Iris Vanessa Guerrero Urena, MD

Dr. Bloom is a psychiatrist with over 30 years of clinical experience. She earned her medical degree from the University of Rochester School of Medicine & Dentistry in Rochester, NY, and completed her psychiatry residency at the University of Cincinnati.

"What should a new patient know about working with you?"

Throughout her career, Dr. Bloom has worked in a variety of settings including inpatient, outpatient, emergency, and consultation services, with a focus on the public sector. She has been privileged to treat underserved populations and military veterans and has enjoyed mentoring medical students and psychiatry residents. Dr. Bloom has expertise in treating a wide range of psychiatric conditions, including clinical depression, post-traumatic stress disorder, and other anxiety disorders.

Dr. Bloom takes a collaborative approach to care, believing that the best outcomes are achieved through a close partnership with her patients. She views them as experts in their own experiences and works with them to combine their insights with her expertise in medication management to minimize suffering. Patient education is a cornerstone of her practice. She typically combines supportive psychotherapy with medication management and is also trained in mindfulness techniques and Internal Family Systems psychotherapy.

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Jill Condon is a board-certified Psychiatric Nurse Practitioner with Talkiatry. She obtained a Bachelors of Arts in Psychology from Anderson University in 2011, and went on to obtain her Masters of Science in Nursing from Vanderbilt University in 2016. She has over 8 years of experience working with clients of all ages. She has experience working in community mental health, private practice, and inpatient populations. She has experience working with a variety of mental health concerns including ADHD, anxiety, depression, OCD, and PTSD.

Jill has a passion for fostering whole person health in her clients. She has a direct and collaborative approach to care. She will work with you to discover where you are in your mental health journey and create an individual plan for moving towards healing. She helps you explore how all facets of your health are affecting your mental health.

The process starts with an in-depth initial assessment that includes looking at physical, mental, emotional, social, spiritual, and environmental wellbeing. She utilizes a variety of techniques including psychiatric medications, supportive therapy interventions, and lifestyle modifications to help you reach your goals.

Dr. Gamberino is a board certified adult psychiatrist who has been in practice for over 25 years. He has always been fascinated by how the brain works, especially in the setting of stress, anxiety, and trauma. He completed his training at the Pennsylvania State University College of Medicine MD/PhD program and earned his PhD in Neuroscience. He subsequently completed a Residency in Adult Psychiatry including an Anxiety Disorder Research Fellowship at the University of Florida. Dr. Gamberino had a private practice for over 10 years with a focus on providing psychotherapy integrated with pharmacological management. He worked for 25 years with adult and geriatric Veterans at Department of Veterans Affairs with focus on treating PTSD, as well as a full range of anxiety and mood disorders including 7 years of providing care through telehealth treatment. Dr. Gamberino also has 10 years of experience working with adolescents in the juvenile justice system.

Dr. Gamberino is experienced and comfortable treating a wide variety of psychiatric conditions including PTSD, mood disorders such as major depression and bipolar disorder, and all anxiety disorders such as generalized anxiety disorder, social phobia, panic disorder, and OCD. He enjoys sharing knowledge with patients to help them better understand the origins of their symptoms and a range of strategies to manage them.

Dr. Gamberino utilizes a non-paternalistic approach respecting the autonomy of his patients while helping them gain insight into their presenting problems utilizing a collaborative shared decision making approach to help reduce symptoms and optimize functioning. His practice combines evidence-based medication management with psychotherapy utilizing elements of supportive, cognitive behavior, and insight-oriented therapy. Dr. Gamberino utilizes a patient, caring approach, meeting patients where they are to empower them with making changes that lead toward improvement and optimization of their wellness.

Michelle Scott is a dual board-certified Psychiatric, Family, and Emergency Nurse Practitioner with 16 years of experience. She has an extensive background in psychiatry across the lifespan, emergency medicine, and internal medicine. Her psychiatric expertise includes a strong focus on adult outpatient and inpatient care. Michelle has also served as an acute care hospitalist and held leadership roles, including Assistant Medical Director, in multiple acute psychiatric facilities.

She brings additional experience in addiction treatment and is skilled in cognitive behavioral therapy (CBT), motivational interviewing, and problem-focused therapy. Michelle provides holistic care that addresses a wide range of needs, including mood and anxiety disorders, autism, genetic disabilities, and adult addiction issues.

With over a decade and a half of experience treating individuals of all ages for both acute and chronic medical and psychiatric conditions, Michelle understands the profound impact the right provider can have on a patient’s life. Her goal is to achieve positive, sustainable outcomes through a comprehensive approach that integrates multiple treatment modalities and addresses the whole person.

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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.

Background and credentials

Dr. Gerald Matthews is a board-certified adult psychiatrist. He earned his medical degree from the University of Louisville School of Medicine in Louisville, KY. Following medical school, he entered active duty service in the U.S. Army, where he completed his psychiatry residency at Tripler Army Medical Center in Honolulu, HI. After completing his training, he practiced as a staff psychiatrist at Fort Hood, TX, fulfilling his service obligation.

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Treatment approach

Dr. Matthews specializes in medication management, working primarily with adult patients in an outpatient setting. While his primary focus is pharmacological treatment, he frequently collaborates with therapists to provide comprehensive care when indicated. He has extensive experience treating civilians, active-duty military personnel, and veterans, addressing conditions such as mood and anxiety disorders, psychosis, and trauma-related disorders.

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What you can expect in a first visit

During the first visit, patients can expect a thorough psychiatric evaluation where Dr. Matthews takes time to understand their history, symptoms, and treatment goals. He provides a structured yet compassionate approach to care, discussing medication options and potential therapeutic interventions. For patients who may benefit from additional therapy, he collaborates with therapists to ensure a well-rounded treatment plan tailored to each individual's needs.

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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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