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Mary Birse, PMHNP

Staff Nurse Practitioner
Languages
English
SPECIALTIES
Medication Management
ADHD
Anxiety
Bipolar Disorder
Depression
Obsessive-compulsive disorder (OCD)
PTSD/Trauma

Education and training

  • University of Florida (Master of Science in Nursing)

Get to know

Mary Birse, PMHNP

Mary Birse is a board-certified Psychiatric Mental Health Nurse Practitioner (ANCC) with over 20 years of nursing experience. She graduated magna cum laude with a BSN from Florida Atlantic University and earned her MSN from the University of Florida. She completed a Psychiatric NP Residency at the VA in Charleston, SC. Mary has worked in a variety of settings including the West Palm Beach VA Medical Center, the Palm Beach County Firefighter’s Clinic, various outpatient telehealth platforms, and a child and adolescent inpatient facility. She was also an adjunct professor at Palm Beach State College.

Mary believes in empowering patients through education and collaboration so they can play an active role in their mental health journey. She works to create a warm and welcoming space where patients feel safe, heard, and understood. Whether the treatment path includes therapy, medication, integrative approaches, or a combination, she ensures that the plan reflects the patient's needs and goals.

Mary takes a thorough and holistic approach to care. She spends time understanding each patient’s history and past treatments—what has or hasn’t worked—and listens carefully to their current concerns and future goals. By factoring in lifestyle and preferences, she works with patients to build thoughtful, individualized treatment plans.

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Thomas Rodriguez, MD

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Dr. Rodriguez is a board-certified adult psychiatrist. He earned his medical degree from the David Geffen School of Medicine at UCLA and completed his residency at the University of Southern California. Dr. Rodriguez has experience working in a variety of settings, including inpatient, outpatient, community mental health, and correctional facilities.

Dr. Rodriguez specializes in treating depression and anxiety. He acknowledges that while medications can be necessary, they are not magic, and a holistic approach is essential for achieving mental health. With this understanding, Dr. Rodriguez spends time getting to know his patients, focusing on helping them achieve mental wellness rather than simply prescribing medications. When he became a doctor, he made a pledge to "do no harm." He takes this commitment seriously and only prescribes medications, especially those with addictive properties, when it is safe and clearly indicated.

The first one or two appointments focus on a thorough assessment to establish a provisional diagnosis, which is essential for effective treatment planning. Once this initial diagnosis is made, Dr. Rodriguez collaborates with his patients to develop tailored treatment recommendations. During follow-up appointments, he actively listens to his patients and proposes adjustments to the treatment plan as needed.

Anastasia Ruiz, MD

Staff Psychiatrist

Dr. Ruiz is a compassionate psychiatrist specializing in adult and maternal mental health. She develops personalized treatment plans to address anxiety, depression, bipolar disorder, ADHD, OCD, PTSD, PMDD, and perinatal conditions. Her goal is to help patients reconnect with their values and live balanced, fulfilled, and meaningful lives.

Her passion for medicine began in childhood, inspired by curiosity about the mind and body. She earned an Honors Chemistry degree with  magna cum laude and completed her medical training and psychiatry residency at Texas Tech University Health Sciences Center. With a strong scientific foundation, Dr. Ruiz understands the role of medications, and embraces holistic healing through connection, gratitude, and spirituality.

Dr. Ruiz has experience in diverse clinical settings and has received national awards including the AWP International Fellowship and ADMSEP Innovations Award. She is dedicated to advancing maternal mental health screening and treatment through clinical care and education.

Dr. Ruiz combines pharmacotherapy (medication) with psychotherapy to create individualized treatment plans. Therapy provides powerful tools to manage thoughts, emotions, and behaviors that support balanced brain chemistry. Research shows that medication helps restore this balance more quickly and effectively, especially in moderate to severe cases.  

Dr. Ruiz likens medication for the brain to fertilizer for a garden. Imagine your mental health as a vibrant garden—when well-nourished, it can thrive with resilience, beauty, and balance. But when symptoms like depression, anxiety, ADHD, or mood instability take hold, they act like invasive weeds, crowding out healthy growth and making it hard to enjoy the space. Medication acts like fertilizer, strengthening the garden’s natural systems so the healthy parts can reclaim their place and flourish. Just as some gardens need only seasonal care while others require more consistent tending, medication plans are personalized to support each person’s long-term mental wellness. When the garden is healthy, there's more room to grow, connect, and fully enjoy life.

With a strong background in chemistry and pharmacology, Dr. Ruiz prioritizes educating her patients about how medications work and why they can be helpful. She believes patients should take an active role in understanding their diagnosis and treatment. Her approach emphasizes diagnostic clarity, medication management, patient education, and brief psychotherapy based on cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT).

Your first appointment is a supportive, in-depth conversation to share your story, challenges, and goals. Dr. Ruiz will review your medical and psychiatric history and assess symptoms using a whole-person approach that considers biological, psychological, and social factors.

Together, you’ll develop a personalized plan that may include lab work, medication, and therapy. Initial visits last 60 minutes for thorough evaluation; follow-ups typically last 20–30 minutes, focusing on medication management and brief therapy. If needed, Dr. Ruiz can refer you to in-house or community therapists for add-on therapy support.  

Throughout your care, Dr. Ruiz prioritizes shared decision making to ensure you feel informed, empowered, and supported.

