
Henry Guajardo, MD
Dr. Henry Guajardo is a psychiatrist who strives to help people overcome their challenges, not merely endure them. He earned his M.D. from UT Southwestern Medical Center and completed psychiatry residency at Baylor College of Medicine, where he served as Chief Resident of the outpatient clinic. He also trained at The Menninger Clinic, a world-renowned inpatient treatment center. He has worked with individuals facing burnout, relationship conflict, attention and focus difficulties, anxiety, attachment issues, childhood trauma, and questions of meaning and purpose.
Dr. Guajardo’s reassuring demeanor sets patients at ease, allowing them to open up at their own pace. He uses psychotherapy as a core part of his treatment approach, drawing from motivational interviewing (helping patients find their own reasons for change) and psychodynamic psychotherapy (exploring how past experiences shape current patterns). He has ample experience managing complex cases, and is adept with advanced medication approaches for patients with refractory symptoms. He also has expertise supporting patients who are taking a closer look at their relationship with alcohol, nicotine, cannabis, or compulsive behaviors such as gambling or pornography use.
Dr. Guajardo uses the initial appointment as an opportunity to understand his patient’s background thoroughly and define treatment goals. He aims to thoughtfully interweave medication management and psychotherapy at every visit.
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Holly Shiao, MD
I am a psychiatrist interested in the mind-body connection in overall emotional and mental well-being. I have worked extensively with medically complex patients, including a special focus in psycho-oncology with cancer patients. I like to integrate therapy modalities, such as cognitive behavioral therapy, supportive therapy, mindfulness and meditation with medication management to optimize a patient's mental health.
I am double board-certified in Consultation-Liaison Psychiatry and Adult Psychiatry and have been practicing for over 7 years. Before Talkiatry, I worked as an Assistant Professor at the University of Washington and Fred Hutchinson Cancer Center. I also worked as an Assistant Professor and was Director of Emergency Psychiatry at the University of Chicago. I have presented nationally at the Academy of Consultation-Liaison Psychiatry and written a book chapter about psycho-oncology.
I attended medical school at John P. and Kathrine G. McGovern Medical School at the University of Texas Health Science Center at Houston. I then completed an Adult Psychiatry residency at the University of Texas Medical Branch at Galveston, followed by a Consultation-Liaison fellowship at Dell Medical School at the University of Texas at Austin.
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Isabel Colon Garcia, MD
I earned my medical degree from Universidad Central del Caribe in Puerto Rico and completed my psychiatry residency at John Peter Smith Hospital in Fort Worth, Texas, with extensive training in community outpatient, inpatient, and emergency psychiatry settings. I am fluent in English and Spanish.
I approach care with compassion and value creating a collaborative environment with open communication and patient-centered treatment goals. My practice integrates medication management with supportive psychotherapy, while considering lifestyle modifications.
I begin with a comprehensive evaluation of your history, concerns, and treatment goals using evidence-based approaches. Follow-up appointments focus on monitoring progress and adapting care as needed.

Jacob Kannarkat, MD
My practice focuses on medication management. In my visits, I use an integrative approach, blending an empathic, problem-solving orientation with an understanding that the reasons for an individual's condition can be complex. I have experience dealing with many forms of mental illness and work collaboratively with my patients and their other treatment providers in making a plan for recovery.
I completed undergraduate studies at the University of Florida. After receiving my medical degree at the University of Miami Miller School of Medicine, I continued for residency at the University of Miami/Jackson Health System. I ultimately completed my training as Chief of Psychiatric Emergency Services at Yale School of Medicine. I have experience working with adults of all ages who are dealing with depression, anxiety, bipolar disorder, PTSD, substance use disorders, and many other conditions.

