Margaret Reyes, PMHNP

Dr. Rania Elkhatib is a board-certified general psychiatrist with extensive experience in clinical care, teaching, and research. She earned her medical degree from the University of Texas Medical Branch in Galveston and completed her psychiatry residency at UTHealth Science Center in Houston, where she later served as an Assistant Clinical Professor. During that appointment, Dr. Elkhatib was heavily involved in medical education and has developed courses in cultural psychiatry and psychiatry boot camps for medical students.

Dr. Elkhatib specializes in treating a wide range of psychiatric conditions, including Major Depressive Disorder, Anxiety Disorders, Bipolar Disorder, OCD, ADHD, and PTSD. Dr. Elkhatib focuses on evidence-based medication management but will also incorporate supportive therapy and cognitive-behavioral techniques to optimize treatment management and patient’s wellness. She is fluent in Arabic and English and has a strong interest in working with diverse patient populations.

Dr. Elkhatib has a holistic approach with focus on medication management while incorporating supportive therapy and cognitive-behavioral techniques to optimize patient wellness.

Dr. Amada holds the position of staff psychiatrist at Talkiatry. She was born and raised in Queens, NY. She completed her undergraduate education at New York University, followed by medical school at SUNY Downstate College of Medicine in Brooklyn, NY. She went on to complete her psychiatry residency at Stony Brook University Hospital, where she received an award for academic achievement. Dr. Amada believes in a holistic approach to mental health that addresses lifestyle factors alongside medication management. She values the importance of both therapy and medication in treating mental illness.

Dr. Amada takes a collaborative approach to care and strives to involve her patients in every step of the treatment process. She believes in creating a safe, supportive, and nonjudgmental space where patients can openly discuss their concerns. While her focus is on medication management, she often recommends incorporating additional therapy into the treatment plan and may ask that patients work with a therapist to help achieve the best outcomes.

Dr. Amada works closely with her patients to develop personalized treatment plans. She believes in open communication, shared decision-making, and taking into account the whole person when addressing mental health concerns. Her goal is to ensure that patients feel heard, supported, and actively engaged in their care.

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Gary Etter, MD is a board-certified psychiatrist with experience across outpatient, inpatient, and emergency settings, including many years within the John Peter Smith Healthcare System. He has also practiced in federal correctional psychiatric settings and outpatient care through Tarrant County MHMR. Dr. Etter has been extensively involved in psychiatric education for medical students and psychiatry residents. He has participated in organized psychiatry for many years through the Texas Society of Psychiatric Physicians, serving on multiple committees and previously as President of the Texas Psychiatric Society. He earned his medical degree from the University of Texas Medical Branch in Galveston and completed his psychiatry residency at Timberlawn Psychiatric Hospital in Dallas. He is a Distinguished Life Fellow of the American Psychiatric Association.

Dr. Etter values ongoing patient input and strives to create a collaborative treatment environment where patients are actively involved in decision-making. He emphasizes a warm, supportive approach that helps patients feel heard, respected, and understood throughout their care.

Dr. Etter begins by developing a thorough understanding of each patient’s psychiatric, medical, family, developmental, and substance use history, while also exploring the patient’s concerns and goals. He then works collaboratively with the patient to develop an individualized treatment plan tailored to their unique needs and objectives.

Thomas Ittoop, MD has experience practicing in both academic and community settings. He earned his medical degree from Central Michigan University and completed his psychiatry residency at Baylor College of Medicine. His background reflects a commitment to comprehensive, patient-centered care grounded in clinical rigor and human understanding.

Dr. Ittoop fosters a warm, collaborative environment rooted in genuine human connection. He values uncovering core patterns, meaning, and the story beneath symptoms. His approach emphasizes curiosity, emotional insight, and self-understanding. Patients can expect transparency, clear communication, and shared goal-setting that honors their strengths, long-term vision, and capacity for resilience and wholeness.

He begins with a thorough initial evaluation exploring symptoms, personal and family history, personality patterns, and desired life changes. Together, he and his patients identify core goals and develop a personalized treatment plan. His integrative therapeutic style includes thoughtful medication management, regular check-ins, and a focus on long-term transformation—building clarity, resilience, and a grounded sense of self that extends beyond treatment.

Darcie Farrell is an ANCC Board Certified Family Psychiatric Nurse Practitioner.  She has worked exclusively in the field of psychiatry during her forty-year nursing career.  She has worked in many care settings, including as a psychiatric Home Health Nurse and as a Certified Case Manager (CCM) in Psychiatry at Blue Cross Blue Shield. During her time at Excellus Blue Cross Blue Shield, she realized the urgent need for psychiatric nurse practitioners, so enrolled in the BSN/MSN program at the University of Rochester, graduating in 2016 with her BSN and in 2018 with her MSN.  She has strong skills and experience in Motivational Interviewing, having worked as a Motivational Counselor for a University of Rochester's Pediatric Research Program.   She has worked for the past seven years as a Nurse Practitioner in Geriatric Outpatient Psychiatry.

Darcie Farrell is a compassionate provider who is client centered. I rely on evidence-based scientific research when determining the best treatment options for clients.  

Darcie Farrell has a very relaxed process for working with patients which allows the client to provide information that is pertinent to their goals for care.  Then, together, we determine which treatment options are likely to be best for the client.

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Dr. Lynn Klimo is a board-certified psychiatrist with additional certifications in Integrative Holistic Medicine and Energy Psychology. She earned her medical degree from Case Western Reserve University and completed a psychiatry residency through NEOUCOM, along with a family practice internship at Summa Health. With more than 30 years of clinical experience across inpatient, outpatient, emergency, and consultative settings, she has also served in leadership roles and developed deep expertise in trauma-informed care, treatment-resistant cases, addiction co-occurrence, and integrative approaches that blend neuroscience, psychology, and consciousness.

Dr. Klimo fosters a supportive, respectful, and nonjudgmental space where patients feel fully seen. She emphasizes collaboration, open communication, and shared decision-making while working to uncover root causes rather than focusing solely on symptoms. Her approach is compassionate, evidence-informed, and grounded in authentic connection, honoring each patient’s values, identity, and goals.

Dr. Klimo begins with a comprehensive understanding of each patient’s history, concerns, and desired outcomes. Treatment may integrate psychotherapy, medication, lifestyle strategies, and holistic techniques. She explores emotional, relational, and behavioral dimensions, emphasizing resilience, skills, and long-term wellness. Her process includes regular reassessment and tailored adjustments to support patients in becoming their most fulfilled and authentic selves.