Shelah Radke, MD

Dr. Stephen Byrd is a clinical psychiatrist at Talkiatry. He is board-certified in both psychiatry and addiction medicine. He has been practicing for over 31 years in a wide variety of settings, including working with inpatients and outpatients in private practice, community mental health, geriatric, VA, and community hospital/medical center settings. Dr. Byrd's practice focuses on evidence-based medication management, usually provided in conjunction with 30-minute supportive psychotherapy, which is informed by cognitive behavior therapy, psychodynamic psychotherapy, and motivational enhancement. When more intensive therapy is needed, Dr Byrd may ask you to include a therapist as part of your care team. He received his medical degree from the University of Cincinnati College of Medicine in Ohio and completed his residency training in psychiatry at Case Western Reserve University School of Medicine, University Hospitals of Cleveland. Throughout his career, he has treated patients with a wide variety of conditions in both inpatient and outpatient settings. Additionally, He has served as director of inpatient geropsychiatry at Lutheran Hospital in Cleveland, Ohio, program manager of the substance abuse treatment program at the Charlie Norwood Veterans Affairs Medical Center in Augusta, Georgia, and medical director of outpatient behavioral health at Saint Alphonsus Regional Medical Center in Boise, Idaho. Throughout his career, Dr. Byrd has been active in training medical students and psychiatry residents, and he has held clinical teaching appointments at Case Western Reserve University School of Medicine, Northeastern Ohio Universities College of Medicine, Medical College of Georgia, University of Washington School of Medicine, Idaho College of Osteopathic Medicine and Pacific Northwest University of Health Sciences College of Osteopathic Medicine.�.�

Elizabeth Shaffer, MD, is an accomplished psychiatrist specializing in child and adolescent psychiatry. She earned her M.D. degree from St. George's University School of Medicine and holds a Bachelor of Science in Child Development from Appalachian State University where she graduated summa cum laude. Dr. Shaffer's passion for working with children and families developed during her involvement in a pre-K Head Start Program in Rural North Carolina. She completed her General Psychiatry Residency and Child & Adolescent Psychiatry Fellowship at Jerry M. Wallace School of Osteopathic Medicine at Campbell University. Dr. Shaffer obtained ABPN Board Certification in General Psychiatry in 2023 and is working towards Board Certification in Child & Adolescent Psychiatry. Dr. Shaffer has received honors and awards for her contributions to psychiatry, including the Laughlin fellowship through The American College of Psychiatrists and Resident of the Year at Cape Fear Valley Health System in 2022.Her areas of interest focus on neurodevelopmental disorders such as ADHD, Autism, and Intellectual Delay. Dr. Shaffer is affiliated with professional organizations like AACAP and APA, demonstrating her commitment to professional development. Dr. Shaffer is dedicated to promoting mental health awareness and family and patient psychoeducation. Dr. Shaffer emphasizes a joint decision-making approach to treatment options and utilizes local resources to provide wrap-around support. Dr. Shaffer is a respected psychiatrist known for her excellence, compassion, and innovative approach to mental health care. Her extensive education, accolades, research contributions, professional affiliations, and community involvement reflect her commitment to making a positive impact in her patients' lives and the broader community.

Dr Elizabeth Tiffany is a compassionate psychiatrist who is boarded in psychiatry, addiction, and addiction medicine. She completed her residency in Psychiatry and Fellowship in Addiction Psychiatry at the University of Cincinnati in Ohio. Since completing fellowship in 2016, she has held several positions with the Department of Veterans' Affairs treating veterans with addictions and other mental health conditions. She has also worked for the University of Cincinnati providing psychiatric and addictions treatment to those admitted to the hospital for other medical concerns. She is passionate about education and was the addiction psychiatry fellowship director at both Oregon Health and Science University and University of Cincinnati, assisted in training general psychiatrists at both programs, and has given talks to physicians in various specialties to promote treatment of mental health concerns. While considered a well-rounded psychiatrist who enjoys working with patients from a variety of backgrounds and situations, she has extensive experience working with patients who have experienced trauma and those who have psychiatric concerns and may be using more alcohol or cannabis than they would prefer. Dr Tiffany is a personable, nonjudgmental psychiatrist who will collaborate with you to develop a personalized treatment plan that combines medication management with psychotherapeutic tools for a more whole person approach to your recovery.

Dr. Ruchir Arvind is an Adult General psychiatrist. He is a Diplomat of the American Board of Psychiatry and Neurology. He has been practicing for 4 years.

Dr. Arvind believes in collaborative and educational approaches to address his client’s needs. He believes that therapy is a foundational part in building a long term therapeutic relationship with his clients. He tries to put some educational part in helping his client’s to have a deeper understanding about their illness and related struggles and needs. He likes to follow up closely regarding progress towards his client’s goals. He integrates psycho education in all sessions into explaining his reasoning behind the choice of treatment options based on evidence based medicine. He also provides a brief supportive psychotherapy and Cognitive Behavioral Therapy to aid in treatment for depression, anxiety and insomnia.

