Jennifer Ruch, DO

Dr Ibrahim joined Talkiatry as a general adult psychiatrist.

Dr Ibrahim earned his medical degree from faculty of medicine, University of Cairo, Egypt.

He completed residency in general psychiatry at Case Western Reserve university and MetroHealth medical center in Cleveland, Ohio.

He practiced psychiatry for 30 years. working in different settings:

Hospitals. inpatient and consultation liaison to other medical services.

Private practice, outpatients treating adults, geriatric and adolescents.

Provided geropsychiatric consultations to long term care facilities and assisted living.

Areas of interest:

Mood and anxiety disorders

cognitive, neuropsychiatric disorders

PTSD , bipolar, OCD

Psychopharmacology and treatment resistant conditions (depression)

Psychoeducation to improve treatment compliance

Dr Ibrahim likes to work with patients on customized treatment plan with active patient participation.

Treatment goals are defined and updated as needed in follow up visits.

Dr Ibrahim encourage his patients to ask questions and learn more about their condition, communication and education are essential for treatment success.

Dr Ibrahim will have an initial evaluation. Providing treatment records can be helpful.

He will share with patient treatment options and create a custom treatment plan.

Follow up appointments are scheduled every 2 weeks at the beginning of treatment.

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Tiffany Vickers is a board-certified Psychiatric Nurse Practitioner who earned her Master of Science Degree from Southeastern Louisiana University. She takes a holistic approach to mental health by recognizing the essential connection between the mind and body. Tiffany has 26 years of diverse experience in the clinical, home, and telepsychiatry settings.

Tiffany is committed to creating a safe, supportive, and nonjudgmental space where clients feel heard. She is especially passionate about reducing the stigma surrounding mental illness and believes in partnering closely with clients to help them achieve meaningful and lasting progress.

New patients working with Tiffany can expect a collaborative, respectful, and goal-oriented approach to care. She specializes in treating adults with ADHD, anxiety, bipolar disorder, depression, OCD, and PTSD. Tiffany's treatment approach utilizes a combination of medication management, lifestyle modifications, supportive therapy, and solution-focused techniques.

Her approach is grounded in empathy, clinical expertise, and a commitment to helping each individual achieve their mental health goals.

Tiffany follows a multi-stage, personalized approach when working with clients. She begins by gathering a comprehensive history, understanding the client's primary concerns, and identifying both short- and long-term goals. From there, she collaborates with each individual to develop a tailored treatment plan that includes client-specific interventions.

Tiffany's process is dynamic and adaptive! She monitors each client's progress and adjusts care as needed to ensure it remains aligned with their needs and goals. This thoughtful, individualized approach supports lasting outcomes and empowers clients to take an active role in their mental health journey.

Background and credentials

Dr. Kristina Schnitzer is a board-certified psychiatrist. She earned her medical degree from the New York University School of Medicine and completed her residency in Adult Psychiatry at the Massachusetts General Hospital/McLean Adult Psychiatry Residency Program. She further specialized by completing a one-year clinical and research fellowship in Public and Community Psychiatry through Massachusetts General Hospital and the Massachusetts Department of Mental Health. In addition to her medical training, she holds a Master of Public Health (MPH) from the Harvard T.H. Chan School of Public Health. She has over three years of experience practicing psychiatry across inpatient, emergency, and outpatient settings.

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Treatment approach

Dr. Schnitzer focuses on medication management as the foundation of her treatment approach, typically combining it with supportive or emotionally focused therapy during 30-minute follow-up visits. She takes a collaborative and individualized approach to patient care and, when needed, may recommend additional therapy by integrating a therapist into the care team to ensure the best possible outcomes. She has experience treating a broad range of psychiatric disorders in various clinical settings.

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What you can expect in a first visit

Patients can expect a thorough and structured evaluation in their first visit, where Dr. Schnitzer carefully assesses their symptoms, medical history, and treatment goals. She emphasizes open communication and collaboration, ensuring that patients are fully involved in shaping their treatment plans. Follow-up visits typically last 30 minutes, during which she monitors progress, adjusts treatment as needed, and may recommend additional therapeutic support for comprehensive care.

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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. Stuart Hedgpeth is a board-certified psychiatrist. While Dr. Hedgpeth primarily focuses on medication management, he understands that mental health often requires approaches from multiple perspectives. Psychodynamic and supportive therapies are offered on an as-needed basis in addition to medication management. New patients are provided 60 minutes for initial visits, and follow-ups are given 30 minutes. Dr. Hedgpeth graduated from the University of North Carolina School of Medicine in Chapel Hill, NC. He completed his adult psychiatry residency training at Virginia Commonwealth University Health System in Richmond, VA. Dr. Hedgpeth's training has positioned him to care for adults of all ages with a wide spectrum of mental health disorders and related conditions. In his residency he sought out additional experience working with patients undergoing treatment for HIV, patients with trauma-related disorders, and the LGBTQ+ population.

Dr. Arballo is board-certified psychiatrist who completed medical school at Lake Erie College of Osteopathic Medicine. He received residency training at University of Texas Health - San Antonio where in addition to clinical training was appointed resident chair of the Quality Improvement and Patient Safety Committee.

Since graduation he has been a staff psychiatrist and the military unit director at Cumberland Hall Hospital providing comprehensive care to child, adolescent, adult, and geriatric patients.

Dr. Arballo provides evidence-based medication management and psychotherapy to address mental health conditions. He is a strong advocate for patient autonomy, quality improvement and psychoeducation.

Dr. Cecilia Fitz-Gerald is a board-certified psychiatrist trained in adult psychiatry and consultation-liaison psychiatry, formerly known as psychosomatic medicine. She has been practicing for over five years and has extensive experience working in a variety of clinical settings, including inpatient, outpatient, and emergency psychiatry. In addition, she specializes in working with patients with acute and chronic medical conditions that may be affecting their mental health, such as cancer, stroke, or a heart condition. She provides patient-centered care utilizing a collaborative approach to help her patients reach their goals. She is a native of Louisiana and a graduate of the LSU School of Medicine in Shreveport. She was elected to the prestigious medical honor society, Alpha Omega Alpha, during her fourth year of medical school and was awarded the John W. Bick Excellence in Psychiatry award. She completed her psychiatry residency training at the University of Texas Southwestern Medical Center where she served as Chief Resident and was a PRITE Fellow. Afterwards, she completed a fellowship in consultation-liaison psychiatry at Yale-New Haven Hospital. Dr. Fitz-Gerald has multiple scholarly publications, particularly in the fields of emergency psychiatry and hospital delirium and has presented at the annual conference for the Academy of Consultation-Liaison Psychiatry. She is passionate about academic medicine and enjoys teaching medical students and residents. Her other areas of clinical interest include ICU delirium and cardiac psychiatry.