Joseph Smith, LMHC

Background  and credentials    

Dr. Christa DeFries is a board-certified Adult Psychiatrist. She earned her  medical degree from UT Southwestern Medical School in Dallas, Texas, and  completed her residency in Adult Psychiatry at Baylor Scott & White in  Temple, Texas. Following residency, Dr. DeFries gained additional experience  treating homeless and formerly homeless populations in New York City,  particularly focusing on individuals with histories of trauma and substance  addiction, prior to joining Talkiatry.    

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Treatment approach    

Dr. DeFries practices Adult Psychiatry, employing an integrative treatment  approach combining medication management, psychotherapeutic methods, and  lifestyle modifications. She recognizes that each patient benefits from a  personalized mix of these three aspects of care. Dr. DeFries specializes in  treating diverse psychiatric conditions, including those related to trauma,  substance addictions, and various mental health disorders.    

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What you can expect in a first visit    

In a first visit with Dr. DeFries, patients can expect a comprehensive  evaluation aimed at understanding their individual mental health history,  specific concerns, and overall treatment goals. Dr. DeFries emphasizes an  individualized approach, carefully exploring the best combination of  medication, therapy, and lifestyle adjustments tailored specifically to each  patient's needs. Patients can anticipate an empathetic and collaborative  environment focused on their personal experiences and goals.    

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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.

Dr. Natalia Roque is a psychiatrist who received her BA in Biology from the University of Chicago and her medical degree from Loyola University Chicago Stritch School of Medicine. She returned to the University of Chicago to complete her psychiatry residency, where she served as Chief Resident of the outpatient psychiatry clinics and was a member of the Diversity, Equity, and Inclusion Committee. She has experience treating patients across inpatient, outpatient, and consultation-liaison psychiatry settings, with additional training in treatment-resistant depression, trauma, neuropsychiatry, ECT, ketamine, geriatric psychiatry, student counseling, LGBTQ+ mental health, women’s mental health, and culturally sensitive care.

Dr. Roque believes in building a strong therapeutic alliance grounded in empathy, respect, and curiosity. She values collaboration and open communication, ensuring that patients feel like active partners in their care. Her goal is to create a safe, supportive space where individuals feel understood as whole people, not defined solely by their symptoms. She also prioritizes incorporating cultural background and social determinants of health, including financial stressors and systemic barriers into treatment planning.

In her work, Dr. Roque begins by taking time to understand each patient’s unique story, experiences, and goals. She approaches care through a trauma-informed lens and with cultural sensitivity to ensure treatment feels safe, respectful, and relevant. Her process integrates evidence-based approaches, including psychodynamic therapy and cognitive behavioral therapy (CBT), while tailoring care plans to meet both clinical needs and patient preferences. Dr. Roque regularly checks in on progress, invites feedback, and adjusts treatment collaboratively to support an ongoing, responsive therapeutic process.

Iesha Whitaker is a Licensed Clinical Social Worker that graduated in 2012 from Hunter College School of Social Work. She has been practicing since that time. Ms. Whitaker has worked with many populations including, Women, Men, adults aged 18 and up, homeless population, parents with children in foster care and parents in need support and learning communication skills with teens. Ms. Whitaker has knowledge of working with clients recently discharged from a psychiatric hospital setting as well as the.  hospital discharge planning process, and emergency room care. Her primary areas of focus are helping clients that suffer with Depression, Anxiety, ADHD, Stress, Trauma, Relationship issues, PTSD, Life transitions as well as Emotional Dysregulation. Ms. Whitaker enjoys working closely with clients that struggle with healthy lifestyles, poor decision making, suffering with substance use disorder and people dealing with chronic homelessness, Domestic violence and challenges of daily living. Ms. Whitaker uses treatment modalities such as Cognitive Behavioral therapy, Dialectical Behavior Therapy, Mindfulness, Motivational Interviewing, Narrative Therapy, Supportive Therapy, Solution Focused Therapy, Trauma focused Therapy, Psychodynamic Therapy, Acceptance and Commitment Therapy and many other modalities. Ms. Whitaker has a passion for helping the are less fortunate and have challenges with routine daily activities, basic life needs such as food, housing, education, work stress and chronic medical conditions. Ms. Whitaker is very warm and open, very personable and allows her clients to work at their own pace. Ms. Whitaker enjoys helping clients to gain healthy insight to their conditions and allows clients to create the future they want for themselves.

Working with Ms. Whitaker will be an open, collaborative experience. Ms. Whitaker will help the client create the best version of themselves, while teaching the client to identify concrete obtainable goals.

Ms. Whitaker typical therapeutic process is a somewhat structured and flexible framework that provides empathy, rapport building and using evidence-based practices to provide mental health treatment. She uses a collaborative therapeutic relationship that warmly welcomes the client into therapy, discuss limits of confidentiality as it pertains to self harm or harm to others. She discuss the length of sessions and the frequency of meetings, invite questions from client and describe their role in the treatment process. Provides a safe space where a client can express themselves in an environment open to all cultures, gender identities while helping clients explore their strengths. Clinical assessments by use of standardized tools PHQ-9, GAD-7, and client interview and report. Clinician continues to monitor and track safety and implement Evidence based Interventions such as CBT, DBT, Solution Focused Therapy, Mindfulness, Psychodynamic and Supportive Therapy to provide care. Over time Clinician continues to revisit progress, highlight growth and obtained goals, moving toward termination when appropriate, also providing aftercare and referrals.