Jacqueline Fenn, MD
Dr. Jacqueline Ann Fenn earned her medical degree from the University of Illinois College of Medicine and completed her psychiatry residency at Baylor College of Medicine, where she served as chief resident. She pursued subspecialty training in Reproductive Psychiatry and Clinical Education and completed a fellowship in Consultation-Liaison Psychiatry with experience in transplant and reproductive psychiatry. She also holds a doctorate in neuroscience from Michigan State University and is a member of the Gold Humanism Honor Society.
Dr. Fenn values the mind-body connection and creates holistic treatment plans that may include medication, supportive therapy, and lifestyle changes. She prioritizes building strong rapport and providing a welcoming, collaborative environment. She emphasizes open dialogue and shared decision-making, and may recommend additional therapy when helpful. She has experience treating diverse psychiatric conditions, with a focus on women’s mental health and perinatal care.
Dr. Fenn begins with a comprehensive evaluation of symptoms, history, and lifestyle, followed by setting personalized goals. Treatment plans are flexible and refined over time, sometimes requiring multiple visits for clarity. She uses screening tools to track progress and incorporates medication management, supportive therapy, and psychoeducation to empower patients.

James Bolton, MD
I will do my best to thoroughly and carefully work with my patients to determine the most accurate psychiatric diagnosis or diagnoses possible. While working together, I may ask sensitive questions, but will do so in a nonjudgmental way with the only goal of helping my patients. I also work in psychotherapy techniques during our sessions. I take a holistic approach when working with patients, one that focuses on multiple aspects of their lives. I pride myself on creating a safe and nonjudgmental space where the focus is simply on helping patients. I strive to work collaboratively with my patients to ensure that we are both on the same page when it comes to their mental healthcare.
I was born and raised in South Texas and was a teacher before becoming a physician. I completed medical school training and residency at Texas Tech Health Sciences Center in Lubbock, TX. I have wanted to be a psychiatrist for as long as I can remember.

James Ritchie, DO
I am trained in both adult and child & adolescent psychiatry, with a focus on the diagnosis and treatment of depressive disorders, anxiety disorders, trauma- and stressor-related disorders, and ADHD. I emphasize a holistic approach, combining medication management and psychotherapy, and I utilize principles from Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and supportive psychotherapy. This method is supported by research indicating improved patient outcomes.
I received my bachelor's degree in biology with a minor in French from The University of Central Florida. I completed medical school at Campbell University School of Osteopathic Medicine, followed by a General Psychiatry residency and Child and Adolescent Psychiatry Fellowship at Texas Tech University Health Sciences Center. My professional experience includes working in inpatient psychiatric hospitals, consult-liaison psychiatry, outpatient clinics, intensive outpatient programs (IOP), partial hospitalization programs (PHP), and emergency rooms. This broad range of experience allows me to provide comprehensive, individualized care to patients at all stages of life.
Patients can anticipate a thorough initial evaluation during their first visit with me. I conduct a comprehensive assessment to understand the patient's symptoms, history, and personal circumstances. This session sets the foundation for collaboratively developing an individualized treatment plan focused on the patient's specific needs and goals.

Jason Chin, MD
I value patient autonomy and strive to provide the knowledge needed for patients to make informed decisions. I prioritize building a strong therapeutic alliance and integrating evidence-based medicine to guide care. I begin by listening to the patient's full story to understand them as a whole, exploring their past, present, and future to create a comprehensive treatment plan designed to empower patients to move forward and improve their mental health. I also specialize in interventional treatments, including Electroconvulsive Therapy (ECT) and Transcranial Magnetic Stimulation (TMS).
I earned my Bachelor's degree from Duke University and my M.D., along with completing my psychiatry residency, at Wake Forest University School of Medicine. I am board-certified in psychiatry and bring extensive experience from both outpatient and inpatient settings.
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Jency Sachidanandam, MD
I emphasize the importance of addressing both physical and mental health to achieve a good quality of life. I believe that mental health is interconnected with physical well-being and that treating one aspect without the other leads to incomplete care. My holistic approach involves medication management, psychotherapy, and lifestyle modifications to promote overall health. I am skilled in providing supportive psychotherapy and using psychodynamic therapy techniques to help patients understand and address their current stressors and underlying issues.
I completed my Residency and Fellowship at Texas Tech University Health Science Center in El Paso, gaining extensive training in diagnosing and treating various psychiatric conditions. As a Child and Adolescent Psychiatrist at Texas Tech, I work with a diverse patient population, addressing psychiatric disorders like depression, anxiety, bipolar disorders, PTSD, and OCD.
I have shown a genuine commitment to my patients and a passion for helping them achieve their best possible outcomes. I am dedicated to staying current with the latest advancements in psychiatry and continuously improving my skills to provide the highest standard of care. My compassionate and patient-centered approach has earned me the respect and trust of my patients and colleagues alike.

