Mayra Cabrera Dean, MD

Jessica Fairchilds is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with over 8 years of experience in many psychiatric settings and populations. She earned her Master of Science in Nursing from the University of Mississippi Medical Center and is passionate about providing high quality, comprehensive mental health services. Jessica prides herself in her patient-centered approach by fostering strong provider-patient relationships to achieve optimal treatment outcomes. In her free time, Jessica enjoys spending time with her husband and young daughters, traveling the globe, or getting lost in a historical fiction novel.

Jessica is highly focused on building a strong therapeutic relationship with her clients while making them feel heard and validated. She strives to provide the highest level of care while exploring different treatment options to find what works best for each individual.

Jessica will focus on learning about the client as an individual and learning the concerns of the client while working to develop an individualized treatment plan. She uses her extensive knowledge of medications and therapy techniques to guide treatment options for the best outcomes.

Dr. Alicia Garcete is a board-certified child, adolescent, and adult psychiatrist in practice for over 12 years. Her practice focuses on medication management, recognizing  family involvement is extremely important and is an integral part of treatment. Dr Garcete has treated a wide variety of patients. Her primary focus is treating depression, anxiety disorders, ADHD, PTSD and OCD. Additionally, she can provide supportive therapy and elements of cognitive-behavioral therapy but on occasions more therapy support may be needed, and the recommendation to bring a psychotherapist on the care team may occur to provide an optimal outcome. Dr. Garcete is bilingual and provides care in both Spanish and English.

Prior to Talkiatry, Dr Garcete treated children, adolescents, and adults was at the intensive outpatient and partial hospitalization levels of care with focus on behavioral approaches in the Depression recovery and Anxiety/OCD programs.

Dr. Garcete earned her Medical Degree from the Universidad Nacional de Asuncion, Facultad de Ciencias Medicas in Paraguay. She completed her general psychiatrist residency at Maimonides Medical Center in New York. She was also a Fellow in Psychoanalysis at the Psychoanalytic Institute, Affiliate to New York University School of Medicine, and completed her child and adolescent psychiatrist fellowship at Elmhurst Hospital Center, affiliate to Mount Sinai Hospital. Dr. Garcete also held a clinical assistant professor appointment from the department of psychiatry at SUNY Downstate Medical Center.

Dr. Beck completed medical school at The University of Oklahoma College of Medicine and completed psychiatry residency at The University of Oklahoma School of Community Medicine. She has a particular interest in perinatal/reproductive psychiatry and is pursuing additional training and certification in this subspecialty. Throughout her training, Dr. Beck has been involved in advocating for patients both at the state level as well as through her involvement with the American Medical Association.

Dr. Beck tends to have a relaxed but professional manner with patients. She prioritizes understanding patient concerns and providing education. Dr. Beck aims to use her medical expertise to advise you as you work together to create a strategy that will empower you to take charge of your mental health.

New patients should expect a thorough review of their history and symptoms as they are establishing care with Dr. Beck. One of the most important steps to helping you get better is to make sure the diagnosis is correct. From there Dr. Beck will work with patients to find appropriate medication strategies, as well as other evidence-backed interventions like therapy and lifestyle changes that fit your unique situation.

Dr. Sarah Ramos, MD, has experience practicing in a variety of outpatient settings, including community mental health and military care, serving active-duty service members, their families, and veterans. She earned her medical degree from Vanderbilt School of Medicine and completed psychiatry residency training at the University of California San Diego and Thomas Jefferson University in Philadelphia.

Dr. Ramos values open communication, privacy, and a collaborative approach with her patients. She creates a warm, supportive environment where individuals feel heard, respected, and empowered to participate in their care.

In initial sessions, Dr. Ramos thoroughly assesses patients’ history, concerns, and goals to ensure care is personalized and effective. She develops comprehensive treatment plans that align with each patient’s objectives, providing ongoing support to help them achieve meaningful outcomes.

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.

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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.

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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.

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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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Background and credentials  

Dr. Webb is board-certified by the American Board of Psychiatry and  Neurology. She earned a Bachelor of Science in Biological Sciences from the  University of Miami in Coral Gables, Florida, and obtained her medical degree  in Osteopathic Medicine from the West Virginia School of Osteopathic  Medicine. Dr. Webb completed her psychiatry residency training at Palm Beach  Consortium for Graduate Medical Education in Tamarac, Florida. After her  training, she served as an attending psychiatrist with the Department of  Veterans Affairs in Miami, Florida, and as an attending psychiatrist and  mentor for psychiatry residents in training at the University of Miami,  Florida International University, and University Hospital and Medical Center  in Tamarac.  

Treatment approach    

Dr. Webb believes in building strong therapeutic relationships with her  patients, integrating conservative psychological treatments and lifestyle  modifications to enhance overall well-being and quality of life. She  primarily provides medication management combined with supportive or  emotionally focused therapy. Dr. Webb emphasizes creating individualized care  plans tailored to each patient’s unique needs. While medication and  supportive therapy are central to her approach, she occasionally recommends  involving an additional therapist to optimize treatment outcomes. Dr. Webb  specializes in managing a broad range of psychiatric conditions, including  depression, anxiety, bipolar disorder, postpartum depression, OCD, and  PTSD.  

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What you can expect in a first visit  

Patients meeting Dr. Webb for the first time can expect a thoughtful and  comprehensive assessment focused on building rapport and understanding their  personal and clinical needs. Dr. Webb emphasizes creating a strong  therapeutic relationship, developing an individualized care plan designed  specifically to address each patient's symptoms and lifestyle. Follow-up  appointments typically last around 30 minutes, during which medication  management and supportive therapy are provided. Depending on patient needs,  Dr. Webb might suggest incorporating additional therapeutic support to  achieve the best possible results.    

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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.