Jennifer Ruch, DO

Dr. Michael Bartolac is a board-certified psychiatrist with experience in both outpatient and inpatient psychiatric care. He has treated a wide range of psychiatric conditions including affective, psychotic, anxiety, trauma-related, substance use, neurodevelopmental, personality, and neurocognitive disorders. His clinical experience includes hybrid remote outpatient work, inpatient psychiatry on locked units, consultation for medically hospitalized patients, and performing electroconvulsive therapy (ECT). He earned his medical degree from Lake Erie College of Osteopathic Medicine and completed psychiatry residency at West Virginia University/Charleston Area Medical Center.

Dr. Bartolac values creating a space where patients feel comfortable voicing their concerns. His treatment style is rooted in open communication and trust. He primarily focuses on medication management and supportive therapy, while incorporating psychodynamic and cognitive behavioral techniques during 30-minute follow-up visits.

Dr. Bartolac is committed to providing competent and compassionate care. He takes a collaborative approach, working closely with patients and their healthcare team to ensure all aspects of care are aligned with the patient’s needs and goals.

Dr. Routhier was born in Quebec, Canada. She attended medical school at Ross University School of Medicine and graduated in three years with high honors. She trained as a psychiatry resident at Case Western Reserve School of Medicine in Cleveland, OH where she served as a junior attending and the medical student coordinator. She then was recruited by Monterey County Behavioral Health, CA as a clinical psychiatrist where she provided medication management and psychotherapy services to over 400 patients over the course of five years. She also created and led two dialectical behavior therapy groups for teens and young adults while training therapists and social workers to become group facilitators.

Dr. Routhier firmly believes in the mind-body connection. She feels that when the mind suffers, the body hurts as well and vice versa. As a result, she has developed a holistic approach to psychiatry and is comfortable offering a wide array of treatment modalities such as breathwork, dialectical behavior therapy, guided meditation, supportive psychotherapy, behavioral activation and medication management. She maintains that autonomy and a thorough understanding of one’s diagnosis and prognosis are critical for progress and healing. Her broad range of worldly experiences gives her the ability to work in a non judgemental, open-minded and authentic fashion. She connects with clients with ease and is passionate about self-awareness, constant evolution and empowering people so they can find their own way to happiness and health. She pushes her clients to find ways to build a life worth living, way beyond the goal of symptom resolution typical to psychiatry.

1. Getting to know you/understanding your “why”. Why are you seeking mental health treatment and why now? 2. Establish a list of issues and improvement zones. 3. Creating therapeutic goals. What do you want to work on? 4. Choosing treatment modalities to directly address these goals within a specific time frame. I provide updated and evidence-based information, and YOU choose what we do. 5. Figuring out the root causes to problems, symptoms and maladaptive behaviors/habits. How did this all start? Where does it come from? 6. Regular check-ins on how the treatment plan and therapeutic relationship are working for you. Are we a good fit? Are we meeting your goals/expectations? If not, back to the drawing board!

Gregory Miller, DO, is an adult psychiatrist who prioritizes understanding his patients by first listening to their stories. He collaborates with them to develop both pharmacological and non-pharmacological solutions aimed at improving their functionality. Dr. Miller emphasizes that functioning better often leads to feeling better. Whenever possible, he approaches treatment within the context of the family system surrounding the individual. Raised in South Carolina, and now residents of Florida, Dr. Miller and his wife of 31 years have six children. He enjoys outdoor activities and team sports and is an avid fan of Tolkien and C.S. Lewis. He at times incorporates analogies from their works into therapy if appropriate.

Dr. John "Will” Banks is a board-certified psychiatrist who completed his General Psychiatry residency training at Stony Brook University Hospital in Stony Brook, NY. During his residency training at Stony Brook University Hospital, Dr. Banks was selected by faculty to serve as an administrative chief resident based on his leadership qualities and integrity. He received numerous awards during his residency training including the Excellence in Compassionate Care Award, Academic Achievement Award, and Harold Pass Excellence in Psychotherapy Award. He also served as an Outpatient Senior Resident to help junior residents acclimate to the outpatient treatment setting and telehealth format. Dr. Banks implements an integrative approach to his practice that primarily utilizes medication management and various psychotherapy disciplines such as cognitive-behavioral, supportive, and psychodynamic techniques. While Dr. Banks is trained in a variety of therapeutic fields, he works collaboratively with therapists and may recommend their inclusion as part of your treatment team to provide you with the level of care you deserve. The duration of follow-up appointments with Dr. Banks is typically 20-30 minutes. He received his master's degree from the University of North Texas Health Science Center in Fort Worth, TX. He then completed medical school at Lake Erie College of Osteopathic Medicine Seton Hill in Greensburg, PA where he served as president of his medical school's chapter of Sigma Sigma Phi Honorary Service Fraternity and co-founder of the National Alliance on Mental Illness (NAMI) Campus Club. Upon graduation from medical school, Dr. Banks completed his residency training in General Psychiatry at Stony Brook University Hospital in Stony Brook, NY.

Dr. Vargas is an adult psychiatrist who received her medical degree from the University of Texas Health Science Center of San Antonio. She subsequently completed her psychiatry residency training at UT Health San Antonio.

Dr. Vargas has a patient-centered and thorough approach to treatment. She has experience treating a broad spectrum of mental health disorders, with particular interest in depression, anxiety, and post-traumatic stress disorder. She has also worked in clinic with severely mentally ill patients at the South Texas VA in San Antonio.

Dr. Vargas's primary focus is medication management with an emphasis on shared decision-making; however, she frequently also utilizes supportive therapy, cognitive behavioral therapy, and psychodynamic therapy principles in her approach. She may refer patients to a therapist if further support would be beneficial.

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Dr. Thomas Spina is an adult psychiatrist who began his practice at Talkiatry after completing his psychiatry residency at the Eastern Long Island branch of Stony Brook University, where he treated a diverse patient population. Dr. Spina received his undergraduate degree from St. John's University in Queens where he studied Philosophy. Initially interested in a career in law, Dr. Spina decided to change gears and pursue a career in medicine after watching a relative struggle with her diagnosis of Diabetes Mellitus. Dr. Spina then completed medical school at Tel Aviv University in Israel, where he fell in love with psychiatry during his clerkship at Ichilov medical center. During that rotation, he came to appreciate how each patient has his or her own unique story, regardless of their diagnosis. Dr. Spina favors a holistic and integrative approach to psychiatry, combining medication management with supportive therapy, elements of cognitive behavioral therapy, while remaining open to other treatment modalities depending on the needs of his patients. When more focused therapy is indicated, Dr. Spina may recommend that his patient work with a provider specializing in a particular modality of therapy as part of their treatment. Dr. Spina treats adult patients with mood disorders including major depressive disorder and bipolar disorder, anxiety spectrum disorders, OCD, PTSD and specific phobias. In his spare time, Dr. Spina enjoys a variety of hobbies, including Brazilian Jiu-Jitsu, running, baseball, and exploring new eateries and shops.