Christa DeFries, MD

Dr. Panchal is a board-certified adult psychiatrist who works with motivated adults to navigate and discover the root of their mental health struggles. Since working in private practice, Dr. Panchal knows that discovering the root of difficulties allows clients to find healthy perceptions of themselves and strengthen their relationships so they can know themselves as a whole. She is trained in multiple therapeutic modalities as well as medication management, implementing individually tailored treatment. Her educational background includes training in psychodynamic psychotherapy with the Psychoanalytic Association of New York. She has completed her psychiatry training at Delaware Psychiatry Residency Program in New Castle, Delaware.

Dr. Alexandre Cupler is a board-certified psychiatrist who began his career in community mental health in 2014, working as a counselor in psychiatric rehabilitation facilities. Since then, he has gained experience across inpatient hospitals, outpatient clinics, and residential treatment settings. Dr. Cupler earned his medical degree from Rush Medical College and completed his psychiatry residency at Chicago Medical School.

Dr. Cupler takes a patient-centered approach to care, making it a priority to ensure that each patient’s concerns are genuinely heard. He strives to create a culturally sensitive, non-judgmental, and safe environment where patients feel comfortable discussing difficult topics and working collaboratively toward their goals.

Initial sessions with Dr. Cupler focus on understanding the patient’s primary concerns, history, and treatment goals. He tailors care to each individual's preferred treatment style and ensures patients are informed about their treatment plan so they know what to expect and can take an active role in their care.

With a lifelong commitment to helping others, Erica Boncella, LPC, began her career in Law Enforcement, focusing on Protection from Abuse cases. This experience inspired her to specialize in therapeutic practices that support healing. Symbolized by the lotus flower, her practice emphasizes resilience and transformation. Erica brings over 18 years of combined clinical and forensic experience, specializing in trauma recovery, PTSD, domestic violence, disordered eating, addiction, and support for Veterans and Law Enforcement professionals. She holds certifications as a CCTP, in Dual Disordered Eating/Trauma & Shame, and in Addictions.

Erica provides a compassionate, non-judgmental environment where clients feel understood and empowered. She treats everyone with respect and sensitivity, recognizing the courage it takes to pursue change. Her approach is individualized, helping clients cultivate healthier relationships with themselves. As she often says, “You don’t have to do it alone. I am here to support and empower you every step of the way.”

Erica begins each session with an open dialogue to understand clients’ questions and concerns. She collaboratively establishes preliminary goals, emphasizing that these may evolve naturally. She creates a safe space where clients are never pressured to discuss topics prematurely. Her practice is grounded in empathy, sensitivity, and individualized care, guiding clients toward a more fulfilling and empowered life.

Amanda Rivera, PMHNP, is a board-certified Psychiatric Mental Health Nurse Practitioner through the lifespan, certified by the ANCC in 2020. She earned a Bachelor of Science in Psychology with a biology minor from Clarkson University, followed by a Bachelor of Science in Nursing and a Master of Science in Nursing from St. John Fisher College. Amanda has over 15 years of experience in mental health, beginning in 2010 as a Therapy Aide at Rochester Psychiatric Center. She has practiced across inpatient hospitals, state psychiatric facilities, outpatient community clinics, correctional settings, group homes, and telehealth/private practice. She works with patients ages 16 and older and is highly experienced in trauma, mood and anxiety disorders, ADHD, autism, psychotic and personality disorders, substance use, and parenting challenges. She values working with families to strengthen the family unit.

Amanda values open communication and collaborates with patients to establish clear, meaningful treatment goals. She provides a warm, supportive environment where patients feel heard, respected, and empowered to take ownership of their mental wellness. Treatment is individualized, with medication decisions guided by a careful balance of safety and symptom relief. Appointments are conversational in nature, allowing care to be more personalized as patients share openly.

Amanda begins each visit by ensuring privacy and safety, then explores the concerns prompting care before gathering a biopsychosocial history through collaborative discussion. She provides education throughout sessions to help patients understand diagnoses and lived experiences. Medication options are discussed based on comfort level and clinical need. Follow-ups are scheduled at the end of each visit, with frequency adjusted as stability is achieved.

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Dr. Alicia Garcete is a board-certified child, adolescent, and adult psychiatrist in practice for over 12 years. Her practice focuses on medication management, recognizing  family involvement is extremely important and is an integral part of treatment. Dr Garcete has treated a wide variety of patients. Her primary focus is treating depression, anxiety disorders, ADHD, PTSD and OCD. Additionally, she can provide supportive therapy and elements of cognitive-behavioral therapy but on occasions more therapy support may be needed, and the recommendation to bring a psychotherapist on the care team may occur to provide an optimal outcome. Dr. Garcete is bilingual and provides care in both Spanish and English.

Prior to Talkiatry, Dr Garcete treated children, adolescents, and adults was at the intensive outpatient and partial hospitalization levels of care with focus on behavioral approaches in the Depression recovery and Anxiety/OCD programs.

Dr. Garcete earned her Medical Degree from the Universidad Nacional de Asuncion, Facultad de Ciencias Medicas in Paraguay. She completed her general psychiatrist residency at Maimonides Medical Center in New York. She was also a Fellow in Psychoanalysis at the Psychoanalytic Institute, Affiliate to New York University School of Medicine, and completed her child and adolescent psychiatrist fellowship at Elmhurst Hospital Center, affiliate to Mount Sinai Hospital. Dr. Garcete also held a clinical assistant professor appointment from the department of psychiatry at SUNY Downstate Medical Center.

Ronda T. Alaniz, LPC, is a Licensed Professional Counselor with extensive experience providing therapy and case management for children, adolescents, and adults. She currently serves as a Remote Therapist with Hazel Health Services, conducting evaluations and offering evidence-based counseling for clients ages 4–25. With over nine years as a School Mental Health Counselor at Edgewood ISD, Ronda developed and implemented individual and group counseling programs for PK–12 students. She also brings valuable leadership experience as a former Program Director and Case Manager in nonprofit and social service settings. Ronda earned her Master of Arts in Psychology from Stephen F. Austin State University and her Bachelor of Science in Psychology from Texas A&M University.

Ronda creates a warm, supportive, and collaborative environment where clients feel heard and respected. She values open communication and works closely with clients to establish meaningful, achievable goals. Her approach integrates evidence-based methods tailored to each client’s developmental stage and individual needs. Ronda empowers clients through education, self-awareness, and practical coping skills, fostering growth, resilience, and emotional well-being.

Ronda begins with a comprehensive assessment to understand each client’s history, strengths, and challenges. She then collaborates on a personalized treatment plan centered on the client’s goals and progress. Utilizing Cognitive Behavioral Therapy (CBT) and Trauma-Focused CBT, Ronda ensures care remains effective and responsive. Her sessions emphasize emotional regulation, skill-building, and positive self-talk to promote lasting well-being.