Christa DeFries, MD

Dr. Debbarma is double board certified in General Psychiatry and Addiction Medicine. Dr.Debbarma is also certified in mindfulness therapy. Prior to joining Talkiatry, Dr. Debbarma was working as an attending psychiatrist and teaching faculty in an Academic hospital. She has experience of managing diverse patients ranging from chronic severe mental illness , dual diagnosis patients, crisis management and high functioning outpatients population.

Dr. Debbarma is an International medical graduate from India with post graduate training in Psychiatry and Family Medicine.  

To better understand USA public health and preventive care, Dr. Debbarma pursued advanced degree in Master of Public Health from Thomas Jefferson University, Philadelphia. Due to interest in global health, Dr. Debbarma worked as a post-doctoral fellow in Global Health at Rutgers university. Dr. Debbarma completed psychiatry residency from Cooper University Hospital and served as a chief resident.

Dr. Debbarma has diverse experiences in health care. Prior to moving to USA, she worked as a medical officer in government hospital system. Dr. Debbarma has years of experience in treating patients from different cultural and religious background.

As an Individual Dr. Debbarma is intrigued by human mind and behavior that’s why she choose to specialize in psychiatry. She focuses on "wholeness" by understanding the whole person not just their symptoms.

Her treatment approach includes bio-psycho-sociocultural model and patient centered care.  She offers medication management and supportive therapy. Based on clinical need Dr. Debbarma also incorporate CBT, Mindfulness, MI.

Dr. Debbarma has special interest in women mental health and cultural psychiatry.

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.

Background and credentials

Dr. James is a board-certified adult psychiatrist with 32 years of clinical experience. She earned her medical degree from Tufts University, Boston’s affiliated program and completed her residency training at Steward St. Elizabeth Medical Center in Boston, where she initiated the residency program and received the Resident Teaching Award for excellence in teaching. Throughout her career, she has served in various leadership roles, including as Chief of Psychiatry at Pro Medica Healthcare Company.

‍

Treatment approach

Dr. James specializes in community adult psychiatry and is deeply invested in providing comprehensive care for individuals and families. She has extensive experience working in outpatient, inpatient, consult-liaison, and emergency room settings, allowing her to tailor treatment to diverse patient needs. Her approach prioritizes holistic, patient-centered care, ensuring that each treatment plan aligns with a patient’s specific challenges and goals.

‍

What you can expect in a first visit

During the first visit, patients can expect a thorough psychiatric evaluation where Dr. James carefully reviews their symptoms, medical history, and treatment objectives. She fosters a compassionate and collaborative environment, ensuring that patients feel supported in their journey toward better mental health. Her extensive experience allows her to provide personalized treatment strategies, which may include medication management and therapeutic interventions tailored to each individual’s needs.

‍

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.

‍

Dr. Kristina Eipl is a board-certified adult psychiatrist. She completed her undergraduate education at Johns Hopkins University, where she graduated Phi Beta Kappa with a bachelor’s in neuroscience. Dr. Eipl later attended medical school at Johns Hopkins School of Medicine. Her interest in neuroscience, combined with a passion for the humanistic side of medicine, led her to pursue a psychiatry residency at NYU. There, she gained experience working with a diverse patient population. After completing residency in 2018, Dr. Eipl chose to pursue private practice to allow her to spend more time with patients and build on her interest in psychotherapy. She spent over 6 years in solo and group private practice in Los Angeles. She is committed to working with insurance-based practices as she is passionate about providing affordable access to quality healthcare.
 
Dr. Eipl takes a collaborative and compassionate approach to both medication management and psychotherapy. She enjoys utilizing various forms of psychotherapy to empower individuals to lead healthier, more fulfilling lives. She has experience with many types of psychotherapy and particularly enjoys incorporating elements of supportive, psychodynamic, and cognitive behavioral therapies in all visits. She practices thoughtful and evidence-based medication management.
 
Dr. Eipl enjoys working with students and adults with anxiety, OCD, PTSD and mood disorders. She also has a special interest in women’s mental health.

Dr. Jacobs is board-certified in Adult Psychiatry by the American Board of Psychiatry and Neurology. She specializes in medication management for adult patients across a range of psychiatric conditions, with a focus on treating depression, anxiety, bipolar disorders, and ADHD. Dr. Jacobs employs a therapeutic approach to medication management, incorporating supportive and psychodynamic psychotherapies into her sessions. She selects psychopharmacological treatments and therapies tailored to each patient's individual needs and symptoms. Dr. Jacobs earned her Bachelor of Science in Science and Business from the University of Notre Dame. She graduated from medical school at the University of Mississippi, where she was honored with membership in the Gold Humanism Honor Society for her exceptional clinical skills, interpersonal abilities, and dedication to patient care. She then returned to Texas to follow her passion for mental health, completing her residency in Psychiatry at the University of Texas Southwestern Medical Center. Dr. Jacobs developed a strong enthusiasm for enhancing mental health care within communities and completed a fellowship in Community Psychiatry through the UT Southwestern Altshuler Center for Education and Research in the Dallas-Fort Worth area. Over the years, she has worked with major community mental health organizations across Texas and has recently focused on leveraging telemedicine to coordinate mental health support with primary care providers. Throughout her career, Dr. Jacobs has been committed to psychiatric research, educational initiatives, and organizational efforts to advance mental health care education and patient care in communities. She is an active member and leader in several medical and psychiatric organizations. Dr. Jacobs takes great pleasure in connecting with patients via telemedicine, focusing on meeting them where they are in their mental health journey and supporting their needs and goals.

Dr. Sheena Dohar is a board certified general psychiatrist. Before joining Talkiatry, she practiced extensively in community mental health with adults of all ages in both outpatient and inpatient settings and as the medical director of several intensive outpatient and dialectical behavioral therapy (DBT) based programs. She has experience in private practice and in the dual diagnoses of mental health and substance abuse disorders. Dr. Dohar graduated from Carnegie Mellon University with a Bachelor of Science in Biology and Psychology and then completed medical school at West Virginia University School of Medicine. She trained during her residency at WVU, where she served as a chief resident and received the Brandon K. Fuller Award for Physician Empathy in 2017. Dr. Dohar's practice focuses on medication management. Her goals include helping people feel comfortable seeking treatment as well as promoting an understanding of the purpose and reasoning behind the use of various medications to treat psychiatric disorders. Typically, she offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. When Dr. Dohar may believe that additional therapy is also needed, she will ask that you bring a therapist into your care team to provide the best outcome. Dr. Dohar appreciates and values working with therapists within the Talkiatry practice and in the community in a collaborative effort to promote wellness. She strives to build strong therapeutic relationships with the people that she sees in her practice. Her passions include working in the community at large to encourage a better understanding of mental health disorders and to promote suicide awareness and prevention. She has interests in pharmacogenomics as well as treatment resistant approaches to depression. Dr. Dohar appears in several professional publications.‍