Anastasia Ruiz, MD

Dr. Monica Badillo is double board-certified in child and adolescent psychiatry and adult psychiatry by the American Board of Psychiatry and Neurology. She received additional training and certification in Psychodynamic Psychotherapy at the New York Medical College Psychoanalytic Institute. Dr. Badillo is bilingual and speaks Spanish and English to deliver quality care for patients and parents. She provides medication management while incorporating psychoeducation, supportive, and psychodynamic psychotherapies. Generally, she employs 30-minute follow up sessions, and she may request a psychotherapist to participate in treatment. She listens and builds rapport with patients and families, while utilizing a trauma-informed, patient-centered, comprehensive, and collaborative approach. She completed her undergraduate degree at Fordham University in New York, and subsequently received her medical degree from Ross University School of Medicine in Dominica. She then completed general psychiatry residency and child and adolescent psychiatry fellowship at the Icahn School of Medicine at Mount Sinai, BronxCare Health System. She excelled in her program and was awarded honors as Chief Fellow in achievement and professionalism. After completing training, Dr. Badillo continued to work at the institution as an attending psychiatrist in the Child and Adult Outpatient Services, Pediatric Comprehensive Psychiatric Emergency Program (CPEP), and Pediatric Consultation Liaison services. She has held leadership roles, and instructed medical students, fellows, and resident physicians. Dr. Badillo has treated patients of all age ranges and diverse backgrounds in community mental health settings. Her primary focus is treating children, adolescents, and young-early adults for depression, anxiety, bipolar disorders, ADHD, trauma-related disorders, disruptive behavior disorders, and other psychiatric conditions.

Dr. Alexandra Held is a general psychiatrist who holds a bachelor’s degree in psychology. She completed her psychiatry training at the University of Miami Miller School of Medicine. Her clinical interests include mood and anxiety disorders, PTSD, and OCD. She is passionate about incorporating psychotherapeutic tools into her practice, including supportive psychotherapy.

Dr. Held takes a warm, collaborative, and nonjudgmental approach to care. Her goal is to create a safe and supportive space where patients feel heard and empowered to take an active role in their treatment, using a combination of supportive psychotherapy and medication management.

During the first few sessions, Dr. Held will take time to get to know the patient—their history, current concerns, and what they hope to achieve through treatment. Together, they will develop a comprehensive plan that may include psychiatric medications and supportive therapy. Follow-up visits are typically focused on checking in, adjusting treatments if necessary, and continuing to build on progress.

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Dr. Jennifer Cenker is a board-certified psychiatrist with a strong foundation in science and mental health care. She earned her bachelor’s degree in Biology from John Carroll University, completed a PhD in Molecular Virology at Case Western Reserve University, and received her medical degree from The Ohio State University College of Medicine, where she also completed her Psychiatry Residency. She treats a range of conditions including ADHD, depression, anxiety, OCD, bipolar disorder, and PTSD/trauma.

Dr. Cenker values open communication and a strong therapeutic alliance, creating a supportive and collaborative environment where patients feel heard and respected. She develops individualized treatment plans that typically include both medication management and therapy, guided by evidence-based practices. She also promotes weight-neutral care and emphasizes health-supporting habits.

Dr. Cenker begins with a comprehensive initial appointment focused on understanding each patient’s history and treatment goals. She uses this information to build personalized treatment plans. Follow-up appointments include ongoing medication management and the integration of therapeutic techniques, ensuring care evolves with the patient's needs.

Dr. Sabrina Lefcochilos-Fogelquist earned her bachelor’s degree from Georgetown University and her medical degree from Sidney Kimmel Medical College at Thomas Jefferson University. She completed her psychiatry residency at the Icahn School of Medicine at Mount Sinai Morningside/West in New York City. She has experience in outpatient, inpatient, and emergency psychiatry, treating a broad spectrum of mental health conditions across diverse populations.

Dr. Lefcochilos-Fogelquist values compassionate, holistic care and strives to build long-term, collaborative relationships with her patients. She is particularly drawn to the outpatient setting, where she can engage with the evolving narratives of her patients’ lives. She creates a warm, supportive environment where individuals feel safe, respected, and heard.

Her process begins with a comprehensive evaluation to understand each patient’s history, concerns, and goals. Treatment plans are individualized and may include medication management and psychotherapy. She integrates supportive, cognitive behavioral, psychodynamic, and mindfulness-based techniques to meet patients' evolving needs.

Background and credentials

Dr. Agarwal is a board-certified adult psychiatrist. He obtained his bachelor's degree in Biological Sciences from the University of California at Irvine and graduated cum laude with his medical degree from the American University of Antigua. Dr. Agarwal completed his psychiatry residency training at the University of Central Florida, where he was elected chief resident.

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Treatment approach

Dr. Agarwal employs a collaborative and patient-centered approach, primarily focusing on medication management in combination with supportive therapy. He is a strong advocate of psychoeducation, believing it to be an integral part of effective psychiatric care. Dr. Agarwal specializes in treating adults experiencing depression, anxiety, PTSD, and insomnia. He is also experienced in managing patients with psychiatric conditions complicated by medical comorbidities such as obesity, hypertension, chronic pain, and diabetes.

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What you can expect in a first visit

Patients visiting Dr. Agarwal for the first time can anticipate a comprehensive evaluation conducted in a collaborative and supportive environment. Dr. Agarwal prioritizes understanding each patient's individual needs and concerns, creating a personalized treatment plan that integrates medication, supportive therapy, and psychoeducation. Follow-up visits typically last about 30 minutes, allowing time to adjust treatment and reinforce therapeutic strategies.

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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. Amada holds the position of staff psychiatrist at Talkiatry. She was born and raised in Queens, NY. She completed her undergraduate education at New York University, followed by medical school at SUNY Downstate College of Medicine in Brooklyn, NY. She went on to complete her psychiatry residency at Stony Brook University Hospital, where she received an award for academic achievement. Dr. Amada believes in a holistic approach to mental health that addresses lifestyle factors alongside medication management. She values the importance of both therapy and medication in treating mental illness.

Dr. Amada takes a collaborative approach to care and strives to involve her patients in every step of the treatment process. She believes in creating a safe, supportive, and nonjudgmental space where patients can openly discuss their concerns. While her focus is on medication management, she often recommends incorporating additional therapy into the treatment plan and may ask that patients work with a therapist to help achieve the best outcomes.

Dr. Amada works closely with her patients to develop personalized treatment plans. She believes in open communication, shared decision-making, and taking into account the whole person when addressing mental health concerns. Her goal is to ensure that patients feel heard, supported, and actively engaged in their care.

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