferrell is a board-certified psychiatrist with specialized training in treating depression and anxiety disorders. She earned her medical degree from Howard University College of Medicine and also holds a doctorate in pharmacy from the University of Georgia. She completed her residency training in psychiatry at VA Boston/Harvard Medical School and gained significant clinical experience at McLean Hospital. Additionally, she completed a fellowship in psychoanalytic psychotherapy at Columbia University Center for Psychoanalytic Training and Research.

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Treatment approach

Dr. Ferrell focuses on providing patient-centered care, emphasizing improving quality of life and helping patients reach their specific treatment goals. Her approach integrates medication management with supportive therapy. She believes in a collaborative treatment process and may recommend additional therapy support when necessary to optimize outcomes. She takes a cautious and limited approach to the use of controlled medications, ensuring responsible medication management.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive assessment of their symptoms, medical history, and treatment goals. Dr. Ferrell takes a thoughtful and individualized approach to care, working with patients to develop a treatment plan that incorporates medication management and supportive therapy. Follow-up visits typically last 20-30 minutes and focus on monitoring progress and adjusting treatment as needed. In some cases, she may recommend involving an additional therapist to further enhance the effectiveness of the treatment plan.

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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. Jason Chin earned his Bachelor’s degree from Duke University and his M.D., along with completing his psychiatry residency, at Wake Forest University School of Medicine. He is board-certified in psychiatry and brings extensive experience from both outpatient and inpatient settings. He also specializes in interventional treatments, including Electroconvulsive Therapy (ECT) and Transcranial Magnetic Stimulation (TMS).

Dr. Chin values patient autonomy and strives to provide the knowledge needed for patients to make informed decisions. He prioritizes building a strong therapeutic alliance and integrating evidence-based medicine to guide care.

Dr. Chin begins by listening to the patient’s full story to understand them as a whole. He explores their past, present, and future to create a comprehensive treatment plan designed to empower patients to move forward and improve their mental health.