Wayne McIntosh, PMHNP

Dr. Bryant graduated from Mount Sinai School of Medicine to complete her adult training and the Yale Child Study Center/Riverview Hospital for Children Program to complete her fellowship in Child and Adolescent Psychiatry. A native Texan, she returned to Tyler, TX in 2020 to accept the position of Chair of the Department of Psychiatry and Behavioral Medicine at the University of Texas Health Science Center at Tyler. She also established an accredited child and adolescent psychiatry fellowship in Tyler. Prior to that, she served as the Director of the Child and Adolescent Psychiatry Division at the University of Mississippi Medical Center where she was also the Program Director of the Child and Adolescent Psychiatry Fellowship. She received her medical degree from the University of Texas Southwestern Medical School. Working with survivors of trauma has always been an important part of Dr. Bryant's practice. She currently serves as the co-chair of the American Academy of Child and Adolescent Psychiatry's Committee on Child Maltreatment and Violence and she is a representative for the National Health Collaborative on Violence and Abuse. Dr. Bryant also served as the program director of the Eating Disorders and Trauma Recovery program at Menninger Clinic in Topeka. She is board certified in adult, child and adolescent psychiatry and she has over 32 years of experience as a practicing psychiatrist. Dr. Bryant specializes in the treatment of anxiety disorders, obsessive-compulsive disorder, mood disorders, developmental disorders, Post-Traumatic Stress Disorder, Attention Deficit Hyperactivity Disorder, and family relational problems for both children and adults. She believes that "knowledge is power" and that the more a person can understand about how the brain is affected by various mental health conditions, the more treatment makes sense.

Dr. Lucky Ly is a board-eligible psychiatrist who received his medical degree at Lake Erie College of Osteopathic Medicine and completed training in the psychiatric residency program at Millcreek Community Hospital. He has experience treating various psychiatric disorders including depression, anxiety, obsessive-compulsive disorder, bipolar disorder, attention deficit/hyperactivity disorder, and other related disorders. Dr. Ly uses evidence-based treatments and supportive psychotherapy such as cognitive behavioral therapy and interpersonal psychotherapy to help his patients. He encourages open communication and active participation as he believes they are key to successful treatment.

Dr. Laura Obler is board-certified in adult psychiatry. She received her medical degree from David Geffen School of Medicine at UCLA in Los Angeles, California, where she stayed to complete her psychiatry residency at the UCLA Semel Institute for Neuroscience. During residency she received specialized training in reproductive psychiatry (the treatment of women who are considering pregnancy or are pregnant or postpartum) and acted as Chief Resident of the Women's Life Center at UCLA. Dr. Obler has experience working with a diverse group of patients. She has previously worked in community clinics in the greater Los Angeles area and as a staff psychiatrist at UCLA. She prefers a holistic approach to psychiatric treatment and therefore uses a combination of medication management and talking therapies to treat patients. Techniques she may utilize include cognitive behavioral therapy, experiential psychodynamic therapy, mentalization based therapy, and medical hypnosis.

Dr. Mitchell Laski earned a Bachelor of Science in Psychology from the University of Nebraska–Lincoln in 2011 and completed his medical degree at the University of Nebraska College of Medicine in 2017. He completed his residency in psychiatry at Naval Medical Center Portsmouth, Virginia, in 2021, where he was selected as Chief Resident. Dr. Laski has extensive experience in both outpatient and deployed settings, having completed two operational tours with the U.S. Navy. During these tours, he served in Embedded Mental Health Clinics and aboard deployed ships, working directly with Sailors.

Dr. Laski brings empathy, attentiveness, and a non-judgmental approach to every patient interaction. He is deeply committed to ensuring patients feel heard, respected, and understood. Patients can expect him to be thorough and dedicated, consistently advocating for their overall wellness throughout the course of treatment.

Understanding that beginning mental health care can be difficult, Dr. Laski starts with friendly, casual questions to build rapport—asking about patients’ background, interests, and current life situation. He then reviews their medical and psychiatric history before exploring current symptoms and stressors. Together, he and the patient collaborate to create a personalized treatment plan.

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Background and credentials    

Dr. Alexander Wittenberg is a board-certified adult psychiatrist. He received his undergraduate degree from Cornell University, majoring in Human Biology, Health, and Society. He earned his medical degree from the New York Institute of Technology College of Osteopathic Medicine, where he was a  member of the Psi Sigma Alpha Osteopathic Honor Society. As chief resident at  Mount Sinai Beth Israel, he gained extensive experience working in outpatient  settings and managing patient care at one of New York City's busiest clinics. Dr. Wittenberg has expertise in treating a wide range of mental health conditions, including depressive disorders, anxiety disorders, bipolar disorder, trauma and stressor-related disorders, and OCD.    

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Treatment approach    

Dr. Wittenberg offers highly individualized and empathic treatment, primarily focusing on medication management. He frequently recommends integrating therapy into treatment plans and may suggest collaborating with a therapist. Dr. Wittenberg prioritizes a holistic approach, emphasizing overall well-being alongside symptom relief. He encourages the incorporation of mindfulness, self-compassion, exercise, nutrition, and attention to interpersonal relationships into his treatment strategy.    

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What you can expect in a first visit    

During an initial visit with Dr. Wittenberg, patients can anticipate a collaborative, patient-centered, and non-judgmental environment designed to foster a meaningful therapeutic relationship. He will thoroughly discuss individual concerns and treatment goals, exploring potential therapeutic interventions, including medication management and holistic strategies to support mental health and overall wellness.

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.

Angelica Luciano, PMHNP, has been dedicated to health care for over 22 years. Her journey began in 2003 when she enlisted in the Air Force as a medic and later served as a nurse in the Department of Defense. She earned her bachelor’s degree in Nursing from Indiana State University, was commissioned as a Nurse Officer in the U.S. Public Health Service, and went on to complete her master’s at Gonzaga University. Inspired by her work as a psychiatric RN, Angelica pursued her calling in mental health and became board certified as a Psychiatric-Mental Health Nurse Practitioner in 2017.

Angelica provides care through a warm, direct, and nonjudgmental style. She takes a biopsychosocial approach, recognizing the interplay of biological, psychological, and social factors in mental health. By combining psychopharmacology, patient education, and brief supportive therapy, she offers care that is accessible, collaborative, and authentic. Patients can expect to feel heard, respected, and actively involved in their treatment decisions.

Angelica begins with a comprehensive consultation to understand each patient’s history, concerns, and goals. This may take several appointments before finalizing a treatment plan. Plans may include lab work, collaboration with a patient’s broader health care team, and involvement of supportive family members if desired. Her goal is to create individualized care tailored to patient needs while ensuring comfort, advocacy, and trust. She emphasizes that patients are never defined by a diagnosis but valued as whole individuals.