Ian Thistlethwaite, MD

Background and credentials

Dr. Jonathan Myrtil is a board-certified adult psychiatrist. He earned his medical degree from Ross University School of Medicine and completed his residency in Adult Psychiatry at the University of Central Florida, affiliated with North Florida Regional Medical Center. After completing his training, he remained at North Florida Regional as an adult psychiatrist and supervising physician, gaining experience treating patients in inpatient, outpatient, partial hospitalization, and intensive outpatient program (IOP) settings.

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Treatment approach

Dr. Myrtil takes a collaborative approach to psychiatric care, integrating medication management with supportive therapy to provide well-rounded treatment. His primary focus is on treating adults with mood and anxiety disorders, PTSD, and ADHD. He prioritizes patient involvement in treatment decisions, ensuring that care plans align with individual needs and goals.

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What you can expect in a first visit

Patients meeting Dr. Myrtil for the first time can expect a thorough evaluation where he assesses their symptoms, treatment history, and personal goals. He fosters a supportive and collaborative environment, working closely with patients to create a personalized treatment plan that incorporates medication management and therapeutic interventions tailored to their specific 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. Alejandra Vivas is board-certified in adult psychiatry and board-eligible in child and adolescent psychiatry. She completed her general psychiatry residency at Montefiore Medical Center and a child and adolescent fellowship at Mount Sinai School of Medicine. Dr. Vivas brings extensive experience from outpatient, emergency, and telepsychiatry settings. She has advanced training in CBT, Motivational Interviewing, and Psychodynamic Therapy. Fluent in English and Spanish, she is committed to culturally sensitive, individualized care.

Dr. Vivas fosters a warm, respectful, and professional space where patients feel seen and empowered. She values open communication and builds collaborative relationships to align treatment with each person’s values, goals, and lifestyle. Her approach is integrative and flexible, grounded in evidence-based methods to support lasting, meaningful change.

Dr. Vivas begins with a thorough evaluation to understand each patient’s history and goals. She creates customized treatment plans that may include therapy, medication, or both. Drawing on CBT, Motivational Interviewing, and Psychodynamic Therapy, she adapts care to meet evolving needs, aiming to relieve symptoms, foster resilience, and support long-term well-being.

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Dr. Kyra Munzenmaier is a board-certified psychiatrist dedicated to providing compassionate, personalized mental health care. A graduate of the University of South Florida's College of Medicine and former Chief Resident at St. Luke’s in Pennsylvania, Dr. Munzenmaier brings extensive training and experience in outpatient psychiatry. She particularly enjoys helping individuals dealing with insomnia, ADHD, anxiety, OCD, mood disorders, and medical trauma. As a Perinatal Mental Health-certified expert, she advocates for women’s mental health needs and supports individuals navigating mental health concerns during pregnancy and beyond.

Dr. Munzenmaier’s treatment approach is rooted in shared decision-making, prioritizing patient goals and preferences to create customized care plans, which typically include psychotherapy in combination with medication. She often integrates evidence-based lifestyle modifications and natural treatments to optimize personal well-being. By taking a holistic view of her patients’ challenges, Dr. Munzenmaier empowers her patients to lead their most fulfilling lives.

Farrah has worked almost exclusively in community mental health centers in Iowa and in Arizona for the last 15 years. She has been providing telepsychiatry services since 2013 across several states, serving hospitals, community mental health centers, local jails, and residential treatment facilities. Farrah was lead prescriber for Living Out Loud, a mental health program exclusively for LGBTQ+ persons. She has worked with patients with comorbid mental health & HIV+ status, and a long history of working with persons with severe mental illness.

Farrah has mentored countless new Psychiatric Nurse Graduates in their first year of outpatient practice and precepted students working to achieve their Psychiatric Nurse Practitioner Certification. She was also part of the pilot program for the Integrated Behavioral Health Home, which integrated primary care into treatment for SMI patients.

Farrah Lamoreux offers a warm patient centered approach to psychiatry. She is well known for being easy to talk to, and down to earth. Farrah believes that the patient is the most important part of the treatment team, and engaging patients in the decision-making process of their treatment. Patients say that she listens, they feel heard, and that she tailors care to what best fits your needs. She enjoys working with therapists whenever possible to ensure the best outcomes. Farrah specializes in the treatment of ADHD, but also treats Depression, PTSD, Anxiety, Panic, Agoraphobia, OCD, Autism and Bipolar Disorder.

Dr. Noor Zayed is a dedicated board-certified adult psychiatrist committed to improving mental health and empowering individuals to achieve their goals. After completing her undergraduate studies at The Ohio State University, Dr. Zayed earned her medical degree from Kentucky College of Osteopathic Medicine, where she was inducted into the Sigma Sigma Phi Honorary Osteopathic Service Fraternity. She then completed her residency at Loyola University Medical Center in Chicago, Illinois, where a significant focus was treating veterans at the Edward Hines VA Hospital. Dr. Zayed's experience spans both rural and urban settings, providing her with a comprehensive approach to mental health care. During her training, she received awards for Excellence in Professionalism and COVID Surge efforts. Her therapeutic style is characterized by empathy, respect, active listening, and collaborative relationships with patients, fostering a safe space for healing. Her practice focuses on medication management combined with psychotherapy, utilizing evidence-based approaches to provide personalized care. Dr. Zayed's clinic interests include treating depressive and anxiety disorders, PTSD, bipolar disorder, and substance use disorders.

Dr. Thomas O’Brien holds a Bachelor of Science degree from the University of Wisconsin–Madison and earned his medical degree from Midwestern University Chicago College of Osteopathic Medicine. He completed his psychiatry residency at Loyola University Medical Center. Dr. O’Brien has experience practicing across outpatient, PHP, IOP, and inpatient settings.

He strives to create a supportive environment where patients feel heard, respected, and understood. His approach emphasizes a holistic, whole-person method to healing, guided by the patient’s own goals and values. Dr. O’Brien integrates psychotherapy with medication management, drawing on his background in psychodynamic psychopharmacology and acceptance and commitment therapy.

Dr. O’Brien focuses on understanding each patient as a whole to create individualized treatment plans. This begins with a comprehensive history during the initial session to identify biopsychosocial factors. Treatment is then tailored to align with the patient’s unique goals and values, promoting meaningful progress.