Jennie Hall, MD
Dr. Jennie F. Hall is a psychiatrist with 31 years of experience in outpatient and inpatient settings, previously affiliated with the Michael E. DeBakey VA Medical Center in Houston, Texas. She earned her MD from the University of Texas Medical School at Houston (now McGovern Medical School at UTHealth), completed her General Psychiatry residency at Baylor College of Medicine through the Menninger Department of Psychiatry and Behavioral Sciences, has been board certified by the American Board of Psychiatry and Neurology since 1996, and has held faculty appointments at Baylor College of Medicine and McGovern Medical School.
Dr. Hall believes patients and their psychiatrist work as a team. She welcomes your input to help establish and refine your treatment goals while providing a warm, comfortable, and supportive environment where you are treated with compassion, respect, and understanding.
Dr. Hall begins by gathering a thorough history, including your concerns and goals. Together, you'll develop an individualized treatment plan, and she'll encourage open communication as your needs evolve through medication management and supportive psychotherapy.

Jennifer Hailey, DO
I have a genuine interest in treating a vast array of psychiatric disorders including depression, anxiety, post-traumatic stress disorders, obsessive compulsive and personality disorders. I also have experience in treating patients with medical comorbidities and have training in issues related to women's health.
I am a board-certified psychiatrist who completed my undergraduate training at Michigan State University, followed by medical school at Nova Southeastern University College of Osteopathic Medicine. I completed my residency in psychiatry at Michigan State University. I have worked in many different settings including private hospitals, jails, military treatment facilities, and private practice. I enjoy educating fellow providers who specialize in psychiatry as well as other areas of medicine.

