Emily Goncalves, MD

Dr. Kirk Carruthers is a board-certified psychiatrist with experience in both outpatient and inpatient psychiatry, as well as addiction medicine. He completed his medical degree at Morehouse School of Medicine and trained at University Hospitals – Case Medical Center, where he completed general psychiatry residency and fellowships in addiction and community psychiatry. His experience includes roles in community mental health, academic teaching, and the VA system. Outside of work, he enjoys music production, soccer, spending time with loved ones, and all dogs.

Dr. Carruthers brings a casual, easygoing communication style to create a comfortable space where patients feel at ease. He emphasizes forming strong therapeutic bonds based on trust, and combines supportive therapy with medication management. He encourages collaboration with therapists and uses evidence-based treatment approaches tailored to each individual’s needs.

Dr. Carruthers begins with a thorough understanding of each patient's concerns, history, and goals. He then creates a personalized treatment plan and works collaboratively with the patient to reach their goals, adjusting care as needed for ongoing progress.

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Dr. Kristin Ratz is a Board-Certified psychiatrist who is an expert in the diagnosis, treatment, and prevention of mental, emotional and behavioral disorders. She specializes in medication management combined with supportive therapy during 30-minute follow-up sessions. Dr. Ratz recognizes that each patient is unique and believes in an environment of collaboration, in which the patient and psychiatrist work together in order to develop the best individualized treatment plan. A California local, Dr. Ratz obtained her undergraduate education at University of California, Davis, graduating magna cum laude with a degree in Human Development. She then attended medical school at Loma Linda University School of Medicine, obtaining her Medical Doctorate. Following this, she completed her adult psychiatry residency training at the distinguished University of California, Irvine. Dr. Ratz has worked in a diverse range of healthcare settings, including county and community clinics, and is very experienced in telepsychiatry. She pays close attention to not only an individual's emotional state, but also their physical, spiritual, and social well-being, in order to provide her patients with exceptional holistic care.

Background and credentials

Dr. Nereida Gonzalez-Berrios is a general psychiatrist fluent in English and Spanish. She earned her bachelor’s degree in Microbiology from the University of Puerto Rico and her medical doctorate from Ponce School of Medicine (now Ponce Health Sciences University). She completed her General Psychiatry Training Program at the University of Puerto Rico Medical Sciences Campus, graduating in 2008. After practicing privately in Puerto Rico, she relocated to Texas, where she worked for over five years at the Michael E. DeBakey VA Health System, providing mental health care to veterans. She has also gained extensive experience in telemedicine, working both within the VA system and as a locum tenens provider.

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Treatment approach

Dr. Gonzalez-Berrios has extensive experience treating a wide range of psychiatric conditions, including mood disorders, anxiety disorders, psychotic disorders, intellectual impairment, ADHD, eating disorders, PTSD, and personality disorders. She integrates traditional psychiatric treatment with a holistic wellness approach, drawing on her background as a motivational speaker, wellness coach, certified personal fitness trainer, nutrition coach, and weight-loss specialist. Her approach emphasizes improving overall mental and physical well-being through personalized treatment plans that incorporate psychiatric care, wellness strategies, and lifestyle modifications.

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What you can expect in a first visit

Patients can expect a comprehensive psychiatric evaluation where Dr. Gonzalez-Berrios carefully assesses their symptoms, medical history, and personal wellness goals. She takes a collaborative and patient-centered approach, ensuring that treatment is tailored to each individual’s mental and physical health needs. As an experienced telemedicine provider, she offers accessible and flexible mental health care, combining medication management and holistic wellness strategies to help patients achieve lasting well-being.

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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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Tamara Lazenby, MD is a board-certified psychiatrist with more than 20 years of clinical and academic experience in emergency mental health, disaster response, and trauma-focused care. She earned her undergraduate degree at George Mason University and completed her medical degree at Eastern Virginia Medical School. After the September 11th attacks, Dr. Lazenby trained in psychiatry at New York Medical College’s Saint Vincent’s Hospital, specializing in emergency and trauma psychiatry.

She previously served as Associate Director of Wellness & Emergency Response Services at New York University’s Student Health Center, leading a team that cared for more than 50,000 global NYU students. Dr. Lazenby also previously served as Staff Psychiatrist and Team Lead for the Combat PTSD Clinical Team at the Hampton VA Medical Center, providing care for veterans with service-related trauma and implementing National VA Standards of Care.

Dr. Lazenby believes healing happens when mind, body, and spirit are aligned. She creates a compassionate and collaborative environment where patients feel deeply heard and empowered in their own care. Her approach blends conventional psychiatric treatment with nutrition, mindfulness, movement, and stress-reduction strategies to support long-term mental wellness.  She values authenticity, open communication, and shared decision-making, empowering patients to build resilience and restore balance in their lives.

She begins with a comprehensive assessment exploring medical, psychological, and lifestyle factors that influence mental health. Treatment plans are personalized and may include psychotherapy, targeted laboratory testing, lifestyle modifications, supplements, and medication when appropriate. Dr. Lazenby works closely with patients to restore balance, resilience, and overall well-being through a truly integrative approach. Regular collaboration and feedback, helping patients heal, grow, and thrive.

Dr. Orejarena is board certified by the American Board of Psychiatry and Neurology. She finished her residency from Yale University and the University of Texas Houston. She has done extensive research on psychiatry during her PhD in Neuropsychopharmacology and a Master's in Neuroscience. She is bilingual in Spanish and English. She incorporates different therapy modalities and evidence-based treatments, tailored to each person's needs. She enjoys applying her knowledge in neuroscience and pharmacology into her clinical practice and believes a combination of medication and psychotherapy yields the best treatment outcomes.

Her ultimate goal is to help patients feel their best and accomplish their own goals by developing tools to navigate internal or external obstacles that are part of life. Dr. Orejarena is originally from Colombia, where she earned her medical degree from Universidad Industrial de Santander. She pursued a Master's in Neuroscience at the University of Barcelona and a PhD in Neuropharmacology at the Universidad Pompeu Fabra in Barcelona, Spain. Her PhD thesis was honored summa cum laude.

She completed a postdoctoral fellowship training at the Institut de Neurobiologie de la Mediterranee in Marseille, France. She is the author of multiple peer-reviewed publications and has presented her research at national and international meetings. Over the years, she has worked in a variety of settings including outpatient clinics, acute care, psychiatric hospitals as an Assistant Professor of Psychiatry at the University of Texas Health Sciences Center.‍‍

Dr. Prit Patel is a board-certified adult psychiatrist. He obtained his medical degree from the University of South Florida and subsequently completed his residency training at the University of Texas at Austin and Northwell Health's Zucker Hillside Hospital. During his training, Dr. Patel also served as chief resident of Zucker's Hillside Hospital's outpatient psychiatric department. Following his training, Dr. Patel has previously worked at New York Presbyterian's Gracie Square Hospital, where he served as an inpatient psychiatrist treating a variety of mental health conditions, utilizing a combination of medication management and therapeutic techniques in helping those experiencing distress due to their conditions. Throughout his training and career thus far, Dr. Patel has received several awards for his clinical care and contribution to medical and psychiatric education, such as Zucker Hillside's Psychiatric Educator award. Dr. Patel has also contributed to medical research in the domains of psychiatry and LGBTQ+ healthcare .Dr. Patel has an interest in not only treating disorders but also helping patients improve their overall well-being. He treats a variety of conditions including depression, bipolar disorder, anxiety disorders, obsessive-compulsive disorders, and trauma-related disorders, through the use of medication and therapy. He has particular experience and interest in treating LGBTQ+ patients as well as young professionals and young adults.