Starting therapy can feel like a big step, and Adrian Simmons, LMFT, congratulates you on taking it. Adrian specializes in supporting individuals navigating life transitions, anxiety, depression, trauma, and self-esteem challenges. She takes a client-centered, collaborative approach, tailoring sessions to your unique needs in a safe and supportive environment.

Adrian prioritizes clear communication, active listening, and a non-judgmental, culturally sensitive approach. She is calm and patient, helping you feel understood while providing guidance. She believes therapy is a partnership, working together to set meaningful goals and adapt them as insights develop.

Adrian uses cognitive-behavioral therapy (CBT) and may integrate mindfulness and other strategies based on your needs. Together, you’ll identify challenges, develop practical coping skills, and work toward your goals. The first session focuses on understanding your background, what brings you to therapy, and creating a plan to support ongoing growth.

Avi Adri is a board-certified psychiatric nurse practitioner with a passion for helping others achieve their goals through medication management and psychotherapy. He is trained in cognitive behavioral therapy, psychodynamic therapy, and supportive therapy. Avi has experience supporting individuals with depression, anxiety, OCD, bipolar disorder, PTSD, and ADHD. He is an LGBTQIA+ affirming provider who believes in empowering individuals in their lives.

He earned his Master of Science in Nursing with a specialty in psychiatry from Stony Brook University and a nursing practice degree from Chatham University. Avi is committed to providing evidence-based, compassionate treatment for mental health conditions to enhance quality of life. His previous experience includes two years at Columbia University Medical Center on an inpatient psychiatric unit and four years on the medical consultation-liaison psychiatric team, where he treated patients with a range of acute and chronic medical conditions while providing medication management and psychotherapy. His work at Columbia involved treating a wide spectrum of psychiatric conditions with the goal of achieving symptom remission.

Additionally, Avi has practiced at a private clinic in New York City, focusing on interventional techniques such as TMS and ketamine therapy, alongside medication management and psychotherapy.

Through mindful techniques and compassionate care, Avi is dedicated to the well-being of his clients. He views each person as more than a diagnosis and approaches care through a client-centered, holistic lens.

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Neena Tressa Mathew has built an impressive career in the medical field, with a strong focus on mental health. She is dually board-certified as a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) and Family Nurse Practitioner (FNP-BC), providing care across all age groups. Fluent in English, Hindi, and Malayalam, she is licensed to practice in Florida, New York, Texas, and Georgia. Neena offers a patient-centered approach that integrates her diverse experience and certifications.

Her dedication to mental health is evident through her extensive hands-on experience in assessing, treating, and evaluating patients with a wide range of psychiatric conditions, including ADHD, depression, anxiety, PTSD, OCD, schizophrenia, and bipolar disorder. She has delivered exceptional care at institutions such as Mindful Behavioral Healthcare, AdventHealth Hospital, and Park Place Behavioral Health Care. Her international experience includes roles in Canada, where she further developed her expertise in geriatric psychiatry. Neena has also worked in various practice areas, including addiction medicine, grief counseling, and primary care.

Her academic background includes a Post-Master’s Certification from Florida State University and a Master of Science from D’Youville College in Buffalo, NY. She also holds a Bachelor of Science in Nursing from Delhi University and a Master’s Degree in Social Work from the Delhi School of Social Work. Her professional affiliations, including membership in the American Nurses Association, reflect her commitment to the field. Recognized for her academic, leadership, and research capabilities, Neena was invited to join Sigma Theta Tau International (STTI) as a graduate nursing student for her excellence in scholarship and outstanding achievements in nursing.

Neena has contributed to several U.S. nursing journals and magazines and has published and presented research articles in international peer-reviewed journals. She maintains an active academic presence through platforms like Google Scholar and ResearchGate.

Her approach to care is both traditional—prescribing evidence-based psychiatric medications—and holistic, incorporating natural treatments such as vitamins, supplements, lifestyle modifications, nutrition, exercise, and stress management. She believes in the mind-body-spirit connection, viewing individuals as whole beings rather than a collection of symptoms, echoing the philosophy of Hippocrates, the "Father of Medicine." Her holistic philosophy is evident in her skillful management of psychotropic medications and her integration of psychotherapy, including supportive therapy, cognitive behavioral therapy (CBT), and psychodynamic therapy.

Neena’s primary interest lies in exploring the relationship between mental, physical, and spiritual health. She finds great fulfillment in helping others and goes beyond diagnosis and treatment by conducting thorough mental health assessments to ensure accurate identification of psychiatric conditions. What sets her apart is her commitment to patient education—empowering individuals and their families with a deep understanding of their conditions and treatment plans, including medication as part of a comprehensive care strategy.

In addition to her clinical work, Neena serves as a clinical instructor, sharing her knowledge and insights with future healthcare professionals. This dual role highlights her multifaceted contribution to healthcare, emphasizing both treatment and education in supporting individuals on their mental health journeys.

Outside of her professional life, Neena enjoys reading, writing, beach activities, hiking, and traveling with her family. She is also actively involved in charitable work through the Lions Club. She lives by the principle:

“Give, and it will be given to you. A good measure, pressed down, shaken together and running over, will be poured into your lap. For with the measure you use, it will be measured to you.” (Luke 6:38)

Indeed, she believes that it is in giving that we truly receive.

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