Paul Hogate, LCSW

Arlette Dominguez is a Licensed Mental Health Counselor with Diagnostic Privilege (LMHC-D) in New York State. She earned a Master of Science in Mental Health Counseling and a Bachelor of Science in Psychology from Mercy College. Arlette is a bilingual clinician fluent in English and Spanish and currently serves as a Bilingual Clinical Program Coordinator, providing clinical supervision, consultation, and direct care. She has extensive experience delivering individual, group, and family therapy in school-based, community, and outpatient settings, with a background in crisis intervention, assessment, treatment planning, solution-focused counseling, trauma-informed care, and telehealth services.

Arlette is passionate about promoting mental health awareness and reducing stigma. She creates a warm, supportive, and nonjudgmental environment where clients feel heard, respected, and understood. She values open communication and collaboration, believes deeply in each person’s resilience, and uses a strengths-based, solution-focused, culturally responsive, and trauma-informed approach to help clients build confidence, insight, and effective coping skills.

Arlette begins with a comprehensive intake to understand each client’s background, concerns, strengths, and goals. She works collaboratively to develop personalized, goal-oriented treatment plans and uses tailored, strengths-based interventions. She supports concerns such as anxiety, depression, self-esteem, relationship challenges, stress, and life transitions, regularly reviewing progress and adjusting treatment to support continued growth.

Monique Randle, LCSW, has been a licensed mental health therapist since 2009. She earned her Master of Social Work from the University of Arkansas at Little Rock and holds a certification in sex therapy from the Sexual Health Alliance. Monique has training in trauma and couples therapy, including EMDR, TFCBT, PACT, Gottman, Prepare/Enrich, and SYMBIS. She has experience in outpatient and private practice settings, as well as supervising MSW interns and LCSW candidates.

Monique creates a warm, supportive, and non-judgmental space for clients to be their whole selves. She values honesty, collaboration, and open communication, blending evidence-based approaches like CBT, ACT, and narrative therapy with relational and mindfulness techniques. Her work is trauma-informed, culturally responsive, sex-positive, and LGBTQIA+ affirming. She helps clients build emotional awareness, set healthy boundaries, and cultivate self-compassion, addressing both the “why” behind patterns and practical tools for change.

Monique begins by exploring each client’s story, history, and goals. Together, they create individualized, evidence-based treatment plans, regularly adjusting as needed. Sessions are collaborative, providing insight, practical tools, and emotional support to apply in real life. Progress is measured not only by symptom reduction but by increased self-awareness, emotional stability, and confidence in navigating challenges.

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. Jaime Thomas, DO, earned her Doctor of Osteopathic Medicine from Oklahoma State University Center for Health Sciences and completed her psychiatry residency at Einstein Medical Center in Philadelphia. She is dedicated to providing culturally sensitive, holistic mental-health care, supporting patients through life’s most challenging moments by addressing the whole person—mind, body, and environment.

Dr. Thomas emphasizes understanding each patient’s unique story and identifying meaningful avenues for change. Her approach integrates lifestyle modifications, nutrition, spirituality, physical activity, community, and medication when appropriate, ensuring care is thoughtful, personalized, and collaborative.

Treatment begins with comprehensive sessions to explore a patient’s life story, concerns, and goals. Follow-up visits focus on fostering growth, maintaining stability, and supporting long-term well-being, creating a safe space for sustainable mental-health improvement.

Dr. Blanca Osorio-Candelaria is a board-certified adult psychiatrist and has been practicing for over 16 years. Her practice focuses on medication management, which she typically combines with supportive therapy in 30-minute follow-up visits. If Dr. Osorio-Candelaria feels you would benefit from working with a therapist in conjunction with medication management, she welcomes collaboration with your therapist to make for the best outcome. ‍Dr. Osorio-Candelaria is a graduate of the University of Puerto Rico School of Medicine in San Juan, PR. She completed her residency at Tripler Army Medical Center in Hawaii, followed by a fellowship in Child and Adolescent Psychiatry. Her years of experience started as a medical officer for the Army, including a deployment to Iraq. Her working experience after her military service includes working as a medical director of a community health center, a medical director of a community hospital, a medical director of an inpatient unit, and working for an Assertive Community Treatment Team (ACT) specializing in the Serious Mentally Ill population.‍Dr. Osorio-Candelaria specializes in psychopharmacology, especially tailoring individualized treatment to serve the needs of patients with a variety of conditions. She has a lot of experience in treating patients with depression, anxiety, bipolar disorders, post-traumatic stress disorders, Insomnia, and ADHD. She also has experience in treating patients with medical comorbidities.

Dr. Abby Reineck currently serves as an outpatient child and adolescent psychiatrist.  She has been practicing for eleven years.

Dr. Reineck's practice is primarily medication-management services, offered in conjunction with either supportive or eclectic therapy. Follow-up appointments average 30 minutes, but may be more or less. Occasionally, Dr. Reineck believes the addition of a therapist is needed and will request you bring a therapist into your care team. This will be asked of individuals if she believes it will lead to an improved clinical outcome.

Dr. Reineck received her medical degree from Boonshoft School of Medicine at Wright State University, located in Dayton, OH. She completed her psychiatry residency and child-and-adolescent fellowship at Dartmouth-Hitchcock Medical Center, in Hanover, NH.

After completing her training, Dr. Reineck moved to Brattleboro, VT, where she became an attending psychiatrist at The Brattleboro Retreat, working on both the child and adolescent inpatient units. The Brattleboro Retreat's location was such that it served a large number of patients from nearby states, which included New Hampshire, Massachusetts, Connecticut  and New York. However, it also served as the only psychiatric inpatient facility for children and adolescents in the entire state of Vermont.

Dr. Reineck also worked as the lead psychiatrist on the inpatient, adult, dual-diagnosis unit. This unit provided care for individuals struggling with addiction and mental-health related issues, some of whom required medically supervised detoxification.  

After roughly five years, Dr. Reineck moved from Vermont to Erie, PA.  She began working at a residential treatment facility for child and adolescent patients who required care in a highly supervised and highly structured setting. Dr. Reineck also began serving as a child and adolescent psychiatrist for patients enrolled in a school-based partial-hospitalization program.  Dr. Reineck gradually transitioned from these roles into strictly outpatient work. She worked as an outpatient psychiatrist in Butler, PA, where she treated child, adolescent, and adult patients. Dr. Reineck eventually narrowed her scope of practice to providing psychiatric treatment for only outpatient children and adolescents.  She did so out of facilities located in Erie and Meadville,  PA.  

Dr. Reineck completed her undergraduate studies at Ohio University. While Dr. Reineck has experience treating a wide variety of patients, her primary focus has been treating children and adolescents with a vast array of presenting concerns.