Zeshen Wu, MD

Background and credentials

Dr. Matthew Koller is a board-certified adult psychiatrist who completed his undergraduate training at The University of Texas at Austin. He earned his medical degree from The University of Texas Health Science Center at San Antonio and completed his general adult psychiatry residency at Baylor College of Medicine in Houston, TX, where he served as Chief Resident of Education in his final year of training.

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Treatment approach

Dr. Koller believes that understanding a patient fully is essential before treatment begins, emphasizing a collaborative and patient-centered approach to care. His practice is primarily focused on medication management, but he also incorporates supportive therapy and other therapeutic modalities as needed. He may recommend including a therapist in the treatment plan to ensure comprehensive, well-rounded care. He has experience treating a wide range of mental health conditions, including depression, anxiety, insomnia, personality disorders, bipolar disorder, PTSD, and psychotic disorders.

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What you can expect in a first visit

During the first visit, patients can expect a thorough and individualized psychiatric evaluation, where Dr. Koller takes the time to understand their symptoms, history, and treatment goals. He prioritizes open communication and shared decision-making, working closely with patients to develop personalized treatment plans. While medication management is the foundation of his approach, he remains flexible and adaptive, incorporating therapy and other interventions as needed to help patients achieve optimal mental health.

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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 Cardiel- Sam is Board Certified in both General Psychiatry and Child and Adolescent Psychiatry. He completed undergraduate training at University of Miami followed by medical school at St. Georges University. He has completed Residency in Psychiatry at Bergen New Bridge Medical Center and fellowship training for Child and Adolescent Psychiatry at Penn State University.  

His training in Child and Adolescent Psychiatry has given him a unique perspective on mental illness. He has found that these conditions rarely start in adulthood, but rather, are a product of multiple factors and years of lived experience. For this reason, Dr Cardiel- Sam approaches his patients through a trauma informed lens; an acknowledgement of the unique story and challenges that each individual has faced. He is comfortable treating a wide variety of psychiatric conditions including depression, anxiety, bipolar disorder, ADHD and many more.

Working with Dr Cardiel- Sam, you can expect holistic and collaborative psychiatric treatment. He believes that medication along with therapeutic treatment should fit seamlessly into a patient’s life, with minimal inconvenience. He strives to empower patients in shared medical decision making, making time to explain risks/benefits and alternatives for treatment.

Dr. Zac Myslinski is a staff psychiatrist who provides thoughtful, evidence-based care for adults facing a wide range of difficulties. He is committed to creating a welcoming, collaborative space where patients from all backgrounds, including but not limited to the LGBTQ+ community, feel heard and supported.

He earned his undergraduate degree in chemistry from Dartmouth College and his medical degree from Weill Cornell Medicine, where he received the Richard Kohl Prize for Excellence in Psychiatry. He completed his psychiatry residency at Harvard-Beth Israel Deaconess Medical Center, where he served as chief resident of the Consult-Liaison/Emergency Department Psychiatry service. He has also conducted research on Alzheimer’s disease and health system economics.

New patients can expect a personalized approach that includes discussion of both medication and therapy. Dr. Myslinski values understanding your treatment preferences and aims to serve as a consultant and collaborator in identifying the best path forward. He believes that developing a shared understanding of your background and current difficulties is essential to effective treatment.

Dr. Myslinski is well-trained in using a wide range of medications and interventions alongside talk therapy, especially cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT). His approach emphasizes flexibility, autonomy, and curiosity, with a focus on symptom relief and deeper self-understanding.

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Dr. Triston Wong is a board-certified adult psychiatrist who emphasizes a collaborative approach and strong therapeutic alliance in the treatment of psychiatric conditions. Though his practice focuses on medication management, Dr. Wong advocates for a holistic approach to treatment. He may incorporate elements of various psychotherapies, including supportive, cognitive-behavioral (CBT), and insight-oriented therapy. At times, Dr. Wong may believe that additional therapy is needed for the best outcome and recommend that you bring a dedicated therapist into your care team. Dr. Wong completed his undergraduate studies at Tulane University. He received his medical degree from Louisiana State University New Orleans School of Medicine, then completed his residency training in general psychiatry at Thomas Jefferson University Hospital in Philadelphia, PA. Dr. Wong has experience working with patients of widely varying backgrounds and socioeconomic statuses. He works primarily with adult patients struggling with depression, anxiety, trauma, and grief. ‍

Dr. Ramsey is board certified in general and child and adolescent psychiatry. His practice primarily focuses on medication management. He sees himself as a collaborator with therapists and counselors in caring for their shared patients and their families. He received his medical degree from the University of Tennessee Health Science Center in Memphis, TN. He completed his residency at West Virginia University Hospitals and WVU School of Medicine and a fellowship in child and adolescent psychiatry at the Yale Child Study Center, Yale University School of Medicine, and Yale-New Haven Hospital in New Haven and Middletown, CT. He completed his undergraduate studies at the University of Memphis. Dr. Ramsey remained in CT for two additional years, working in the Department of Children and Families, serving the state's at-risk youth and adolescents at a psychiatric residential treatment facility. He then returned to West Virginia University as clinical faculty in its School of Medicine. During the 12-year academic appointment, he had active roles in educating, training, and supervising medical students, general psychiatry residents, child and adolescent psychiatry fellows, and trainees from various disciplines. He worked for many years with adolescent males at both the Dually Diagnosed and Specialized Residential Treatment Centers within West Virginia University Healthcare. He provided outpatient and acute inpatient care, as well as hospital-based consultation services. Within the community, he provided medication evaluation and management services to residential treatment facilities and university student health. He has been seeing patients and collaborating with providers through telemedicine since 2016. While Dr. Ramsey specializes in working with patients with anxiety, he does not prescribe benzodiazepines.‍

Dr. Diane Papke holds the position of staff psychiatrist at Talkiatry. After graduating from medical school, she completed internship year in Internal Medicine at St. Joseph's Hospital in Phoenix, AZ, followed by two years of neurology residency at Barrow Neurological Institute before completing Psychiatric residency at Maricopa Medical Center in 2005. She then spent the majority of her time caring for SMI/seriously mentally ill patients with a mantra "propelling people forward to wellness.” Working on the supportive level of care for this population honed her skills to care for the highest level of outpatient care through ACT/assertive community treatment. She has a genuine interest in treating psychiatric disorders including anxiety, depression, PTSD, OCD, ADHD, and most specifically bipolar. She has experience treating medical comorbidities including neurologic disorders. In 2023, she extended her expertise and skills to the general population to include telehealth management of her patients. With a nonsense approach, she prides herself on collaborating with patients to attain their goals of optimum psychiatric health, believing that the cornerstone of a healthy partnership with any patient is a holistic approach. Listening with an open mind and heart while collaborating with her patients to provide the correct medication management and supportive care has always been the key for her. She is looking forward to meeting you!