Damaris Chukwura, PMHNP

Background and credentials

Dr. Vansickle is a board-certified adult psychiatrist with over 25 years of clinical experience. She earned her medical degree from the University of Texas Health Sciences Center San Antonio and completed her internship at UAB. She then completed her psychiatry residency at the University of Louisville Hospital, where she served as chief resident and received a national award in community psychiatry. Throughout her career, she has worked in both inpatient and outpatient settings as a staff psychiatrist, primarily in Texas and Alabama.

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Treatment approach

Dr. Vansickle places a strong emphasis on establishing trust and building therapeutic relationships to help patients achieve their goals. Her practice focuses on medication management, often combined with supportive or emotionally focused therapy during 30-minute follow-up visits. If she believes additional therapy would be beneficial, she may recommend that patients work with a therapist as part of their care team. She has extensive experience treating patients in various settings, including community mental health centers, VAMC-affiliated clinics, and hospital-based psychiatric units. She also has expertise in psychiatric consultations for medically ill patients, as well as guardianship and competency evaluations.

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What you can expect in a first visit

Patients can expect a thorough initial evaluation, where Dr. Vansickle takes the time to understand their symptoms, history, and treatment goals. She provides a structured yet compassionate approach to care, ensuring that each patient feels heard and supported. Follow-up visits typically last 30 minutes, during which she monitors progress and adjusts treatment as necessary. If additional therapy is needed, she collaborates with therapists to ensure comprehensive care tailored to each patient’s needs.

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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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Dr. Farias is a board-certified physician in both adult and child & adolescent psychiatry, with a focus on the diagnosis and treatment of depressive disorders, anxiety disorders, trauma- and stressor-related disorders, and ADHD. Dr. Farias graduated magna cum laude with a Bachelor of Science degree from the University of Houston, majoring in Biology with a minor in Chemistry. She then pursued her medical education at Texas Tech University Health Sciences Center, earning her Doctor of Medicine degree. Dr. Farias completed a three-year psychiatric residency at TTUHSC, followed by fellowship training in child and adolescent psychiatry. She completed her first year of fellowship at the University of Texas Medical Branch in Galveston and her second year at TTUHSC. With a diverse clinical background, Dr. Farias has gained experience in a variety of settings, including academic psychiatry, consult liaison psychiatry, intensive outpatient programs (IOP), partial hospitalization programs (PHP), emergency psychiatry, and outpatient psychiatry. This broad range of experience allows her to provide comprehensive, individualized care to patients at all stages of life. Dr. Farias takes a holistic approach to treatment, incorporating both medication management and psychotherapy. She utilizes principles from Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and supportive psychotherapy, recognizing that a combined approach leads to better outcomes for patients.

Dr. Mandel received his Bachelor of Arts and Doctor of Medicine degrees from the University of Pennsylvania. He completed his Residency in Psychiatry at Mount Sinai Medical Center in Manhattan. He has been board certified in psychiatry since 2001 and is a Life Fellow of the American Psychiatric Association. He has held numerous clinical and academic appointments including serving as Chairperson of Psychiatry at Huntington Hospital in Huntington, New York, and Assistant Professor of Psychiatry at Hofstra North Shore-LIJ School of Medicine.

Dr. Mandel has over 25 years of clinical experience treating all mental health conditions. He has a strong interest in mood and anxiety disorders, including work-related anxiety. He authored a section on the pharmacology of social anxiety in the book Work Makes Me Nervous. Dr. Mandel also has expertise working with clients diagnosed with borderline personality disorder. He has lectured on the pharmacologic management of this condition, including a presentation at the NIMH International Think Tank for the More Effective Treatment of Borderline Personality Disorder.

Dr. Mandel continually seeks to streamline complex medication regimens. He has completed a fellowship in integrative psychiatry and carefully considers the potential contributions of lifestyle and nutrition to overall mental health and well-being. By taking an eclectic approach, Dr. Mandel is able to achieve the best possible outcome for all whom he is privileged to serve.

Dr. Goel holds the position of Staff Psychiatrist at Talkiatry. She has completed adult psychiatry training and is board eligible. She has been actively involved in mental health care in various capacities over the past 7 years. Dr. Goel's practice focuses on psychopharmacological interventions. Typically, she combines this with a strong emphasis on Cognitive Behavior Therapy (CBT). Dr. Goel also strongly believes that the best outcomes are achieved when you treat a person and not just illness. She received her medical degree from one of the largest publicly funded medical schools in India, L.L.R.M. Medical College, Meerut, India, before moving to the US. She gained experience in mental and behavioral health in various roles at some of the most prestigious institutions in the US, namely Northwestern University, Emory University, and North Shore-LIJ. She completed her residency at Nassau University Medical Center, East Meadow, NY. Dr. Goel has been a co-author of several research papers. Her team's research work has also been presented at national and international meetings as well. While Dr. Goel enjoys working with adults with various psychiatric disorders, her primary focus is on treating adults with various anxiety and depressive disorders. Dr. Goel also has a special interest in co-occurring sleep disorders related to these conditions.

Dr. Steven Mathew is a trained adult and child and adolescent psychiatrist. He recently completed his child and adolescent psychiatry fellowship at the University of Miami/Jackson Health System, where he served as chief fellow. He completed his general psychiatry residency at Pine Rest Christian Mental Health Services in Grand Rapids, Michigan. Dr. Mathew earned his Doctor of Osteopathic Medicine from the Philadelphia College of Osteopathic Medicine’s Georgia campus, a satellite campus located in the Atlanta metro area. He graduated from the University of Georgia with a Bachelor of Science in Biology and afterwards obtained a Master of Public Health in Health Policy and Management.

Dr. Mathew has had extensive clinical experiences caring for patients across the lifespan in specialty inpatient units, partial hospitalization programs, emergency psychiatry, outpatient clinics, consult liaison psychiatry, and telemedicine. He has clinical expertise in treating depression, anxiety, trauma, OCD, ADHD, and tic disorders.

Dr. Mathew's treatment approach combines evidence-based medication management with supportive therapy, emphasizing empathy, collaboration, and goal-oriented care tailored to each patient and family.

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Dr. Upton Thomas is a board-certified psychiatrist who takes a warm, collaborative, and evidence-based approach to care. With a focus on treating mood disorders, anxiety, OCD, and substance use, he integrates psychopharmacology and psychotherapy to support patients in achieving meaningful change. He brings curiosity, creativity, and a deep respect for each individual’s story to his clinical work.

Patients often find Dr. Thomas easy to talk to and appreciate his calm, thoughtful demeanor. He emphasizes shared decision-making and believes that treatment works best when the patient’s values and voice are at the center. Dr. Thomas aims to create a safe space for honest dialogue and ongoing reflection as treatment evolves.

Dr. Thomas begins with a comprehensive evaluation to understand each patient’s mental health history, current concerns, and goals. He then develops an individualized treatment plan that may include medication, therapy, or both. He prefers to use the lowest effective dose of medications and often integrates psychotherapeutic strategies such as CBT, DBT, or insight-oriented work into his sessions.

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