Siera Kirkland, MD

Dr. Jennifer Snowden completed medical school at the University of Arkansas for Medical Sciences in Little Rock, Arkansas in 1995. She then completed a residency in general psychiatry at Emory University in Atlanta, Georgia, followed by a fellowship in forensic psychiatry also at Emory University in Atlanta, Georgia from 1995-2000. She spent ten years practicing forensic psychiatry at a state hospital in Atlanta. She then decided that she wanted to travel and spent eighteen months as a locum tenens psychiatrist primarily practicing in New England. During this time, she met her future husband and they decided together that they eventually wanted to live in the New England area. In 2013, she officially became a telepsychiatrist, which eventually provided her with the opportunity to move to Rhode Island and practice out of the home she and her husband bought there. She initially saw patients via telepsychiatry at a community mental health center in rural Georgia and later took a position as a remote consultant telepsychiatrist at Acadia Hospital in Bangor, Maine. Dr. Snowden uses a practical and realistic approach with patients to assist them in identifying small, attainable goals and then motivating them to achieve those goals. She prefers to work with adults and relishes the opportunity to work with patients who are highly motivated for change.

Megan O’Brien is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with experience in inpatient, outpatient, and emergency mental health settings. She earned her NP degree from UCSF, the top-ranked program in the country at the time. In addition to clinical work, she enjoys teaching and is passionate about training the next generation of compassionate psychiatric nurse practitioners.

Megan believes in meeting patients where they are, offering empathy, respect, and acceptance. She values open communication and sees treatment as a collaborative process. Her approach empowers patients to take the lead in their care while she supports them as a partner and guide along the way.

Megan begins by listening carefully to each patient’s story and asking relevant questions to understand their needs. Together, she and the patient build a tailored treatment plan that aligns with their goals. Her focus is on reducing mental health symptoms and helping people experience greater freedom and flexibility in their lives.

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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Dr. Richard Shehane completed medical school at the University of Nevada School of Medicine and then went on to complete psychiatry residency training at Naval Medical Center San Diego. Dr. Shehane is a board-certified psychiatrist that specializes in the treatment of depression, anxiety, PTSD, bipolar disorder, schizophrenia, personality disorders and ADHD. Dr. Shehane has also worked extensively with patients that have experienced sexual trauma in their past and patients struggling with substance and alcohol use addictions.

Dr. Shehane will focus on two main approaches to mental health treatment: medication management and psychotherapy. Appointments will focus on a mix of interactions aimed at tailoring each patient’s specific medication needs as well as promoting mental health wellness through different types of evidence-based therapy techniques including mindfulness, CBT, CPT and psychodynamic psychotherapy.

Dr. Shehane works together patients to develop a plan that fits each patient’s individual needs. Initial appointments will focus on identifying and treating primary concerns, and then later appointments will center on building upon the therapeutic relationship to increase self-awareness, promote emotional insight, and secure lasting positive mental health changes.

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Background and credentials

Dr. Ian Goldberg is a board-certified adult and child/adolescent psychiatrist and a licensed physician in New York state. He has been practicing since 1988 and has extensive experience working with patients in private practice, hospital settings, and community-based mental health programs. His professional career has included work both in and outside of the United States.

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Treatment approach

Dr. Goldberg takes an eclectic approach to psychiatric care, integrating various treatment modalities, including psychodynamic perspectives and medication management. His focus is on improving his patients' overall quality of life by tailoring treatment strategies to their unique needs.

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What you can expect in a first visit

During the initial visit, patients can expect a comprehensive and individualized evaluation. Dr. Goldberg values collaboration and strives to create a treatment plan that is both effective and adaptable. His experience allows him to approach each case with insight and flexibility, ensuring that patients receive care that is aligned with their personal goals and circumstances.

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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. Rebecca Crosbie is a board-certified adult psychiatrist and has been practicing in outpatient psychiatry for nearly 7 years. Her practice focuses on medication management, and she typically offers medication management combined with supportive therapy or Cognitive Behavioral Therapy (CBT) in 30 minute follow-up visits. If Dr. Crosbie feels you would benefit from working with a dedicated talk therapist, she may encourage you to pursue this or refer you in order to achieve the best outcome. Dr. Crosbie is a graduate of Michigan State College of Human Medicine. She completed her psychiatry residency at Pine Rest/Michigan State University in Grand Rapids, MI. She has previously worked as an outpatient psychiatrist and in tele-psychiatry. She has a lot of experience treating patients with a broad array of mental health conditions, including: anxiety disorders, depression, OCD, bipolar disorder, and ADHD. She also treats combined mental health diagnoses such as ADHD plus another diagnosis. She also has a lot of experience working with patients who identify as LGBTQI+. Her approach is always to meet the patient where they are and educate and enable patients to make good choices about treatment that are in line with their personal preferences and values.