Michael Underriner, MD

Darcie Farrell is an ANCC Board Certified Family Psychiatric Nurse Practitioner.  She has worked exclusively in the field of psychiatry during her forty-year nursing career.  She has worked in many care settings, including as a psychiatric Home Health Nurse and as a Certified Case Manager (CCM) in Psychiatry at Blue Cross Blue Shield. During her time at Excellus Blue Cross Blue Shield, she realized the urgent need for psychiatric nurse practitioners, so enrolled in the BSN/MSN program at the University of Rochester, graduating in 2016 with her BSN and in 2018 with her MSN.  She has strong skills and experience in Motivational Interviewing, having worked as a Motivational Counselor for a University of Rochester's Pediatric Research Program.   She has worked for the past seven years as a Nurse Practitioner in Geriatric Outpatient Psychiatry.

Darcie Farrell is a compassionate provider who is client centered. I rely on evidence-based scientific research when determining the best treatment options for clients.  

Darcie Farrell has a very relaxed process for working with patients which allows the client to provide information that is pertinent to their goals for care.  Then, together, we determine which treatment options are likely to be best for the client.

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Dr. Ana Lilian Reyes is a board-certified psychiatrist that earned her M.D. from the University of Florida, where she served as a chief resident. She received multiple academic honors, including the Peter Regan, M.D. Award for academic excellence in psychiatry and the John E. Adams academic achievement award throughout her course of training. She also holds a B.A. in Psychology with a neuroscience focus from Harvard University.

Dr. Reyes is passionate about outpatient psychiatry and values the long-term, collaborative relationships formed in the clinic setting. She has a particular interest in women’s and reproductive mental health and has been involved in research and protocol development focused on perinatal depression. She also brings additional training in cognitive behavioral therapy and psychodynamic psychotherapy to her work. Additionally, she has worked with underrepresented college-aged populations pursuing careers in STEM.

Her approach is rooted in blending psychotherapy and psychopharmacology. She emphasizes a full lifestyle approach and a therapeutic space wherein patients can engage in self-reflection and expression.

Fluent in English and Spanish, Dr. Reyes is dedicated to providing culturally responsive care that supports patients in achieving lasting emotional health.

Dr. Ocean Workman, MD, has experience in outpatient, inpatient, and psychiatric emergency settings. They earned their medical degree from the University of Maryland School of Medicine and completed residency in psychiatry at the University of Washington, where they served as Outpatient Chief Resident and completed an area of distinction in psychotherapy. Dr. Workman also holds a Master of Science in Nutrition and Human Performance from Logan University and is a 500-hour Registered Yoga Teacher trained in Rishikesh, India. They have a special interest in serving LGBTQIA+, kink/sex-positive, and non-monogamous communities.

Dr. Workman’s style is warm, collaborative, and grounded in respect for each patient’s individuality. They combine evidence-based and personalized treatments that may include medication management, psychotherapy (ACT, DBT, CBT, psychodynamic, and supportive modalities), and holistic wellness approaches. Dr. Workman strives to create a safe, affirming space where patients can explore and grow in ways aligned with their values.

In the initial sessions, Dr. Workman conducts a comprehensive assessment of the patient’s goals, values, history, and concerns. Together, they develop a tailored treatment plan that reflects the patient’s unique needs, emphasizing shared decision-making and ongoing collaboration.

Background and credentials

Dr. John Whittier is a board-certified psychiatrist. He earned his Bachelor of Arts in Molecular, Cellular, and Developmental Biology from the University of Colorado at Boulder and went on to obtain a master’s degree in Medical Science from Loyola University Chicago. He completed his medical training at the Robert Larner, M.D. College of Medicine at The University of Vermont and returned to Colorado for his psychiatry residency at the University of Colorado School of Medicine. While in residency, he specialized in the Psychotherapy Scholars Program and has since gained four years of experience treating psychiatric conditions through telehealth.

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Treatment approach

Dr. Whittier primarily focuses on medication management for general psychiatric conditions. His approach is individualized, ensuring that each patient receives a treatment plan tailored to their unique needs. He integrates supportive therapy, medications, and evidence-based alternative therapies to provide a flexible and comprehensive approach. In addition to his general practice, he maintains a psychodynamic psychotherapy panel where he helps patients explore developmental and relational patterns that contribute to their symptoms. His specialties include treating depression, anxiety, adjustment disorders, PTSD, insomnia, bipolar disorder, and ADHD.

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What you can expect in a first visit

During the first visit, patients can expect a one-hour comprehensive intake during which Dr. Whittier thoroughly evaluates their symptoms, medical history, and personal goals. He provides treatment options that prioritize flexibility, allowing patients to take an active role in their care. Follow-up visits typically last 20 to 30 minutes, focusing on assessing treatment progress and making necessary adjustments. For those engaged in psychodynamic psychotherapy, longer one-hour sessions are available for in-depth exploration of underlying psychological patterns.

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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. Nelson is a board-certified psychiatrist who attended the University of Iowa Medical School and completed her psychiatry residency and child and adolescent psychiatry fellowship at Walter Reed National Military Medical Center.  She has extensive experience treating active-duty service members, family members of active duty and the veteran population.  She feels comfortable working with a wide range of age groups and enjoys treating challenges with anxiety, mood, sleep, and concentration.

Dr. Nelson believes that the key to success in mental health care is being able to establish a trusting and open relationship between psychiatrist and patient.

While initial sessions include the need to gather background information about the patient overall as well as the symptoms of concern, subsequent sessions are focused on learning the impact of the treatment.

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Dr. Williams-Jules is an adult psychiatrist who focuses primarily on medication management in conjunction with supportive therapy. She completed her undergraduate training at Spelman College in Atlanta, GA, followed by her master's in public health degree at New York Medical College. She has completed medical school at American University of Antigua and finished her residency in psychiatry at the University of Texas Southwestern. Dr. Williams-Jules has a passion for treating adults with mental health disorders, especially within the perinatal population. She has a genuine interest in management of trauma, while also treating a vast array of disorders including depression, anxiety, bipolar disorder and posttraumatic stress disorder. She has worked with clients of varying cultures and demographics, and has experience with treating patients with medical comorbidities. Dr. Williams-Jules takes a delicate approach to diagnosis and management and believes in holistic care, which incorporates mindfulness and deep breathing techniques to address the mind and body connection. She tailors individualized treatment to address the specific needs of patients. Dr. Williams-Jules is a member of the American Psychiatric Association and the Dallas County Medical Society. She has presented her research at the Annual APA conference and is co-author of many published psychiatric papers.