Dr. Arvind received his medical degree from PramukhSwami Medical College in India and completed his residency training at University of Texas Health Science Center in his Hometown of Houston, Texas. He held an academic position as a faculty with University of Texas Health Science Center – McGovern Medical School in Houston as assistant professor and enjoyed teaching opportunities.

During his pursuit for residency training in psychiatry Dr. Arvind had been extensively involved in clinical research understanding neurobiological and psychological aspects of development of different anxiety disorders and bipolar disorders as early as in childhood populations. He has had Publications for several peer-reviewed articles and manuscripts and presentations at annual conferences.

Dr. Arvind has experience in treating versatile patient populations. His areas of focus have been anxiety disorders, Acute stress and Post traumatic stress disorder, Attention Deficit Hyperactivity Disorder( ADHD ) and Attention Deficit Disorder ( ADD ) , Tics  and Tourette Syndrome ,Insomnia and depression. He has also worker with adults with Bipolar illness and pregnancy related anxiety and depression and helping clients with any psychiatric illness due to underlying neurological issues like Seizures, Multiple Sclerosis and NeuroCognitive Issues along with addressing Caregiver Burden for some clients.

Patients looking for a psychiatric provider will find Dr. Arvind’s approach in a gentle, friendly and educational way with a composed demeanor. He tends to approach Individualized treatment plans based on different needs for different clients and will always welcome any questions regarding the plan to reach Client’s Goals.

Paul Pennington is a Licensed Professional Counselor with over 15 years of mental health experience in a variety of settings ranging from schools, private practice, residential facilities, and crime scene crisis counseling. Paul has had the privilege of helping people with various situations including depression, anxiety, stress, anger, trauma, abuse, life transitions, relationships, integration, existential issues, and other obstacles that have caused an imbalance in their lives. Paul specializes in working with teachers, first responders, young parents, and individuals that just want to be seen as who they truly are.‍Paul earned a Bachelor of Science in Psychology with a minor in Sociology from Texas State University and a Master of Education in Guidance and Counseling from Angelo State University. A few of the certifications Paul has earned over the years are: Residential Staff from the Texas Department of Criminal Justice, Certified Anger Resolution Therapist (C.A.R.T.), AgriSafe Farm Response, Trust Based Relational Intervention (TBRI) Practitioner Trainer, Texas Education Agency: EC-12 SpEd, 4-8 Generalist, EC-12 School Counselor, SAFE EMDR, Mental Health First Aid, and Ketamine Assisted Psychotherapy.‍Paul believes everyone is different and takes an individualized approach with each client. He operates from a foundation in Cognitive Behavioral Therapy, Trust-Based Relational Intervention, Solution Focused Therapy, and Mindfulness.

Christine is a Licensed Professional Counselor specializing in substance use, disordered eating, and empowerment. She is dedicated to helping clients achieve life-changing goals and personal growth through compassionate and evidence-based mental health counseling. Christine’s therapeutic approach centers on empowering individuals to manage distress, enhance self-esteem, and develop a deeper connection with themselves and their bodies in a safe, collaborative environment.

She is particularly passionate about guiding clients to break free from self-destructive cycles and wounded coping responses. Christine believes that at the root of these challenges often lie experiences of complex trauma, along with deeply ingrained feelings of shame and self-hatred. Her holistic approach is designed to foster healing, build resilience, and support sustainable emotional well-being.

With a foundation in cognitive behavioral therapy (CBT), Christine uses a variety of evidence-based interventions tailored to each client’s unique needs, helping them build problem-solving skills and mental clarity. Her advanced training in shame-informed therapy, somatic psychotherapy, and mindfulness allows her to support mind-body integration and promote healing on multiple levels.

A key goal in Christine’s shame-informed work is to help clients reframe painful beliefs and behaviors they feel ashamed of, encouraging a more compassionate and understanding perspective. She also incorporates elements of narrative therapy and Internal Family Systems (IFS) to support clients in exploring and integrating all parts of themselves. Through this multidimensional approach, Christine helps clients create meaningful, lasting changes for both their mental and physical well-being.

As a professional mental health counselor, I believe in the importance of building a strong therapeutic alliance with clients. To achieve this, I strive to show empathy by understanding not just what clients say, but the deeper meaning behind their words. I aim to be genuine and congruent in my actions and words, and to offer unconditional positive regard. I value respect, immediacy, and cultural awareness, while maintaining strong ethics and self-awareness. I work to foster trust, warmth, and objectivity, and I continually develop my competence to better support those I serve.

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