Caitlin Gardiner, MD

Lance Briggs is a dedicated Psychiatric Nurse Practitioner with over a decade of clinical and leadership experience. A graduate of the University of North Dakota, Lance began as a psychiatric RN in acute inpatient settings before becoming a psychiatric RN supervisor in a major Houston hospital while pursuing advanced practice.

After becoming a PMHNP, Lance initially worked with outpatient addiction treatment and severe mental illness populations, later expanding into bariatric psychiatry to support patients preparing for weight-loss surgery. When the COVID-19 pandemic paused bariatric procedures, Lance founded a private practice—Grey Matters Mental Health—in Seattle, which was later sold to a larger healthcare organization in Minnesota. Lance then transitioned into correctional mental health, serving underserved populations within the criminal justice system. Currently, Lance is working at Talkiatry, providing compassionate, high-quality care informed by experience across diverse and challenging environments.

Lance understands that every patient is unique. His approach is grounded in Carl Rogers’ principle of unconditional positive regard, creating a safe, calming space where patients feel heard and valued. Lance takes time to explore developmental history, family background, and major life events, recognizing how past experiences shape present challenges. He aims to understand each symptom fully and offers thoughtful, collaborative treatment options.

Wendy Barajas is a Licensed Marriage and Family Therapist (LMFT) with over 15 years of experience working in community mental health outpatient settings. She earned her bachelor’s degree in Sociology from Mount St. Mary’s University in Los Angeles and her master’s degree in Marriage, Family, and Child Therapy from the University of Phoenix. Wendy works primarily with adults and couples and also enjoys supporting children and teens. As a first-generation Latina, she understands the challenges of navigating bicultural identity and generational trauma.

Wendy supports clients experiencing anxiety, depression, eating disorders, workplace or school concerns, peer challenges, and sexuality-related issues. She believes clients are the experts in their own lives and partners with them to find balance and clarity. Wendy integrates humor into sessions when appropriate and brings a firm yet friendly, honest, and down-to-earth approach. She adapts her communication style to meet each client’s needs and enjoys celebrating progress and accomplishments.

Clients can expect to feel heard and seen from the first session. Wendy focuses on building connection, understanding what led clients to prioritize their mental health, and establishing trust. Together, they identify meaningful, attainable goals. Wendy provides respectful and honest feedback while supporting steady progress, viewing therapy as a collaborative journey rather than a race.

Dr. Debrey is board-certified in adult psychiatry. Her approach is client-centered, individualized, and collaborative. She focuses on building a strong therapeutic alliance with each client to work towards achieving enhanced functioning and meaning in their lives. She works with individuals experiencing a wide range of mental health concerns, including depression and other mood concerns, bipolar spectrum illnesses, OCD, PTSD, anxiety disorders, and substance use disorders. Though she specializes in medication management, she believes in an integrative and comprehensive treatment program that incorporates multiple aspects of an individual's health and wellness. Along with discussing physical health concerns, diet, exercise, personal connection, and stress management, she incorporates various therapeutic modalities, including CBT, DBT, ACT, and mindfulness, into her work. In some instances, Dr. Debrey may recommend more intensive psychotherapy with a collaborating therapist in order to help facilitate the best care possible. Dr. Debrey received her medical degree from Rush Medical College. She also holds a graduate degree in epidemiology from the Johns Hopkins Bloomberg School of Public Health. Following medical school, she completed her residency in psychiatry at Emory University School of Medicine. During her final year of residency, she served as chief resident at Grady Memorial Hospital. Prior to joining Talkiatry, Dr. Debrey was an assistant professor at Emory University Department of Psychiatry, where she worked as an attending psychiatrist at Grady Behavioral Health. While at Grady, Dr. Debrey worked primarily as a community psychiatrist with a focus on working with individuals experiencing psychosis. She also frequently worked on the inpatient psychiatry service at Grady. As an Emory faculty member, teaching and mentorship were an especially meaningful part of her work.‍

Background and credentials

Dr. Puja Kumar is trained in adult, child, and adolescent psychiatry and is a board-certified pediatrician. She earned her Bachelor of Science from the University of Calgary and her medical degree from St. George’s University in Grenada. She completed her pediatrics residency at Maimonides Medical Center in New York and practiced pediatrics with MedStar Shah Medical Group in Maryland before transitioning to psychiatry. She later trained in child and adult psychiatry at University Hospitals Cleveland Medical Center.

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Treatment approach

Dr. Kumar provides medication management combined with supportive therapy, typically in 30-minute follow-up visits. She takes a holistic approach to treatment, considering the impact of lifestyle, parenting practices, and family dynamics on mental health. She emphasizes integrative care, ensuring that treatment plans are tailored to each patient’s unique needs and circumstances.

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What you can expect in a first visit

During the first visit, patients can expect a thorough and compassionate evaluation, where Dr. Kumar takes time to understand their symptoms, medical history, and environmental influences. She prioritizes collaborative decision-making, working closely with patients and, when applicable, their families, to develop a comprehensive and personalized treatment plan. Follow-up visits typically focus on medication adjustments, supportive therapy, and lifestyle recommendations to optimize mental health outcomes.

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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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Background and credentials    

Dr. Abernethy is a board-certified psychiatrist who received his medical  degree from the University of Texas Medical School at Houston. He completed  his internship at UT Southwestern in Dallas and earned a Master's of Public  Health in Epidemiology and Occupational and Environmental Health from Texas  A&M. He completed his psychiatry residency training at the University of  Oklahoma Health Science Center. Dr. Abernethy has over 12 years of experience  practicing psychiatry in various outpatient settings, including private  practice and community mental health centers in Texas and Oklahoma,  specifically reaching underserved communities. He has treated a broad  spectrum of mental health symptoms among diverse populations, addressing  issues ranging from mood and anxiety disorders to behavioral manifestations  of Autism and other developmental disorders.    

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Treatment approach    

Dr. Abernethy utilizes a collaborative and patient-centered approach to  psychiatry, focusing primarily on medication interventions that align with  each patient's unique treatment goals and clinical needs. He emphasizes  cooperation with patients to effectively treat and reduce mental  health-related symptoms. His practice centers around medication management,  supplemented by supportive treatments tailored to individual needs. Depending  on each patient’s circumstances, he may recommend additional support from  individual, family, or group counselors and therapists to achieve optimal outcomes.    

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What you can expect in a first visit

In an initial visit, patients can expect a thorough, collaborative  discussion focused on understanding their symptoms, goals, and clinical  needs. Dr. Abernethy will evaluate the patient's condition to determine  appropriate medication interventions and discuss personalized treatment  recommendations. Typical follow-up visits are approximately 20-30 minutes in  length. Depending on the severity and complexity of a patient's situation,  referrals to additional counseling or therapy may also be suggested.    

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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 speciualize in  medication management and collaborate with you on a treatment plan that fits  your needs and comfort level.

Ashlyn Tellers is a board-certified Psychiatric Mental Health Nurse Practitioner. She earned her nursing degree with an emphasis in psychiatry in 2020 from the University of Arizona. With over twelve years of experience, she has cared for mental health patients across long-term care, inpatient, residential, and outpatient settings.

Ashlyn specializes in treating adults with depression, anxiety disorders, bipolar disorder, ADHD, and OCD through medication management and supportive therapy. She emphasizes patient education and works collaboratively to build therapeutic and safe treatment plans. She encourages open discussions about past mental health history and current stressors to help identify root causes and develop healthy coping strategies. When appropriate, she refers patients to therapists for more specialized care.

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