Maria Carvajal-Ramirez, MD

Dr. Daniel Azzopardi was born and raised in Malta where he attended medical school and worked in internal medicine for several years before moving to New York in 2017. He then completed a psychiatry residency at SUNY Downstate and stayed on for his Child and Adolescent Psychiatry fellowship, which he completed in June 2024. Dr. Azzopardi is a dedicated adult and child and adolescent psychiatrist who treats individuals of all ages and uses his strong foundation in internal medicine to handle complex cases requiring intricate medication management. This combination of skills allows for comprehensive care that addresses both mental and physical health challenges. Dr. Azzopardi's holistic approach ensures that each patient receives tailored treatment, fostering improved outcomes and overall well-being.

Dr. Saria El Haddad is double boarded in general psychiatry and addiction psychiatry. She previously held a leadership role of medical director for the dual diagnosis partial hospitalization program at the Brigham and Women's Faulkner hospital where she helped create and establish this program, and also worked as an outpatient addiction psychiatrist. She has been involved in teaching and has maintained an academic affiliation with the Harvard Medical School. In addition, she has appeared in numerous professional publications and authored several research papers.  

Dr. El Haddad received her medical degree from the American University of Beirut, Lebanon and completed her psychiatry residency program at the University of Virginia. She completed a fellowship in addiction psychiatry through Boston University after which she started working at the Brigham and Women's hospital. Dr. El Haddad's approach to treatment focuses on adopting a holistic approach through behavioral change, medication management, and brief psychotherapy.

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.

Background  and credentials    

Dr. Christa DeFries is a board-certified Adult Psychiatrist. She earned her  medical degree from UT Southwestern Medical School in Dallas, Texas, and  completed her residency in Adult Psychiatry at Baylor Scott & White in  Temple, Texas. Following residency, Dr. DeFries gained additional experience  treating homeless and formerly homeless populations in New York City,  particularly focusing on individuals with histories of trauma and substance  addiction, prior to joining Talkiatry.    

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Treatment approach    

Dr. DeFries practices Adult Psychiatry, employing an integrative treatment  approach combining medication management, psychotherapeutic methods, and  lifestyle modifications. She recognizes that each patient benefits from a  personalized mix of these three aspects of care. Dr. DeFries specializes in  treating diverse psychiatric conditions, including those related to trauma,  substance addictions, and various mental health disorders.    

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What you can expect in a first visit    

In a first visit with Dr. DeFries, patients can expect a comprehensive  evaluation aimed at understanding their individual mental health history,  specific concerns, and overall treatment goals. Dr. DeFries emphasizes an  individualized approach, carefully exploring the best combination of  medication, therapy, and lifestyle adjustments tailored specifically to each  patient's needs. Patients can anticipate an empathetic and collaborative  environment focused on their personal experiences and goals.    

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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.

Dr. Anh Tran completed undergraduate studies, medical school, and psychiatry residency training at Saint Louis University. Following training, Dr. Tran joined the Department of Veterans Affairs, where they provided care in an outpatient setting with both telehealth and in-person services. With this experience, Dr. Tran brings a strong clinical background and a dedication to supporting patients through accessible and personalized psychiatric care.

New patients can expect Dr. Tran to respect their time and autonomy while working together to establish shared treatment goals. Dr. Tran values open candor and punctuality, aiming to create a therapeutic relationship grounded in mutual trust, transparency, and collaboration.

During the first visit, Dr. Tran takes a comprehensive history and background to determine if the therapeutic relationship is the right fit for both patient and provider. Ongoing care typically involves monthly appointments for medication management until stability is achieved, after which visits may shift to quarterly follow-ups. This structured yet flexible approach supports continuity and long-term well-being.

Dr. Jen Wygant is a board-certified psychiatrist who specializes in adult psychiatry. She completed her residency training in general adult psychiatry at the University of Michigan and received her medical degree from Rocky Vista University College of Osteopathic Medicine. However, she took a non-traditional path to medical school. She earned her undergraduate degree in nursing at Northern Michigan University where she also did Army ROTC and competed on their cross-country ski team. After graduation, she went on to work as a nurse in the Army and compete on the US National Biathlon Team.

During her training, Dr. Wygant gained extensive experience treating a wide range of diagnoses with particular emphasis on PTSD, anxiety and depression in diverse populations, including college students, LGBTQIA+ individuals, perinatal individuals, Veterans and those with socioeconomic disadvantages.

Through her work as an Army nurse, lifestyle as an elite level athlete, and training as an Osteopathic physician she has developed a holistic and compassionate approach to providing care as well as an understanding of challenges unique to athletes and Service members. She integrates multiple types of therapy into her medication management appointments and collaborates with patients to form an individualized and empowering care plan that aligns with their goals and priorities.  

Dr. Wygant looks forward to working with you!