Brianna Quirk, LMHC

Susana Deltoro is a Licensed Professional Counselor (LPC) and Licensed Chemical Dependency Counselor (LCDC) with over a decade of experience in mental health and substance use disorders (SUD). She specializes in delivering culturally sensitive, client-centered therapy and is passionate about empowering individuals to overcome challenges and achieve long-term stability. Susana holds a Master of Science in Mental Health Counseling from the University of the Southwest in Hobbs, New Mexico. Over the years, she has worked in diverse settings, including private practice, employee assistance programs, and leadership roles in clinical care. As the Chief Operating Officer for a non-profit agency, she developed innovative programs, supervised multidisciplinary teams, and collaborated with community organizations to support individuals in their recovery journeys with Mental Health and substance use disorders. Susana is dedicated to creating tailored treatment plans that seamlessly integrate into her clients' daily lives. She specializes in cognitive-behavioral therapy (CBT), mindfulness therapy, and solution-focused modalities, adhering to a humanistic, person-centered approach. Her practice emphasizes holistic care, helping clients explore their strengths and establish healthy coping mechanisms. Your well-being is Susana's priority. If you have any questions, she encourages you to reach out. While she may not have all the answers, she is committed to helping you find them. Fluent in English and Spanish, Susana excels at building trust with diverse populations. Outside of her clinical work, she enjoys facilitating workshops on stress management and self-care, reflecting her commitment to fostering resilience and well-being in her clients and the community.

Dr. Williams-Jules is an adult psychiatrist who focuses primarily on medication management in conjunction with supportive therapy. She completed her undergraduate training at Spelman College in Atlanta, GA, followed by her master's in public health degree at New York Medical College. She has completed medical school at American University of Antigua and finished her residency in psychiatry at the University of Texas Southwestern. Dr. Williams-Jules has a passion for treating adults with mental health disorders, especially within the perinatal population. She has a genuine interest in management of trauma, while also treating a vast array of disorders including depression, anxiety, bipolar disorder and posttraumatic stress disorder. She has worked with clients of varying cultures and demographics, and has experience with treating patients with medical comorbidities. Dr. Williams-Jules takes a delicate approach to diagnosis and management and believes in holistic care, which incorporates mindfulness and deep breathing techniques to address the mind and body connection. She tailors individualized treatment to address the specific needs of patients. Dr. Williams-Jules is a member of the American Psychiatric Association and the Dallas County Medical Society. She has presented her research at the Annual APA conference and is co-author of many published psychiatric papers.

Darcie Farrell is an ANCC Board Certified Family Psychiatric Nurse Practitioner.  She has worked exclusively in the field of psychiatry during her forty-year nursing career.  She has worked in many care settings, including as a psychiatric Home Health Nurse and as a Certified Case Manager (CCM) in Psychiatry at Blue Cross Blue Shield. During her time at Excellus Blue Cross Blue Shield, she realized the urgent need for psychiatric nurse practitioners, so enrolled in the BSN/MSN program at the University of Rochester, graduating in 2016 with her BSN and in 2018 with her MSN.  She has strong skills and experience in Motivational Interviewing, having worked as a Motivational Counselor for a University of Rochester's Pediatric Research Program.   She has worked for the past seven years as a Nurse Practitioner in Geriatric Outpatient Psychiatry.

Darcie Farrell is a compassionate provider who is client centered. I rely on evidence-based scientific research when determining the best treatment options for clients.  

Darcie Farrell has a very relaxed process for working with patients which allows the client to provide information that is pertinent to their goals for care.  Then, together, we determine which treatment options are likely to be best for the client.

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Dr. Peckover is a Staff Psychiatrist at Talkiatry. He is certified by the American Board of Psychiatry and Neurology in Adult Psychiatry. He has been practicing for three and a half years. Dr. Peckover provides patient-centered care with an emphasis on medication management, psychoeducational, and lifestyle adjustments. He typically provides supportive or integrative therapy along with medication management, but some cases will require the addition of a therapist to the treatment team. Dr. Peckover received a Bachelor's of Medical Science from the University of Western Ontario in Canada and received his Medical Degree from Ross University. He completed his residency at Metropolitan Hospital in Manhattan, where he served as chief resident in his final year. He then worked as a psychiatrist in the outpatient department at Kings County hospital, where he also supervised residents from SUNY Downstate. As an outpatient psychiatrist, Dr. Peckover has an extensive history of treating patients of all ages with a wide variety of psychiatric disorders, with an emphasis on mood and anxiety disorders. He treated patients remotely during the COVID-19 outbreak, helping to manage the increase in stress that came with the pandemic.

Dr. Cash attended Wright State University Boonshoft School of Medicine, where she developed a strong foundation in medicine and a passion for psychiatry. She completed her residency at Wright State University, honing her skills in understanding and treating mental health conditions.

Dr. Cash has worked in various outpatient settings, treating patients with mental health disorders including depression, anxiety, PTSD, ADHD, and mood disorders. She is board-certified in general psychiatry and addiction medicine, and believes in a holistic approach to care. Dr. Cash is committed to helping patients navigate their mental health journeys and to providing compassionate, personalized care.

Dr. Cash works closely with patients to develop treatment plans that combine medication, lifestyle changes, and psychotherapeutic strategies to address their unique needs.

Gisela Ayub, DNP, PMHNP-BC is a Nationally Certified Psychiatric Nurse Practitioner who received her first master's in nursing from Point Loma Nazarene University (PLNU) and her second Masters of Nursing with emphasis in Psychiatry from Gonzaga University. Gisela also completed her Doctorate in Nursing Practice Degree from PLNU. Gisela’s passion for helping those most in need started when she was just a young girl with a dream of becoming a physician someday. Life did not work the way it was planned for Gisela and she decided to become a nurse. Gisela worked as a registered nurse for over 13 years in different areas of nursing before focusing solely in the area of psychiatry. She has experience working in the areas of medical surgical, medical rehab, cardiac, oncology, labor and delivery and kidney dialysis. But her inspiration to help psychiatric patients was born from seeing the unmet needs of those patients, and the desire to be able to provide more compassionate care. Gisela's desire to become a Psychiatric Nurse Practitioner grew stronger with time, with the only idea in her mind to provide better care for those patients.

During the 1990’s, Gisela served her country proudly and spent 4yrs in the Navy. While attending her first master's in nursing at PLNU, she volunteered at the PLNU city clinic for the uninsured and under-privileged, providing mental health assessments and therapy. After graduating PLNU, Gisela continued providing free therapy to patients at the clinic. In addition, due to her strong background in nursing, Gisela has been able to identify other medical issues that correlate to patients' mental health, and through the use of an extensive questionnaire and ongoing assessment of presenting problems, she has been able to refer patients for additional care. Gisela has also worked as a preceptor, helping other new nurse practitioners understand how to provide the best care possible and communicate with patients.

Gisela believes that it is very important to help the patient feel they are in a safe space, establish a therapeutic environment that builds trust and openness, she listens fully, and uses a comprehensive questionnaire to obtain as much information as possible from the patient, in order to make an accurate diagnosis and select the correct treatment plan. Gisela always works with the collaboration of the patient, as this is the most important part of the treatment plan. Educating patients is also one of her strong suits. Gisela wants to make sure all of her patients are aware of the type of medications they are taking, explore options if needed, and the pros and cons of medications.