Irene Pastis, MD

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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Dr. Crump is a board-certified psychiatrist at Talkiatry. She is from Kentucky and completed her undergraduate studies at Murray State University. She obtained her medical degree from University of Kentucky College of Medicine and completed her psychiatry residency training at University of Louisville School of Medicine. Afterwards, she completed a fellowship in child and adolescent psychiatry at Medical University of South Carolina.

Dr. Crump has experience in a wide range of diagnoses and patient populations, with particular interest in anxiety, depression, PTSD, substance use disorders as well as the child and adolescent, college, BIPOC, and LBGTQIA+ populations.

Dr. Crump believes in the importance of getting to know each patient as a whole and of understanding the unique experiences that bring them to treatment. She collaborates with her patients to create personalized treatment plans and considers both medication and non-medication options.

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Dr. Kathryn Bertacchi is board-certified in both adult and child & adolescent psychiatry. Originally from California, she earned her medical degree from University College Cork in Ireland and completed residency and fellowship at Emory University. She has practiced in varied settings, including developing specialized clinics in eating disorders and gender-affirming care. She is a member of several professional organizations including AACAP, APA, and WPATH.

Dr. Bertacchi fosters an inclusive, nonjudgmental environment where patients feel safe to be themselves. She approaches care with curiosity, compassion, and deep respect for each person’s unique story, aiming to help individuals feel genuinely heard and supported throughout their treatment journey.

In early sessions, Dr. Bertacchi works collaboratively to understand patients' lives, goals, and challenges. While her focus is medication management, she integrates cognitive-behavioral, humanistic, and supportive techniques. She may recommend additional therapy as needed and particularly values working with youth and adults from diverse backgrounds.

Dr. Robben proudly served in the U.S. Air Force and has been practicing psychiatry for 17 years. He is happy to have completed his medical school education, as well as his residency in general psychiatry and fellowship in addiction psychiatry, all at the University of South Florida in Tampa. Dr. Robben is board certified in both general psychiatry and addiction psychiatry. He has experience in many roles over the span of his career to include working with Veterans diagnosed with posttraumatic stress disorder and substance use disorders, managing specialty clinics for patients with treatment-resistant depression, and working in general outpatient psychiatry clinics, as well as emergency and inpatient psychiatric settings. Dr. Robben also previously served as the Training Director for the University of South Florida Morsani College

of Medicine Addiction Psychiatry Fellowship Program. He is currently the Medical Director at a residential substance use disorder treatment center in Florida. Additionally, Dr. Robben is a certified Medical Review Officer and has additional qualifications in transcranial magnetic stimulation (TMS) and Spravato.

(esketamine). Dr. Robben has been voted as Addiction Medicine "Top Doctor" in Tampa Bay, FL by physicians for 8 of the last 9 years. Dr. Robben specializes in treating depression, bipolar disorder, anxiety, PTSD, OCD, ADHD and substance use disorders.

Dr. Robben uses a supportive, patient-centered approach, taking into account each individual's personal values and goals when formulating a treatment plan. He educates patients on the most up to date scientific evidence and provides multiple treatment options to help each person determine the most appropriate plan for them.  

Dr. Robben believes in a collaborative and holistic approach to working with his patients. Dr. Robben spends a significant amount of time educating his patients on all forms of mental health treatment, from medications and psychotherapy, to nutrition, exercise, meditation and sleep hygiene. What works well for

One person may not work well for another person. Having options and understanding the potential benefits and risks of each treatment empowers patients to take an active role in their own healthcare.

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Dr. Kira Posteraro is double board-certified in Adult and Addiction Psychiatry and has over 10 years of clinical experience. She completed her General Adult Psychiatry Residency at Allegheny General Hospital in Pittsburgh, PA, followed by a fellowship in Addiction Psychiatry at Beth Israel Medical Center in New York, NY.

Dr. Posteraro’s career has included serving as Director of Psychiatric Services at an addiction treatment center in Pittsburgh, PA, where she provided care across the full continuum of substance use disorder treatment—including residential, acute PHP, IOP, outpatient, and aftercare services. She later held the role of Section Chief Psychiatrist for the Center for Treatment of Addictive Disorders at VA Pittsburgh Healthcare System, offering both residential and outpatient services and acting as Medical Director for the SAMHSA-certified Opioid Treatment Program. Most recently, she served as Chief of Psychiatry for the Behavioral Health Service Line at VA Pittsburgh, where she had the honor of caring for our nation’s Veterans.

While her clinical expertise centers on the diagnosis and treatment of substance use disorders, Dr. Posteraro also has extensive experience treating a wide range of psychiatric conditions, including depressive and bipolar spectrum disorders, anxiety disorders, and trauma-related disorders.

Dr. Posteraro uses a collaborative, supportive approach to care, incorporating motivational interviewing to help guide patients on their journey to wellness. She integrates holistic strategies alongside medication management and is dedicated to meeting patients where they are in treatment to build individualized, effective recovery plans.

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Dr. Stephen Byrd is a clinical psychiatrist at Talkiatry. He is board-certified in both psychiatry and addiction medicine. He has been practicing for over 31 years in a wide variety of settings, including working with inpatients and outpatients in private practice, community mental health, geriatric, VA, and community hospital/medical center settings. Dr. Byrd's practice focuses on evidence-based medication management, usually provided in conjunction with 30-minute supportive psychotherapy, which is informed by cognitive behavior therapy, psychodynamic psychotherapy, and motivational enhancement. When more intensive therapy is needed, Dr Byrd may ask you to include a therapist as part of your care team. He received his medical degree from the University of Cincinnati College of Medicine in Ohio and completed his residency training in psychiatry at Case Western Reserve University School of Medicine, University Hospitals of Cleveland. Throughout his career, he has treated patients with a wide variety of conditions in both inpatient and outpatient settings. Additionally, He has served as director of inpatient geropsychiatry at Lutheran Hospital in Cleveland, Ohio, program manager of the substance abuse treatment program at the Charlie Norwood Veterans Affairs Medical Center in Augusta, Georgia, and medical director of outpatient behavioral health at Saint Alphonsus Regional Medical Center in Boise, Idaho. Throughout his career, Dr. Byrd has been active in training medical students and psychiatry residents, and he has held clinical teaching appointments at Case Western Reserve University School of Medicine, Northeastern Ohio Universities College of Medicine, Medical College of Georgia, University of Washington School of Medicine, Idaho College of Osteopathic Medicine and Pacific Northwest University of Health Sciences College of Osteopathic Medicine.�.