Joy James, MD

Dr. Ruiz is a compassionate psychiatrist specializing in adult and maternal mental health. She develops personalized treatment plans to address anxiety, depression, bipolar disorder, ADHD, OCD, PTSD, PMDD, and perinatal conditions. Her goal is to help patients reconnect with their values and live balanced, fulfilled, and meaningful lives.

Her passion for medicine began in childhood, inspired by curiosity about the mind and body. She earned an Honors Chemistry degree with  magna cum laude and completed her medical training and psychiatry residency at Texas Tech University Health Sciences Center. With a strong scientific foundation, Dr. Ruiz understands the role of medications, and embraces holistic healing through connection, gratitude, and spirituality.

Dr. Ruiz has experience in diverse clinical settings and has received national awards including the AWP International Fellowship and ADMSEP Innovations Award. She is dedicated to advancing maternal mental health screening and treatment through clinical care and education.

Dr. Ruiz combines pharmacotherapy (medication) with psychotherapy to create individualized treatment plans. Therapy provides powerful tools to manage thoughts, emotions, and behaviors that support balanced brain chemistry. Research shows that medication helps restore this balance more quickly and effectively, especially in moderate to severe cases.  

Dr. Ruiz likens medication for the brain to fertilizer for a garden. Imagine your mental health as a vibrant garden—when well-nourished, it can thrive with resilience, beauty, and balance. But when symptoms like depression, anxiety, ADHD, or mood instability take hold, they act like invasive weeds, crowding out healthy growth and making it hard to enjoy the space. Medication acts like fertilizer, strengthening the garden’s natural systems so the healthy parts can reclaim their place and flourish. Just as some gardens need only seasonal care while others require more consistent tending, medication plans are personalized to support each person’s long-term mental wellness. When the garden is healthy, there's more room to grow, connect, and fully enjoy life.

With a strong background in chemistry and pharmacology, Dr. Ruiz prioritizes educating her patients about how medications work and why they can be helpful. She believes patients should take an active role in understanding their diagnosis and treatment. Her approach emphasizes diagnostic clarity, medication management, patient education, and brief psychotherapy based on cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT).

Your first appointment is a supportive, in-depth conversation to share your story, challenges, and goals. Dr. Ruiz will review your medical and psychiatric history and assess symptoms using a whole-person approach that considers biological, psychological, and social factors.

Together, you’ll develop a personalized plan that may include lab work, medication, and therapy. Initial visits last 60 minutes for thorough evaluation; follow-ups typically last 20–30 minutes, focusing on medication management and brief therapy. If needed, Dr. Ruiz can refer you to in-house or community therapists for add-on therapy support.  

Throughout your care, Dr. Ruiz prioritizes shared decision making to ensure you feel informed, empowered, and supported.

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Dr. Jennifer Shoenfelt is a staff psychiatrist at Talkiatry. She is double board certified in child and adolescent psychiatry and adult psychiatry. She has been practicing for over 14 years. Dr. Shoenfelt's practice focuses on child and adolescent medication management. Typically, she offers this in conjunction with supportive or emotionally focused therapy in 30-minute follow-up visits. However, occasionally Dr. Shoenfelt may believe that additional therapy is needed and will ask that you bring a therapist into your care team to provide the best outcome. She provides treatment plans that include holistic recommendations for diet, exercise, and educational and psychosocial/spiritual aspects of care. She is known for listening to and respecting patients' stories and walking them on a path of recovery and growth. Dr. Shoenfelt received her medical degree from the Boonshoft School of Medicine at Wright State University in Dayton, Ohio. She earned her Bachelor of Science degree in Physical Therapy from The Ohio State University. Dr. Shoenfelt practiced for 14 years in physical therapy with a specialization in children with developmental and neurological disabilities before attending medical school. Dr. Shoenfelt has held multiple positions in hospital and outpatient psychiatry, including community mental health, developmental and foster care settings, and medical director positions. She has served as clinical faculty for both the Wright State Department of Psychiatry and the University of Cincinnati School of Medicine. She has a passion for the education of medical students, residents, and patients. Dr. Jennifer Shoenfelt is a staff psychiatrist at Talkiatry. She is double board certified in child and adolescent psychiatry and adult psychiatry. She has been practicing for over 14 years.

