Michelle Shya, LCSW

Background and credentials

Dr. Jenny Joseph is a board-certified adult psychiatrist. She earned her medical degree from St. George's University School of Medicine and completed her adult psychiatry residency at New York Medical College at Metropolitan Hospital Center. She has experience working with diverse patient populations and treating a range of psychiatric conditions.

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Treatment approach

Dr. Joseph specializes in medication management for various psychiatric conditions, including mood, anxiety, and psychotic disorders. She employs a patient-centered approach that emphasizes empathy, open communication, and collaboration. In addition to pharmacological treatment, she incorporates psychoeducation and supportive therapy to help patients better understand and manage their conditions. When beneficial, she may recommend additional therapy and coordinate care with a therapist to ensure comprehensive treatment.

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What you can expect in a first visit

During the first visit, patients can expect a thorough evaluation that explores their symptoms, treatment history, and personal goals. Dr. Joseph takes the time to listen and understand each patient's needs, ensuring that their treatment plan is tailored to their specific concerns. She provides a compassionate and structured approach to medication management while fostering a collaborative environment where patients feel supported in their mental health journey.

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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. 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.

Joseph Smith, LMHC, earned his Master's Degree in Clinical Mental Health Counseling from Eastern Kentucky University in 2015 and has worked with patients in a clinical capacity for the past six years. While in graduate school, he was exposed to various clinical and research experiences, where he found his passion in examining the motivational factors of human behavior. Joseph's academic work strengthened his interest to work with individuals in a therapeutic capacity, which ultimately led to advanced experiential training in crisis interventions and the treatment of individuals with severe and persistent mental illness. Before relocating to New York City, he worked with individuals in under-served communities in the Appalachian region. Joseph subscribes to a humanistic, motivational enhancement, and cognitive behavioral framework. Understanding the benefit of therapeutic rapport, Joseph fosters an environment of self-acceptance and self-awareness while promoting intrinsic motivation for patients to act as their own catalyst of change. In addition, Joseph has a passion for working with individuals from diverse backgrounds, the LGBTQIA+ community, women with reproductive challenges, and victims of domestic violence.

Rebecca Johnson, LCSW, is a dedicated mental health professional with experience in a variety of settings. With a MSW from Louisiana State University and licensure in multiple states, she brings a well-rounded, evidence-based approach to therapy.

Rebecca’s work spans multiple roles across in and outpatient settings, with a strong focus on individuals facing substance use, domestic violence, and co-occurring conditions. At Lower Key Medical Center, she served as an inpatient social worker and the Intensive Outpatient Program (IOP) coordinator, where she provided crisis intervention, therapy, and groups. In her role as IOP coordinator, she managed IOP tracks, ensuring patients receive comprehensive psychotherapeutic support via group and individual therapy.

Previously, her work at the Guidance/Care Center molded her expertise in crisis response, relapse prevention, and intensive therapeutic interventions, in various settings. Finally, her work as a Clinical Counselor at the Children’s Home Society, working closely with parents involved in the child welfare system, providing therapy and court-informed treatment recommendations further solidified this knowledge.

Rebecca uses a person-centered and eclectic style, modalities such as Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Internal Family Systems, and mindfulness-based. She believes in tailoring interventions to each client’s unique needs, fostering resilience and self-efficacy in their journey toward healing.

Shelah Radke, MD, JD, is a double board-certified Child and Adolescent and Adult Psychiatrist with over a decade of extensive experience in mental health care, specializing in the well-being of children, adolescents, and young adults. She currently serves in St. Louis, MO, where she is known for her dynamic leadership as a Medical Director and her robust clinical practice. Throughout her career, Dr. Radke has held pivotal roles, including Medical Director of Crisis Psychiatry Services at Mercy Hospital and key positions in several reputable outpatient clinics across the U.S. Her clinical acumen spans a diverse range of settings, from private practice and crisis care to specialized programs in residential and educational institutions. A staunch advocate for evidence-based approaches, Dr. Radke integrates lifestyle and pharmacological interventions to foster mental health resilience among her patients. She is particularly passionate about the shared decision-making model, which enhances patient empowerment and satisfaction by actively involving them in their treatment plans. Dr. Radke's academic contributions are equally notable. She has developed educational curriculums that significantly improve health outcomes and has shared her expertise through numerous media appearances and professional talks. Her commitment to medical education is reflected in her mentorship of nurse practitioners and her involvement in creating community psychiatry programs. Complementing her medical expertise, Dr. Radke holds a Juris Doctorate, with a focus on public health and social policy, which enriches her understanding of the legal and systemic aspects of healthcare. Her approach is deeply holistic, informed by her training in integrative medicine and her personal commitment to wellness, which she practices through nutrition, exercise, and travel with her family. Dr. Radke's professional journey is driven by a commitment to optimizing mental health outcomes and enhancing the quality of life for her patients and their families.

Dr. Maria Teresa Carvajal is an adult, child, and adolescent psychiatrist. She is originally from Guayaquil, Ecuador, and is bilingual in Spanish and English. Dr. Carvajal earned her medical degree from Universidad de Guayaquil in Ecuador. She then participated in a medical program at The William J. Harrington Training Program for Latin America and the Caribbean, at Jackson Memorial Hospital, an affiliate of the University of Miami in Florida. Afterwards, she completed her adult psychiatry residency at Icahn School of Medicine at Mount Sinai, Bronx Care Health System, and her fellowship in child and adolescent psychiatry at Northwell Health in New York. She has experience working in various settings, including inpatient, outpatient, and emergency departments. Dr. Carvajal has submitted and presented work to the American Psychiatric Association and has also collaborated on a book publication. Dr. Carvajal has experience treating children and adults with anxiety, depression, OCD, PTSD, ADHD, dementia, etc. She utilizes medication management in conjunction with emotional and supportive therapy in 30-minute follow-up visits. She is passionate about her work and understands the impact of mental illnesses in daily life activities and in the family system. She will work with each patient in an individualized manner and will tailor personalized treatment plans that may include pharmacological treatment. In addition, Dr. Carvajal may recommend including a therapist in your care team to provide the best outcome.‍