Wayne McIntosh, PMHNP

Background and credentials

Dr. Sinner is board-certified in Psychiatry. He completed his psychiatry residency training at Dartmouth-Hitchcock Medical Center. With over 14 years of experience, he has worked in a variety of settings, including five years in inpatient psychiatry in Vermont, where he served as Medical Director for a state hospital psychiatric unit and taught medical students. He then spent five years working in an outpatient community mental health center in Pennsylvania before transitioning to telepsychiatry, providing care to individuals in Pennsylvania, Florida, and New York.

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Treatment approach

Dr. Sinner employs a collaborative, patient-centered approach, tailoring treatment plans to meet each individual's specific needs. His practice integrates pharmacotherapy with cognitive behavioral therapy (CBT) and supportive therapy as needed. He specializes in treating a wide range of psychiatric conditions, including depression, bipolar disorder, anxiety, ADHD, neuropsychiatric disorders, developmental disorders, and personality disorders. His philosophy is to provide personalized care that makes a meaningful impact at different stages of a patient’s life.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive evaluation focused on understanding their mental health concerns, history, and treatment goals. Dr. Sinner takes a compassionate and collaborative approach, working closely with patients to create individualized treatment plans. He ensures that each patient receives a balanced and effective combination of medication management and therapeutic interventions suited to their unique needs.

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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. Ioana Horotan-Enescu is a board-certified Psychiatrist. Before joining Talkiatry, she was an Active-Duty staff psychiatrist at Blanchfield Army Community Hospital, Fort Campbell, KY. Her military service also included roles such as Medical Director of Behavioral Health and Interim Clinic Chief for Embedded Behavioral Health Clinic. She completed her internship and residency at Walter Reed National Military Medical Center and earned her Doctor of Osteopathy Degree from the University of New England College of Osteopathic Medicine. Her clinical experience spanned from the inpatient to the outpatient setting and afforded her the opportunity to develop comprehensive skills in the treatment of PTSD, mood disorders, thought disorders, addiction and perinatal mood disorders. Her teaching experience spanned multiple institutions, where she has served as a preceptor and mentor for medical students, nurse practitioner and physician assistant students. In addition to medication management, she augments her practice by implementing mindfulness, psychodynamic and supportive therapy techniques in her everyday practice to enhance treatment and improve treatment response. Dr. Horotan-Enescu holds several certifications, including in Cognitive Behavioral Health Therapy for Suicide Prevention, Motivational Interviewing and Battlefield Acupuncture. She has delivered presentations at national and international conferences on various topics, reinforcing her commitment to advancing the field of psychiatry.

Dr. Dominique Holley is a triple board-certified psychiatrist in Adult Psychiatry, Child and Adolescent Psychiatry, and Addiction Medicine. Dr. Holley completed her post-doctoral residency and fellowship training at Walter Reed National Military Medical Center. She has served as an active US Army officer and recently separated from the US Army after 11 years of service. In her most recent role, she served as the Deputy Chief of the Department of Behavioral Health at Fort Campbell, KY where she provided clinical and administrative supervision, as well as mentorship and guidance for an interdisciplinary team of over 140 personnel. She maintained oversight of behavioral health care being delivered through 11 clinics and satellite locations, providing patient care for over 30,000 beneficiaries. While in leadership, she continued to provide direct patient care for service members and dependents including child and adolescent populations. Due to her experience with this unique population, she has extensive experience in treating individuals with trauma. She offers an holistic approach when caring for individuals dealing with mental illness as well as phase of life circumstances. She believes in treating the whole person and attending to physical, spiritual, and mental health. Dr. Holley provides supportive, cognitive behavioral, acceptance and commitment, and psychodynamic therapy skills that complement medication management in order to help improve wellness.

Dr. Megan Crochet is board certified in Adult Psychiatry and has completed a fellowship in child and adolescent Psychiatry. Dr. Crochet attended medical school at Drexel University College of Medicine and completed her training at Mount Sinai School of Medicine, followed by Tulane University School of Medicine, where she was a chief resident. Dr. Crochet provides a therapeutic medication management visit, which incorporates therapeutic techniques tailored to the individual patient needs while adjusting medication doses. Her goal is to help patients manage their symptoms while working towards, over time, uncovering the root causes. This comprehensive process helps to empower her patients and provides hope and acceptance of their psychiatric challenges. If indicated, Dr. Crochet may believe that additional therapy is also needed and recommend that you bring a therapist into your care team to provide the best outcome. Dr. Crochet has worked in hospital systems, private practice, and most recently telemedicine. When not practicing, she enjoys all things water, cooking and spending time with her daughter and dog.

Dr. Carder has been practicing for over 20 years in general adult psychiatry. She is board certified by the American Board of Psychiatry and Neurology and has a certification in Elder Law. She has advanced training in psychopharmacology, which she earned with distinction. Dr. Carder's practice focuses on medication management. Typically, she offers this in conjunction with supportive therapy in 30-minute follow-up visits. However, occasionally Dr. Carder may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best outcome. She received her medical degree from the University of Toledo, College of Medicine and Life Sciences, where she was given the outstanding medical student award by the Department of Head and Neck Surgery. She completed her internship with the Department of Family Medicine and completed her residency with the Department of Psychiatry both at the University of Toledo, College of Medicine and Life Sciences. Throughout her career, she has been the Medical Director of two Community Mental Health Centers and is also the Corporate Medical Director for a company providing neuropsychiatric and general psychiatric care to patients residing in nursing facilities. She received her certification in Elder Law through the Mitchell Hamline School of Law. She has also been a preceptor for numerous universities and has trained advanced practice providers in psychiatry. In addition to general adult and geriatric psychiatry, Dr. Carder's areas of interest include complex psychiatric and medical conditions, neuropsychiatric issues, and treatment-resistant cases. She enjoys using her medical expertise to solve difficult cases. She has an interest in exploring combined traditional psychiatric practice with complementary and holistic approaches to treatment and believes in keeping her patients healthy rather than only addressing illness.

Dr. Kristina Eipl is a board-certified adult psychiatrist. She completed her undergraduate education at Johns Hopkins University, where she graduated Phi Beta Kappa with a bachelor’s in neuroscience. Dr. Eipl later attended medical school at Johns Hopkins School of Medicine. Her interest in neuroscience, combined with a passion for the humanistic side of medicine, led her to pursue a psychiatry residency at NYU. There, she gained experience working with a diverse patient population. After completing residency in 2018, Dr. Eipl chose to pursue private practice to allow her to spend more time with patients and build on her interest in psychotherapy. She spent over 6 years in solo and group private practice in Los Angeles. She is committed to working with insurance-based practices as she is passionate about providing affordable access to quality healthcare.
 
Dr. Eipl takes a collaborative and compassionate approach to both medication management and psychotherapy. She enjoys utilizing various forms of psychotherapy to empower individuals to lead healthier, more fulfilling lives. She has experience with many types of psychotherapy and particularly enjoys incorporating elements of supportive, psychodynamic, and cognitive behavioral therapies in all visits. She practices thoughtful and evidence-based medication management.
 
Dr. Eipl enjoys working with students and adults with anxiety, OCD, PTSD and mood disorders. She also has a special interest in women’s mental health.