Dr. Megan Crochet is board certified in Adult Psychiatry and has completed a fellowship in child and adolescent Psychiatry. Dr. Crochet attended medical school at Drexel University College of Medicine and completed her training at Mount Sinai School of Medicine, followed by Tulane University School of Medicine, where she was a chief resident. Dr. Crochet provides a therapeutic medication management visit, which incorporates therapeutic techniques tailored to the individual patient needs while adjusting medication doses. Her goal is to help patients manage their symptoms while working towards, over time, uncovering the root causes. This comprehensive process helps to empower her patients and provides hope and acceptance of their psychiatric challenges. If indicated, Dr. Crochet may believe that additional therapy is also needed and recommend that you bring a therapist into your care team to provide the best outcome. Dr. Crochet has worked in hospital systems, private practice, and most recently telemedicine. When not practicing, she enjoys all things water, cooking and spending time with her daughter and dog.

Dr. Ye Kyung Song is a board-certified psychiatrist with both an M.D. and a Ph.D. in medical humanities and ethics from the University of Texas Medical Branch. She completed her residency at Duke University and has experience practicing in both outpatient and inpatient settings. In addition to her clinical training, Dr. Song has pursued advanced training in several therapeutic modalities, including the Collaborative Approach to Management of Suicidality (CAMS) and Radically Open Dialectical Behavioral Therapy (RO-DBT).

Dr. Song takes a collaborative, values-driven approach to treatment, emphasizing partnership in decision-making and tailoring care to each individual’s needs. She uses medication thoughtfully and only when appropriate, considering the whole picture of a patient’s health and life. Her goal is to help patients understand the underlying reasons for their symptoms by examining patterns, conflicts, and meaning. She is committed to creating a safe and supportive environment where patients can explore their experiences openly.

During the initial appointment, Dr. Song focuses on understanding a patient’s clinical history, current concerns, and personal goals. Together with the patient, she develops an individualized treatment plan that clearly outlines areas of focus and aligns with the patient’s values and objectives. Her process emphasizes getting to the root “why” behind symptoms, while using evidence-based medicine and therapy modalities best suited for the situation. Treatment plans and medications are adjusted collaboratively over time to ensure ongoing support and progress.

Dr. Crump is a board-certified psychiatrist at Talkiatry. She is from Kentucky and completed her undergraduate studies at Murray State University. She obtained her medical degree from University of Kentucky College of Medicine and completed her psychiatry residency training at University of Louisville School of Medicine. Afterwards, she completed a fellowship in child and adolescent psychiatry at Medical University of South Carolina.

Dr. Crump has experience in a wide range of diagnoses and patient populations, with particular interest in anxiety, depression, PTSD, substance use disorders as well as the child and adolescent, college, BIPOC, and LBGTQIA+ populations.

Dr. Crump believes in the importance of getting to know each patient as a whole and of understanding the unique experiences that bring them to treatment. She collaborates with her patients to create personalized treatment plans and considers both medication and non-medication options.

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Dr. Sabrina Lefcochilos-Fogelquist earned her bachelor’s degree from Georgetown University and her medical degree from Sidney Kimmel Medical College at Thomas Jefferson University. She completed her psychiatry residency at the Icahn School of Medicine at Mount Sinai Morningside/West in New York City. She has experience in outpatient, inpatient, and emergency psychiatry, treating a broad spectrum of mental health conditions across diverse populations.

Dr. Lefcochilos-Fogelquist values compassionate, holistic care and strives to build long-term, collaborative relationships with her patients. She is particularly drawn to the outpatient setting, where she can engage with the evolving narratives of her patients’ lives. She creates a warm, supportive environment where individuals feel safe, respected, and heard.

Her process begins with a comprehensive evaluation to understand each patient’s history, concerns, and goals. Treatment plans are individualized and may include medication management and psychotherapy. She integrates supportive, cognitive behavioral, psychodynamic, and mindfulness-based techniques to meet patients' evolving needs.