Margaret Ngumi, PMHNP

Background and credentials

Dr. Jessica Matthews is a board-certified general psychiatrist. She earned her medical degree from the University of Texas Health Science Center at San Antonio and completed her psychiatry residency at Tripler Army Medical Center in Honolulu, HI. After her training, she was stationed at Fort Hood, TX, where she worked as a staff physician in the inpatient unit at Carl R. Darnall Army Medical Center and later became the inpatient medical director. She subsequently transitioned to outpatient care, serving as a staff physician and later as clinic chief in the outpatient embedded behavioral health clinics. She continued working as a staff physician after leaving the military.

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Treatment approach

Dr. Matthews specializes in medication management, often incorporating supportive and cognitive-behavioral-focused therapy into treatment. Follow-up visits typically last 30 minutes, during which she evaluates progress and adjusts treatment as needed. She takes a collaborative approach and may recommend additional therapy when she believes it will optimize patient outcomes. Her primary areas of focus include treating adults with depression, anxiety, and stress/trauma-related disorders.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive evaluation where Dr. Matthews takes the time to understand their symptoms, history, and treatment goals. She prioritizes a structured yet patient-centered approach, discussing medication management options while considering therapeutic interventions tailored to individual needs. If necessary, she may recommend additional therapy as part of a well-rounded treatment plan.

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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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Lance Briggs is a dedicated Psychiatric Nurse Practitioner with over a decade of clinical and leadership experience. A graduate of the University of North Dakota, Lance began as a psychiatric RN in acute inpatient settings before becoming a psychiatric RN supervisor in a major Houston hospital while pursuing advanced practice.

After becoming a PMHNP, Lance initially worked with outpatient addiction treatment and severe mental illness populations, later expanding into bariatric psychiatry to support patients preparing for weight-loss surgery. When the COVID-19 pandemic paused bariatric procedures, Lance founded a private practice—Grey Matters Mental Health—in Seattle, which was later sold to a larger healthcare organization in Minnesota. Lance then transitioned into correctional mental health, serving underserved populations within the criminal justice system. Currently, Lance is working at Talkiatry, providing compassionate, high-quality care informed by experience across diverse and challenging environments.

Lance understands that every patient is unique. His approach is grounded in Carl Rogers’ principle of unconditional positive regard, creating a safe, calming space where patients feel heard and valued. Lance takes time to explore developmental history, family background, and major life events, recognizing how past experiences shape present challenges. He aims to understand each symptom fully and offers thoughtful, collaborative treatment options.

Gabrielle Delarose is a dually boarded Psychiatric Mental Health and Family nurse practitioner with over ten years of clinical experience. Gabrielle is dedicated to providing culturally competent and evidence-based medication management and psychotherapy to assist individuals in achieving their goals to live their best life. I believe in holistic treatment of individuals, and focus on the individual’s overall well-being, including how they are functioning socially and professionally. In addition to medication and psychotherapy, she is a proponent of incorporating research-supported alternative modalities, including dietary changes, exercise, social interaction, and yoga. She also advocates of forest bathing (“shinrin-yoku”), a practice of spending time in nature that yields both medical and mental health benefits as discovered in research trials from around the world. As a professionally trained cellist, she also frequently incorporates art and music into appointments and treatment plans with patients. Her goal for all her patients is to improve all facets of a person’s life with treatment. Gabrielle is an LGBTQ+ affirming provider and has extensive experience working with diverse populations.

New patients should know that the initial appointment will consist of obtaining their social history in addition to their medical history. This is an important part of establishing a therapeutic relationship in addition to obtaining health information to use in formulating treatment plans. A person’s identity and life experiences are a significant influence on a person’s health and well-being, and Gabrielle believes in discussing these experiences in order to best understand a patient’s background and incorporate that into their care. Patients are encouraged to write down any questions they may have prior to the appointment, as well as any significant points they want to discuss. This is encouraged because, as patients, we may forget to address these points without a prompt from the provider. Gabrielle also encourages patients to actively participate in their care and firmly believes in a patient’s right to autonomy and agency. This patient-centered approach empowers patients to help guide treatment plans that best fit the patient’s needs and abilities at any given time. Patients are also encouraged to discuss any concerns about medications or treatment, particularly if there are concerns about side effects.

Gabrielle works collaboratively with patients to determine appropriate and preferred treatment plans, including medication and therapy. She uses cognitive behavioral therapy (CBT) as the primary therapy modality, in conjunction with existential therapy, depending on the patient’s needs and preferences. She prefers to allow patients flexibility in their treatment, so the process may look less structured depending on the immediate needs of the patient. Other times, particularly while working through a specific problem in therapy, appointment agendas may be planned out for several weeks. If at any time, however, a need arises to deviate from preplanned appointment agenda, patients are encouraged to discuss this at the beginning of the appointment. Above all, patients’ needs will guide the agenda.

Dr. Jessica Marz is a board-certified psychiatrist who completed her undergraduate studies at the University of Florida and earned her medical degree from the Florida State University College of Medicine. She went on to complete her psychiatry residency at the University of Florida College of Medicine Jacksonville. Dr. Marz treats adults experiencing a variety of mental health concerns, including anxiety, depression, PTSD, OCD, ADHD, bipolar disorder, and adjustment-related challenges.

Dr. Marz is a compassionate and thoughtful psychiatrist committed to holistic, patient-centered, evidence-based care. She approaches each individual with warmth and without judgment, fostering a therapeutic environment built on open communication and trust. She believes that strong rapport is essential to achieving meaningful progress in treatment.

Dr. Marz combines medication management with supportive psychotherapy, incorporating cognitive-behavioral techniques and motivational interviewing. She customizes each treatment plan to align with the patient’s personal goals and evolving needs, recognizing that healing is a highly individualized journey.

Dr. Coy Bolton was born and raised in South Texas, and was a teacher before becoming a physician. He completed medical school training and residency at Texas Tech Health Sciences Center in Lubbock, TX. Dr. Bolton has wanted to be a Psychiatrist for as long as he could remember. He will do his best to thoroughly and carefully work with his patients to determine the most accurate Psychiatric diagnosis/diagnoses possible.

While working together, Dr. Bolton may ask sensitive questions, but will do so in a nonjudgmental way with the only goal of helping his patients. He will also work in psychotherapy techniques during the sessions together. Dr. Bolton takes a holistic approach when working with patients, that focuses on multiple aspects of their lives.

Dr. Bolton prides himself on creating a safe and nonjudgmental space where the focus is simply on helping patients. He strives to work collaboratively with his patients, to ensure that he and the patient are both on the same page when it comes to their mental healthcare.

Dr. Kethini is a board-certified psychiatrist in General psychiatry. She completed her medical degree at St. George's University School of Medicine in Grenada. After completing her residency at Bergen New Bridge Medical Center, she transitioned to an attending psychiatrist at the same place where she completed her residency. During her initial years as an attending, she took care of her own patients and supervised third year residents in the outpatient setting. After a few years, she transitioned to an inpatient setting, where she treated both voluntary and involuntary patients. She also continued to evaluate patients in the emergency room as part of the call group for the last 8 years. ‍Dr. Kethini is passionate about and very experienced in providing a holistic approach along with evidence-based care for patients battling depression, anxiety, bipolar disorder, OCD, ADHD, and PTSD. She integrates supportive psychotherapy along with medication management and lifestyle changes such as nutrition, exercise, sleep hygiene, and stress management. She is focused on having a collaborative approach to treatment and forming a therapeutic alliance with every single patient under her care.