Jennifer Ruch, DO

Background and credentials

Dr. Vansickle is a board-certified adult psychiatrist with over 25 years of clinical experience. She earned her medical degree from the University of Texas Health Sciences Center San Antonio and completed her internship at UAB. She then completed her psychiatry residency at the University of Louisville Hospital, where she served as chief resident and received a national award in community psychiatry. Throughout her career, she has worked in both inpatient and outpatient settings as a staff psychiatrist, primarily in Texas and Alabama.

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Treatment approach

Dr. Vansickle places a strong emphasis on establishing trust and building therapeutic relationships to help patients achieve their goals. Her practice focuses on medication management, often combined with supportive or emotionally focused therapy during 30-minute follow-up visits. If she believes additional therapy would be beneficial, she may recommend that patients work with a therapist as part of their care team. She has extensive experience treating patients in various settings, including community mental health centers, VAMC-affiliated clinics, and hospital-based psychiatric units. She also has expertise in psychiatric consultations for medically ill patients, as well as guardianship and competency evaluations.

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What you can expect in a first visit

Patients can expect a thorough initial evaluation, where Dr. Vansickle takes the time to understand their symptoms, history, and treatment goals. She provides a structured yet compassionate approach to care, ensuring that each patient feels heard and supported. Follow-up visits typically last 30 minutes, during which she monitors progress and adjusts treatment as necessary. If additional therapy is needed, she collaborates with therapists to ensure comprehensive care tailored to each patient’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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Dr. Noor Zayed is a dedicated board-certified adult psychiatrist committed to improving mental health and empowering individuals to achieve their goals. After completing her undergraduate studies at The Ohio State University, Dr. Zayed earned her medical degree from Kentucky College of Osteopathic Medicine, where she was inducted into the Sigma Sigma Phi Honorary Osteopathic Service Fraternity. She then completed her residency at Loyola University Medical Center in Chicago, Illinois, where a significant focus was treating veterans at the Edward Hines VA Hospital. Dr. Zayed's experience spans both rural and urban settings, providing her with a comprehensive approach to mental health care. During her training, she received awards for Excellence in Professionalism and COVID Surge efforts. Her therapeutic style is characterized by empathy, respect, active listening, and collaborative relationships with patients, fostering a safe space for healing. Her practice focuses on medication management combined with psychotherapy, utilizing evidence-based approaches to provide personalized care. Dr. Zayed's clinic interests include treating depressive and anxiety disorders, PTSD, bipolar disorder, and substance use disorders.

Dr. Erica Mark is a board-certified psychiatrist with experience in both inpatient and outpatient care. She formerly served as a Staff Psychiatrist at a VA Medical Center, where she specialized in the mental health needs of veterans. Dr. Mark earned her B.S. in Biological Sciences, Summa Cum Laude, from Hampton University, received her MD from the University of Texas Medical Branch, and completed her psychiatry residency at Tulane University School of Medicine, serving as Chief Resident in 2017.

Dr. Mark fosters a warm, supportive environment where patients feel heard and respected. She values open communication and works collaboratively to set clear, personalized treatment goals. Deeply committed to service, she has supported underserved and marginalized communities through various nonprofit initiatives.

During initial sessions, Dr. Mark takes time to understand each patient’s history, concerns, and goals. She then creates individualized treatment plans aligned with each patient's unique needs and preferences. Dr. Mark encourages ongoing dialogue to adapt care plans and support long-term progress.

Gabrielle Delarose is a dually boarded Psychiatric Mental Health and Family nurse practitioner with over ten years of clinical experience. Gabrielle is dedicated to providing culturally competent and evidence-based medication management and psychotherapy to assist individuals in achieving their goals to live their best life. I believe in holistic treatment of individuals, and focus on the individual’s overall well-being, including how they are functioning socially and professionally. In addition to medication and psychotherapy, she is a proponent of incorporating research-supported alternative modalities, including dietary changes, exercise, social interaction, and yoga. She also advocates of forest bathing (“shinrin-yoku”), a practice of spending time in nature that yields both medical and mental health benefits as discovered in research trials from around the world. As a professionally trained cellist, she also frequently incorporates art and music into appointments and treatment plans with patients. Her goal for all her patients is to improve all facets of a person’s life with treatment. Gabrielle is an LGBTQ+ affirming provider and has extensive experience working with diverse populations.

