Patricia Michel-Garrison, DO

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.

Miranda Brumber is a licensed clinical mental health counselor with extensive experience working in the mental health field. Miranda has worked directly with clients of various demographics, living with a variety of mental health conditions. Miranda attended undergraduate school in Albany, NY, graduate school in Oswego, NY, and attended an internship abroad in London, UK; she continues to travel and obtain knowledge through these experiences. Miranda has been practicing for 3 years as a Clinical Mental Health Counselor, focusing on mood disorders and chronic challenges including health and physical ailments, which may hinder daily life. Working with Miranda, treatment is tailored to the individual, as great effort is put into choosing the treatment modality that fits the individual's personal struggles. Miranda uses an eclectic approach with a foundation in cognitive behavioral therapy and rational-emotive behavioral therapy, which are intertwined with mindfulness stemming from her personal practices with yoga and meditation.

Dr. Jessica Grimes is a board-eligible child and adolescent and adult psychiatrist. She is originally from Sylva, NC. She earned a bachelor's degree in religion and minored in biology at The University of the South in Sewanee, TN. She graduated cum laude and was inducted into the order of the gownsmen, an honor society. She earned her doctorate from the West Virginia School of Osteopathic Medicine in Lewisburg, WV. Dr. Grimes completed a traditional rotating internship through WVSOM at Our Lady of Bellefonte Hospital in Ashland, KY and completed residency training in psychiatry at Lake Erie College of Osteopathic Medicine in Erie, Pennsylvania. While in residency, she earned a master's degree in medical education from LECOM. She completed a fellowship in child and adolescent psychiatry at the University of South Carolina School of Medicine, Greenville. During her second year of fellowship at USC-Greenville, she received the "Child & Adolescent Psychiatry Fellow of the Year� award.

Danielle LaBarre is a Licensed Mental Health Counselor and Licensed Professional Counselor (LMHC and LPC) in New York, Virginia, and Georgia. Danielle has over 6 years of experience working with adults seeking help with anxiety, depression, stress, grief, life transitions, LGBTQ+ issues, and trauma. Danielle received her Master of Science in Mental Health Counseling from Long Island University, followed by a Bachelor of Arts in Psychology from Mount Saint Mary College. She wholeheartedly believes in person-centered care, and focuses on meeting you where you are and taking you where you want to be. Her treatment approaches include mindfulness techniques, cognitive/ dialectical behavioral skills (CBT, DBT), psychodynamic, as well as compassion and strength-based approaches. She believes these approaches in conjunction with person-centered care will assist each unique individual in meeting their personal goals. Danielle understands that seeking therapy can be an uncomfortable experience. But seeking therapy can also be brave, exciting, and empowering! She is dedicated to establishing a collaborative, culturally inclusive working relationship with individuals to help achieve their goals while living a fulfilled and balanced life.

Avedon is an LPC with vast experience working in the mental health counseling field. Avedon has experience working with people of various backgrounds, which she believes is essential in a world of diverse communities with diverse cultures. She has 13 years of experience working with adults learning how to navigate and manage various behavioral health issues. Avedon received an undergraduate degree at Kennesaw State University in Kennesaw, GA; and her master's degree at Hodges University in Ft. Myers, FL. Avedon has been practicing for 8 years as a licensed clinical mental health counselor, and is a firm believer in the person-centered therapy philosophy of "meeting the client where they are at.” She believes in creating a safe environment for all of her clients in order for them to feel secure in expressing their present conflicts, while at the same time gaining and learning coping skills to improve their overall daily functioning. Avedon's preferred theoretical approach with her clients is Humanistic. She believes in being a resource of support for her clients while they are navigating through interruptions that have induced disorder in their daily lives. Avedon uses an integrative therapy approach tailored to each individual's concerns with the basis of CBT, Motivational Interviewing, and a variety of supportive psychotherapy techniques to aid in creating a therapeutic alliance, which leads to the client building skills to help manage emotional distress.

Background and credentials

Dr. Phillip Azouz is a board-certified general adult psychiatrist. He earned his medical degree from the University of Michigan Medical School, where he was awarded the Albert M. Barret Award for Distinguished Performance in Psychiatry. He completed his psychiatric residency at Florida Atlantic University. Prior to medical school, he obtained his undergraduate degree in economics with honors from the Wharton School of the University of Pennsylvania. His background includes research at the Heinz C. Prechter Bipolar Research Center and the Benson-Henry Institute for Mind-Body Medicine at Massachusetts General Hospital. Additionally, he worked as a Mental Health Specialist at McLean Psychiatric Hospital.

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Treatment approach

Dr. Azouz provides a relaxed, conversational, and non-judgmental space for patients to reflect on and integrate all aspects of their lives. He believes that vulnerability is key to healing and growth and works with individuals seeking to improve mood, reduce anxiety, enhance sleep, boost attention, or heal from trauma. His approach blends the latest research in medical treatment with insights from psychotherapy and coaching. He specializes in treating major depression, anxiety disorders, ADHD, bipolar disorder, PTSD, OCD, addiction, and personality disorders.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive and collaborative evaluation where Dr. Azouz takes the time to understand their symptoms, challenges, and goals. He fosters an open and supportive environment, ensuring that treatment plans are personalized and aligned with each patient’s unique needs. His approach integrates evidence-based medication management, psychotherapy techniques, and coaching strategies to help patients achieve their full potential.

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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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