Heather Inano, MD

Background  and credentials    

Dr. Christa DeFries is a board-certified Adult Psychiatrist. She earned her  medical degree from UT Southwestern Medical School in Dallas, Texas, and  completed her residency in Adult Psychiatry at Baylor Scott & White in  Temple, Texas. Following residency, Dr. DeFries gained additional experience  treating homeless and formerly homeless populations in New York City,  particularly focusing on individuals with histories of trauma and substance  addiction, prior to joining Talkiatry.    

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Treatment approach    

Dr. DeFries practices Adult Psychiatry, employing an integrative treatment  approach combining medication management, psychotherapeutic methods, and  lifestyle modifications. She recognizes that each patient benefits from a  personalized mix of these three aspects of care. Dr. DeFries specializes in  treating diverse psychiatric conditions, including those related to trauma,  substance addictions, and various mental health disorders.    

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What you can expect in a first visit    

In a first visit with Dr. DeFries, patients can expect a comprehensive  evaluation aimed at understanding their individual mental health history,  specific concerns, and overall treatment goals. Dr. DeFries emphasizes an  individualized approach, carefully exploring the best combination of  medication, therapy, and lifestyle adjustments tailored specifically to each  patient's needs. Patients can anticipate an empathetic and collaborative  environment focused on their personal experiences and 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.

Dr. Emmalee Boyle is a board-certified adult psychiatrist who specializes in providing patient-centered care. She offers a mix of medication management in conjunction with supportive therapy in 30-minute follow-up visits. Dr. Boyle's areas of interest include treating mood disorders, anxiety disorders, and co-occurring substance use disorders. In addition, she enjoys helping the patient explore a holistic approach to their mental health treatment. Dr. Boyle received her medical degree from the Medical College of Wisconsin. She completed her general psychiatry residency training at Boston University Medical Center, where she was selected as co-chief resident. She also completed an additional post-graduate fellowship at the Massachusetts Institute of Psychoanalysis. During training, Dr. Boyle worked with an ethnically, culturally, and linguistically diverse patient population with various psychiatric illnesses and has experience navigating the many intersecting systems of mental health care. In addition, she worked with experts in the fields of psychosis and substance abuse. She also co-authored a book chapter on the immune system and psychiatric illness. Dr. Boyle also has particular clinical interests in immigrant and refugee health.

David Arabie is a licensed professional counselor and certified tobacco treatment specialist with extensive experience working in the mental health field. David has worked directly with clients from various demographics and in various clinical settings, from inpatient hospitals, outpatient clinics, private practice, to working with the incarcerated. David has a long history of working with clients with an array of mental health conditions and challenges, from mood disorders, adjustment-related issues, addiction, family dynamics, relationship issues, emotional trauma, behavioral issues, anger management, and clinical anxiety and depression. He has a working knowledge of psychotropic medications to help with med-compliance and treatment barriers. David obtained undergraduate and graduate degrees from the University of Houston Clear Lake in Houston, Texas. David has been practicing as an LPC for 19 years but has also worked as a Licensed Chemical Dependency Counselor before obtaining his LPC. Working with David, treatment is tailored to the individual, so the goals of therapy can be met, and the client can experience a sense of vested interest in their own emotional contentment and growth. David uses an eclectic approach to therapy, with a strong foundation in Solution-Focused Therapy, Cognitive-Behavioral Therapy, and Rational Emotive Behavioral Therapy. Personally, David is a musician, community theater actor, educator, coach, and swim official.‍

Dr. Angela Durham is a licensed psychiatrist with over 15 years of experience providing compassionate care in both outpatient and telehealth settings. She has a strong background in treating a wide range of mental health conditions, including mood disorders, anxiety disorders, and ADHD. Dr. Durham earned her medical degree from the University of Louisville and completed her psychiatry residency at the University of Kentucky. She maintains an active medical license and DEA registration.

Dr. Durham creates a supportive, nonjudgmental environment where patients feel comfortable sharing their experiences. She values collaboration and open communication throughout the treatment process, focusing on empowering individuals with education and tools to better manage their mental health. Her approach emphasizes tailoring care to each person’s unique needs and goals to promote long-term wellness.

Dr. Durham begins each therapeutic relationship with a thorough assessment of the patient’s history, symptoms, and goals. She works collaboratively to develop an individualized treatment plan that may include medication management, lifestyle strategies, and coordination with therapists or other healthcare providers. Dr. Durham regularly reviews progress, adjusts treatment plans as needed, and encourages patients to take an active role in their care and decision-making.

Rebecca Siwanowicz is a Licensed Clinical Social Worker who began her career in 2013, maintaining various positions in both inpatient and outpatient settings while treating substance use and mental health disorders. Rebecca graduated with her BSW from Florida Atlantic University in 2013 and graduated with her MSW in 2016. Rebecca is trained in Accelerated Resolution Therapy and is a Master's Level Certified Addiction Professional in the state of Florida.‍Rebecca's areas of expertise are trauma, anxiety and depressive disorders, issues related to codependency and low self-esteem, life transitions, self-care and emotion regulation. Rebecca takes an individualistic approach when treating clients, greatly valuing and promoting individuality and autonomy. Rebecca practices through the lens of Family Systems Theory and Attachment Theory, utilizing components of Existentialism, Strength Based Therapy, Dialectical Behavior Therapy, 12 Step Principles, and Client Centered Therapy. Rebecca takes a psychosocial approach toward treatment, providing her clients with unconditional positive regard, psychoeducation, and practical coping skills to support them in building a life of their choosing.

Mekayla Davila is a Licensed Mental Health Counselor (LMHC) who has been in practice for 6 years. She has experience working with many diverse populations and mental health conditions. Mekayla attended graduate school at Teachers College Columbia University where she received an M.A. and M.Ed. in Mental Health Counseling. Her education and experience span both psychology and criminal justice fields as she has always been interested in their intersectionality. In previous roles, Mekayla has worked mostly with children, adolescents, and adults of minority populations, with focuses on treating anxiety, depression, trauma, and other stressor-related disorders. Mekayla strongly believes that every therapeutic interaction is unique, so she uses an eclectic approach, with foundations in Cognitive Behavioral Therapy and Psychodynamic Therapy, to tailor treatment to the specific needs of each individual. Mekayla puts emphasis on the therapeutic relationship and finds it important to provide a safe and comforting environment for all.