Michael Padua, MD

Dr. Matthew Richter has experience practicing in outpatient and inpatient settings, as well as with military and confinement populations. He earned his medical degree from the Uniformed Services University of the Health Sciences and completed a psychiatry residency at Walter Reed National Military Medical Center, followed by a forensic psychiatry fellowship at the National Capital Consortium.

Dr. Richter fosters a safe, non-judgmental space where patients can explore their feelings and experiences freely, met with unconditional positive regard. He prioritizes active listening and deep empathy, ensuring each patient feels heard, understood, and valued as a unique individual throughout their treatment journey.

Initial sessions focus on a collaborative exploration of a patient’s history, current challenges, and core values, forming the foundation for a personalized treatment plan. Dr. Richter emphasizes shared decision-making, integrating therapeutic modalities—including medication when appropriate—while honoring patient autonomy and aligning with their vision for well-being.

Vincent is a licensed professional counselor who has earned his full licensure from the State of Texas. Vincent earned his bachelor's degree in Criminal Justice with a Minor in History from the University of Texas at San Antonio. He earned his Master of Arts in Counseling and Guidance from Texas A&M San Antonio. Vincent's counseling approach is eclectic, utilizing various modalities including, but not limited to Gestalt, Reality, Narrative, and Solution focused therapy. He is devoted to empowering individuals to free themselves from the excessive burdens of life by a remorseless society. He encourages you to become genuinely free and absolutely understand that you are the master of your own destiny. Vincent's treatment specialties and experience include working with adults, seniors, and adolescents from diverse populations and cultures. Whose suffering included, but not limited to anger, depression, career dilemmas, anxiety, stress, marital problems, collegiate status, self-esteem, family issues, as well as other unforeseen predicaments life unveils. Vincent uses these modalities in a holistic approach assessing clients within their culture, environment, community, and family system to gain a better insight into your distinctive reality. This holistic approach allows us to work together and tailor therapy to your needs. Allowing our collaboration to address the root causes of your current state of wellbeing. Our sessions, along with my education, background, and extensive life experience, have given me a reinforced foundation to assist you in facing the harsh realities of the world. Vincent will inspire you to live your life to its fullest without regret and create healthy tools of positive armor that will guide you eternally. Vincent's platform of therapy will fortify your weaknesses, enhance your strengths, and alleviate your fears where your voice is amplified and capable of surviving the vile discernment of others.

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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Dr. Erlach is a board certified adult psychiatrist who has previously worked for the United States Air Force and the Department of Veterans Affairs. He attended medical school at the Uniformed Services University of Health Sciences, graduating in 2009, followed by active duty military service in the United States Air Force until 2024. He completed residency training at the combined military-civilian Wright State University/Wright Patterson AFB training program in Dayton, Ohio.

Dr. Erlach enjoys working with all types of patients. He takes a collaborative approach to patient care and develops a treatment plan alongside the patient so that both are fully invested in the plan. He generally has weekend and evening appointments only.

Dr. Erlach incorporates therapy into medication management appointments. Dr. Erlach feels that addressing psychosocial stressors and developing coping mechanisms are a vital component to treatment.

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Dr. Patricia de la Cabada earned her medical degree from Ross University School of Medicine and completed her psychiatry residency at the University of Central Florida/HCA Consortium in Gainesville, where she served as outpatient chief resident and received the Excellence in Psychotherapy award. She holds a bachelor’s degree in Anthropology from the University of Florida and has experience in outpatient, inpatient, and consult-liaison psychiatry. Dr. de la Cabada is fluent in Spanish and has special interests in OCD, depression, perinatal depression, bipolar disorder, anxiety, and PTSD.

Dr. de la Cabada approaches care with empathy and compassion, creating a warm, supportive environment. She values strong therapeutic relationships and uses a holistic lens that considers lifestyle and psychosocial factors. Her collaborative, patient-centered style focuses on creating personalized treatment plans.

She begins with a thorough history and discussion of concerns and goals. Treatment plans include medication management, supportive therapy, and lifestyle strategies, with follow-up visits to monitor progress and adapt care as needed.

Dr. Natalie Armijo is a board-certified adult psychiatrist with over twenty years of experience. She completed medical school, internship and residency at the University of New Mexico. She has worked for private HMOs and government facilities. Her private practice combines conventional treatment with nutrition and physical activity to support total health.

Dr. Armijo treats patients, ages 18 to 64, who have conditions related to anxiety, depression, trauma and ADHD with medication and supportive therapy. Her clinical interests include integrative medicine and nutritional psychiatry.

Your first visit with Dr. Armijo will range from thirty minutes to one hour and is designed to collect and clarify information about you. Topics will include your current symptoms, previous mental health treatment, medical conditions, substance use and family history. She will review treatment options, including their risks and benefits. At the end of the visit, she will let you know if her clinical experience and the limitations of an online platform are compatible with your needs. Your safety is her priority.

Follow-up visits range from twenty to thirty minutes and will initially focus on how you are responding to treatment. As your condition stabilizes, she will help you.

- Organize a long-term mental health

- Develop discipline to accomplish your goals

- Evaluate your progress

- Maintain motivation to reach your highest potential

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