Jonathan Myrtil, MD

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.

Dr. Garrick Gaffney is board certified in psychiatry by the American Board of Psychiatry and Neurology (ABPN). He earned his medical degree from Kansas City University and completed his psychiatry residency at John Peter Smith Hospital in Fort Worth, Texas. A combat veteran, he served in the U.S. Marine Corps, including a tour in Iraq, and was honored with the Navy and Marine Corps Achievement Medal and a Certificate of Commendation for exemplary leadership.

During medical school, Dr. Gaffney pursued advanced training as an Osteopathic Manipulative Medicine fellow. As a resident, he served as Chief Academic Resident and earned accolades such as Intern of the Year and Outstanding Educator of the Year twice consecutively.

Dr. Gaffney specializes in treating complex psychiatric conditions, including depression, anxiety, PTSD, OCD, bipolar disorder, and insomnia. He has presented case studies and quality improvement projects at national conferences, including the American Psychiatric Association (APA), Academy of Consultation-Liaison Psychiatry, and Association for Academic Psychiatry.

A proponent of holistic care, Dr. Gaffney integrates psychotherapy into medication management and emphasizes lifestyle modifications and evidence‑based integrative medicine.

New patients receive comprehensive evaluations to rule out medical causes of symptoms, followed by tailored treatment plans combining therapy, medication, and lifestyle adjustments. Follow‑up visits focus on symptom management through supportive, brief dynamic, or cognitive behavioral therapy, with frequent appointments until stabilization is achieved.

Dr. Gaffney is committed to collaborative, patient‑centered care that addresses both mental and physical well‑being.

Background and credentials

Dr. Inano is a board-certified adult psychiatrist. She earned her bachelor's degree in psychology from Xavier University in New Orleans and obtained her medical degree from the University of California Davis. She completed her general psychiatry residency at the University of Texas at Austin Dell School of Medicine. Before transitioning to private practice, Dr. Inano worked within the Veterans Affairs healthcare system, where she gained extensive experience treating a diverse range of mental health conditions. She has also served as an Affiliate Faculty member at the University of Texas at Austin Dell School of Medicine, supervising and training psychiatry residents.

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Treatment approach

Dr. Inano employs a kind, collaborative, and patient-centered approach to psychiatry. She specializes in treating depression, anxiety, and trauma-related disorders, with additional training in psychotherapeutic modalities for PTSD. She strives to create a safe and supportive environment where patients feel comfortable exploring their concerns and working toward healing.

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What you can expect in a first visit

During the first visit, patients can expect a thorough and compassionate evaluation aimed at understanding their unique experiences, symptoms, and treatment goals. Dr. Inano emphasizes collaboration, ensuring that each patient is actively involved in their treatment plan. She provides a supportive space where patients can discuss their concerns, and she tailors treatment options—including therapy and medication management—to meet individual 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. Saria El Haddad is double boarded in general psychiatry and addiction psychiatry. She previously held a leadership role of medical director for the dual diagnosis partial hospitalization program at the Brigham and Women's Faulkner hospital where she helped create and establish this program, and also worked as an outpatient addiction psychiatrist. She has been involved in teaching and has maintained an academic affiliation with the Harvard Medical School. In addition, she has appeared in numerous professional publications and authored several research papers.  

Dr. El Haddad received her medical degree from the American University of Beirut, Lebanon and completed her psychiatry residency program at the University of Virginia. She completed a fellowship in addiction psychiatry through Boston University after which she started working at the Brigham and Women's hospital. Dr. El Haddad's approach to treatment focuses on adopting a holistic approach through behavioral change, medication management, and brief psychotherapy.

Dr. Jiang is a board-certified adult psychiatrist. His practice focuses on medication management and supportive therapy. His major goal is for treatment to be patient centered, with a focus on high quality, evidence-based care in the safest and most meaningful way. Dr. Jiang completed an undergraduate degree at the University of California, Los Angeles. He received his medical degree from Oakland University William Beaumont, School of Medicine. He then completed his psychiatry residency at Loyola University Medical Center. Dr. Jiang's areas of interest include depression and post-traumatic stress disorder.‍

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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