Anastasia Ruiz, MD

Dr. Elena Perea is a board-certified psychiatrist.  She completed her undergraduate training at Wake Forest University followed by medical school and residency training at The University of North Carolina at Chapel Hill (UNC).

Dr. Perea holds an adjunct academic appointment at UNC and has been involved in medical education for her entire career.  She most recently served as Residency Program Director for the Mountain Area Health Education Center (MAHEC) psychiatry residency in Asheville, NC.  She remains involved in didactic education there for both residents and medical students.

She has a genuine interest in treating a vast array of psychiatric disorders including depression, anxiety, bipolar disorders, post-traumatic stress disorders and obsessive compulsive and related disorders. She is a skilled psychopharmacologist and interested in the mind-body connection. She believes physical health greatly affects mental health and vice versa and loves helping patients with medical comorbidities to feel well.

Patients looking for a psychiatrist will find that Dr. Perea has a comprehensive approach to diagnosis and management of her patients. She believes in the principle that body and mind are interconnected and utilizes psychoeducation and psychotherapeutic approaches in addition to medications for total wellness.

Dr. Upton Thomas is a board-certified psychiatrist who takes a warm, collaborative, and evidence-based approach to care. With a focus on treating mood disorders, anxiety, OCD, and substance use, he integrates psychopharmacology and psychotherapy to support patients in achieving meaningful change. He brings curiosity, creativity, and a deep respect for each individual’s story to his clinical work.

Patients often find Dr. Thomas easy to talk to and appreciate his calm, thoughtful demeanor. He emphasizes shared decision-making and believes that treatment works best when the patient’s values and voice are at the center. Dr. Thomas aims to create a safe space for honest dialogue and ongoing reflection as treatment evolves.

Dr. Thomas begins with a comprehensive evaluation to understand each patient’s mental health history, current concerns, and goals. He then develops an individualized treatment plan that may include medication, therapy, or both. He prefers to use the lowest effective dose of medications and often integrates psychotherapeutic strategies such as CBT, DBT, or insight-oriented work into his sessions.

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Dr. Dodd, a Board-Certified psychiatrist, graduated from the University of Georgia Honors Program with a B.S. in Chemistry, and earned her M.D. from the Medical College of Georgia. During her psychiatry residency in Greenville, SC, she was chief resident and gained extensive experience through moonlighting. She joined the faculty of Gateway’s Savannah residency program in 2021, where she served as Assistant Program Director, and continues to teach residents and students as an Assistant Professor at Mercer University and the Medical College of Georgia. In her community psychiatry practice, she specialized in Assertive Community Treatment, worked with First Episode Psychosis programs, a forensic Diversion-Reentry clinic, telehealth, and outpatient psychiatry, particularly serving graduate students, professionals, and their families in the Savannah area.

Dr. Dodd fosters a comfortable environment for patients at any stage of treatment. As a passionate educator, she enjoys providing psychoeducation and supportive therapy to help patients understand themselves, their relationships, and their motivations.

Dr. Dodd tailors treatment to each individual’s goals, preferences, and strengths. She uses her expertise in diagnosis and pharmacology to optimize care, monitor treatment success, and maintain progress, with the ultimate goal of helping patients feel and function at their best.

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Dr. Danielle Gelfond is an Adult Psychiatrist and a graduate from Loyola University Medical Center's residency program in Chicago, IL. Prior to attending residency, Dr. Gelfond graduated from Rush Medical College at Rush University. Throughout residency, Dr. Gelfond spent time focusing on her clinical interests which include mood disorders, anxiety disorders, substance use disorders, and women's mental health. During her training, Dr. Gelfond spent several years working with the Perinatal population and completed a year-long program focusing on Women's Mental Health through the National Curriculum in Reproductive Psychiatry organization. She held the role of Chief Resident of her program during the last two years of her training and received several awards commending her leadership style and rapport with patients through her program. Dr. Gelfond takes on a holistic and "patient-centered" approach in her treatment style. She incorporates both medication management, supportive psychotherapy, and discussions surrounding lifestyle and wellness into her appointments and emphasizes patient education and autonomy, which she believes helps support the therapeutic relationship, improve clinical outcomes, and helps treatment align with the patient's goals of care.

Dr. Deringer is a psychiatrist with board certification in general psychiatry and addiction psychiatry. She earned her M.D. from the University of Michigan Medical School, and she completed her psychiatry residency and addiction psychiatry fellowship training at New York University. She has previously held faculty roles at New York University School of Medicine and Harvard Medical School. She has been involved in training the next generation of psychiatrists through her past work on the Program Director team for the MGH-McLean Psychiatry Residency Program. She has expertise in treating adults with mood disorders, anxiety disorders, substance use disorders, personality disorders, trauma, and ADHD.

Dr. Deringer cares deeply about understanding each patient's unique experience.  She recognizes that mental health symptoms are impacted by an individual's biological make-up, social situation, and their individual way of interacting with others in the world.  She will assess all of these factors and work with you to develop an appropriate treatment plan to help you feel better and meet your goals.  She incorporates supportive psychotherapy into all of her patient meetings; this may include discussions of the role of nutrition, exercise, and sleep habits in your overall well-being.

Dr. Deringer will begin the evaluation process with a thorough one-hour session in which we will discuss your current symptoms, your prior treatment history, your medical history, and your goals for treatment.  At the end of that session, she will begin to formulate her diagnostic impression and treatment recommendations.  Sometimes, the evaluation process may require more than one session, and it may be helpful for Dr. Deringer to gather information, with your permission, from prior treatment or to collaborate with your therapist if you have one.  Dr. Deringer will work with you on a medication treatment plan, if clinically indicated, to help you manage your symptoms and achieve your treatment goals.

Background and credentials

Dr. Tyler Josephs is a staff psychiatrist at Talkiatry. He earned his medical degree from Kansas City University in 2017 and completed his psychiatric residency at the University of Kansas Medical Center in 2021. During his residency, he served as Chief Resident at both the University of Kansas Medical Center and the Kansas City VA Medical Center. Most recently, Dr. Josephs worked at the Kansas City VA Medical Center, where he was the psychiatric director of the outpatient mental health clinic and served as Psychiatry Executive for behavioral health services.

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Treatment approach

Dr. Josephs believes in a holistic approach to mental health treatment, integrating medication management, supportive psychotherapy, and collaboration with therapists and support staff. He tailors treatment to each patient's unique needs, ensuring a comprehensive and individualized approach to care. His expertise includes treating a variety of psychiatric diagnoses, such as depression, anxiety disorders (including OCD), ADHD, and PTSD.

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What you can expect in a first visit

In a first visit, patients can expect a thorough evaluation, where Dr. Josephs takes the time to understand their medical history, symptoms, and treatment goals. He emphasizes open communication and collaborative decision-making, ensuring that patients feel heard and supported. Based on this initial assessment, he will develop a personalized treatment plan, which may include medication management and referrals to therapy or other supportive services as needed.

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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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