Anastasia Ruiz, MD

Dr. Rodriguez is a board-certified adult psychiatrist. He earned his medical degree from the David Geffen School of Medicine at UCLA and completed his residency at the University of Southern California. Dr. Rodriguez has experience working in a variety of settings, including inpatient, outpatient, community mental health, and correctional facilities.

Dr. Rodriguez specializes in treating depression and anxiety. He acknowledges that while medications can be necessary, they are not magic, and a holistic approach is essential for achieving mental health. With this understanding, Dr. Rodriguez spends time getting to know his patients, focusing on helping them achieve mental wellness rather than simply prescribing medications. When he became a doctor, he made a pledge to "do no harm." He takes this commitment seriously and only prescribes medications, especially those with addictive properties, when it is safe and clearly indicated.

The first one or two appointments focus on a thorough assessment to establish a provisional diagnosis, which is essential for effective treatment planning. Once this initial diagnosis is made, Dr. Rodriguez collaborates with his patients to develop tailored treatment recommendations. During follow-up appointments, he actively listens to his patients and proposes adjustments to the treatment plan as needed.

Dr. Orejarena is board certified by the American Board of Psychiatry and Neurology. She finished her residency from Yale University and the University of Texas Houston. She has done extensive research on psychiatry during her PhD in Neuropsychopharmacology and a Master's in Neuroscience. She is bilingual in Spanish and English. She incorporates different therapy modalities and evidence-based treatments, tailored to each person's needs. She enjoys applying her knowledge in neuroscience and pharmacology into her clinical practice and believes a combination of medication and psychotherapy yields the best treatment outcomes.

Her ultimate goal is to help patients feel their best and accomplish their own goals by developing tools to navigate internal or external obstacles that are part of life. Dr. Orejarena is originally from Colombia, where she earned her medical degree from Universidad Industrial de Santander. She pursued a Master's in Neuroscience at the University of Barcelona and a PhD in Neuropharmacology at the Universidad Pompeu Fabra in Barcelona, Spain. Her PhD thesis was honored summa cum laude.

She completed a postdoctoral fellowship training at the Institut de Neurobiologie de la Mediterranee in Marseille, France. She is the author of multiple peer-reviewed publications and has presented her research at national and international meetings. Over the years, she has worked in a variety of settings including outpatient clinics, acute care, psychiatric hospitals as an Assistant Professor of Psychiatry at the University of Texas Health Sciences Center.‍‍

Dr. David Wait, MD is American Board of Psychiatry and Neurology certified and a fellow of the American Psychiatric Association. A skilled psychopharmacologist and psychotherapist, he has over 30 years’ experience successfully helping people overcome a diverse range of emotional, psychiatric, and addiction challenges.

David was born in Sioux Falls, South Dakota, and is a graduate of Augustana College. He obtained his MD at the USD School of Medicine. His residency was at the University of Arkansas for Medical Sciences (UAMS) in Little Rock where he was trained in both psychotherapy and biological management of psychiatric challenges.

Following residency training, Dr. Wait continued to work with UAMS and the State of Arkansas in research and program development focusing on implementing and then teaching novel strengths focused care for people with severe mental illness for the first 12 years of his career.

Later, Dr. Wait moved with his wife and three children to Coeur d'Alene, Idaho. He has since been in clinical practice and leadership roles in inpatient, outpatient, and telehealth psychiatric care settings.

Rather than focus primarily on illness or problems, Dr. Wait’s approach is to first evaluate his patients comprehensively, then utilize what’s learned from this to treat and empower them to make and then practice choices that lead to improved health and well-being, using an integrative model that recognizes that mental, physical, social, and spiritual health are one.