Joy James, MD

Staff Psychiatrist

Background and credentials

Dr. James is a board-certified adult psychiatrist with 32 years of clinical experience. She earned her medical degree from Tufts University, Boston’s affiliated program and completed her residency training at Steward St. Elizabeth Medical Center in Boston, where she initiated the residency program and received the Resident Teaching Award for excellence in teaching. Throughout her career, she has served in various leadership roles, including as Chief of Psychiatry at Pro Medica Healthcare Company.

Treatment approach

Dr. James specializes in community adult psychiatry and is deeply invested in providing comprehensive care for individuals and families. She has extensive experience working in outpatient, inpatient, consult-liaison, and emergency room settings, allowing her to tailor treatment to diverse patient needs. Her approach prioritizes holistic, patient-centered care, ensuring that each treatment plan aligns with a patient’s specific challenges and goals.

What you can expect in a first visit

During the first visit, patients can expect a thorough psychiatric evaluation where Dr. James carefully reviews their symptoms, medical history, and treatment objectives. She fosters a compassionate and collaborative environment, ensuring that patients feel supported in their journey toward better mental health. Her extensive experience allows her to provide personalized treatment strategies, which may include medication management and therapeutic interventions tailored to each individual’s needs.

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.

Cecilia Fitz-Gerald, MD

Staff Psychiatrist

Dr. Cecilia Fitz-Gerald is a board-certified psychiatrist trained in adult psychiatry and consultation-liaison psychiatry, formerly known as psychosomatic medicine. She has been practicing for over five years and has extensive experience working in a variety of clinical settings, including inpatient, outpatient, and emergency psychiatry. In addition, she specializes in working with patients with acute and chronic medical conditions that may be affecting their mental health, such as cancer, stroke, or a heart condition. She provides patient-centered care utilizing a collaborative approach to help her patients reach their goals. She is a native of Louisiana and a graduate of the LSU School of Medicine in Shreveport. She was elected to the prestigious medical honor society, Alpha Omega Alpha, during her fourth year of medical school and was awarded the John W. Bick Excellence in Psychiatry award. She completed her psychiatry residency training at the University of Texas Southwestern Medical Center where she served as Chief Resident and was a PRITE Fellow. Afterwards, she completed a fellowship in consultation-liaison psychiatry at Yale-New Haven Hospital. Dr. Fitz-Gerald has multiple scholarly publications, particularly in the fields of emergency psychiatry and hospital delirium and has presented at the annual conference for the Academy of Consultation-Liaison Psychiatry. She is passionate about academic medicine and enjoys teaching medical students and residents. Her other areas of clinical interest include ICU delirium and cardiac psychiatry.

Kristina Schnitzer, MD

Staff Psychiatrist

Background and credentials

Dr. Kristina Schnitzer is a board-certified psychiatrist. She earned her medical degree from the New York University School of Medicine and completed her residency in Adult Psychiatry at the Massachusetts General Hospital/McLean Adult Psychiatry Residency Program. She further specialized by completing a one-year clinical and research fellowship in Public and Community Psychiatry through Massachusetts General Hospital and the Massachusetts Department of Mental Health. In addition to her medical training, she holds a Master of Public Health (MPH) from the Harvard T.H. Chan School of Public Health. She has over three years of experience practicing psychiatry across inpatient, emergency, and outpatient settings.

Treatment approach

Dr. Schnitzer focuses on medication management as the foundation of her treatment approach, typically combining it with supportive or emotionally focused therapy during 30-minute follow-up visits. She takes a collaborative and individualized approach to patient care and, when needed, may recommend additional therapy by integrating a therapist into the care team to ensure the best possible outcomes. She has experience treating a broad range of psychiatric disorders in various clinical settings.

What you can expect in a first visit

Patients can expect a thorough and structured evaluation in their first visit, where Dr. Schnitzer carefully assesses their symptoms, medical history, and treatment goals. She emphasizes open communication and collaboration, ensuring that patients are fully involved in shaping their treatment plans. Follow-up visits typically last 30 minutes, during which she monitors progress, adjusts treatment as needed, and may recommend additional therapeutic support for comprehensive care.

Why Talkiatry?

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Kyle Baird, DO

Staff Psychiatrist

Dr. Kyle Baird, DO, earned his medical degree from A.T. Still University – Kirksville College of Osteopathic Medicine and completed his psychiatry residency at the University of Colorado School of Medicine. He has practiced in diverse academic outpatient settings, using a multidisciplinary approach to understand clients and develop personalized treatment plans. He also served as medical director of a large academic outpatient clinic, overseeing psychiatrists, residents, psychology students, and advanced practitioners.

Dr. Baird values a holistic perspective in care, emphasizing empathy, understanding, and patient-centered treatment. He fosters open, clear communication and collaborates with clients to explore the causes of symptoms, as well as the strengths and behaviors that support resiliency and well-being. He also considers daily routines and life contexts that influence mental health.

During the initial appointment, Dr. Baird conducts a thorough evaluation of concerns, history, and functioning, completing any necessary screenings. He then develops a personalized treatment plan collaboratively, reviewing potential therapeutic interventions. Follow-up visits typically combine medication management, if appropriate, with brief psychotherapeutic support, adjusting intervals based on client needs, monitoring, and treatment progress.

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Specialties
Medication Management
ADHD
Anxiety
Bipolar Disorder
Depression
Obsessive-compulsive disorder (OCD)
PTSD/Trauma
States
Virginia
New Hampshire
Languages
English
Takes insurance
Virtual visits
years experience