Rebecca Farias, 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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Rebecca Jarrell is a Licensed Professional Counselor in Texas and a Licensed Professional Clinical Counselor in California and New Mexico. She has been in the mental health field for over 24 years in a variety of clinical settings. Early in her career, she worked in an inpatient psychiatric hospital on the child and adolescent unit. Most recently, Rebecca has spent over a decade in the private practice setting working with adults and specializing in anxiety, depression, trauma, and grief and loss issues. While she provides a holistic, individualized treatment approach, she has a strong background in Cognitive Behavioral Therapy. She is a Certified Clinical Trauma Professional (CCTP) and a Certified Grief Educator. She feels strongly about treating each client as a unique individual and meeting them wherever they are on their mental health journey. Rebecca is committed to creating a supportive and nonjudgmental environment where clients feel seen, heard, and empowered to make meaningful changes in their lives. Clients looking for a therapist will find Rebecca to be compassionate and direct, encouraging clients to challenge and reframe distorted thoughts while reinforcing positive adaptive behaviors.

Dr. Solomon’s presence at Talkiatry brings her career full circle and back to her greatest joy as a psychiatrist—working directly with patients one‑on‑one to help them integrate the complexity of their feelings, beliefs, and personal reality in the context of an increasingly complicated world around them.

Her qualifications include a B.A. in biology from Harvard University and an M.D. from Tufts School of Medicine. She completed psychiatry residencies at Mt. Sinai and Brown and is board certified in both Psychiatry and Addiction Medicine. Her four decades of practice have exposed her to an eclectic range of cultures, ethnicities, and pathologies in a wide variety of settings, from solo practice to regional medical centers to academic institutions. Her breadth and depth of clinical and life experience have helped her transcend cultural biases and institutional conventions and to more clearly see each patient as a uniquely complex and lovable individual.

Dr. Solomon takes a compassionate, individualized, and pragmatic approach to treatment, beginning in the first visit with a full history and discussion with the patient of their symptoms, challenges, and goals. Follow‑up visits are tailored to the patient’s evolving needs and combine shared insights and tools such as medications and behavioral practices to support them as she guides them on their unique journey toward their best life, on their terms.

Dr. Juan Carlos Gonzalez is board-certified by the American Board of Psychiatry and Neurology and has 32 years of experience in treating adults. He completed his undergraduate education at Harvard University and earned his medical degree at Baylor College of Medicine in Houston, Texas. He completed his psychiatry residency training at Baylor College of Medicine, where he served as Chief Resident and subsquently was an Associate Professor of Psychiatry for ten years. During his tenure as a faculty member at Baylor, he served as Medical Director for the Baylor Psychiatry Clinic and also maintained a private practice, where he provided psychotherapy and medication management. 

In 2004, Dr. Gonzalez moved to Austin, Texas where he joined the US Veterans Administration, serving in various administrative positions, including Medical Director for the Central Texas VA Outpatient Clinics.

He provides compassionate, evidence-based care to thousands of service members, treating a broad spectrum of psychiatric conditions. Fluent in both English and Spanish, Dr. Gonzalez employs a humanistic approach to patient care, deeply understanding how patients’ past experiences affect their present.

Dr. Gonzalez provides compassionate, humanistic care, recognizing how past experiences shape the present. His treatment integrates medication management with psychoanalytic, cognitive-behavioral, and supportive psychotherapy.

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Megan O’Brien is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with experience in inpatient, outpatient, and emergency mental health settings. She earned her NP degree from UCSF, the top-ranked program in the country at the time. In addition to clinical work, she enjoys teaching and is passionate about training the next generation of compassionate psychiatric nurse practitioners.

Megan believes in meeting patients where they are, offering empathy, respect, and acceptance. She values open communication and sees treatment as a collaborative process. Her approach empowers patients to take the lead in their care while she supports them as a partner and guide along the way.

Megan begins by listening carefully to each patient’s story and asking relevant questions to understand their needs. Together, she and the patient build a tailored treatment plan that aligns with their goals. Her focus is on reducing mental health symptoms and helping people experience greater freedom and flexibility in their lives.

Dr. Bryce Toburen is a board-certified psychiatrist dedicated to compassionate, collaborative care across the lifespan. His training includes an MD from the Medical College of Wisconsin, residency at The Ohio State University where he served as Chief Resident, and a fellowship in Child & Adolescent Psychiatry at Nationwide Children's Hospital. Outside the clinic, he enjoys sports, tennis, exploring nature, traveling, and spending time with loved ones.

Each patient brings a unique story, and he strives to create a safe, respectful space where you feel heard and supported. His interest in psychiatry stems from a desire to maximize the well-being of patients and their families through strong therapeutic relationships. Compassion and curiosity guide his work, along with a strong belief in the power of connection and collaboration. You can expect open communication and a focus on your personal goals throughout your time together.

Treatment is personalized using evidence-based approaches that include psychotherapy, medication management, and lifestyle strategies. He specializes in addressing anxiety, depression, ADHD, OCD, and trauma-related concerns. Collaboration and trust are central to his approach, with an emphasis on empowering patients to take an active role in their healing and well-being.

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