Zeshen Wu, MD

Dr. Dominic Adams earned his medical degree from Eastern Virginia Medical School and completed his residency at the University of Mississippi Medical Center. He has experience treating a broad range of mental health conditions using both medicinal and psychotherapeutic interventions. Dr. Adams works with children, adolescents, and adults, and has training in cognitive behavioral and psychodynamic psychotherapy.

Dr. Adams strives to create a cooperative therapeutic experience that fosters open and empathetic communication. He values patient choice in treatment and prioritizes empowering patients through psychoeducation. Drawing on a variety of psychotherapeutic techniques, he tailors care to meet the unique needs of each individual.

Initial appointments with Dr. Adams include a thorough review of the patient’s concerns and the development of both patient and physician treatment goals. He discusses treatment options in detail, providing education on any medications, therapies, or interventions. Together, he and the patient select a dynamic treatment plan and set a follow-up schedule to monitor progress.

Background and credentials

Dr. James is a board-certified adult psychiatrist with 32 years of clinical experience. She earned her medical degree from Tufts University, Boston’s affiliated program and completed her residency training at Steward St. Elizabeth Medical Center in Boston, where she initiated the residency program and received the Resident Teaching Award for excellence in teaching. Throughout her career, she has served in various leadership roles, including as Chief of Psychiatry at Pro Medica Healthcare Company.

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Treatment approach

Dr. James specializes in community adult psychiatry and is deeply invested in providing comprehensive care for individuals and families. She has extensive experience working in outpatient, inpatient, consult-liaison, and emergency room settings, allowing her to tailor treatment to diverse patient needs. Her approach prioritizes holistic, patient-centered care, ensuring that each treatment plan aligns with a patient’s specific challenges and goals.

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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. James carefully reviews their symptoms, medical history, and treatment objectives. She fosters a compassionate and collaborative environment, ensuring that patients feel supported in their journey toward better mental health. Her extensive experience allows her to provide personalized treatment strategies, which may include medication management and therapeutic interventions 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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Bryce Thacker grew up in a rural community, where he learned the value of helping others achieve their best selves to support overall community health and well-being. With a passion for helping people live their best lives, he earned his undergraduate degree in biology from the University of Nebraska and completed his nursing education at Creighton University. He went on to earn a Master of Science in Nursing, specializing as a Family Nurse Practitioner and in Community Health, from Creighton University, and later completed a nursing practice degree at the University of Colorado with a focus on population and community health. He also holds a post-graduate certification in psychiatric mental health from Washburn University.

Bryce practiced family medicine for 18 years before transitioning to psychiatric mental health in 2022. His background in both physical and mental health gives him a holistic perspective on care. Since shifting his focus, he has helped individuals improve their quality of life through medication management for mood disorders, PTSD, anxiety, ADHD, and other mental health conditions. He continues to live in a rural community with his family and remains committed to helping people become their best selves.

Bryce believes that each person’s “best self” is unique and that mental health care should meet individuals where they are. He emphasizes a collaborative, client-centered approach, always keeping the individual’s goals at the heart of care. He is dedicated to helping clients identify and overcome the symptoms and stressors that interfere with their well-being, and he works to dismantle limiting beliefs or labels that may have been placed on them.

By taking the time to understand each person’s challenges and aspirations, Bryce helps clients find sustainable, holistic paths to wellness. His care is grounded in empathy, respect, and a deep commitment to supporting each person’s journey toward a fulfilling and balanced life.

