Tyler Josephs, DO

Jackie LaVe' is a board certified Psychiatric Mental Health Nurse Practitioner. She is also dually certified as a Family Nurse Practitioner. She received her master’s degree and post-master’s certificate from Vanderbilt University. Jackie has 12 years of experience as a nurse and over 7.5 years of experience as a Nurse Practitioner. Jackie is licensed to practice in Montana, Arizona and New York.

Jackie LaVe’ offers a patient centered approach, working with individuals aged 18-65. She believes in engaging patients in the decision-making process. Jackie has professional interests in treating a wide range of adult psychiatric conditions including depression, anxiety, trauma, ADHD, OCD, panic, autism and bipolar disorder.

She provides psychiatric assessments and medication management along with brief supportive psychotherapy. She believes in educating patients, so they are empowered to work together to create treatment plans that improve their health and quality of life. Jackie has additional education and experience in cognitive behavioral therapy, mindfulness and motivational enhancement. Jackie can also review if adding a therapist to your care team could improve outcomes.

Dr. Michael Watkins is a board-certified adult psychiatrist. He completed his residency at The University of Texas Health Science Center at Tyler. In addition to being thoroughly trained in psychopharmacology, Dr. Watkins has also received extensive training in psychotherapy. From traditional psychodynamic therapy to the more modern mindfulness-based dialectical behavior therapy, Dr. Watkins takes the approach that best serves his patients. In addition to being trained in a variety of therapies, Dr. Watkins also employs a positive psychiatry approach which, as well as addressing a patient's symptoms, also focuses on their strengths and how they can be used to overcome adversity. Prior to pursuing a career in psychiatry, Dr. Watkins was a high school math teacher, and prior to that, he was an NCAA Division I college athlete. His teaching and athletic careers have given him a well-rounded perspective on the human experience. Drawing on his academic training and life experiences, Dr. Watkins meets patients where they are at, helps them overcome their obstacles, and serves as a guide and a resource for them on their journey to their desired destination.

Jason is a Licensed Mental Health Counselor with a Master of Science degree in school counseling, a registered Yoga Instructor, Certified in Neuroscience and Yoga in the Treatment of Complex, Developmental, or Repeated Trauma. Jason has over 15 years' experience providing mental health; case management, social work, yogic practice and philosophy, meditation, mindfulness, holistic wellness and wellbeing.  Jason is deeply committed to helping individuals navigate the complexities of life, build emotional resilience, and find pathways to healing. Jason’s work is grounded in evidence-based practices, including Cognitive Behavioral Therapy (CBT), mindfulness techniques, and person-centered therapy to meet the unique needs of each individual.

Jason believes in the importance of building a therapeutic relationship based on trust and respect, where you feel heard and understood. Each session is tailored to your needs, and together we will set goals that align with your values and aspirations. Together we can begin helping you become the happy, joyous and free person you were meant to be.

Jason uses a holistic, client-centered approach that emphasizes understanding and growth, aiming to empower clients to develop coping skills and healthier thought patterns. Whether you are facing a specific challenge or seeking personal development, Jason’s goal is to support you in creating lasting change and enhancing your overall well-being.

Catherine is a graduate from the City University of New York (CUNY) Brooklyn College where she received her Master's Degree in Mental Health Counseling. She is a Licensed Mental Health Counselor experienced in working with adults that struggle with an array of different issues for the past 7 years, both in outpatient and private practice settings. Coupled with her empathic and non-judgmental attitude, she uses a person-centered approach when working with clients. She strives to meet the clients where they are at. Catherine has a passion for helping others reach their full potential, rebuild their confidence, and gain a better insight into themselves through using psychodynamic and CBT interventions. She promotes and encourages "progress over perfection."

Dr. Nieves-Alvarado is a board-certified psychiatrist who completed medical training at Duke University Psychiatry Program. Originally from Puerto Rico, she is fluent in both English and Spanish, which allows her to connect deeply with a diverse patient population. Her practice combines medication management with insight-oriented therapy during every visit, promoting a comprehensive approach to mental health care. She advocates for her patients to engage in therapy alongside medication management, as she believes this integrated approach leads to better outcomes and sustained improvement. Dr. Nieves-Alvarado's practice is rooted in a collaborative, team-based approach, working closely with her patients to achieve long-term mental wellness. Dr. Nieves-Alvarado earned her medical degree from the Universidad Central del Caribe School of Medicine in Bayamon, PR. Afterward, she moved to North Carolina, where she completed her residency at Duke University Hospital. During her training, she was nominated for a fellowship in psychodynamic practice by the Psychoanalytic Center of the Carolinas, showcasing her expertise in this area. She is also a dedicated advocate against childhood sexual trauma. Her diverse training includes significant experience in jail and forensic psychiatry, as well as the treatment of military veterans under the Veterans Affairs health care system. She has experience in medically assisted treatments (MAT) for substance use disorders, Electroconvulsive therapy (ECT), and family therapy, enabling her to care for patients with complex needs. Dr. Nieves-Alvarado treats patients across a wide age range, from young adults to the elderly. Passionate about improving access to mental health care, she joined Talkiatry to help patients facing time or transportation challenges receive the care they need. In addition to her clinical practice, Dr. Nieves-Alvarado remains involved with her alma mater's Behavioral Health Department, contributing to academic education and maintaining a connection with the next generation of medical professionals. She continues to seek ongoing improvement in her field, remaining engaged with medical associations including North Carolina Psychiatric Association, American Psychiatric Association, and Alpha Omega Alpha national medical honor society. Dr. Nieves-Alvarado is committed to working hand-in-hand with her patients to achieve mental wellness.

Jessica Fairchilds is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with over 8 years of experience in many psychiatric settings and populations. She earned her Master of Science in Nursing from the University of Mississippi Medical Center and is passionate about providing high quality, comprehensive mental health services. Jessica prides herself in her patient-centered approach by fostering strong provider-patient relationships to achieve optimal treatment outcomes. In her free time, Jessica enjoys spending time with her husband and young daughters, traveling the globe, or getting lost in a historical fiction novel.

Jessica is highly focused on building a strong therapeutic relationship with her clients while making them feel heard and validated. She strives to provide the highest level of care while exploring different treatment options to find what works best for each individual.

Jessica will focus on learning about the client as an individual and learning the concerns of the client while working to develop an individualized treatment plan. She uses her extensive knowledge of medications and therapy techniques to guide treatment options for the best outcomes.