Sarah Mennella, MD

Dr. David Wait, MD is American Board of Psychiatry and Neurology certified and a fellow of the American Psychiatric Association. A skilled psychopharmacologist and psychotherapist, he has over 30 years’ experience successfully helping people overcome a diverse range of emotional, psychiatric, and addiction challenges.

David was born in Sioux Falls, South Dakota, and is a graduate of Augustana College. He obtained his MD at the USD School of Medicine. His residency was at the University of Arkansas for Medical Sciences (UAMS) in Little Rock where he was trained in both psychotherapy and biological management of psychiatric challenges.

Following residency training, Dr. Wait continued to work with UAMS and the State of Arkansas in research and program development focusing on implementing and then teaching novel strengths focused care for people with severe mental illness for the first 12 years of his career.

Later, Dr. Wait moved with his wife and three children to Coeur d'Alene, Idaho. He has since been in clinical practice and leadership roles in inpatient, outpatient, and telehealth psychiatric care settings.

Rather than focus primarily on illness or problems, Dr. Wait’s approach is to first evaluate his patients comprehensively, then utilize what’s learned from this to treat and empower them to make and then practice choices that lead to improved health and well-being, using an integrative model that recognizes that mental, physical, social, and spiritual health are one.

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Dr. Moskowitz (she/her) is a board certified adult psychiatrist. She earned her medical degree from Albert Einstein College of Medicine and completed her psychiatry residency at the University of Arizona. She has extensive experience treating a wide range of mental health conditions, including depression, anxiety, ADHD, bipolar disorder, PTSD, OCD, and psychotic disorders. Dr. Moskowitz is especially passionate about working with transgender and other LGBTQ+ patients, offering inclusive, identity-affirming care tailored to each individual’s experience and needs.

Dr. Moskowitz takes a warm, collaborative approach grounded in empathy and trust. She believes in meeting patients where they are and working together to build a therapeutic relationship that supports healing, self-understanding, and personal growth. Patients can expect a nonjudgmental, respectful environment where their goals and concerns are genuinely heard and addressed.

Dr. Moskowitz integrates elements of psychodynamic, supportive, and cognitive-behavioral therapy into her work and offers medication management when appropriate. She emphasizes a personalized treatment plan for each patient, designed to align with their unique values, history, and goals. Her process includes thorough assessment, open dialogue, and flexible adjustments as needs evolve over time.

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Background and credentials

Dr. Vansickle is a board-certified adult psychiatrist with over 25 years of clinical experience. She earned her medical degree from the University of Texas Health Sciences Center San Antonio and completed her internship at UAB. She then completed her psychiatry residency at the University of Louisville Hospital, where she served as chief resident and received a national award in community psychiatry. Throughout her career, she has worked in both inpatient and outpatient settings as a staff psychiatrist, primarily in Texas and Alabama.

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Treatment approach

Dr. Vansickle places a strong emphasis on establishing trust and building therapeutic relationships to help patients achieve their goals. Her practice focuses on medication management, often combined with supportive or emotionally focused therapy during 30-minute follow-up visits. If she believes additional therapy would be beneficial, she may recommend that patients work with a therapist as part of their care team. She has extensive experience treating patients in various settings, including community mental health centers, VAMC-affiliated clinics, and hospital-based psychiatric units. She also has expertise in psychiatric consultations for medically ill patients, as well as guardianship and competency evaluations.

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What you can expect in a first visit

Patients can expect a thorough initial evaluation, where Dr. Vansickle takes the time to understand their symptoms, history, and treatment goals. She provides a structured yet compassionate approach to care, ensuring that each patient feels heard and supported. Follow-up visits typically last 30 minutes, during which she monitors progress and adjusts treatment as necessary. If additional therapy is needed, she collaborates with therapists to ensure comprehensive care tailored to each patient’s needs.

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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. Kasey Broom earned her medical degree from the University of South Carolina School of Medicine Greenville and completed general psychiatry residency and an addiction psychiatry fellowship at the Medical University of South Carolina in Charleston. She holds undergraduate and master’s degrees in biomedical engineering. Dr. Broom has experience in telepsychiatry, inpatient, outpatient, and interventional psychiatry settings, with expertise in treating mood, anxiety, trauma-related, attention, and substance use disorders, as well as women’s behavioral health and veteran populations.

Dr. Broom believes it’s a privilege to be part of her patients’ healing journey. She fosters authentic, therapeutic relationships in a supportive, judgment-free space that encourages open, honest communication. Her collaborative style integrates motivational interviewing, supportive psychotherapy, and cognitive behavioral strategies, all while providing evidence-based, patient-centered care that may include medication, therapy, and lifestyle changes.

In the initial session, Dr. Broom focuses on understanding each patient’s history, concerns, and personal goals. She creates individualized treatment plans that align with those goals and emphasizes education to help patients better understand their diagnoses. Through this approach, she empowers individuals to actively participate in their care and take meaningful steps toward recovery.

Dr. Kirk Carruthers is a board-certified psychiatrist with experience in both outpatient and inpatient psychiatry, as well as addiction medicine. He completed his medical degree at Morehouse School of Medicine and trained at University Hospitals – Case Medical Center, where he completed general psychiatry residency and fellowships in addiction and community psychiatry. His experience includes roles in community mental health, academic teaching, and the VA system. Outside of work, he enjoys music production, soccer, spending time with loved ones, and all dogs.

Dr. Carruthers brings a casual, easygoing communication style to create a comfortable space where patients feel at ease. He emphasizes forming strong therapeutic bonds based on trust, and combines supportive therapy with medication management. He encourages collaboration with therapists and uses evidence-based treatment approaches tailored to each individual’s needs.

Dr. Carruthers begins with a thorough understanding of each patient's concerns, history, and goals. He then creates a personalized treatment plan and works collaboratively with the patient to reach their goals, adjusting care as needed for ongoing progress.

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Dr. Emily Sykes is a board-certified adult psychiatrist. She received her Bachelor of Arts degree with Magna Cum Laude distinction from Carleton College, where she majored in biology. Dr. Sykes completed her Doctor of Medicine degree from the University of Toledo. She completed her psychiatry residency at the University of Cincinnati and was the outpatient chief resident physician. Dr. Sykes' specialty interests include mood disorders, anxiety disorders, post-traumatic stress disorder (PTSD), obsessive-compulsive and related disorders, Cognitive-Behavioral Therapy (CBT) and holistic wellness. She is a certified Cognitive Processing Therapy (CPT) provider for PTSD. Dr. Sykes provides compassionate, evidence-based, individualized, holistic care for patients suffering from a variety of mental health diagnoses and concerns. She incorporates supportive therapy, cognitive-behavioral therapy and solutions-focused therapy into her sessions.