Richard States, LPC

Dr. Vargas is an adult psychiatrist who received her medical degree from the University of Texas Health Science Center of San Antonio. She subsequently completed her psychiatry residency training at UT Health San Antonio.

Dr. Vargas has a patient-centered and thorough approach to treatment. She has experience treating a broad spectrum of mental health disorders, with particular interest in depression, anxiety, and post-traumatic stress disorder. She has also worked in clinic with severely mentally ill patients at the South Texas VA in San Antonio.

Dr. Vargas's primary focus is medication management with an emphasis on shared decision-making; however, she frequently also utilizes supportive therapy, cognitive behavioral therapy, and psychodynamic therapy principles in her approach. She may refer patients to a therapist if further support would be beneficial.

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Lauren is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) who earned her Master of Science in Nursing from Kent State University in 2020. She has experience treating a wide range of mental health conditions, including depression, anxiety, psychotic disorders, bipolar disorder, ADHD, OCD, PTSD, and substance use disorders.

Lauren’s approach combines medication management with psychotherapy to create a well-rounded, individualized treatment plan. She takes time to listen to her patients’ concerns, fostering a safe and open environment for dialogue. Her therapeutic methods include supportive therapy, motivational interviewing, and cognitive behavioral therapy. Recognizing that medication alone may not fully address the root causes of distress, she incorporates talk therapy, lifestyle changes, stress management, self-care strategies, supplements, and social health into her care plans.

With a laid-back, non-judgmental, and empathetic style, Lauren collaborates closely with patients to ensure their treatment aligns with their unique needs and goals. Every decision is grounded in evidence-based practices and patient-centered care.

Lauren begins with a comprehensive initial assessment, gathering detailed information about each patient’s mental and physical health history, lifestyle, symptoms, concerns, and goals. This assessment informs a potential diagnosis and serves as the foundation for a personalized treatment plan. Regular follow-up appointments are scheduled to monitor progress, make adjustments as needed, and provide ongoing support.

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Dr. Stephen Byrd is a clinical psychiatrist at Talkiatry. He is board-certified in both psychiatry and addiction medicine. He has been practicing for over 31 years in a wide variety of settings, including working with inpatients and outpatients in private practice, community mental health, geriatric, VA, and community hospital/medical center settings. Dr. Byrd's practice focuses on evidence-based medication management, usually provided in conjunction with 30-minute supportive psychotherapy, which is informed by cognitive behavior therapy, psychodynamic psychotherapy, and motivational enhancement. When more intensive therapy is needed, Dr Byrd may ask you to include a therapist as part of your care team. He received his medical degree from the University of Cincinnati College of Medicine in Ohio and completed his residency training in psychiatry at Case Western Reserve University School of Medicine, University Hospitals of Cleveland. Throughout his career, he has treated patients with a wide variety of conditions in both inpatient and outpatient settings. Additionally, He has served as director of inpatient geropsychiatry at Lutheran Hospital in Cleveland, Ohio, program manager of the substance abuse treatment program at the Charlie Norwood Veterans Affairs Medical Center in Augusta, Georgia, and medical director of outpatient behavioral health at Saint Alphonsus Regional Medical Center in Boise, Idaho. Throughout his career, Dr. Byrd has been active in training medical students and psychiatry residents, and he has held clinical teaching appointments at Case Western Reserve University School of Medicine, Northeastern Ohio Universities College of Medicine, Medical College of Georgia, University of Washington School of Medicine, Idaho College of Osteopathic Medicine and Pacific Northwest University of Health Sciences College of Osteopathic Medicine.�.�

Virginia Hogan, PMHNP, is a dedicated psychiatric mental health nurse practitioner with experience in both inpatient and outpatient psychiatric care. She began her career in general surgery and primary care before pursuing her passion for mental health. Virginia earned a bachelor’s degree in Biology, a BSN in Nursing, and a Master of Science in Nursing from Northern Kentucky University. She is board-certified through the ANCC as a Psychiatric Mental Health Nurse Practitioner.

Virginia is deeply committed to patient-centered care, always taking into account and respecting each individual’s unique needs and experiences. She emphasizes patient strengths when setting treatment goals and fosters a supportive, empathetic environment. Patients can expect someone who listens attentively, values collaboration, and works to build a positive and mutually respectful therapeutic relationship.

During the initial session, Virginia encourages patients to share their stories in order to gain a full understanding of their history, concerns, and goals. Together, she and her patients develop individualized treatment plans that align with those goals. Follow-up appointments are designed to track progress, celebrate growth, and make thoughtful adjustments as needed.

Dr. Cyndia Choi has been board certified in psychiatry since 1991. She has 30 years of experience treating a diverse population of cultures, LGBTQ issues, and different age groups from young adults to seniors. After attending Johns Hopkins University in Baltimore for her bachelor's degree, Dr. Choi received her medical degree from The University of Medicine and Dentistry of New Jersey at Rutgers Medical School. She went on to complete a general medical internship at Hahnemann University Hospital in Philadelphia and then her Psychiatric residency at the University of Pennsylvania .Dr. Choi has treated patients who have had a broad spectrum of diagnoses including major depressive disorder, post-traumatic stress, bipolar disorder, OCD, panic and anxiety, and addiction. Although the majority of her work has been in outpatient care, Dr. Choi has worked in emergency settings, inpatient units, and as a consultation-liaison to medical units. She has also enjoyed the honor of working with US military veterans. Dr. Choi's specialty is medication management, however, she believes that a therapeutic relationship is crucial to treatment. Dr. Choi values the privilege of getting to know each patient personally to develop a patient-centered plan of care.‍Typical follow-up appointments with Dr. Choi are 30 minutes in length to check on medication effects and for supportive therapy. If she believes that you may benefit from more in-depth therapy, she may recommend adding a therapist to your treatment team. Dr. Choi also believes in a holistic approach toward helping you achieve a healthy and fulfilling quality of life.

Hayley Schiller-Giles is a Licensed Clinical Social Worker with experience practicing in both crisis response and outpatient mental health settings. She earned her bachelor’s and master’s degrees in social work from Fordham University. Hayley is certified in motivational interviewing and Dialectical Behavior Therapy, has completed Gottman Couples Counseling Level 1 training, and completed coursework in Cognitive Behavioral Therapy through the Beck Institute.

Hayley values a collaborative, client-centered approach to care. She works closely with patients to create shared goals and customized treatment plans that reflect their needs and strengths. Sessions often include practical tools and strategies, and Hayley regularly assigns “homework” to support progress between appointments.

Hayley begins treatment by developing a thorough understanding of each patient’s history, concerns, and goals during the initial session. From there, treatment is guided by a highly collaborative process in which clinician and client work together to adjust goals, strategies, and interventions over time.