Dennis Valerstain, MD

Gary Etter, MD is a board-certified psychiatrist with experience across outpatient, inpatient, and emergency settings, including many years within the John Peter Smith Healthcare System. He has also practiced in federal correctional psychiatric settings and outpatient care through Tarrant County MHMR. Dr. Etter has been extensively involved in psychiatric education for medical students and psychiatry residents. He has participated in organized psychiatry for many years through the Texas Society of Psychiatric Physicians, serving on multiple committees and previously as President of the Texas Psychiatric Society. He earned his medical degree from the University of Texas Medical Branch in Galveston and completed his psychiatry residency at Timberlawn Psychiatric Hospital in Dallas. He is a Distinguished Life Fellow of the American Psychiatric Association.

Dr. Etter values ongoing patient input and strives to create a collaborative treatment environment where patients are actively involved in decision-making. He emphasizes a warm, supportive approach that helps patients feel heard, respected, and understood throughout their care.

Dr. Etter begins by developing a thorough understanding of each patient’s psychiatric, medical, family, developmental, and substance use history, while also exploring the patient’s concerns and goals. He then works collaboratively with the patient to develop an individualized treatment plan tailored to their unique needs and objectives.

Dr. Atkins is a staff psychiatrist at Talkiatry. He is board-certified in adult psychiatry and has been in practice for the past 2 years. He has received several awards for teaching and the treatment of chronically ill patients, including Stony Brook University's "William Turner Award" for excellence in education and leadership. Dr. Atkins has focused his practice primarily on medication management. He combines medication management with a therapeutic style that is a blend of supportive therapy, cognitive behavioral therapy, and motivational interviewing. Follow‐up appointments with Dr. Atkins typically last 20‐30 minutes. While Dr. Atkins is trained in a variety of therapeutic techniques, he works collaboratively with therapists and may recommend their inclusion as part of your treatment team, depending on your individualized treatment plan .Dr. Atkins attended the University of Connecticut School of Medicine where he received his medical degree. He completed his psychiatry residency at Stony Brook University Hospital in New York. Post residency, he worked with general adult patients as well as older adults at Manchester Memorial Hospital where he served as both an outpatient psychiatrist and Director of the Geriatric Intensive Outpatient Program. Although Dr. Atkins does not treat child or adolescent patients, he has experience working with people of all ages, from young adults to adults. He has experience treating mood disorders, anxiety disorders, obsessive-compulsive disorder, patients in the perinatal period, and patients with co‐co-occurring substance use disorders. He has regularly managed behavioral problems in adults with autism spectrum disorders as well as dementia. He particularly enjoys working with patients dealing with life or role transitions, older adults, and patients with bipolar or other affective disorders.

Dr. Julie Rodriguez is an ABPN boarded adult psychiatrist with over 15 years of clinical experience. Dr. Rodriguez's practice focuses on medication management, which is offered in conjunction with supportive therapy. Dr. Rodriguez obtained her medical degree from the Universidad Cat�lica Madre y Maestra Dominican Republic. She then completed her residency in adult psychiatry at the University of Florida, in Gainesville. After completing training, Dr. Rodriguez became a Clinical Assistant Professor for the University of Florida Department of Psychiatry. In this role she served students at UF Student Mental Health at the Counseling and Wellness Center. She also provided treatment to adults in inpatient services and other settings. While doctor Dr. Rodriguez treats a variety of age ranges and diagnoses, she is most passionate about college student mental health with a clinical expertise in the area of mood and anxiety disorders.

Myrtle Davenport is a dual certified Family Psychiatric Nurse Practitioner with over 12 years of experience in healthcare. She completed her Masters of Science in Nursing (MSN) degree with a concentration in Family Nurse Practitioner at Chamberlain University and a Post Master’s in Psychiatric Mental Health Nurse Practitioner at Valdosta State University. Myrtle is skilled in assessing and treating a variety of mental health disorders including but not limited to anxiety, major depression, PTSD, ADHD, OCD, and other mood disorders across the life span. She is trained in psychiatric diagnosis, medication management, and supportive therapy. Over the past 7 years, she has gained valuable experience in a number of settings, including outpatient, inpatient, and residential facilities, community mental health clinics, and private practice.

