Stephanie Jarvie, MD

Mary Birse is a board-certified Psychiatric Mental Health Nurse Practitioner (ANCC) with over 20 years of nursing experience. She graduated magna cum laude with a BSN from Florida Atlantic University and earned her MSN from the University of Florida. She completed a Psychiatric NP Residency at the VA in Charleston, SC. Mary has worked in a variety of settings including the West Palm Beach VA Medical Center, the Palm Beach County Firefighter’s Clinic, various outpatient telehealth platforms, and a child and adolescent inpatient facility. She was also an adjunct professor at Palm Beach State College.

Mary believes in empowering patients through education and collaboration so they can play an active role in their mental health journey. She works to create a warm and welcoming space where patients feel safe, heard, and understood. Whether the treatment path includes therapy, medication, integrative approaches, or a combination, she ensures that the plan reflects the patient's needs and goals.

Mary takes a thorough and holistic approach to care. She spends time understanding each patient’s history and past treatments—what has or hasn’t worked—and listens carefully to their current concerns and future goals. By factoring in lifestyle and preferences, she works with patients to build thoughtful, individualized treatment plans.

Dr. Cedric Skillon is a board-certified adult psychiatrist with over 20 years of experience. Dr. Skillon’s clinical expertise includes treating adults with depressive disorders, bipolar disorders, anxiety disorders, substance -related and addictive disorders, and trauma related disorders. Dr. Skillon has worked in a variety of mental health care settings including academia, community mental health centers, and a substance use treatment center.

Dr. Skillon grew up in Detroit, Michigan. He obtained his Bachelor of Science from the University of Michigan. He received his medical degree from Wayne State University. He completed a General Psychiatry Residency at University Health Center of Pittsburgh, Western Psychiatric Institute and Clinic

Dr. Skillon combines a wealth of knowledge and experience with a compassion for meeting the patient “where they are” in their healing process. He believes in allowing the patient to feel heard in every session. He fully explains the risk and benefits of each treatment option. Then in collaboration, he and his patient agree on the next step to take towards the patient’s treatment goals.

Dr. Skillon is dedicated to providing hope and healing in a trusting environment. He combines empathy with a patient centered, and evidence-based approach in helping patients reach their treatment goals.

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. Danielle Jackson is a board certified Adult Psychiatrist by the American Board of Psychiatry and Neurology. She is a graduate of Yale University's Psychiatry Residency and Howard University College of Medicine. Dr. Jackson's practice focuses on a combination of psychopharmacology (medication) and psychotherapy techniques including supportive therapy, motivational interviewing and cognitive behavioral therapy. She approaches care from an individualized, patient-centered, collaborative perspective. She often integrates evidence-based lifestyle recommendations in areas such as nutrition, sleep hygiene, exercise, and stress management tools in treatment to help patients achieve their wellness goals. Her interests include adjustment disorder, mood disorders, anxiety disorders, ADHD and trauma-related disorders. In addition, she enjoys helping patients navigate the challenges that can accompany changes in life (careers, parenthood, relationships, chronic illness). Prior to joining Talkiatry, Dr. Jackson served as medical director for substance use and co-occurring disorders at Sunset Terrace Family Health Centers at NYU Langone. She has experience caring for a diverse patient population including those with perinatal mood disorders (postpartum anxiety/depression), substance use disorders and those from minoritized and marginalized communities.

Kenneth Kavanagh is board certified as both a Psychiatric/Mental Health Nurse Practitioner and an Adult Nurse Practitioner.  His career has spanned 30 years with the last 17 years devoted exclusively to psychiatry.  He integrates his knowledge of psychiatry and primary care into evidence-based medication management strategies.  He also possesses a good working knowledge of alternative treatments and integrating alternative treatments into more traditional approaches.  When needed to enhance patient care outcomes, he frequently works collaboratively with psychotherapists, primary care providers, and/or medical specialists.  

Kenneth currently focuses on managing depressive disorders, anxiety disorders, adjustment disorders, ADHD, somatic disorders, OCD, and bipolar disorders.  Kenneth has significant experience in working with diverse groups, including urban and rural populations across socioeconomic spectrums, professionals and college students on all levels, members of the LGBTQ community, individuals confronting life stage transitions, and people living with chronic medical conditions.  

Kenneth’s psychotherapeutic methods are diverse and evolve to meet collaboratively developed treatment goals.  Kenneth’s interaction style is always empathic and respectful but can range from comforting and supportive to more directive and therapeutically confrontational strategies to maximize treatment goals, often with significant doses of humor throughout the therapeutic relationship.

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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