Boski Patel, MD

Dr. Earl De Guzman is a psychiatrist who values therapeutic partnership, working with patients to balance symptom relief with meaningful self-exploration. He earned his BS in Psychology from the University of California, Davis, and his MD from Ross University School of Medicine. He completed his psychiatry residency at Los Angeles County + University of Southern California Medical Center and a consultation-liaison psychiatry fellowship at Stanford University Medical Center. He is triple-board-certified in psychiatry, consultation-liaison psychiatry, and addiction medicine, and holds psychoanalytic psychotherapy training certification from the Psychoanalytic Center of California. Currently, he is a psychoanalyst-in-training at the New Center for Psychoanalysis. His expertise spans medication management, supportive therapy, and psychodynamic therapy.

Dr. De Guzman takes a collaborative, patient-centered approach, creating a warm and nonjudgmental environment. He listens deeply, asks thoughtful questions, and encourages honest exploration of symptoms and underlying patterns. He values authenticity, curiosity, and respect for each patient’s unique experiences. While symptom relief is important, his goal is to foster self-understanding and long-term growth. He works best with patients open to collaboration and motivated for change, whether through medication management, therapy, or both.

Dr. De Guzman begins with a consultation phase to ensure a good fit, listening carefully to understand each patient’s challenges and goals. Together, he and his patients build a working alliance by clarifying difficulties, identifying realistic changes, and exploring deeper patterns. When appropriate, he prescribes medication thoughtfully, aiming to support therapy rather than replace it. Each session integrates supportive and psychodynamic elements, combining medication review with therapeutic dialogue. Treatment plans are regularly revisited, allowing flexibility and growth, with the ultimate aim of empowering patients toward lasting change.

Dr. Jillian Saad is a board-certified adult psychiatrist who specializes in patient-centered care. She has been practicing for over 8 years in private practice and academic medicine .Dr. Saad focuses on medication management in 30-minute follow-up visits in conjunction with supportive and emotionally focused therapy. She takes a patient-centered approach that acknowledges all the psychosocial aspects of each individual to ensure they receive the most effective treatment possible. She received her medical degree from UMDNJ Robert Wood Johnson Medical School in Piscataway, NJ, then moved to Pennsylvania to complete her residency at Thomas Jefferson University Hospital in Philadelphia. Upon completion of training, Dr. Saad went into private practice for 5 years in southern NJ where she treated children, adolescents, and adults with a wide array of psychiatric disorders. She then went into academic medicine at Cooper University Hospital in Camden, NJ, where she served as the Associate Program Director of the Psychiatry Residency Program supervising and teaching both residents and medical students .Dr. Saad has experience working with a broad range of psychiatric disorders including mood disorders, PTSD, OCD, and ADHD. She also has a strong interest in Women's Mental Health and alternative treatment options.

Background and credentials

Dr. Munoz is a board-eligible adult psychiatrist. He earned his medical degree from Rutgers, New Jersey Medical School and completed his psychiatric residency at Mount Sinai Beth Israel. Throughout his training, he gained experience in a variety of clinical settings, including outpatient and inpatient care, as well as psychiatric emergency services.

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Treatment approach

Dr. Munoz provides compassionate psychiatric care through a combination of pharmacotherapy and supportive therapy. He specializes in treating depression, anxiety, bipolar disorder, and psychotic disorders. He has extensive experience working with LGBTQ+ and Spanish-speaking communities. His treatment philosophy is holistic, viewing patients as whole individuals and addressing their specific needs at different stages of life. He also emphasizes the importance of exercise, relationships, and overall well-being in his approach to mental health care.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive and patient-centered evaluation. Dr. Munoz takes the time to understand each patient’s symptoms, background, and personal goals. He collaborates with patients to develop an individualized treatment plan that may include medication management, supportive therapy, and lifestyle modifications to support their overall well-being.

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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. Alejandra Vivas is board-certified in adult psychiatry and board-eligible in child and adolescent psychiatry. She completed her general psychiatry residency at Montefiore Medical Center and a child and adolescent fellowship at Mount Sinai School of Medicine. Dr. Vivas brings extensive experience from outpatient, emergency, and telepsychiatry settings. She has advanced training in CBT, Motivational Interviewing, and Psychodynamic Therapy. Fluent in English and Spanish, she is committed to culturally sensitive, individualized care.

Dr. Vivas fosters a warm, respectful, and professional space where patients feel seen and empowered. She values open communication and builds collaborative relationships to align treatment with each person’s values, goals, and lifestyle. Her approach is integrative and flexible, grounded in evidence-based methods to support lasting, meaningful change.

Dr. Vivas begins with a thorough evaluation to understand each patient’s history and goals. She creates customized treatment plans that may include therapy, medication, or both. Drawing on CBT, Motivational Interviewing, and Psychodynamic Therapy, she adapts care to meet evolving needs, aiming to relieve symptoms, foster resilience, and support long-term well-being.

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Dr. Kristina Kurtz is a board-certified adult psychiatrist who graduated from Lake Erie College of Osteopathic Medicine in Erie, Pennsylvania. She completed a Transitional Internship at St. Joseph Mercy Hospital Oakland in Pontiac, Michigan, and Psychiatry Residency training at Henry Ford Health System in Detroit, Michigan. During her residency training, she held multiple professional leadership positions, including ethics committee consultant, associate chief resident, and chief resident. She has experience developing residency curriculum, and teaching psychiatry residents and medical students. Prior to relocating to Colorado Springs, Dr. Kurtz served as the Adult Inpatient Service Chief at Henry Ford Kingswood Hospital. She joined Talkiatry after serving as the Medical Director of Behavioral Health at UCHealth Memorial Hospital as well as Regional Medical Director for Colorado for Lifestance Health. Dr. Kurtz is passionate about providing holistic, evidence-based care to both adults and geriatric patients. She believes in providing a well-rounded approach to care which includes both medication management as well as psychodynamic psychotherapy and supportive therapy for a wide variety of disorders including depression, anxiety, PTSD, ADHD, substance use disorders, and bipolar disorder. She believes that medication management is most effective when an environment of shared decision-making exists between the prescriber and the patient and tailors her approach to meet each individual patient's needs.

Dr. Fisher is a psychiatrist with over 20 years of experience in adult psychiatry, military health, addiction medicine, business leadership, and executive consultation.  His background has given him the opportunity to work with a diverse range of individuals, and he brings that breadth of experience to every patient relationship. In addition to his medical training, Dr. Fisher completed advanced training in psychodynamic and person-centered psychotherapy, which helps him provide care that’s not only evidence-based, but also deeply respectful of each person’s unique story.

Patients often describe Dr. Fisher as easygoing, kind, and patient. He takes pride in being someone who truly listens. he strives to create a safe, nonjudgmental space where you can be yourself—no matter where you're starting from. His goal is to meet you where you are, both emotionally and practically, and help you move toward where you want to be.

Dr. Fisher's approach is collaborative and flexible. He begins by getting to know you—your history, your concerns, and your goals. From there, we work together to create a treatment plan that may include therapy, medication, or both, depending on what’s appropriate for your needs. He integrate both psychodynamic insight and person-centered techniques, always with an emphasis on mutual respect and open communication. Progress takes time, and he's here to support you every step of the way.