Myrtle is dedicated to providing a safe and nonjudgmental environment where patients can expect to be heard, emotionally validated, and supported. She will ensure that patients are well-informed, empowering them to be active participants in managing their care. By fostering a strong therapeutic relationship, she will support her patients in achieving long-term mental wellness and resilience.

As a dedicated Psychiatric Nurse Practitioner, Myrtle provides comprehensive mental health care to individuals across the lifespan, helping them navigate through their mental health challenges with a holistic, compassionate approach. Her clinical practice involves conducting a thorough assessment and gathering relevant information from patients about their medical, psychiatric, and social history. Through open and empathetic communication, she will ensure a deep understanding of their symptoms, challenges, and goals. Based on the assessment, she will work closely with her patients to develop an individualized treatment plan and lifestyle recommendations. She will offer education on mental health conditions, coping strategies, and self-care techniques. She also provides referrals to therapists and other support services, helping patients develop the skills they need to thrive. She also believes in providing psychoeducation to patients, families, and caregivers. Myrtle's approach to patient care is grounded in empathy, respect, and evidence-based practices, and she is committed to fostering a supportive, collaborative environment where patients feel empowered to achieve their mental health goals.

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Dr. Robert Smeed, DO, is a board-certified psychiatrist with a passion for healing the human mind and consciousness. He earned his Doctor of Osteopathic Medicine from Lake Erie College of Osteopathic Medicine and completed his Psychiatry Residency at Wayne State University College of Medicine. Certified by the American Board of Psychiatry and Neurology (ABPN), Dr. Smeed served as an outpatient psychiatrist at Veterans Affairs for 11 years, honing his expertise in mental health care. Driven by a deep interest in consciousness and innovative treatments, he combines talking therapies, neuromodulation, and modern psychopharmacology to help patients achieve lasting wellness.

Dr. Smeed is proficient in treating a wide range of psychiatric conditions while specializing in treatment-resistant depression, neurodevelopmental disorders, anxiety and trauma disorders. His treatment style is empathic and collaborative, emphasizing family dynamics and relationships while integrating psychodynamic principles with biopsychosocial models. He approaches each patient with creativity, using open-ended discussions and innovative therapeutic and psychopharmacologic strategies to tailor care, ensuring a personalized and effective treatment experience.

Dr. Smeed begins with open-ended dialogue, allowing patients to develop their narrative, which is often therapeutic. Treatment plans are customized to patient needs and align with diagnostic standards of care. He incorporates medication reviews, mindfulness techniques, cognitive behavioral therapy (CBT), supportive therapy, and psychodynamic approaches. Dr. Smeed also educates patients on lifestyle factors, such as diet and exercise, to support mental health, fostering a holistic and individualized path to wellness.

Darcie Farrell is an ANCC Board Certified Family Psychiatric Nurse Practitioner.  She has worked exclusively in the field of psychiatry during her forty-year nursing career.  She has worked in many care settings, including as a psychiatric Home Health Nurse and as a Certified Case Manager (CCM) in Psychiatry at Blue Cross Blue Shield. During her time at Excellus Blue Cross Blue Shield, she realized the urgent need for psychiatric nurse practitioners, so enrolled in the BSN/MSN program at the University of Rochester, graduating in 2016 with her BSN and in 2018 with her MSN.  She has strong skills and experience in Motivational Interviewing, having worked as a Motivational Counselor for a University of Rochester's Pediatric Research Program.   She has worked for the past seven years as a Nurse Practitioner in Geriatric Outpatient Psychiatry.

Darcie Farrell is a compassionate provider who is client centered. I rely on evidence-based scientific research when determining the best treatment options for clients.  

Darcie Farrell has a very relaxed process for working with patients which allows the client to provide information that is pertinent to their goals for care.  Then, together, we determine which treatment options are likely to be best for the client.

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