Jennifer Ruch, DO

Ashley LaBanca provides medication management and supportive psychotherapy services. She has worked in mental health for over 12 years. A graduate of the University of North Dakota, she began her career in an outpatient setting, later transitioning into a lead nurse practitioner role before moving into telehealth services. Her goal is to reach individuals in need when in-person care is not feasible. Ashley lives in North Dakota with her family and enjoys traveling, reading, and spending quality time with them.

Ashley views medication as a tool rather than a cure. She incorporates alternative treatments by assessing physical health, exploring natural alternatives to medication, focusing on nutrition, and helping clients develop coping skills to manage daily stressors. Her guiding principle is the integration of therapy and medication management to support healing and growth. She encourages clients to be active participants in their treatment, fostering a collaborative, respectful, and open therapeutic relationship.

Ashley tailors her collaborative approach to each individual’s needs. She draws from Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), and other treatment modalities, combining them with evidence-based prescribing to create personalized care plans. She also considers the social dimensions of mental health, addressing relationships, self-esteem, and internal healing.

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Dr. Sean Culver is an outpatient psychiatrist with experience treating a wide variety of disorders across multiple distinct age groups. He completed his undergraduate education at the University of Pittsburgh, graduating summa cum laude while majoring in neuroscience. He attended medical school at the Ohio State University College of Medicine, where he was granted an annual merit scholarship. Dr. Culver then remained at the OSU Wexner Medical Center for residency training. Outside of psychiatry, he enjoys numerous interests including soccer, hockey, music, photography, and video games.

During residency, Dr. Culver developed particular interest in working with young adults, college students, and athletes, but is comfortable with patients of all ages. He strongly believes in the practice of evidence-based medicine, utilizing the most current research to guide recommendations. He is a strong advocate for patient autonomy and therefore provides psychoeducation on diagnoses and medications so that each patient can make informed decisions which align with their own values.

Dr. Culver approaches each patient in the context of their individual interests, family dynamics, and life goals. He understands that not every patient requires or desires medication and is comfortable in a number of psychotherapy techniques including cognitive behavioral therapy, psychodynamic therapy, and supportive therapy. He emphasizes a trusting and honest therapeutic relationship with his patients.

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Dr. Ani Maria Tejada is a double board-certified child, adolescent, and adult psychiatrist who provides holistic, comprehensive outpatient psychiatric care at Talkiatry via telehealth. She is fully bilingual in English and Spanish and works with patients of all ages. Dr. Tejada has a special interest in caring for individuals with developmental disabilities, including Autism and Asperger’s, and treats a wide range of conditions such as ADHD, anxiety disorders, OCD, trauma-related disorders, mood disorders, postpartum depression, personality disorders, and other mental health conditions that affect daily functioning.

Dr. Tejada takes a warm, compassionate, and collaborative approach to care. She deeply respects each patient’s dignity, autonomy, and personal values, and believes informed patients are empowered patients. She provides clear education on treatment options, benefits, and risks based on current national guidelines, creating a judgment-free space where patients feel heard, understood, and supported as active partners in their care.

During the initial visit, Dr. Tejada takes time to understand the patient’s full personal history and current circumstances to better see the world through their perspective. Ongoing visits use measurement-based tools to guide treatment decisions, including medication adjustments when appropriate. She supports patients in building coping skills, reducing negative thought patterns, and developing healthy habits that promote long-term emotional well-being and improved quality of life.

Dr. Onah Uwagbai is a board-certified psychiatrist who earned her medical degree from St. George’s University School of Medicine. She completed her psychiatry residency at the University of Kansas Medical Center, where she served as Chief Resident at the Kansas City VA hospital and was recognized for Excellence in Scholarship. Most recently, she worked at the North Texas VA Healthcare System, caring for individuals with treatment-resistant depression and complex psychiatric needs.

Dr. Uwagbai has a passion for supporting individuals with mood disorders, anxiety, trauma, and women’s mental health. She believes healing is best achieved through compassion, collaboration, and respect. Patients can expect a warm, supportive environment where they feel heard and understood, with treatment tailored to their unique history and goals.

