Wayne McIntosh, PMHNP

Background and credentials

Dr. Gerald Matthews is a board-certified adult psychiatrist. He earned his medical degree from the University of Louisville School of Medicine in Louisville, KY. Following medical school, he entered active duty service in the U.S. Army, where he completed his psychiatry residency at Tripler Army Medical Center in Honolulu, HI. After completing his training, he practiced as a staff psychiatrist at Fort Hood, TX, fulfilling his service obligation.

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Treatment approach

Dr. Matthews specializes in medication management, working primarily with adult patients in an outpatient setting. While his primary focus is pharmacological treatment, he frequently collaborates with therapists to provide comprehensive care when indicated. He has extensive experience treating civilians, active-duty military personnel, and veterans, addressing conditions such as mood and anxiety disorders, psychosis, and trauma-related disorders.

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What you can expect in a first visit

During the first visit, patients can expect a thorough psychiatric evaluation where Dr. Matthews takes time to understand their history, symptoms, and treatment goals. He provides a structured yet compassionate approach to care, discussing medication options and potential therapeutic interventions. For patients who may benefit from additional therapy, he collaborates with therapists to ensure a well-rounded treatment plan tailored to each individual's 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. Meagan Maas is a double board-certified psychiatrist in Child and Adolescent Psychiatry and Adult Psychiatry. She completed residency training at Western Michigan University Homer Stryker M.D. School of Medicine and a fellowship at Rush University Medical Center. She earned her MD from American University of the Caribbean, an MPH from Boston University, and a BS in Brain, Behavior, and Cognitive Science from the University of Michigan. Dr. Maas has primarily worked in outpatient psychiatry.

Dr. Maas works collaboratively with patients, families, and care teams to tailor treatment that fosters growth and positive change. She values open communication, clear goals, and meeting patients where they are. She aims to empower and advocate for patients by exploring educational, therapeutic, and holistic supports alongside medication. She is an LGBTQIA+ affirming provider specializing in child and adolescent care, with a focus on depression, anxiety, OCD, autism spectrum disorder, and mood disorders.

Dr. Maas creates a safe, inclusive space where patients feel comfortable expressing concerns. Her sessions are collaborative, with a focus on personalized treatment aligned with patient goals. Initial evaluations are 75 minutes; follow-ups are 45. She is a real human dedicated to helping patients and families live authentically and with confidence.

Dr. Upton Thomas is a board-certified psychiatrist who takes a warm, collaborative, and evidence-based approach to care. With a focus on treating mood disorders, anxiety, OCD, and substance use, he integrates psychopharmacology and psychotherapy to support patients in achieving meaningful change. He brings curiosity, creativity, and a deep respect for each individual’s story to his clinical work.

Patients often find Dr. Thomas easy to talk to and appreciate his calm, thoughtful demeanor. He emphasizes shared decision-making and believes that treatment works best when the patient’s values and voice are at the center. Dr. Thomas aims to create a safe space for honest dialogue and ongoing reflection as treatment evolves.

Dr. Thomas begins with a comprehensive evaluation to understand each patient’s mental health history, current concerns, and goals. He then develops an individualized treatment plan that may include medication, therapy, or both. He prefers to use the lowest effective dose of medications and often integrates psychotherapeutic strategies such as CBT, DBT, or insight-oriented work into his sessions.

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Dr. Erica Linnell is a board-certified adult psychiatrist. Her practice focuses on medication management and supportive therapy. Dr. Linnell is a graduate of Rutgers Robert Wood Johnson Medical School, from which she graduated with Alpha Omega Alpha honors and earned the Glasgow-Rubin Certificate of Commendation for Academic Achievement Award. Dr. Linnell trained in psychiatry residencies at Brown University/Butler Hospital and at Harvard University/Mass General Hospital.

During medical school and residency, Dr. Linnell volunteered in community outreach programs that provided preventive health education and clinical services to homeless and under-served populations, taught elementary school children about the importance of healthy eating and physical activity, and hosted monthly support meetings for adolescents living with chronic diseases and their parents to foster connections and mentorship.

Dr. Linnell uses a compassionate, affable treatment style in her practice that specializes in psychopharmacology with conjuctive psychotherapy. She has experience in treating patients with depression, anxiety disorders, PTSD, ADHD, and OCD.

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. Karina Fatova is a board certified psychiatrist who hails from New York City but has made New Orleans her home for the past ten years. She is a graduate of Albert Einstein College of Medicine in Bronx, NY, and she did her adult psychiatry residency at Tulane University in New Orleans, LA. She was proud to have her first position post-residency at the River Oaks Hospital Trauma Unit in New Orleans, LA where she treated patients with Complex PTSD and eating disorders. The Trauma Unit was one of a few of its kind nationally because it provided very specialized treatment that was affordable to many. Dr. Fatova then went on to work at the New Orleans Veterans Affairs Hospital for the last five years in its ambulatory outpatient mental health clinic. Though her passion is Complex Trauma/PTSD, she also regularly saw veteran patients who have been diagnosed with anxiety, depression, bipolar disorder, ADHD, and adjustment disorder. During her five years at the New Orleans VA, she received three special commendations from the director of the VA for feedback from her patients about her effective integrative approach to supportive psychotherapy and medication management. She believes that her rapport with her patients, and their therapeutic work together, is just as important as the medication she prescribes to heal or alleviate their symptoms. Dr Fatova employs psychodynamic therapy techniques, at times, to help those patients who would like to explore childhood experiences that may continue to impact them in their adult lives. With respect to medication management she regularly helps patients target symptoms such as sleep issues, nightmares, persistent worry, emotional dysregulation, frequent mood changes, impulsivity, and "toning down the nervous system," among others. She strongly believes that treatment decisions are best approached as a collaboration between patient and doctor. She sees young adults who are just starting their journey into adulthood, as well as adults who have been navigating life with challenges, which may include untreated, or poorly treated, mental health symptoms. Often, by the time Dr. Fatova sees a patient, they may have lost a significant amount of faith in their mental health doctors, and she is particularly attuned to helping individuals with this type of experience.