Stephen Byrd, MD

Thomas Ittoop, MD is a psychiatrist with experience practicing in both academic and community settings. He earned his medical degree from Central Michigan University and completed his psychiatry residency at Baylor College of Medicine. His clinical work is grounded in thoughtful, patient centered care that combines medical rigor with a deep respect for the complexity of each individual’s life.

Dr. Ittoop fosters a warm, collaborative environment grounded in genuine human connection. He values exploring the deeper patterns that shape emotional life and the meaning beneath symptoms. Patients can expect transparency, clear communication, and shared decision making that honors their strengths, goals, and long-term well-being while helping them cultivate resilience and greater self-understanding.

Treatment begins with a thorough evaluation exploring symptoms, personal and family history, personality patterns, and the changes patients hope to achieve in their lives. From there, Dr. Ittoop works with each patient to develop a personalized treatment plan that includes thoughtful psychiatric medication management, supportive psychotherapy, and ongoing follow up. While he frequently works with patients experiencing anxiety and related conditions, his practice does not include prescribing benzodiazepines such as Xanax, Ativan, or Klonopin. Care instead focuses on evidence-based treatments that support lasting stability and deeper psychological understanding.

Dr. Richard Rise has created a successful career as a psychiatrist over the past 30 years. He has participated in a variety of treatment settings and has developed a wealth of experience at both prescribing medications, providing therapy, counseling, and even coaching. He takes an individual approach to treating others, recognizing individuals as unique and worthy of love, respect, and acceptance. He is compassionate, non-judgmental, and truly enjoys helping others. He tends to gravitate towards a combination of medication management (if indicated) and psychotherapy where he treats all facets of the individual. Dr. Rise believes that we are all unique and should be treated as such. He spent most of his career in private practice until deciding to retire in 2014. After this he spent the next 3 1/2 years, reading, studying, traveling, and spending time with his loved ones. In 2018 he was offered a position as a consultant overseeing Ketamine infusion therapy for treating treatment-resistant depression. When the pandemic hit in March of 2020, Dr. Rise was asked to assist a local psychiatric hospital deal with the unique and often deadly consequences of the virus. This proved to be a wonderful opportunity for personal growth and to improve the quality of life of many others. After working at the hospital for the 2 years, Dr. Rise joined Talkiatry to continue providing high-quality psychiatric care to others in a very loving, supportive, creative, and collaborative environment.

Michelle is a Licensed Clinical Social Worker/Licensed Independent Social Worker with over 10 years of experience in the mental health field. Michelle has worked in a variety of settings including community mental health, crisis management, outpatient treatment, inpatient treatment, and the private practice setting. Michelle has experience working with patients who are experiencing anxiety, depression, grief, and trauma symptoms. Michelle’s passion is working with women who are struggling with managing healthy coping mechanisms in the perinatal/postpartum period.

Michelle has received extensive training from the Postpartum Support International focusing on treating patients struggling with infertility, postpartum anxiety and depression, and pregnancy loss/grief. She utilizes a variety of treatment modalities ranging from Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Cognitive Processing Therapy, and Mindfulness Based Therapy.

Michelle’s approach to therapy is compassionate, collaborative, and warm. She considers it an honor to walk alongside you during this difficult journey. Let’s talk to see how Michelle can best support you.

Virginia Hogan, PMHNP, is a dedicated psychiatric mental health nurse practitioner with experience in both inpatient and outpatient psychiatric care. She began her career in general surgery and primary care before pursuing her passion for mental health. Virginia earned a bachelor’s degree in Biology, a BSN in Nursing, and a Master of Science in Nursing from Northern Kentucky University. She is board-certified through the ANCC as a Psychiatric Mental Health Nurse Practitioner.

Virginia is deeply committed to patient-centered care, always taking into account and respecting each individual’s unique needs and experiences. She emphasizes patient strengths when setting treatment goals and fosters a supportive, empathetic environment. Patients can expect someone who listens attentively, values collaboration, and works to build a positive and mutually respectful therapeutic relationship.

During the initial session, Virginia encourages patients to share their stories in order to gain a full understanding of their history, concerns, and goals. Together, she and her patients develop individualized treatment plans that align with those goals. Follow-up appointments are designed to track progress, celebrate growth, and make thoughtful adjustments as needed.

Sibi Selvarajah is a Licensed Clinical Social Worker (LCSW) renowned for his compassionate approach and dedication to fostering emotional well-being. Sibi's career in mental health has been marked by a dedication to evidence-based practice and a client-centered approach. His experience working as a group and individual counselor at a private substance abuse outpatient treatment center in Manhattan provided him with invaluable knowledge and insight into helping individuals struggling with substance use disorder, anxiety, depression, trauma, and relationship issues, among others. Sibi earned his Bachelor's degree in Psychology from New York University, where he developed a strong foundation in psychological theories and practices. He went on to complete his Master's degree in Social Work at Yeshiva University, gaining advanced knowledge and hands-on experience in therapeutic techniques. As a licensed clinical social worker, Sibi is known for his empathetic listening skills and his ability to build strong therapeutic alliances with his clients. His therapeutic approach is integrative, drawing from multiple modalities to tailor treatment plans that best meet the unique needs of each individual. Outside of his professional work, Sibi is dedicated to continuous learning and personal growth. He regularly attends workshops and conferences to stay abreast of the latest advancements in mental health therapy. Sibi also believes in the importance of self-care and encourages his clients to engage in practices that promote overall well-being. Through his work, Sibi Selvarajah continues to make a profound impact on the lives of those he serves, helping them navigate their mental health journeys with hope and resilience.

Dr. Mirica Sanders is a board-certified adult psychiatrist. She graduated from Tennessee State University and earned her medical degree from Ohio University College of Medicine. She completed her Psychiatry Residency as Chief Resident at The Cleveland Clinic and pursued advanced training in community and public psychiatry at Case Western Reserve University. Dr. Sanders has experience practicing in both outpatient and inpatient settings and holds a special interest in women’s mental health.

Dr. Sanders values creating a warm and inviting atmosphere where patients feel comfortable and heard. She encourages openness and authenticity, aiming for each patient to leave with a clear understanding of their treatment plan. She also welcomes questions to ensure patients feel fully informed and supported throughout their care.

Patients can expect a conversational interview in which Dr. Sanders gathers medical, social, family, and psychiatric history to inform a personalized treatment plan. Each session involves collaboration, with patients actively participating in shaping their care. Following appointments, patients receive an after-visit summary and instructions to guide them between sessions.