Christa DeFries, MD

Cosima Robinson holds a distinguished profile as a Licensed Professional Counselor, a Licensed Chemical Dependency Counselor, and a National Certified Counselor. She earned her Master of Science in Counseling from University of Houston-Clear Lake. Presently, her licensure allows her to provide counseling services within the state of Texas.

Drawing upon her extensive experience, Cosima Robinson adeptly delivers tailored therapeutic interventions catering to individuals of all age groups. She proficiently addresses a spectrum of mental health challenges, including but not limited to depression, anxiety, and various life obstacles. Her therapeutic approach is characterized by an impartial, supportive, and uplifting environment designed to foster healing.

Cosima's professional background encompasses a diverse range of settings. She has proficiently guided individuals in contexts such as dual-diagnosis scenarios, substance abuse recovery, residential and intensive outpatient care facilities, correctional institutions, survivors of domestic violence, and at-risk youth and families.

Her counseling methodology is an incorporation of person-centered, cognitive-behavioral, and solution-focused modalities. Notably, she remains flexible in her application of techniques, ensuring that each intervention is meticulously tailored to suit the distinct requirements of her clients.

Dr. Kirk Murphy, MD, completed residency and fellowship training in Trauma and Consultation-Liaison Psychiatry at UCLA School of Medicine. He also completed subspecialty training at UCLA’s Human Sexuality, Anxiety Disorders, and Mood Disorders Clinics. Dr. Murphy has extensive experience caring for outpatients with anxiety disorders, mood disorders, PTSD, and complex medical conditions.

Dr. Murphy takes time to understand each patient and their unique circumstances. He focuses on clarifying diagnoses and thoughtfully discussing potential treatment options, including risks and benefits. He is committed to creating a supportive, empathic, and respectful environment that prioritizes patient comfort and collaboration.

After learning about a patient’s symptoms and needs, Dr. Murphy establishes diagnoses using standardized diagnostic instruments. He reviews findings with patients and discusses treatment options in detail, ensuring understanding and aligning care with each patient’s values and preferences.

Farrah has worked almost exclusively in community mental health centers in Iowa and in Arizona for the last 15 years. She has been providing telepsychiatry services since 2013 across several states, serving hospitals, community mental health centers, local jails, and residential treatment facilities. Farrah was lead prescriber for Living Out Loud, a mental health program exclusively for LGBTQ+ persons. She has worked with patients with comorbid mental health & HIV+ status, and a long history of working with persons with severe mental illness.

Farrah has mentored countless new Psychiatric Nurse Graduates in their first year of outpatient practice and precepted students working to achieve their Psychiatric Nurse Practitioner Certification. She was also part of the pilot program for the Integrated Behavioral Health Home, which integrated primary care into treatment for SMI patients.

Farrah Lamoreux offers a warm patient centered approach to psychiatry. She is well known for being easy to talk to, and down to earth. Farrah believes that the patient is the most important part of the treatment team, and engaging patients in the decision-making process of their treatment. Patients say that she listens, they feel heard, and that she tailors care to what best fits your needs. She enjoys working with therapists whenever possible to ensure the best outcomes. Farrah specializes in the treatment of ADHD, but also treats Depression, PTSD, Anxiety, Panic, Agoraphobia, OCD, Autism and Bipolar Disorder.

Matthew is a board-certified psychiatric mental health nurse practitioner and received his education in this specialty at Maryville University of St. Louis, Missouri.  He has been working in the mental health field for over 20 years and has provided care to patients in diverse care settings including psychiatric hospitals, outpatient mental health centers, psychiatric home health, and telepsychiatry.  Matthew is passionate about expanding access to high quality mental health care to all in need and greatly enjoys collaborating with patients from diverse backgrounds.  In his free time, he enjoys hiking, camping, reading, traveling, and searching for the best Mexican food around.  

Patients working with Matthew should know that he utilizes a very collaborative approach to patient care.  He does not assume that he knows what's best for patients but works closely with them to find the most appropriate and effective treatment plan for the unique individuals that he treats.  For Matthew, safety is always the first priority, but he does not believe in a "one size fits all" approach to mental health care and is focused on tailoring the treatment to the patient.  Matthew utilizes an empathic approach to mental health treatment and patients will feel heard and valued.  

Matthew's process for working with patients includes a thorough psychiatric evaluation at the initial appointment to make sure we are getting to the right diagnosis and remaining on track to improve the patient's mental health. Follow-up appointments are focused on monitoring for progress or regression and working collaboratively to meet mutually agreed upon goals. Collaboration is key!

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Elizabeth Vah, LCSW, graduated from the University of Texas at Austin in 2008 with a master’s degree in clinical social work. She completed her internship at Seton Medical Center, gaining experience in the emergency room and specialty clinics. Elizabeth has worked in both inpatient and outpatient settings and has training in DBT, CBT, mindfulness, solution-focused, and person-centered counseling.

Elizabeth takes a collaborative approach, partnering with patients to clarify goals and create a roadmap for growth. She has supported individuals from diverse backgrounds facing anxiety, depression, grief, life transitions, interpersonal challenges, and severe mental illness. Her approach blends evidence-based therapies with individualized care, emphasizing a trusting, supportive relationship and a safe, nonjudgmental environment.

In the first session, Elizabeth creates a welcoming space to discuss challenges, goals, and personal history, reviewing confidentiality and treatment structure. Together, she and the patient develop a personalized plan. Ongoing sessions focus on exploring thoughts and feelings, identifying patterns, and practicing skills to support meaningful change, with regular goal review and reflection on progress.

Jill Condon is a board-certified Psychiatric Nurse Practitioner with Talkiatry. She obtained a Bachelors of Arts in Psychology from Anderson University in 2011, and went on to obtain her Masters of Science in Nursing from Vanderbilt University in 2016. She has over 8 years of experience working with clients of all ages. She has experience working in community mental health, private practice, and inpatient populations. She has experience working with a variety of mental health concerns including ADHD, anxiety, depression, OCD, and PTSD.

Jill has a passion for fostering whole person health in her clients. She has a direct and collaborative approach to care. She will work with you to discover where you are in your mental health journey and create an individual plan for moving towards healing. She helps you explore how all facets of your health are affecting your mental health.

The process starts with an in-depth initial assessment that includes looking at physical, mental, emotional, social, spiritual, and environmental wellbeing. She utilizes a variety of techniques including psychiatric medications, supportive therapy interventions, and lifestyle modifications to help you reach your goals.