New patients should know that the initial appointment will consist of obtaining their social history in addition to their medical history. This is an important part of establishing a therapeutic relationship in addition to obtaining health information to use in formulating treatment plans. A person’s identity and life experiences are a significant influence on a person’s health and well-being, and Gabrielle believes in discussing these experiences in order to best understand a patient’s background and incorporate that into their care. Patients are encouraged to write down any questions they may have prior to the appointment, as well as any significant points they want to discuss. This is encouraged because, as patients, we may forget to address these points without a prompt from the provider. Gabrielle also encourages patients to actively participate in their care and firmly believes in a patient’s right to autonomy and agency. This patient-centered approach empowers patients to help guide treatment plans that best fit the patient’s needs and abilities at any given time. Patients are also encouraged to discuss any concerns about medications or treatment, particularly if there are concerns about side effects.

Gabrielle works collaboratively with patients to determine appropriate and preferred treatment plans, including medication and therapy. She uses cognitive behavioral therapy (CBT) as the primary therapy modality, in conjunction with existential therapy, depending on the patient’s needs and preferences. She prefers to allow patients flexibility in their treatment, so the process may look less structured depending on the immediate needs of the patient. Other times, particularly while working through a specific problem in therapy, appointment agendas may be planned out for several weeks. If at any time, however, a need arises to deviate from preplanned appointment agenda, patients are encouraged to discuss this at the beginning of the appointment. Above all, patients’ needs will guide the agenda.

Dr. Mary Stephenson is a board-certified Child and Adolescent Psychiatrist with more than 25 years of clinical experience working with this population. Dr. Stephenson's practice focuses on medication management. She believes that the support and involvement of the family are an integral part of the treatment of the client. Additionally, more therapy support may be needed on occasion, and the recommendation to bring a psychotherapist on the care team may occur to provide an optimal outcome. She received her medical degree from Wright State University in Dayton, Ohio. She completed her psychiatry residency at the University of Louisville School of Medicine, and her child and adolescent training at the Bingham Child Guidance Center, also part of the University of Louisville, in Louisville, Kentucky. After completion of her training, she moved to Colorado where she worked at The Cleo Wallace Center, in Westminster, CO, providing care for hospitalized youth, and clients in the Day Treatment and Residential setting. In 2000, Dr. Stephenson became the primary Child and Adolescent Psychiatrist on the outpatient team at Denver Health Medical Center in Denver, Colorado. Her role was providing diagnostic evaluations, and medication management in Federally Qualified Health Centers (FQHCs), and the hospital clinic, working closely with residents, child fellows, and other trainees. She had an academic appointment through the University of Colorado School of Medicine. She treated a varied demographic and had a wide range of diagnoses in the child and adolescent population. From 2016-2021, she worked at Intermountain Health Center in Tucson, AZ providing care in the outpatient setting of the community mental health center. The care was a hybrid model of "in-person” and Telehealth treatment of children and adolescents with various disorders, with an emphasis on diagnostic evaluations of Autism and Autism spectrum disorders.‍

Dr. Michael Watkins is a board-certified adult psychiatrist. He completed his residency at The University of Texas Health Science Center at Tyler. In addition to being thoroughly trained in psychopharmacology, Dr. Watkins has also received extensive training in psychotherapy. From traditional psychodynamic therapy to the more modern mindfulness-based dialectical behavior therapy, Dr. Watkins takes the approach that best serves his patients. In addition to being trained in a variety of therapies, Dr. Watkins also employs a positive psychiatry approach which, as well as addressing a patient's symptoms, also focuses on their strengths and how they can be used to overcome adversity. Prior to pursuing a career in psychiatry, Dr. Watkins was a high school math teacher, and prior to that, he was an NCAA Division I college athlete. His teaching and athletic careers have given him a well-rounded perspective on the human experience. Drawing on his academic training and life experiences, Dr. Watkins meets patients where they are at, helps them overcome their obstacles, and serves as a guide and a resource for them on their journey to their desired destination.