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Dr. Troy Grantham is a board-certified staff psychiatrist who treats adult patients. A former engineer, Dr. Grantham has developed a passion for guiding patients along the road to recovery. He completed his undergraduate studies at The University of Texas at Austin and later completed medical school and residency in General Psychiatry at The University of Texas Medical Branch at Galveston. Dr. Grantham's practice focuses on medication management. He utilizes a systematic approach to ensure diagnoses are accurate and treatment plans are optimized to each individual patient. His approach is also holistic in nature, often incorporating therapy and lifestyle modification into the treatment plan. Dr. Grantham employs multiple therapeutic approaches in his practice depending on the needs of the patient including supportive therapy, Cognitive Behavioral Therapy (CBT), and Acceptance and Commitment Therapy (ACT). He places great emphasis on psychoeducation so that patients are aware of the nature and prognosis of their conditions as well as the treatment options available. When multiple treatment options are reasonable, Dr. Grantham takes patient preference into account, offering flexibility to the patient experience. He treats a variety of psychiatric disorders with a particular focus on mood disorders, anxiety disorders, obsessive-compulsive disorders, and trauma-related disorders.

Please note: Dr. Grantham does not prescribe long-term, daily benzodiazepine medications, however he is happy to help you taper off of these medications and transition to a safer, long-term medication regimen.

Dr. Emily Goncalves is a board-certified adult psychiatrist who earned her undergraduate degree at Syracuse University and medical degree from the American University of Antigua. She holds an MBA from Plymouth State University focusing on health care administration. She completed her adult psychiatry residency at Delaware Division of Substance Abuse and Mental Health, where she was chief resident and completed her fellowship in consultation liaison psychiatry at Jackson Memorial Hospital/University of Miami. Dr. Goncalves specializes in treating patients with psychiatric disorders with complex medical illnesses, cancer, and also has expertise in reproductive psychiatry. She is experienced in treating mood disorders, anxiety disorders, PTSD, psychosis, substance use disorders, and adult ADHD. Dr. Goncalves had the opportunity to work in various settings with a diverse patient population including veterans, inmates, cancer patients, and perinatal and postpartum patients. Dr. Goncalves provides medication management along with psychotherapy.

Dr. Ruchir Arvind is an Adult General psychiatrist. He is a Diplomat of the American Board of Psychiatry and Neurology. He has been practicing for 4 years.

Dr. Arvind believes in collaborative and educational approaches to address his client’s needs. He believes that therapy is a foundational part in building a long term therapeutic relationship with his clients. He tries to put some educational part in helping his client’s to have a deeper understanding about their illness and related struggles and needs. He likes to follow up closely regarding progress towards his client’s goals. He integrates psycho education in all sessions into explaining his reasoning behind the choice of treatment options based on evidence based medicine. He also provides a brief supportive psychotherapy and Cognitive Behavioral Therapy to aid in treatment for depression, anxiety and insomnia.

Dr. Arvind received his medical degree from PramukhSwami Medical College in India and completed his residency training at University of Texas Health Science Center in his Hometown of Houston, Texas. He held an academic position as a faculty with University of Texas Health Science Center – McGovern Medical School in Houston as assistant professor and enjoyed teaching opportunities.

During his pursuit for residency training in psychiatry Dr. Arvind had been extensively involved in clinical research understanding neurobiological and psychological aspects of development of different anxiety disorders and bipolar disorders as early as in childhood populations. He has had Publications for several peer-reviewed articles and manuscripts and presentations at annual conferences.

Dr. Arvind has experience in treating versatile patient populations. His areas of focus have been anxiety disorders, Acute stress and Post traumatic stress disorder, Attention Deficit Hyperactivity Disorder( ADHD ) and Attention Deficit Disorder ( ADD ) , Tics  and Tourette Syndrome ,Insomnia and depression. He has also worker with adults with Bipolar illness and pregnancy related anxiety and depression and helping clients with any psychiatric illness due to underlying neurological issues like Seizures, Multiple Sclerosis and NeuroCognitive Issues along with addressing Caregiver Burden for some clients.

Patients looking for a psychiatric provider will find Dr. Arvind’s approach in a gentle, friendly and educational way with a composed demeanor. He tends to approach Individualized treatment plans based on different needs for different clients and will always welcome any questions regarding the plan to reach Client’s Goals.