Joshua Kane, MD

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.

Michelle Hamilton is a Board-Certified Psychiatric Mental Health Nurse Practitioner with a special interest in the care of adults with mood disorders, anxiety disorders, and PTSD. She earned her Master of Science Degree from The Ohio State University and her Bachelor’s Degree in Nursing from The Oregon Health & Science University in Portland, Oregon. Her background includes both inpatient and outpatient psychiatry, crisis stabilization, and Consult-Liaison Psychiatry. Michelle has a passion for incorporating a holistic, evidenced-based approach to improve the mental health needs of each individual client through medication and therapy while emphasizing practical lifestyle changes such as the incorporation of exercise, healthy nutrition, and stress management techniques.

Darcie Farrell is an ANCC Board Certified Family Psychiatric Nurse Practitioner.  She has worked exclusively in the field of psychiatry during her forty-year nursing career.  She has worked in many care settings, including as a psychiatric Home Health Nurse and as a Certified Case Manager (CCM) in Psychiatry at Blue Cross Blue Shield. During her time at Excellus Blue Cross Blue Shield, she realized the urgent need for psychiatric nurse practitioners, so enrolled in the BSN/MSN program at the University of Rochester, graduating in 2016 with her BSN and in 2018 with her MSN.  She has strong skills and experience in Motivational Interviewing, having worked as a Motivational Counselor for a University of Rochester's Pediatric Research Program.   She has worked for the past seven years as a Nurse Practitioner in Geriatric Outpatient Psychiatry.

Darcie Farrell is a compassionate provider who is client centered. I rely on evidence-based scientific research when determining the best treatment options for clients.  

Darcie Farrell has a very relaxed process for working with patients which allows the client to provide information that is pertinent to their goals for care.  Then, together, we determine which treatment options are likely to be best for the client.

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Dr Marc Whaley is a Board Certified Psychiatrist in Adult Psychiatry, with extensive clinical experience over the past 50 years, mostly in outpatient treatment, and some in-patient settings, in addition to Forensic (legal) ones. He received his undergraduate degree at Johns Hopkins in Baltimore and his medical degree at Tufts Medical School in Boston, and then went on to train at Tufts New England Medical Center in Boston, for his psychiatry residency. He has held leadership roles, Chief of Department of Psychiatry in a community hospital, President of the local Psychiatric Chapter of the Massachusetts Psychiatric Society, and founder of a private group outpatient psychiatric practice on Cape Cod called The Psychiatric Collaborative. In 2018, he closed his private practice, seeking more free time in the later years. It did not take long, however, to get back to active practice, first by reviewing files for insurers around the issue of medical necessity, disability, and other psychiatric determinations. He got his first experience in Telepsychiatry when working remotely for a community hospital, far from his home, evaluating patients presenting to their busy ER; He experienced this as a practical and efficient way of delivering psychiatric services. When that contract ended after 3.5 years, he learned about and joined Talkiatry to work as a Staff Psychiatrist, in their well-organized comprehensive program. Dr. Whaley has been recognized by his peers for his career achievement, and he was the 2022 recipient of the Outstanding Psychiatrist Award for Clinical Psychiatry from the MA Psychiatric Society. He has also been a regular panel member, over the past 13 years, for a monthly NPR Radio Talk Show, ( WGBH Cape Cod affiliate, WCAI), The Point with Mindy Todd, focusing on multiple mental health topics.

Dr. Ann Landowne is Board Certified in Adult, Adolescent, and Child Psychiatry. She has over thirty-five years of experience helping people of all ages cope with a wide range of problems. Dr. Landowne received her medical and psychiatric training at Albert Einstein College of Medicine and advanced training in psychotherapy at the Psychoanalytic Association of New York where she is on the faculty. She focuses on medication management and is holistic in her approach to people and the difficulties they face in life. She has expertise in the treatment of children and adolescents with emotional and behavioral problems, and people struggling with anxiety, depression, bipolar disorder, obsessive-compulsive symptoms, and eating disorders.�

Dr. Vanessa Valdes is an adult psychiatrist specializing in medication management and psychotherapy, with a strong focus on nutrition, wellness, and mindfulness. She earned her combined MD/MPH degree from the University of Miami Miller School of Medicine and completed her psychiatry residency at the University of Miami/Jackson Health System, one of the nation's leading public healthcare systems.‍During her residency, Dr. Valdes gained broad experience in diverse areas of psychiatry, including inpatient psychiatry, emergency psychiatry, outpatient care, psychotherapy, hypnosis, child and adolescent psychiatry, consultation-liaison psychiatry, psycho-oncology, and addiction psychiatry.‍Dr. Valdes primarily provides supportive psychotherapy and acceptance and commitment therapy to help patients better understand and address their stressors. She takes a holistic approach to care, emphasizing the emotional, spiritual, and physical well-being of her patients. Her goal is to inspire meaningful, sustainable changes in patients' lives through compassionate, comprehensive treatment.