Gretchen Sutphin, LCSW

Dr. Garrick Gaffney earned his medical degree from Kansas City University and completed his psychiatry residency at John Peter Smith Hospital in Fort Worth, Texas. A combat veteran, he served in the U.S. Marine Corps, including a tour in Iraq, and was honored with the Navy and Marine Corps Achievement Medal and a Certificate of Commendation for exemplary leadership.  During medical school, Dr. Gaffney pursued advanced training as an Osteopathic Manipulative Medicine fellow. As a resident, he served as Chief Academic Resident and earned accolades such as Intern of the Year and Outstanding Educator of the Year twice consecutively.  

Dr. Gaffney specializes in treating complex psychiatric conditions, including depression, anxiety, PTSD, OCD, bipolar disorder, and insomnia. He has presented case studies and quality improvement projects at national conferences, including the American Psychiatric Association (APA), Academy of Consultation-Liaison Psychiatry, and Association for Academic Psychiatry.  

A proponent of holistic care, Dr. Gaffney integrates psychotherapy into medication management and emphasizes lifestyle modifications and evidence-based integrative medicine

New patients receive comprehensive evaluations to rule out medical causes of symptoms, followed by tailored treatment plans combining therapy, medication, and lifestyle adjustments. Follow-up visits focus on symptom management through supportive, brief dynamic, or cognitive behavioral therapy, with frequent appointments until stabilization is achieved.  

Dr. Gaffney is committed to collaborative, patient-centered care that addresses both mental and physical well-being

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Background and credentials

Dr. Munoz is a board-eligible adult psychiatrist. He earned his medical degree from Rutgers, New Jersey Medical School and completed his psychiatric residency at Mount Sinai Beth Israel. Throughout his training, he gained experience in a variety of clinical settings, including outpatient and inpatient care, as well as psychiatric emergency services.

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Treatment approach

Dr. Munoz provides compassionate psychiatric care through a combination of pharmacotherapy and supportive therapy. He specializes in treating depression, anxiety, bipolar disorder, and psychotic disorders. He has extensive experience working with LGBTQ+ and Spanish-speaking communities. His treatment philosophy is holistic, viewing patients as whole individuals and addressing their specific needs at different stages of life. He also emphasizes the importance of exercise, relationships, and overall well-being in his approach to mental health care.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive and patient-centered evaluation. Dr. Munoz takes the time to understand each patient’s symptoms, background, and personal goals. He collaborates with patients to develop an individualized treatment plan that may include medication management, supportive therapy, and lifestyle modifications to support their overall 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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Dr. Sophia Monsour holds the position of Chief Psychiatrist for Pennsylvania at Talkiatry. After completing residency in 2013 at Albany Medical Center, she has spent the past 9 years fulfilling her passion for integrated and specialty care for adults suffering from mental illness. Her years of experience have included working as an integrated care Psychiatrist at a community health center, a medical director of a Partial Hospital and Intensive Outpatient Program (PHP/IOP), and also working for an Assertive Community Treatment Team (ACT) specializing in the Serious Mentally Ill (SMI) population. Most recently, she has been serving our veterans as the Outpatient Section Chief, Primary/Mental Health Integration Medical Director and Resident/Medical Student Coordinator at VA Pittsburgh. Dr. Monsour has an approachable style when treating individuals who suffer from various diagnoses, especially those with prior trauma. She provides supportive psychotherapy and at times uses psychodynamic therapy skills to address her patient's current stressors and to identify the root cause of their ailment. She believes in a holistic approach and utilizes mindfulness as a technique along with medication management.

Rebecca Jarrell is a Licensed Professional Counselor in Texas and a Licensed Professional Clinical Counselor in California and New Mexico. She has been in the mental health field for over 24 years in a variety of clinical settings. Early in her career, she worked in an inpatient psychiatric hospital on the child and adolescent unit. Most recently, Rebecca has spent over a decade in the private practice setting working with adults and specializing in anxiety, depression, trauma, and grief and loss issues. While she provides a holistic, individualized treatment approach, she has a strong background in Cognitive Behavioral Therapy. She is a Certified Clinical Trauma Professional (CCTP) and a Certified Grief Educator. She feels strongly about treating each client as a unique individual and meeting them wherever they are on their mental health journey. Rebecca is committed to creating a supportive and nonjudgmental environment where clients feel seen, heard, and empowered to make meaningful changes in their lives. Clients looking for a therapist will find Rebecca to be compassionate and direct, encouraging clients to challenge and reframe distorted thoughts while reinforcing positive adaptive behaviors.

Alicia Lakin has been counseling for over 20 years. She possesses an LPC-MHSP license. Alicia earned her Bachelor's degree in Psychology at the University of Tennessee. She then went on to earn her Master's Degree, with a focus on Guidance and Counseling, at Lincoln Memorial University. Alicia has been trained in Trauma Focused � Cognitive Behavioral Therapy (TF-CBT) and Motivational Interviewing. Alicia's professional career has provided her with the opportunity to work with individuals in a variety of settings. She has provided treatment in residential care programs for children and adolescents, in the family home, community-based mental health center, and substance abuse treatment outpatient services. In these settings, Alicia has been afforded the opportunity to treat all ages, dealing with a wide range of issues including trauma, substance abuse and recovery, and mood disorders such as anxiety, depression and post-traumatic stress disorder (PTSD). Therapeutically, Alicia describes her approach as "person-centered”, strength-based, and collaborative. She believes in providing a safe space for individuals to be able to express themselves openly, as well as explore any changes they desire to make in their lives. She believes in building a trusting relationship so that she and the individual can work together to help create change. Her style is reality-based, and she views herself as having many roles as a therapist, including that of a support, teacher, advocate, facilitator, and listener in the treatment relationship.

Kristen Soukup, LCSW is a mental health therapist at Talkiatry. Kristen completed her undergraduate degree at the University of Rochester where she studied Psychology and Brain & Cognitive Science. She then went on to pursue her Master's degree in Social Work at the State University of New York at Buffalo. After completing her Master's degree, Kristen began working at an outpatient cancer center where she provided care coordination and therapeutic support to patients and their families enduring cancer diagnoses, treatments, and end of life. She then worked to pursue her clinical license in working with adults with significant and persistent mental illness in an outpatient setting. Kristen functioned not only as a primary therapist but also as the crisis team leader, providing supervision to other clinicians and assisting clients both in the clinic and the community. Kristen believes in looking at the whole person in their environment when working with her patients. She comes from a nonjudgmental and empathetic standpoint and genuinely wants to put the patient's goals and values first. Kristen has experience in treating patients with anxiety, depression, OCD, Bipolar disorder, and personality disorders. Kristen is trained in Dialectical Behavioral Therapy and tends to utilize Cognitive Behavioral Therapy techniques in treatment. She has knowledge and interest in human motivation and performance related issues, and utilizes Motivational Interviewing and mindfulness skills to assist her patients with these concerns. Kristen also has training in treating anxiety and Obsessive Compulsive disorders and uses exposure therapy to assist patients in overcoming these struggles.‍