Nicole Parrish, MD

Dr. Dave Kopacz studied psychology, medicine, and psychiatry at the University of Illinois. He has over 25 years of clinical experience, most recently 11 years at the Seattle Veterans Affairs and as a national VA Whole Health Education Champion, teaching holistic self-care to staff and veterans. Prior to that, Dr. Kopacz was Clinical Director of a psychiatric rehabilitation center in New Zealand. He has worked in private practice, rural community mental health, and ran a VA tele-health program for Native American/Alaskan and Pasifika veterans.

Dr. Kopacz is board certified in Psychiatry & Integrative Medicine, a certified yoga instructor and a certified iRest (Integrative Restoration) meditation teacher. He is an author and international speaker on topics of burnout, well-being, medical humanities, creativity and health, and cross-cultural approaches to healing. His books include Caring for Self & Others: Transforming Burnout, Compassion Fatigue, and Soul Loss, and Re-humanizing Medicine. He has also co-authored four books with Joseph Rael (Beautiful Painted Arrow), including Walking the Medicine Wheel: Healing Trauma & PTSD.

"What is your typical process for working with patients?"

Dr. Kopacz combines psychiatric diagnosis with a collaborative and holistic focus on your strengths and personal growth. Combining a psychiatric and self-care assessment, he will help you find a plan for medication, psychotherapy, and well-being work that feels right for you.

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Dr. Irene Pastis is a board-certified psychiatrist who specializes in adult psychiatry.  She completed residency training at East Carolina University in both internal medicine and psychiatry.  After residency, she pursued her passion in psychiatry and stayed on as a clinical assistant professor in the department of psychiatry at East Carolina University.  In this role she specialized in treating adults with mental illness in both the inpatient and outpatient settings.  She has spent a considerable amount of time teaching residents and medical students and has published several papers focusing on the neuroscience pathways of mental health conditions.  In her daily practice, Dr. Pastis focuses on evidence-based treatments utilizing the latest clinical guidelines and current approved treatments.  In addition to medication management, she also incorporates psychotherapy in the treatment of mental health conditions.  Dr. Pastis is passionate about taking a collaborative approach with her patients to help them reach their potential.

Cherie Tubeileh, PMHNP-BC, is a compassionate Psychiatric Nurse Practitioner dedicated to providing personalized, evidence-based mental health care. Cherie earned her master’s degree from the Medical College of Ohio and her post-master’s certification from Rush University. Outside of work, she enjoys hiking, yoga, and meditation, reinforcing her belief in the importance of balance and self-care.

With expertise in diagnosing and treating various conditions, she empowers patients through psychopharmacology and therapeutic interventions. Cherie embraces a holistic approach, recognizing the vital connection between mind, body, and spirit in the journey to mental wellness.

Her approach integrates evidence-based practices with a holistic understanding of everyone’s unique needs, ensuring personalized and effective care. Cherie has worked extensively with diverse populations, including individuals managing anxiety, depression, trauma, and mood disorders. She is skilled in psychopharmacology, therapeutic interventions, and patient education, fostering a supportive environment that empowers individuals on their journey to wellness.

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Dr. Delima-Tokarz is double Board Certified in Psychiatry and Lifestyle medicine. She completed her psychiatry residency training at the University of Maryland/Sheppard Pratt, where she served as the chief resident. She has practiced in various settings over her career, including working for the Department of Defense, private practice, and community mental health. Dr. Delima-Tokarz is fluent in Portuguese, English, and Spanish. Dr. Delima-Tokarz has more than five years of experience treating patients with anxiety, depression, PTSD, Bipolar, OCD, ADHD, and other mental health issues. She employs pharmacotherapy along with supportive therapy and integrative approaches. Dr. Delima-Tokarz is currently working on completing her Ph.D. in Integrative Medicine and is passionate about a holistic and integrative approach to mental health. Her philosophy includes a healing-oriented approach that considers the whole person, including all lifestyle aspects. Dr. Delima-Tokarz aims to provide collaborative and comprehensive care, which may include medication management, lifestyle interventions, stress reduction techniques, and other integrative approaches. She believes building a strong therapeutic relationship where the patient feels empowered is the key to healing.‍

Background  and credentials    

Dr. Christa DeFries is a board-certified Adult Psychiatrist. She earned her  medical degree from UT Southwestern Medical School in Dallas, Texas, and  completed her residency in Adult Psychiatry at Baylor Scott & White in  Temple, Texas. Following residency, Dr. DeFries gained additional experience  treating homeless and formerly homeless populations in New York City,  particularly focusing on individuals with histories of trauma and substance  addiction, prior to joining Talkiatry.    

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Treatment approach    

Dr. DeFries practices Adult Psychiatry, employing an integrative treatment  approach combining medication management, psychotherapeutic methods, and  lifestyle modifications. She recognizes that each patient benefits from a  personalized mix of these three aspects of care. Dr. DeFries specializes in  treating diverse psychiatric conditions, including those related to trauma,  substance addictions, and various mental health disorders.    

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What you can expect in a first visit    

In a first visit with Dr. DeFries, patients can expect a comprehensive  evaluation aimed at understanding their individual mental health history,  specific concerns, and overall treatment goals. Dr. DeFries emphasizes an  individualized approach, carefully exploring the best combination of  medication, therapy, and lifestyle adjustments tailored specifically to each  patient's needs. Patients can anticipate an empathetic and collaborative  environment focused on their personal experiences and goals.    

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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.

Dr. Jennifer Ruch is a board-certified psychiatrist who strives to understand her patients' lived experiences and aspirations to develop supportive therapeutic relationships through empathetic listening, mutual trust, and respect. She collaboratively creates individualized care plans that align with personal treatment goals in a safe and judgment-free environment. After completing her Bachelor of Science degree in Human Biology with a focus in psychology from the University of California, Merced, she earned her medical degree from Lake Erie College of Osteopathic Medicine. Dr. Ruch completed her General Psychiatry Residency at Arnot Ogden Medical Center in New York. Her clinical experience involves treating individuals of all age groups from diverse populations and socioeconomic backgrounds suffering from anxiety, depression, bipolar disorder, psychotic disorders, neurodevelopmental disorders, and neurocognitive disorders. She has provided care in inpatient and outpatient psychiatric facilities, the Veterans Affairs Medical Center, emergency rooms, state facilities, and an inpatient chemical dependency center. She also performed pre-procedure psychological evaluations for bariatric and spinal cord surgeries, and psychiatric consult liaison services on medical units and has clinical training in inpatient and outpatient neurology. Her clinical experience incorporated treatment modalities such as pharmacotherapy and interventional psychiatry, including Transcranial Magnetic Stimulation and Spravato. Dr. Ruch integrates a wide array of psychotherapy as needed; however, her practice primarily focuses on medication management while utilizing referrals to therapists and providing collaborative care for optimal outcomes.