Dr. Uwagbai begins with a comprehensive evaluation to understand each patient’s needs and then develops an individualized treatment plan. She draws on evidence-based practices, including expertise in complex cases, and may incorporate both therapy and medication management. Her goal is to empower patients to take an active role in their care while fostering resilience, stability, and long-term wellness.

Dr. Morales is a board-certified psychiatrist who is dedicated to the bio-psycho-sociocultural model. This has been reflected in Dr. Morales' pursuit of treating patients suffering from diverse medical and psychiatric conditions, respective psychological mindedness, and varied socio-economic and cultural backgrounds. As an individual, Dr. Morales is fascinated by the human mind, its mechanisms to pursue goals, and the cyclical patterns seen in maladaptation and suffering. He believes in understanding patients' experiences and developing comprehensive treatment plans towards reconciliation. After completing his medical education at the East Carolina Brody School of Medicine, as a Brody Scholar, he subsequently completed psychiatry residency at Jackson Health System/University of Miami. Dr. Morales has had the opportunity to work with a diverse array of patients including high-functioning patients, veterans, trafficking victims, the severely mentally ill of low socio-economic status, and cancer patients across three distinct hospital systems via telemedicine and face-to-face interactions. His experience includes working with patients suffering from post-traumatic stress disorder, adjustment disorder, mood disorders, generalized anxiety disorder, panic disorder, and more. He honors active listening, analytic understanding, supportive psychotherapy techniques, and evidence-based and methodological treatment for patient care and actualization. His goal is to assist patients in navigating short- and long-term goals as well as improved quality of life. As a result, Dr. Morales focuses on medication management, which is offered in conjunction with supportive therapy, which is offered in 1-hour initial and 30-minute follow-up visits. Dr. Morales believes that appropriate patients can benefit from additional exploratory and self-actualizing therapy from other valued and specialized therapists to support targeted goals. He will not hesitate to recommend and promote consultations with therapists for such patients who are ready to pursue. Ultimately, Dr. Morales seeks to understand, validate, and treat patients in a collaborative therapeutic alliance.

Dr. Ismail is double board-certified by the American Board of Psychiatry and Neurology in both Adult Psychiatry and Child and Adolescent Psychiatry. She earned her medical degree from Cairo University, where she also completed her neurology residency at Cairo University Hospitals. Following this, she pursued psychiatric training at New York Medical College at St. Vincent’s Hospitals, where she was appointed Chief Resident and recognized as Resident of the Year.

Dr. Ismail further specialized with a fellowship in Child and Adolescent Psychiatry at UMDNJ/Rutgers Robert Wood Johnson Medical School. Her career includes multiple leadership roles, notably serving as Chief of the Child and Adolescent Partial Hospital Programs (PHP) at Rutgers University in Newark, NJ, where she provided direct care to young patients. She has also held Medical Director positions across various clinical settings, including child and adolescent inpatient units, outpatient programs, and intensive outpatient services for both adolescents and adults with mental health and co-occurring substance use disorders.

An active educator, Dr. Ismail has been a teaching faculty member, delivering lectures and providing supervision and evaluations for medical residents and child and adolescent psychiatry fellows. Her academic contributions extend to research, where she has served as a principal investigator on multiple studies.

Throughout her career in leadership and teaching, Dr. Ismail maintained an integrative private practice in New Jersey, serving residents of the NJ and NY metropolitan areas before relocating to North Carolina.

Dr. Ismail is passionate about integrative medicine, which combines evidence-based alternative therapies with conventional treatments to optimize outcomes. Her approach focuses on promoting overall wellness, keeping both the body and mind in harmony.

During the diagnostic evaluation, Dr. Ismail will review your medical history and past treatments to develop a comprehensive, personalized treatment plan that prioritizes your overall wellness. In addition to medication management, she incorporates supportive, cognitive, or psychodynamic psychotherapy during follow-up visits, as time allows. When appropriate, she may also recommend referrals to specialized psychotherapists to address your individual needs as part of a holistic treatment approach.