Christa DeFries, MD

Dr. Richard Rise has created a successful career as a psychiatrist over the past 30 years. He has participated in a variety of treatment settings and has developed a wealth of experience at both prescribing medications, providing therapy, counseling, and even coaching. He takes an individual approach to treating others, recognizing individuals as unique and worthy of love, respect, and acceptance. He is compassionate, non-judgmental, and truly enjoys helping others. He tends to gravitate towards a combination of medication management (if indicated) and psychotherapy where he treats all facets of the individual. Dr. Rise believes that we are all unique and should be treated as such. He spent most of his career in private practice until deciding to retire in 2014. After this he spent the next 3 1/2 years, reading, studying, traveling, and spending time with his loved ones. In 2018 he was offered a position as a consultant overseeing Ketamine infusion therapy for treating treatment-resistant depression. When the pandemic hit in March of 2020, Dr. Rise was asked to assist a local psychiatric hospital deal with the unique and often deadly consequences of the virus. This proved to be a wonderful opportunity for personal growth and to improve the quality of life of many others. After working at the hospital for the 2 years, Dr. Rise joined Talkiatry to continue providing high-quality psychiatric care to others in a very loving, supportive, creative, and collaborative environment.

Dr. Mott grew up in southeastern Idaho. She earned a Ph.D. in Molecular Biology from the University of California at Berkeley in 2009, and her Doctor of Medicine (MD) degree in 2014 from the University of Chicago. She completed her psychiatry residency at the University of Utah in 2018 and became board certified in Psychiatry by the American Board of Psychiatry and Neurology in 2019. Following her residency, she worked as an inpatient psychiatrist at the Huntsman Mental Health Institute in Salt Lake City, Utah and served as an assistant clinical professor in the Department of Psychiatry at the University of Utah. In 2021 she moved to Dallas, Texas to work in a residential and partial hospitalization treatment center for eating disorders. She loves to incorporate psychotherapeutic techniques and goal setting together with medication management to help patients achieve wellness and fulfillment in their lives.

Dr. Mott enjoys treating a wide variety of psychiatric conditions, including depression, anxiety, OCD, bipolar disorder, PTSD, eating disorders and substance use disorders. She believes strongly in individualized treatment that focuses on holistic, compassionate and collaborative care with patients.

She loves to incorporate psychotherapeutic techniques and goal setting together with medication management to help patients achieve wellness and fulfillment in their lives.

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Dr. Alexandra Held is a general psychiatrist who holds a bachelor’s degree in psychology. She completed her psychiatry training at the University of Miami Miller School of Medicine. Her clinical interests include mood and anxiety disorders, PTSD, and OCD. She is passionate about incorporating psychotherapeutic tools into her practice, including supportive psychotherapy.

Dr. Held takes a warm, collaborative, and nonjudgmental approach to care. Her goal is to create a safe and supportive space where patients feel heard and empowered to take an active role in their treatment, using a combination of supportive psychotherapy and medication management.

During the first few sessions, Dr. Held will take time to get to know the patient—their history, current concerns, and what they hope to achieve through treatment. Together, they will develop a comprehensive plan that may include psychiatric medications and supportive therapy. Follow-up visits are typically focused on checking in, adjusting treatments if necessary, and continuing to build on progress.

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Dr. Alexa Hall is a board-certified adult psychiatrist with extensive training and experience across inpatient, partial hospitalization, intensive outpatient, and outpatient psychiatry settings. She earned her medical degree from Saint Louis University School of Medicine and completed her psychiatry residency at Harvard South Shore. Through her clinical work with the Harvard Medical School system and the Boston VA Healthcare System, Dr. Hall developed expertise in caring for diverse patient populations. She has also served as Medical Director for multiple psychiatry practices, overseeing services such as outpatient medication management, Spravato, IV Ketamine, and Transcranial Magnetic Stimulation (TMS). Outside of work, she enjoys cooking and spending time with her family.

Dr. Hall provides a supportive, non-judgmental environment where patients feel heard, respected, and understood. She takes a collaborative approach, working in partnership with patients to set and achieve individualized wellness goals. Her practice emphasizes whole-person care, integrating both mental and physical well-being into each treatment plan.

Dr. Hall begins by listening closely to understand each patient’s history, experiences, and concerns. From there, she collaborates with patients to identify their personal treatment and wellness goals. She develops individualized treatment plans tailored to these goals, focusing on supporting meaningful progress and long-term well-being.

Dr. Robert Dugger is a board-certified psychiatrist in General Psychiatry and Child & Adolescent Psychiatry. Born and raised in Miami to a Virginian father and Cuban mother, he is bilingual in English and Spanish. He earned a B.A. in Biology and Political Science from the University of Miami, a Master of Public Health in Health Policy from New York Medical College, and his M.D. from Stony Brook University School of Medicine. He completed residency and fellowship training in New York through the Northwell Health System and BronxCare Health System, where he served as Chief Fellow in Child Psychiatry. He has also worked as a researcher at institutions including Columbia University. Outside of work, he enjoys gaming, sci-fi fantasy, Brazilian Jiu-Jitsu, hiking, sailing, and sportfishing.

Dr. Dugger strives to create a supportive and respectful environment where patients feel genuinely heard and understood. He values careful listening, curiosity, and follow-through, and takes a practical, individualized approach to care. Rather than relying on one-size-fits-all solutions, he collaborates with patients to clarify goals, track progress, and focus on changes that meaningfully improve daily life.

Dr. Dugger begins by developing a thorough understanding of each patient’s history, current concerns, strengths, and goals. Early visits focus on understanding context—what is happening now, what has been tried, and what the patient hopes to change. Treatment plans are developed collaboratively and adjusted over time, with follow-up visits emphasizing steady, sustainable improvement through integrated and comprehensive care.

Dr. Juliet Nichols has been a diplomate of the American Board of Psychiatry and Neurology since 2002 and has been practicing psychiatry for over 25 years. While an expert in psychopharmacology, Dr. Nichols has an integrative approach to treatment and she often incorporates psychotherapeutic techniques when appropriate, tailoring every treatment to each patient's individual needs. She completed her Psychiatry residency at Stony Brook-SUNY and Geriatric Psychiatry Fellowship at the Albert Einstein School of Medicine. Over the last two decades, Dr. Nichols served as an attending psychiatrist at JT Mather Hospital in Port Jefferson, NY, where she became proficient in delivering stellar psychiatric care in a variety of settings. She specializes in treating adult and geriatric mental illnesses, including: Depression, Anxiety Disorders (eg, OCD, Panic Disorder, GAD, PTSD), ADHD, and Cognitive Disorders in the elderly. Dr. Nichols strives to help her patients gain insights into their inner conflicts, unveil their strengths, accept their limitations, and build their coping skills. Her approach is dynamic, straightforward, and empathic so patients always feel safe, understood, and at ease. She engages the patient to be an active participant in treatment decision-making, creating a strong therapeutic alliance.‍