Lauren Treharn, PMHNP

Gregory Miller, DO, is an adult psychiatrist who prioritizes understanding his patients by first listening to their stories. He collaborates with them to develop both pharmacological and non-pharmacological solutions aimed at improving their functionality. Dr. Miller emphasizes that functioning better often leads to feeling better. Whenever possible, he approaches treatment within the context of the family system surrounding the individual. Raised in South Carolina, and now residents of Florida, Dr. Miller and his wife of 31 years have six children. He enjoys outdoor activities and team sports and is an avid fan of Tolkien and C.S. Lewis. He at times incorporates analogies from their works into therapy if appropriate.

Dr. Jennifer Ruch is a board-certified psychiatrist who strives to understand her patients' lived experiences and aspirations to develop supportive therapeutic relationships through empathetic listening, mutual trust, and respect. She collaboratively creates individualized care plans that align with personal treatment goals in a safe and judgment-free environment. After completing her Bachelor of Science degree in Human Biology with a focus in psychology from the University of California, Merced, she earned her medical degree from Lake Erie College of Osteopathic Medicine. Dr. Ruch completed her General Psychiatry Residency at Arnot Ogden Medical Center in New York. Her clinical experience involves treating individuals of all age groups from diverse populations and socioeconomic backgrounds suffering from anxiety, depression, bipolar disorder, psychotic disorders, neurodevelopmental disorders, and neurocognitive disorders. She has provided care in inpatient and outpatient psychiatric facilities, the Veterans Affairs Medical Center, emergency rooms, state facilities, and an inpatient chemical dependency center. She also performed pre-procedure psychological evaluations for bariatric and spinal cord surgeries, and psychiatric consult liaison services on medical units and has clinical training in inpatient and outpatient neurology. Her clinical experience incorporated treatment modalities such as pharmacotherapy and interventional psychiatry, including Transcranial Magnetic Stimulation and Spravato. Dr. Ruch integrates a wide array of psychotherapy as needed; however, her practice primarily focuses on medication management while utilizing referrals to therapists and providing collaborative care for optimal outcomes.

Dr. Mendez obtained his medical degree from the University of Texas Medical School in Houston. He subsequently completed his Psychiatry residency training at the same institution, UT Medical School in Houston. Dr. Mendez has extensive training in the field and is board certified in Adult Psychiatry by the American Board of Psychiatry and Neurology. After professional training, Dr. Mendez has had vast experience of 15 years primarily in the outpatient setting including ample experience with telemedicine services to patients. He has extensive experience in diagnosing and treating adult patients dealing with attention deficit disorders and a wide spectrum of adjustment and anxiety disorders. Dr. Mendez has a special interest in the treatment of mood disorders from Major Depression to Bipolar spectrum disorders. Dr. Mendez prioritizes the development of great communication, mutual understanding and trust with his patients as he finds these elements to be key to a successful treatment. He establishes his treatment plans upon evidence-based guidelines and encourages a holistic approach for optimal well-being. Through effective medication management and supportive psychotherapy, Dr. Mendez leads his patients to optimal mental health. He encourages patients to strive to develop fulfillment and optimal functionality in their life's roles.

Background and credentials

Dr. Agarwal is a board-certified adult psychiatrist. He obtained his bachelor's degree in Biological Sciences from the University of California at Irvine and graduated cum laude with his medical degree from the American University of Antigua. Dr. Agarwal completed his psychiatry residency training at the University of Central Florida, where he was elected chief resident.

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Treatment approach

Dr. Agarwal employs a collaborative and patient-centered approach, primarily focusing on medication management in combination with supportive therapy. He is a strong advocate of psychoeducation, believing it to be an integral part of effective psychiatric care. Dr. Agarwal specializes in treating adults experiencing depression, anxiety, PTSD, and insomnia. He is also experienced in managing patients with psychiatric conditions complicated by medical comorbidities such as obesity, hypertension, chronic pain, and diabetes.

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What you can expect in a first visit

Patients visiting Dr. Agarwal for the first time can anticipate a comprehensive evaluation conducted in a collaborative and supportive environment. Dr. Agarwal prioritizes understanding each patient's individual needs and concerns, creating a personalized treatment plan that integrates medication, supportive therapy, and psychoeducation. Follow-up visits typically last about 30 minutes, allowing time to adjust treatment and reinforce therapeutic strategies.

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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.

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Ashley is an ANCC board-certified Psychiatric Mental Health Nurse Practitioner with over a decade of experience in Psychiatry. She has worked in inpatient and outpatient settings, crisis centers, and psychiatric emergency rooms. Ashley is deeply committed to working collaboratively with individuals to enhance their well-being, creating a personalized care plan tailored to each person’s unique needs.

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Her approach integrates medication management, supportive psychotherapy, and lifestyle interventions. As a prescriber specializing in psychopharmacology, Ashley provides comprehensive medication management while utilizing a shared decision-making model. She actively involves clients in their treatment planning, discussing various options to determine the most effective path forward.

During the initial session, Ashley prioritizes establishing a comfortable, open environment where clients feel at ease. She will review medical and psychiatric history, discuss treatment goals, and explore different therapeutic options based on individual preferences. Ashley encourages questions throughout the process to ensure a collaborative and supportive treatment experience.

Dr. Phelps is a board-eligible adult psychiatrist. She was elected chief resident by her residency program at the University of Central Florida. She obtained her medical degree at Nova Southeastern University. She graduated magna cum laude with a bachelor's degree in Kinesiology from Louisiana State University. Dr. Phelps believes in patient-centered care and a holistic approach to medicine. Her practice focuses on medication management, in conjunction with supportive therapy in 30-minute follow-up visits. If additional therapy is needed, she utilizes referrals to psychotherapists to enhance management of mental illness and provide the best treatment outcomes. Dr. Phelps has worked in a variety of medical settings with different patient populations, including outpatient, consult liaison, and inpatient psychiatry. Her primary focus is treating adults with depression, anxiety, ADHD, insomnia, and bipolar disorder. Dr. Phelps aims to build a strong therapeutic relationship and improve the quality of life of her patients.