Megan Freeman, MD

Dr. De Paz received his medical degree from the University of Texas Medical Branch in Galveston, TX, and has been practicing for 9 years. He completed his psychiatric residency and child and adolescent psychiatry fellowship training at the University of Texas Medical Branch. After completing training, he worked at the Center for Health Care Services in San Antonio, TX. He worked with special needs children and adults who required the highest level of care both behaviorally and medically. He then continued his treatment of children and young adults at CommuniCare Health Center also in San Antonio. He served as Director of Behavioral Health for CommuniCare for 4 years. Dr. De Paz completed his undergraduate studies in Psychology and Biology at the University of Houston in Houston, TX. While having treated a wide variety of patients, his primary clinical focus has been the treatment of ADHD in children and adults, and working with special needs children and adults who may have Autism Spectrum Disorder or other Intellectual or Developmental Disabilities. Dr. De Paz's practice focuses on medication management. He offers medication management evaluations and follow-up visits. If the need arises, he works with licensed therapists to provide behavioral support.

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.

Dr. Elena Perea is a board-certified psychiatrist.  She completed her undergraduate training at Wake Forest University followed by medical school and residency training at The University of North Carolina at Chapel Hill (UNC).

Dr. Perea holds an adjunct academic appointment at UNC and has been involved in medical education for her entire career.  She most recently served as Residency Program Director for the Mountain Area Health Education Center (MAHEC) psychiatry residency in Asheville, NC.  She remains involved in didactic education there for both residents and medical students.

She has a genuine interest in treating a vast array of psychiatric disorders including depression, anxiety, bipolar disorders, post-traumatic stress disorders and obsessive compulsive and related disorders. She is a skilled psychopharmacologist and interested in the mind-body connection. She believes physical health greatly affects mental health and vice versa and loves helping patients with medical comorbidities to feel well.

Patients looking for a psychiatrist will find that Dr. Perea has a comprehensive approach to diagnosis and management of her patients. She believes in the principle that body and mind are interconnected and utilizes psychoeducation and psychotherapeutic approaches in addition to medications for total wellness.

Dr. Alexa Hall is a board-certified adult psychiatrist with extensive training and experience across inpatient, partial hospitalization, intensive outpatient, and outpatient psychiatry settings. She earned her medical degree from Saint Louis University School of Medicine and completed her psychiatry residency at Harvard South Shore. Through her clinical work with the Harvard Medical School system and the Boston VA Healthcare System, Dr. Hall developed expertise in caring for diverse patient populations. She has also served as Medical Director for multiple psychiatry practices, overseeing services such as outpatient medication management, Spravato, IV Ketamine, and Transcranial Magnetic Stimulation (TMS). Outside of work, she enjoys cooking and spending time with her family.

Dr. Hall provides a supportive, non-judgmental environment where patients feel heard, respected, and understood. She takes a collaborative approach, working in partnership with patients to set and achieve individualized wellness goals. Her practice emphasizes whole-person care, integrating both mental and physical well-being into each treatment plan.

Dr. Hall begins by listening closely to understand each patient’s history, experiences, and concerns. From there, she collaborates with patients to identify their personal treatment and wellness goals. She develops individualized treatment plans tailored to these goals, focusing on supporting meaningful progress and long-term well-being.

Background and credentials

Dr. Vansickle is a board-certified adult psychiatrist with over 25 years of clinical experience. She earned her medical degree from the University of Texas Health Sciences Center San Antonio and completed her internship at UAB. She then completed her psychiatry residency at the University of Louisville Hospital, where she served as chief resident and received a national award in community psychiatry. Throughout her career, she has worked in both inpatient and outpatient settings as a staff psychiatrist, primarily in Texas and Alabama.

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Treatment approach

Dr. Vansickle places a strong emphasis on establishing trust and building therapeutic relationships to help patients achieve their goals. Her practice focuses on medication management, often combined with supportive or emotionally focused therapy during 30-minute follow-up visits. If she believes additional therapy would be beneficial, she may recommend that patients work with a therapist as part of their care team. She has extensive experience treating patients in various settings, including community mental health centers, VAMC-affiliated clinics, and hospital-based psychiatric units. She also has expertise in psychiatric consultations for medically ill patients, as well as guardianship and competency evaluations.

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What you can expect in a first visit

Patients can expect a thorough initial evaluation, where Dr. Vansickle takes the time to understand their symptoms, history, and treatment goals. She provides a structured yet compassionate approach to care, ensuring that each patient feels heard and supported. Follow-up visits typically last 30 minutes, during which she monitors progress and adjusts treatment as necessary. If additional therapy is needed, she collaborates with therapists to ensure comprehensive care tailored to each patient’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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Tiffany Reilly is a Licensed Mental Health Counselor with 8 years of experience providing therapeutic services to children, adolescents, and families in Seattle and New York City. She received her Master's in Counseling from Northwest University in 2015. Before coming to Talkiatry, Tiffany worked as a Family Therapist and Supervisor at Children's Aid. This role gave her experience navigating the complexities of adolescence, young adulthood, marriage, and other interpersonal stressors. She was also able to pursue additional trainings in motivational interviewing, trauma systems, and LGBTQIA supportive counseling. Tiffany focuses on treating mood and anxiety disorders, as well as the complexities of grief and loss. She has additional experience working with trauma, conduct disorder, ODD, and personality disorders. She utilizes a variety of therapeutic modalities including Cognitive Behavior Therapy, Psychoanalytic Theory, and Person-Centered Counseling. Tiffany approaches each therapeutic relationship with empathy and compassion, understanding the uniqueness of personal experience. She believes that all behavior maintains something for each individual and that when we bravely uncover our patterns, we can use our inherent strengths to work towards change.