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Dr. Osman Athar is board certified in General Psychiatry and board eligible in Consult-Liaison Psychiatry. He graduated with a Bachelor of Arts in English from Rice University and McGovern Medical School for his medical doctorate, and went on to complete a psychiatry residency at the University of Texas-Houston, where he served as a chief resident. Afterward, he completed a fellowship in Consult-Liaison Psychiatry at Louisiana State University - Ochsner Medical Center in New Orleans. Dr. Athar has experience in treating a wide variety of conditions, including Major Depression, OCD, Bipolar Disorder, ADHD, Eating Disorders, Anxiety Disorders, PTSD, Substance Use Disorders, Delirium, Dementia, and Mental Disorders due to Another Medical Condition. Dr. Athar primarily focuses on medication management in his practice but will typically also use supportive therapy and cognitive behavioral therapy skills with his patients in order to maximize wellness and recovery. Dr. Athar held an academic appointment at the University of Mississippi Medical Center where he was an assistant professor of psychiatry. He served as the clerkship director for the Medical Neuroscience and Behavior Course during his appointment, which required a six-week course for third-year medical students, which included four weeks of psychiatry education. During his appointment, Dr. Athar was also very active in resident education, focusing on topics related to consult-liaison psychiatry. Dr. Athar has experience in treating a wide variety of conditions, including Major Depression, OCD, Bipolar Disorder, ADHD, Eating Disorders, Anxiety Disorders, PTSD, Substance Use Disorders, Delirium, Dementia, and Mental Disorders due to Another Medical Condition. Dr. Athar primarily focuses on medication management in his practice.

Dr. Kristofer Joondeph-Breidbart is a board certified adult psychiatrist. He earned his undergraduate degree and Master's in Teaching from Boston University, followed by his medical degree from the University of Massachusetts Medical School. Dr. Joondeph-Breidbart completed his residency in general adult psychiatry at Cambridge Health Alliance, a Harvard teaching hospital. Currently, Dr. Joondeph-Breidbart serves as a staff psychiatrist at Harvard University Health Services, where he works with both undergraduate and graduate students. He has developed significant expertise in working with LGBTQ individuals through his involvement with the Gender and Sexuality Clinic at Cambridge Health Alliance and the LGBTQ Interdisciplinary Team at Harvard University Health Services. While he has extensive expertise in treating college-aged young adults, his practice also includes a broad range of patients, with a particular specialization in Obsessive-Compulsive Disorder (OCD). He is trained in Exposure and Response Prevention Therapy, a highly effective treatment for OCD. Dr. Joondeph-Breidbart takes a holistic approach to mental health care, integrating therapy into his sessions and collaborating with patients to develop individualized medication regimens that best meet their needs. His gentle and understanding approach helps create a supportive environment for his patients, fostering their mental and emotional well-being.

Background  and credentials    

Dr. Christa DeFries is a board-certified Adult Psychiatrist. She earned her  medical degree from UT Southwestern Medical School in Dallas, Texas, and  completed her residency in Adult Psychiatry at Baylor Scott & White in  Temple, Texas. Following residency, Dr. DeFries gained additional experience  treating homeless and formerly homeless populations in New York City,  particularly focusing on individuals with histories of trauma and substance  addiction, prior to joining Talkiatry.    

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Treatment approach    

Dr. DeFries practices Adult Psychiatry, employing an integrative treatment  approach combining medication management, psychotherapeutic methods, and  lifestyle modifications. She recognizes that each patient benefits from a  personalized mix of these three aspects of care. Dr. DeFries specializes in  treating diverse psychiatric conditions, including those related to trauma,  substance addictions, and various mental health disorders.    

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What you can expect in a first visit    

In a first visit with Dr. DeFries, patients can expect a comprehensive  evaluation aimed at understanding their individual mental health history,  specific concerns, and overall treatment goals. Dr. DeFries emphasizes an  individualized approach, carefully exploring the best combination of  medication, therapy, and lifestyle adjustments tailored specifically to each  patient's needs. Patients can anticipate an empathetic and collaborative  environment focused on their personal experiences and goals.    

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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.