Wayne McIntosh, PMHNP

Dr. Jennifer Shoenfelt is a staff psychiatrist at Talkiatry. She is double board certified in child and adolescent psychiatry and adult psychiatry. She has been practicing for over 14 years. Dr. Shoenfelt's practice focuses on child and adolescent medication management. Typically, she offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. However, occasionally Dr. Shoenfelt may believe that additional therapy is needed and will ask that you bring a therapist into your care team to provide the best outcome. She provides treatment plans that include holistic recommendations for diet, exercise, and educational and psychosocial/spiritual aspects of care. She is known for listening to and respecting patients' stories and walking them on a path of recovery and growth. Dr. Shoenfelt received her medical degree from the Boonshoft School of Medicine at Wright State University in Dayton, Ohio. She earned her Bachelor of Science degree in Physical Therapy from The Ohio State University. Dr. Shoenfelt practiced for 14 years in physical therapy with a specialization in children with developmental and neurological disabilities before attending medical school. Dr. Shoenfelt has held multiple positions in hospital and outpatient psychiatry, including community mental health, developmental and foster care settings, and medical director positions. She has served as clinical faculty for both the Wright State Department of Psychiatry and the University of Cincinnati School of Medicine. She has a passion for the education of medical students, residents, and patients. Dr. Jennifer Shoenfelt is a staff psychiatrist at Talkiatry. She is double board certified in child and adolescent psychiatry and adult psychiatry. She has been practicing for over 14 years.

Dr. Walter Piddoubny is a double boarded psychiatrist in Adult Psychiatry and Consultation Liaison Psychiatry. He completed his undergraduate degree at Stony Brook University followed by his medical degree at SUNY Buffalo School of Medicine and Biomedical Sciences. He completed his Psychiatry Residency at Stony Brook University Hospital followed by his fellowship in Consultation Liaison Psychiatry at Yale New Haven Hospital. Dr. Piddoubny has held academic appointment at Stony Brook University Hospital practicing as a consultant psychiatrist as well as Associate Program Director of the Psychiatry Residency Program. He has been actively involved in teaching and was awarded "Teacher of the Year" in 2018 by the psychiatry residents. Dr. Piddoubny's practice focuses on medication management. Typically, he offers this in conjunction with supportive or emotionally focused therapy during 30-minute follow-up visits. Occasionally, Dr. Piddoubny may believe that additional therapy is warranted and ask that you bring a therapist into your care team in order to provide the best possible outcome.‍

Dr. Patricia Michel-Garrison is a board-certified psychiatrist by the American Osteopathic Board of Neurology and Psychiatry (AOBNP) with over a decade of experience in inpatient psychiatry. She completed her undergraduate training in Chemistry in Florida, having moved there from Chicago in 2000, followed by medical school at the Lake Erie College of Osteopathic Medicine (LECOM). She completed her residency in Psychiatry in Largo, Florida. Dr. Michel-Garrison specializes in treating adults aged 18 and over, addressing a wide range of psychiatric conditions including anxiety, mood disorders, and personality disorders. She is known for her holistic approach, integrating both traditional and osteopathic principles to provide comprehensive care. Her treatment style is patient-centered, emphasizing individualized care plans tailored to each patient's unique needs. Dr. Michel-Garrison fosters a collaborative therapeutic relationship, promoting open communication and trust with her patients. Throughout her career, Dr. Michel-Garrison has remained committed to staying current with the latest advancements in psychiatric care. She is dedicated to helping her patients achieve optimal mental health and well-being through a combination of evidence-based practices and empathetic support.

Dr. Parrish is a board-certified General Psychiatrist and board-certified Child and Adolescent Psychiatrist. In addition to medication management, Dr. Parrish also provides supportive therapy and cognitive behavioral therapy techniques during appointments. When appropriate, she will refer patients for additional psychotherapy and will work to collaborate with therapists to help patients achieve the best outcomes. She received her medical degree from the Medical College of Virginia/VCU in Richmond, Virginia. She then traveled to Greenville, South Carolina where she completed a General Psychiatry residency at Greenville Health System/PRISMA Health and then returned to Virginia to complete a Child & Adolescent Psychiatry fellowship at The Virginia Treatment Center for Children/VCU Health System. Dr. Parrish is a strong advocate of an integrated approach to treating children and their families. She completed undergraduate training at Randolph-Macon College in Ashland, Virginia, where she studied psychology and elementary education. Prior to entering medical school, she was a licensed elementary school teacher in Virginia where she served children of various learning styles and needs. She continues to have an interest in learning disabilities, other neurodevelopmental disorders, ADHD, mood disorders, as well as many other areas of psychiatry.‍

Dr. Michael Miller earned his medical degree with honors and completed his residency in Adult Psychiatry at the University of Kentucky College of Medicine. He has worked across a wide range of clinical settings, including inpatient, outpatient, community clinics, and state hospitals. Dr. Miller is also trained in multiple psychotherapy modalities, equipping him to meet diverse patient needs.

Dr. Miller values creating a safe and nonjudgmental space where patients can speak openly about their experiences and goals. He believes in a collaborative approach, working with patients to discover strategies that best suit their lives. He also takes into account lifestyle factors that may influence mental health, supporting a well-rounded and sustainable path to wellness.

Dr. Miller begins care with a comprehensive conversation about current concerns, past mental health, physical health, and life experiences. From there, he works with patients to create a personalized treatment plan—whether through therapy, medication, lifestyle adjustments, or a combination. Follow-ups focus on refining the plan to ensure it continues to support the patient’s journey.

Dr. Debrey is board-certified in adult psychiatry. Her approach is client-centered, individualized, and collaborative. She focuses on building a strong therapeutic alliance with each client to work towards achieving enhanced functioning and meaning in their lives. She works with individuals experiencing a wide range of mental health concerns, including depression and other mood concerns, bipolar spectrum illnesses, OCD, PTSD, anxiety disorders, and substance use disorders. Though she specializes in medication management, she believes in an integrative and comprehensive treatment program that incorporates multiple aspects of an individual's health and wellness. Along with discussing physical health concerns, diet, exercise, personal connection, and stress management, she incorporates various therapeutic modalities, including CBT, DBT, ACT, and mindfulness, into her work. In some instances, Dr. Debrey may recommend more intensive psychotherapy with a collaborating therapist in order to help facilitate the best care possible. Dr. Debrey received her medical degree from Rush Medical College. She also holds a graduate degree in epidemiology from the Johns Hopkins Bloomberg School of Public Health. Following medical school, she completed her residency in psychiatry at Emory University School of Medicine. During her final year of residency, she served as chief resident at Grady Memorial Hospital. Prior to joining Talkiatry, Dr. Debrey was an assistant professor at Emory University Department of Psychiatry, where she worked as an attending psychiatrist at Grady Behavioral Health. While at Grady, Dr. Debrey worked primarily as a community psychiatrist with a focus on working with individuals experiencing psychosis. She also frequently worked on the inpatient psychiatry service at Grady. As an Emory faculty member, teaching and mentorship were an especially meaningful part of her work.‍