Functional and Integrative Mental Health Care
About us
Compassionate Care, Tailored to You
We are a telehealth mental health clinic proudly serving patients in Arizona, Alaska, Oregon, Montana, Wyoming, and North Dakota. Through our secure telehealth platform, you'll connect with experienced psychiatric professionals who specialize in assessment and treatment tailored to your unique mental health needs. Our mission is to provide accessible, compassionate, and holistic mental health care by blending traditional psychiatric practices with integrative and functional medicine approaches. We believe in treating the whole person — mind, body, and spirit — to support lasting healing and wellness.
Our Integrative Approach
At Virtual Med, we use an integrative model of care that combines evidence-based psychiatric medication management with adjunctive treatments such as natural supplements, vitamins, herbs, and lifestyle interventions. Our goal is not only to reduce symptoms but also to improve overall well-being. We provide psychiatric services for a wide range of mental health conditions including Anxiety, Depression, Bipolar Disorder, Trauma/PTSD, Substance Use, Insomnia, OCD, Stress Management, and Grief.
For patients who wish to explore it, we also provide careful, supervised support in tapering or discontinuing psychotropic medications, always prioritizing safety and collaboration with the individual’s goals.
Functional Medicine Focus
We recognize that mental health symptoms often have complex underlying causes. Our functional medicine approach seeks to uncover and address these root causes through comprehensive assessment and, when appropriate, specialized testing.
This may include:
- Blood work
- Genetic testing
- Mold and toxin exposure testing
- Hair mineral analysis
- Organic acid testing
- Hormone and nutritional assessments
By understanding the deeper biological, environmental, and lifestyle factors influencing mental health, we can create more targeted, sustainable treatment plans.
Why Choose Us
We are more than a clinic — we are your partners in wellness. Whether you’re looking for conventional care, integrative support, or a functional medicine plan tailored to you, we provide personalized, patient-centered treatment to help you move toward stability, resilience, and long-term wellness.
our providers
Mianna Gale, DNP, APRN, PMHNP-BC
Mianna Gale is a board-certified Psychiatric Mental Health Nurse Practitioner and the founder of Virtual Med. She is passionate about helping patients heal through integrative and functional approaches to mental health, blending evidence-based psychiatric care with lifestyle, nutritional, and holistic strategies.
Mianna holds a Doctor of Nursing Practice from Arizona State University. She has also pursued additional training with certifications in Functional Medicine, Integrative Psychiatry, and Deprescribing of Psychotropic Medications reflecting her commitment to treating the root causes of mental health conditions while supporting overall wellness.
Tyler Gale APRN, FNP-BC
Tyler Gale is a board-certified Family Nurse Practitioner and co-founder of Virtual Med. He has over a decade of critical care and family medicine experience. A U.S. Navy veteran (1998–2004) and current U.S. Air Force Major, he serves as a Flight Commander and Family Nurse Practitioner, specializing in family practice, flight medicine, military medicine, and operational medicine.
Named the U.S. Air Force Advanced Practice Provider of the Year in 2022, Tyler cares for patients across the lifespan and has deployed in support of major operations, most recently serving in East Africa with Special Operations forces. He brings the same dedication to his patients at Virtual Med, providing compassionate, evidence-based care.