David Weber, MD

Dr. Juan Carlos Gonzalez is board-certified by the American Board of Psychiatry and Neurology and has 32 years of experience in treating adults. He completed his undergraduate education at Harvard University and earned his medical degree at Baylor College of Medicine in Houston, Texas. He completed his psychiatry residency training at Baylor College of Medicine, where he served as Chief Resident and subsquently was an Associate Professor of Psychiatry for ten years. During his tenure as a faculty member at Baylor, he served as Medical Director for the Baylor Psychiatry Clinic and also maintained a private practice, where he provided psychotherapy and medication management. 

In 2004, Dr. Gonzalez moved to Austin, Texas where he joined the US Veterans Administration, serving in various administrative positions, including Medical Director for the Central Texas VA Outpatient Clinics.

He provides compassionate, evidence-based care to thousands of service members, treating a broad spectrum of psychiatric conditions. Fluent in both English and Spanish, Dr. Gonzalez employs a humanistic approach to patient care, deeply understanding how patients’ past experiences affect their present.

Dr. Gonzalez provides compassionate, humanistic care, recognizing how past experiences shape the present. His treatment integrates medication management with psychoanalytic, cognitive-behavioral, and supportive psychotherapy.

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Dr. Luna Sanchez Rivera holds the position of Staff Psychiatrist at Talkiatry. After completing residency in 2016 at the Ponce Medical School Psychiatry Residency in Puerto Rico, she then moved to North Carolina to complete a subspecialty in Child and Adolescent Psychiatry at Duke University Health System. There, she transitioned into an assistant professor position, focused on structuring pediatric emergency psychiatric services, and helped support the consult and liaison pediatric service. Her years of experience have included working as an integrated care child psychiatrist within outpatient clinics at Duke University Health System, and she trained and worked as a staff psychiatrist at the Inpatient State Facility in North Carolina. She also served in the Dayton Children's Hospital outpatient clinics in Dayton, Ohio, the Appalachian Health System outpatient clinics in Linville, North Carolina, and more recently has been serving the Child and Adolescent inpatient population in Bangor, Maine. Dr. Sanchez Rivera has an approachable style aimed at providing a comprehensive evaluation for all age ranges and is comfortable managing various levels of diagnostic complexities. She provides supportive psychotherapy while using psychodynamic therapy skills to clarify her patient's constellation of symptoms, identify unifying themes and provide thorough psychoeducation throughout the process to drive positive outcomes. She integrates psychodynamic medication management approaches and is adept at family therapy interventions.

Dr. Mayra Valdivia Carlisle is a bilingual Spanish and English-speaking board-certified Adult Psychiatrist and Child & Adolescent Psychiatrist. She earned her master's degree in public health and her medical degree from Oklahoma State University Center for Health Sciences. She went on to complete her residency training in Adult Psychiatry at the University of Texas Health Science Center in San Antonio and subsequently completed her fellowship in Child and Adolescent Psychiatry. She was awarded the Excellence in Public Health Award by the U.S. Public Health Service and Surgeon General for her work addressing health disparities in healthcare. Dr. Carlisle has extensive experience in outpatient and community mental health settings.

Dr. Carlisle provides patient-centered and compassionate psychiatric care combining medication management, psychotherapeutic methods, and lifestyle modifications to create a unique treatment plan. She recognizes that each person benefits from a personalized and holistic approach to healing. Dr. Carlisle specializes in treating diverse psychiatric conditions including ADHD, anxiety disorders, depression, and post-traumatic stress disorder in children, adolescents, and adults.

During an initial visit one can expect a comprehensive evaluation aimed at understanding individual mental health history, specific concerns, and overall treatment goals. Dr. Carlisle practices a holistic approach to treating mental disorders. This is done through an individualized plan for each patient with careful consideration to medication management, therapy techniques, and lifestyle modifications. Patients can expect an empathetic and collaborative environment focused on their personal experiences and goals.

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Dr. Megan Crochet is board certified in Adult Psychiatry and has completed a fellowship in child and adolescent Psychiatry. Dr. Crochet attended medical school at Drexel University College of Medicine and completed her training at Mount Sinai School of Medicine, followed by Tulane University School of Medicine, where she was a chief resident. Dr. Crochet provides a therapeutic medication management visit, which incorporates therapeutic techniques tailored to the individual patient needs while adjusting medication doses. Her goal is to help patients manage their symptoms while working towards, over time, uncovering the root causes. This comprehensive process helps to empower her patients and provides hope and acceptance of their psychiatric challenges. If indicated, Dr. Crochet may believe that additional therapy is also needed and recommend that you bring a therapist into your care team to provide the best outcome. Dr. Crochet has worked in hospital systems, private practice, and most recently telemedicine. When not practicing, she enjoys all things water, cooking and spending time with her daughter and dog.

Background and credentials

Dr. Nina Jacobs is a board-certified psychiatrist specializing in child, adolescent, and adult psychiatry with over 20 years of clinical experience. She earned her medical degree from the University of Chicago, Pritzker School of Medicine and completed her adult, child, and adolescent psychiatry training at NYU School of Medicine. Additionally, she has specialized training in psychodynamic psychotherapy from the New York Psychoanalytic Institute. Before joining Talkiatry, she served as Chief of Adult Behavioral Health at a busy urban community health clinic.

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Treatment approach

Dr. Jacobs believes that understanding and compassion are fundamental to effective psychiatric care. She provides engaged, patient-centered treatment, focusing on reducing symptoms and restoring well-being. Her approach includes comprehensive evaluations, thoughtful medication management, supportive therapy, and the development of stress management skills. She treats youth ages 13-17 and adults with anxiety, depression, bipolar disorder, ADHD, PTSD, and other mental health conditions. For adolescent patients, she includes parental involvement during a portion of appointments to discuss progress and treatment plans.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive evaluation in which Dr. Jacobs takes time to understand their symptoms, history, and goals. She fosters a collaborative and compassionate environment, ensuring that treatment plans are personalized and patient-centered. Her approach may include medication management, therapy recommendations, and stress management techniques to support patients in achieving their mental health and well-being goals.

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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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Amy Gonzalez is a board certified Psychiatric Mental Health Nurse Practitioner as well as a Family Nurse Practitioner. She has been practicing in the field of nursing since 1996. Amy has been a practicing Family Nurse Practitioner since 2007, and she started to focus on substance abuse treatment in 2010. She found that many people with substance use disorder also struggle with their mental health and went on to get her Psychiatric Mental Health Nurse Practitioner degree completing it in 2017. Her past experience includes working in both outpatient and inpatient psychiatry, 24-hour crisis care, substance use treatment, mental health court, and both adult and geriatric psychiatry. Amy has expertise in treating depression, bipolar spectrum disorder, anxiety, insomnia, PTSD, substance use disorders and thought disorders.

Amy believes in providing a safe and supportive environment where she really gets to know her patients as individuals and works collaboratively with them to develop a treatment plan. She is concerned with a patient's overall wellness, emphasizing nutrition, movement, hobbies, social connection, and mindfulness. She takes a holistic approach to treatment which focuses on evidence-based treatments including conventional medications, supplements, and alternative and complementary treatments.

Amy focuses on medication management as well as providing supportive therapy, psychoeducation, and motivational interviewing to her patients in 30-minute follow up appointments. Sometimes Amy may recommend more intense therapy and ask that you bring a therapist into your care team to provide the best outcome.