Kyra Fragnito, MD

Dr. Elizabeth Foote is a board-certified addiction and general psychiatrist practicing medicine for over 15 years.  

Dr. Elizabeth Foote focuses on providing integrated care for those with co-occurring disorders, depression, anxiety, obsessive-compulsive disorder, post-traumatic stress disorder and other forms of mental illness in the outpatient setting.  

She provides medication management as well as psychotherapy which includes drug and alcohol counseling, cognitive-behavioral therapy, psychodynamic psychotherapy, and cognitive processing therapy for trauma.  When combining these treatment approaches, patients receive more comprehensive mental health care.  Treatment begins with an initial assessment and a comprehensive treatment plan developed in coordination with the patient to best meet their needs.

‍

Dr. Shaily C. Desai, MD is a board-certified psychiatrist who treats adults. She graduated Magna Cum Laude and with General Honors from University of Miami. She completed medical school at the University of Miami Miller School of Medicine in the prestigious Honors Program in Medicine. She continued her medical education at Jackson Memorial Hospital & University of Miami Hospital for her 4-year psychiatry residency training program. After completing her training, Dr. Desai held an academic appointment at the University of Miami while working at the Miami Veterans Affairs Hospital initially as a behavioral health consultant in the Primary Care Mental Health Integration (PCMHI) model and later as a Behavioral Health Interdisciplinary Program (BHIP) psychiatrist in the Mental Health Treatment Coordinator (MHTC) role.

Dr. Desai’s background spans clinical care, academic research, and community service, giving a comprehensive understanding of mental healthcare delivery across different settings. Dr. Desai developed expertise in quickly building rapport with patients, conducting medication management assessments, and implementing effective interventions. These experiences taught Dr. Desai how to maintain clinical excellence while showing patience and respect for each patient's unique circumstances. She understands the delicate balance of providing thorough care within the constraints of virtual sessions and she has developed strategies to ensure patients feel supported and understood, even though a screen.

By combining clinical expertise with genuine empathy and persistence, Dr. Desai helps her patients navigate their treatment journey with confidence and hope. Dr. Desai’s practice focuses on medication management and supportive psychotherapy in typically 30-minute follow up visits. At times, additional psychotherapy is needed, and a therapist may be added to provide the best outcome.

Dr. Kristin Ratz is a Board-Certified psychiatrist who is an expert in the diagnosis, treatment, and prevention of mental, emotional and behavioral disorders. She specializes in medication management combined with supportive therapy during 30-minute follow-up sessions. Dr. Ratz recognizes that each patient is unique and believes in an environment of collaboration, in which the patient and psychiatrist work together in order to develop the best individualized treatment plan. A California local, Dr. Ratz obtained her undergraduate education at University of California, Davis, graduating magna cum laude with a degree in Human Development. She then attended medical school at Loma Linda University School of Medicine, obtaining her Medical Doctorate. Following this, she completed her adult psychiatry residency training at the distinguished University of California, Irvine. Dr. Ratz has worked in a diverse range of healthcare settings, including county and community clinics, and is very experienced in telepsychiatry. She pays close attention to not only an individual's emotional state, but also their physical, spiritual, and social well-being, in order to provide her patients with exceptional holistic care.

Dr. Bangs earned a Bachelor of Science in Biology from Nicholls State University and a Master of Science in Acupuncture from Texas Health and Science University. She completed both her MD and General Psychiatry training at Texas Tech Paul Foster School of Medicine, which was followed by specialized training in Child and Adolescent Psychiatry at the University of Texas School of Medicine. Her clinical approach is grounded in psychodynamic psychotherapy, and she continually expands her knowledge by incorporating tools from a variety of therapeutic modalities.

Dr. Bangs is warm, open-minded, and introspective and is fascinated with the connectedness of the conscious and subconscious mind, body, and spirit.   She approaches treatment through the lens of growth-mindset.  She is prioritizes creating a safe space where patients can strengthen their courage to be vulnerable and authentic. She views therapy as a journey of helping patients explore their inner world, where she acts as a mirror in order for patients to gain insight into their motivations, patterns, values, and higher purpose.

Dr. Bangs prefers knowing her patients on deep level, and highly values the therapeutic process, which requires patience over speed.  She acknowledges that it takes many sessions before even a preliminary understanding of the human being in front of her can be formulated.  She honors the truth that her patients are the experts of themselves, and prefers empowering them over micromanagement.  As subconscious patterns emerge, Dr. Bangs will highlight these, as they are often blind spots to the patient.  Dr. Bangs understands that when it comes to mental health, quick fixes are not the most appropriate or effective means to healing.  However, she respects the use of medications when indicated in addition to talk therapy.

Dr. Williams-Jules is an adult psychiatrist who focuses primarily on medication management in conjunction with supportive therapy. She completed her undergraduate training at Spelman College in Atlanta, GA, followed by her master's in public health degree at New York Medical College. She has completed medical school at American University of Antigua and finished her residency in psychiatry at the University of Texas Southwestern. Dr. Williams-Jules has a passion for treating adults with mental health disorders, especially within the perinatal population. She has a genuine interest in management of trauma, while also treating a vast array of disorders including depression, anxiety, bipolar disorder and posttraumatic stress disorder. She has worked with clients of varying cultures and demographics, and has experience with treating patients with medical comorbidities. Dr. Williams-Jules takes a delicate approach to diagnosis and management and believes in holistic care, which incorporates mindfulness and deep breathing techniques to address the mind and body connection. She tailors individualized treatment to address the specific needs of patients. Dr. Williams-Jules is a member of the American Psychiatric Association and the Dallas County Medical Society. She has presented her research at the Annual APA conference and is co-author of many published psychiatric papers.

Dr. Caitlin Tillberg (she/her) is a board-certified psychiatrist. She has a BA in musicology and cognitive science from Oberlin College, an MD from Quinnipiac University in Connecticut, and completed general adult psychiatry residency at Duke University. Dr. Tillberg practices patient-centered and trauma-informed care, valuing patient autonomy and collaborative decision-making, acknowledging the burden many people carry from intersecting oppressions. She believes therapy is important � often equally important as medication, or more � and will work together with you to make a realistic treatment plan that will fit into your life. Dr. Tillberg also has a niche working with people with complicated relationships with their bodies, whether due to disordered eating, gender dysphoria, chronic illness/disability, or trauma. She welcomes LGBTQ+ patients, including trans and non-binary adults. She also enjoys working with patients with OCD, as well as autistic/neurodivergent adults (including those seeking adult autism evaluation). Please note Talkiatry is most appropriate for autistic patients with Level 1 (or case-by-case Level 2) support needs and who are verbal. Regarding eating disorders: Please note that for patient safety, per Talkiatry policy, Dr. Tillberg is unable to work with patients with current active anorexia nervosa or bulimia nervosa (or significant relapse in the last 6 months), or with patients requiring current regular medical or lab monitoring for complications of binge-eating disorder or ARFID. Bariatric surgery patients are welcome if medically stable. Patients with current disordered eating that does not rise to the level of a formal diagnosis of anorexia or bulimia, or with a past history of anorexia or bulimia in sustained remission, will be evaluated on a case-by-case basis at the first appointment. Dr. Tillberg looks forward to meeting you.