Kyra Fragnito, MD

Dr. Jaffarzad is a board eligible adult psychiatrist who completed her undergraduate training at the University of Texas at Austin and earned her medical degree at the American University of the Caribbean. She completed her psychiatry residency at Louisiana State University Our Lady of the Lake Psychiatry Residency Program. After completing residency, she worked in an outpatient setting and provided consultation liaison services at Our Lady of the Lake Hospital. Moreover, she held volunteer academic positions supervising and instructing residents and medical students. She has experience treating culturally diverse patient populations with a variety of mental health conditions. Dr. Jaffarzad primarily offers medication management in conjunction with supportive therapy during follow-up visits. She values the importance of open communication and a strong doctor-patient therapeutic alliance.

Dr. Holly Shiao is a psychiatrist who has worked extensively with medically complex patients, including a special focus in psycho-oncology with cancer patients. She is double board-certified in Consultation-Liaison Psychiatry and Adult Psychiatry. She has been practicing for over 7 years. Before Talkiatry, Dr. Shiao worked as an Assistant Professor at the University of Washington and Fred Hutchinson Cancer Center. She also worked as an Assistant Professor and was Director of Emergency Psychiatry at the University of Chicago. She has presented nationally at the Academy of Consultation-Liaison Psychiatry and written a book chapter about psycho-oncology. Dr. Shiao attended medical school at John P. and Kathrine G. McGovern Medical School at the University of Texas Health Science Center at Houston. She then completed an Adult Psychiatry residency at the University of Texas Medical Branch at Galveston, followed by a Consultation-Liaison fellowship at Dell Medical School at the University of Texas at Austin. Dr. Shiao is interested in the mind-body connection in overall emotional and mental well-being. She likes to integrate therapy modalities, such as cognitive behavioral therapy, supportive therapy, mindfulness and meditation with medication management to optimize a patient's mental health.

Adam Banks, LCSW, earned his MSW from Fordham University in 2010 and became a licensed clinical social worker in 2016. He also holds a Master’s in Psychology from Queens College and a Bachelor’s in Psychology from Brandeis University. With over 12 years of clinical experience across community mental health, home-based family therapy, and outpatient substance abuse programs, Adam specializes in anxiety, adult ADHD, and infertility/family building. He is passionate about supporting clients navigating reproductive challenges and transitions to parenthood, often integrating narrative therapy to help families envision their future.

Adam uses Cognitive Behavioral Therapy to identify and reframe unhelpful thinking patterns, as well as Motivational Interviewing to address ambivalence and guide clients toward meaningful change. He incorporates mindfulness, grounding, and coping strategies to improve emotional regulation and distress tolerance. His approach helps clients navigate difficult emotions and life challenges while fostering growth and resilience.

Adam practices active listening to understand client needs and collaborates to set personalized goals. His style is warm, affirming, strength-based, and can be both humorous and direct as appropriate. He believes that meaningful change takes time and that therapy, though sometimes challenging, is a powerful tool for cultivating a more satisfying and purposeful life.

Giulia Ferrero earned her Bachelor of Arts and Sciences in Sociology, Ethnic Studies, and Women & Gender Studies at the University of Colorado in Boulder, and received her Master of Social Work from Columbia University with an emphasis in children, youth, and families. Giulia is licensed by the State of Texas as a master social worker (LMSW), and is dedicated to helping people who struggle with mental health concerns. She believes that change happens when people are given the support they need to draw on their own strengths and realize their potential to live fulfilling, happy lives. Giulia advocates a holistic approach when working with her clients and incorporates various treatment styles including, but not limited to, cognitive-behavioral, family systems, solution-focused, and psychodynamic. During her graduate program, Giulia worked extensively with children, utilizing play therapy techniques alongside a trauma-focused treatment approach. She specializes in individual therapy with an emphasis on issues such as PTSD, autism, stress, anxiety and depression, grief and loss, women's issues, family/relationship issues, life transitions, and personal growth. Giulia especially enjoys working with young adults and is committed to working with each person in a confidential, effective manner to help the individual accomplish his/her/their goals.

Dr. Steven Wilkening is a board-certified adult psychiatrist.He completed his Bachelor of Arts degree at Cornell University followed by a neuroscience researchfocused Masters degree at the University of Mississippi. He then attended medical school at theUniversity of Mississippi School of Medicine, graduating with his MD degree as a Medical StudentResearch Scholar and member of the Alpha Omega Alpha Honor Medical Society. He completed adultpsychiatry residency training at the University of Cincinnati and has since been working primarily intelepsychiatry.He has experience treating a wide variety of psychiatric conditions and also recognizes that lifestylefactors such as sleep, physical activity and stress-reduction are foundations of good mental health.Alongside medication management, he provides brief supportive psychotherapy, psychoeducation, aswell as elements of cognitive behavioral and solution-focused therapies to assist patients in meetingtheir goals. He often encourages patients to see a therapist in addition to a psychiatrist.

Dr. Stoddard earned his medical degree from the University of Arizona College of Medicine - Tucson and completed his residency at the University of Arizona College of Medicine - Phoenix. He is board-certified in psychiatry and provides care for adult patient populations. Prior to his career in medicine, he proudly served in the U.S. Air Force.

Although Dr. Stoddard specializes in medication management of psychiatric conditions, supportive psychotherapy is often incorporated into his visits, as he believes a combined approach leads to a more robust treatment response. Additionally, he aims to enhance wellness through discussion of lifestyle modifications that emphasize quality sleep, a healthy diet, and regular exercise.

Initial appointments consist of a psychiatric evaluation and discussion of evidence-based treatment options. If telehealth is deemed to be an appropriate modality and pharmacotherapy is recommended, discussion will consist of selecting a suitable medication to address target symptoms while minimizing adverse effects. Follow-up visits focus on assessing treatment response and adjusting regimens to optimize outcomes.