Jennifer Ruch, DO
I am a board-certified psychiatrist who strives to understand my patients' lived experiences and aspirations to develop supportive therapeutic relationships through empathetic listening, mutual trust, and respect. I collaboratively create individualized care plans that align with personal treatment goals in a safe and judgment-free environment.
After completing my Bachelor of Science degree in Human Biology with a focus in psychology from the University of California, Merced, I earned my medical degree from Lake Erie College of Osteopathic Medicine. I completed my General Psychiatry Residency at Arnot Ogden Medical Center in New York.
My clinical experience involves treating individuals of all age groups from diverse populations and socioeconomic backgrounds suffering from anxiety, depression, bipolar disorder, psychotic disorders, neurodevelopmental disorders, and neurocognitive disorders. I have provided care in inpatient and outpatient psychiatric facilities, the Veterans Affairs Medical Center, emergency rooms, state facilities, and an inpatient chemical dependency center. I also performed pre-procedure psychological evaluations for bariatric and spinal cord surgeries, and psychiatric consult liaison services on medical units, and I have clinical training in inpatient and outpatient neurology. My clinical experience incorporated treatment modalities such as pharmacotherapy and interventional psychiatry, including Transcranial Magnetic Stimulation and Spravato. I integrate a wide array of psychotherapy as needed; however, my practice primarily focuses on medication management while utilizing referrals to therapists and providing collaborative care for optimal outcomes.
Find a psychiatrist in San Antonio, TX
Talkiatry psychiatrists are licensed in Texas and see San Antonio residents by video. If you have been searching for a psychiatrist in San Antonio, TX, care happens from home, on your schedule, with no commute and no local waitlist. Because visits are online, you are not limited to the psychiatrists who happen to have a San Antonio office.
Online psychiatry for San Antonio residents
You start by answering a few questions online about where you live, what you are dealing with, and your history. Talkiatry matches you with a psychiatrist licensed in Texas, and you meet by video from home.
First visits are 60 minutes, and follow-ups are usually about 30 minutes. That first hour gives you and your psychiatrist time to talk through what is going on and build a plan.
A psychiatrist has to be licensed in the state where you are during the visit. That is why this page is organized by state and city. As long as you are in Texas for your appointment, an online psychiatrist in San Antonio works the same as one down the street.
What a psychiatrist can help with
Psychiatrists at Talkiatry treat a range of conditions, including anxiety, depression, and ADHD. They also work with people who have bipolar disorder, OCD, PTSD, postpartum depression, insomnia, and substance use disorder.
Whether you want an ADHD psychiatrist in San Antonio or help with anxiety, care is matched to what you need.
Psychiatrists are medical doctors, so they can prescribe and manage medication when it fits your plan. Medication is prescribed when clinically appropriate and legally permissible; a prescription is never guaranteed, and some medications may not be available for online prescribing. Your psychiatrist will discuss options.
If you also want talk therapy, Talkiatry has therapists who work alongside your psychiatrist.
Does insurance cover a psychiatrist in San Antonio?
Talkiatry is in-network with major insurers, and your coverage is checked during the free assessment. Costs depend on your plan, so it is a good idea to confirm the details with your insurance company. If you have been looking for a psychiatrist in San Antonio that takes insurance, you can see your coverage before you book.
Mental health care in San Antonio
Access to psychiatric care is stretched across Texas. The state has 393 federally designated mental health professional shortage areas, and only about 32.2% of its need for mental health practitioners is met. An estimated 606 more psychiatrists would be needed to remove those shortage designations, according to KFF.
Online psychiatry helps close that gap by connecting you with a Texas-licensed psychiatrist without a local wait.
Psychiatry across Texas
For the full list of psychiatrists licensed across the state, visit our Texas psychiatrist page. If you are closer to another metro, you can also see psychiatrists serving Austin and Houston.
Start with a free assessment
Talkiatry is a national psychiatry practice that makes it easier to get care from doctors who listen. Start by answering a few questions online, then get matched with a psychiatrist licensed in Texas.
From there you can schedule a video visit, often within days, and meet with your provider from home. First visits are 60 minutes, so there is time to talk through what is going on and build a treatment plan together. Talkiatry is in-network with major insurers, and you can check your coverage during the assessment.
Take our free online assessment
This page is for general education and is not medical advice. If you are in crisis or thinking about harming yourself, call or text 988 to reach the Suicide and Crisis Lifeline, or call 911.
Can I just go straight to a psychiatrist?

In most cases, yes. You do not need a referral to book with a Talkiatry psychiatrist. You start with a short online assessment and get matched with a provider. Some insurance plans still ask for a referral, so it is worth checking your plan first.
Who is the best psychiatrist in San Antonio, Texas?

There is no single "best" psychiatrist, because the right fit depends on your needs, your condition, and how you like to work with a doctor. Talkiatry matches you with a psychiatrist licensed in Texas based on what you are dealing with. A good match is one who listens, explains your options, and builds a plan with you.
What is the 3 month rule in mental health?

There is no single official "three-month rule" in psychiatry. The phrase usually points to the fact that some diagnoses depend on how long symptoms last. Clinicians often look at how many weeks or months certain symptoms have been present before naming a condition. A psychiatrist can walk you through what the timing means for your situation.
How much does a psychiatrist cost in Texas?

Costs depend on your insurance plan, so there is no single price. Talkiatry is in-network with major insurers, and your coverage is checked during the free assessment. Because plans differ, it is a good idea to confirm your share of the cost with your insurance company before you book.