Roshni Panchal, MD

Background and credentials

Dr. Lillian Cole is a board-certified adult psychiatrist. She completed her undergraduate education at the University of North Carolina Wilmington and went on to earn both a master’s in biomedical sciences and a medical degree from Texas Tech University. She completed her psychiatry residency training at the University of Texas Southwestern Medical Center, where she gained experience working with a diverse range of patient populations across different ethnic, socioeconomic, and clinical backgrounds.

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Treatment approach

Dr. Cole emphasizes a holistic, patient-centered approach that integrates evidence-based medicine, psychotherapeutic techniques, lifestyle interventions, and psychoeducation. She believes that listening, collaboration, and compassion are essential to guiding patients toward recovery. Her practice primarily focuses on psychiatric medication management, and she has extensive experience treating mood disorders, anxiety, trauma-related disorders, and substance use disorders. When additional therapy is necessary for the best outcome, she may recommend integrating a therapist into the treatment plan.

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What you can expect in a first visit

Patients can expect a thorough and compassionate initial evaluation, where Dr. Cole takes the time to understand their symptoms, medical history, and treatment goals. She focuses on fostering a strong doctor-patient relationship and collaborates with each patient to create a personalized treatment plan that may include medication management, therapy, and lifestyle interventions. If additional therapy is indicated, she will coordinate with other providers to ensure comprehensive care tailored to the patient’s needs.

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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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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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Dr. Gamberino is a board certified adult psychiatrist who has been in practice for over 25 years. He has always been fascinated by how the brain works, especially in the setting of stress, anxiety, and trauma. He completed his training at the Pennsylvania State University College of Medicine MD/PhD program and earned his PhD in Neuroscience. He subsequently completed a Residency in Adult Psychiatry including an Anxiety Disorder Research Fellowship at the University of Florida. Dr. Gamberino had a private practice for over 10 years with a focus on providing psychotherapy integrated with pharmacological management. He worked for 25 years with adult and geriatric Veterans at Department of Veterans Affairs with focus on treating PTSD, as well as a full range of anxiety and mood disorders including 7 years of providing care through telehealth treatment. Dr. Gamberino also has 10 years of experience working with adolescents in the juvenile justice system.

Dr. Gamberino is experienced and comfortable treating a wide variety of psychiatric conditions including PTSD, mood disorders such as major depression and bipolar disorder, and all anxiety disorders such as generalized anxiety disorder, social phobia, panic disorder, and OCD. He enjoys sharing knowledge with patients to help them better understand the origins of their symptoms and a range of strategies to manage them.

Dr. Gamberino utilizes a non-paternalistic approach respecting the autonomy of his patients while helping them gain insight into their presenting problems utilizing a collaborative shared decision making approach to help reduce symptoms and optimize functioning. His practice combines evidence-based medication management with psychotherapy utilizing elements of supportive, cognitive behavior, and insight-oriented therapy. Dr. Gamberino utilizes a patient, caring approach, meeting patients where they are to empower them with making changes that lead toward improvement and optimization of their wellness.

Dr. Thistlethwaite is a board eligible adult psychiatrist and internal medicine physician. He completed his medical education at West Virginia University School of Medicine. Following completion of medical school, Dr. Thistlethwaite completed residency training at WVU/Charleston Area Medical Center with a dual specialization in internal medicine and psychiatry. Dr. Thistlethwaite's training included treatment of patients both in the inpatient and outpatient setting as well as management of patients with comorbid medical conditions. During his training Dr. Thistlethwaite became passionate about approaching patients in a holistic manner that addressed both their physical and mental health. He is especially passionate about ensuring that patients with mental health disorders are provided with appropriate general medical care as they are a marginalized and underserved group. Dr. Thistlethwaite's practice focuses on medication management for a wide array of conditions including depression, anxiety disorders, bipolar disorder, obsessive compulsive disorder, tic disorder/Tourette's, and post traumatic stress disorder. Dr. Thistlethwaite incorporates supportive psychotherapy, cognitive behavioral therapy interventions, and some psychodynamic therapy skills in his practice as well. Dr. Thistlethwaite believes in a collaborative and holistic approach to mental healthcare that incorporates the patient as well as all members of the healthcare team in every aspect of care.

Dr. Ruiz is a compassionate psychiatrist specializing in adult and maternal mental health. She develops personalized treatment plans to address anxiety, depression, bipolar disorder, ADHD, OCD, PTSD, PMDD, and perinatal conditions. Her goal is to help patients reconnect with their values and live balanced, fulfilled, and meaningful lives.

Her passion for medicine began in childhood, inspired by curiosity about the mind and body. She earned an Honors Chemistry degree with  magna cum laude and completed her medical training and psychiatry residency at Texas Tech University Health Sciences Center. With a strong scientific foundation, Dr. Ruiz understands the role of medications, and embraces holistic healing through connection, gratitude, and spirituality.

Dr. Ruiz has experience in diverse clinical settings and has received national awards including the AWP International Fellowship and ADMSEP Innovations Award. She is dedicated to advancing maternal mental health screening and treatment through clinical care and education.

Dr. Ruiz combines pharmacotherapy (medication) with psychotherapy to create individualized treatment plans. Therapy provides powerful tools to manage thoughts, emotions, and behaviors that support balanced brain chemistry. Research shows that medication helps restore this balance more quickly and effectively, especially in moderate to severe cases.  

Dr. Ruiz likens medication for the brain to fertilizer for a garden. Imagine your mental health as a vibrant garden—when well-nourished, it can thrive with resilience, beauty, and balance. But when symptoms like depression, anxiety, ADHD, or mood instability take hold, they act like invasive weeds, crowding out healthy growth and making it hard to enjoy the space. Medication acts like fertilizer, strengthening the garden’s natural systems so the healthy parts can reclaim their place and flourish. Just as some gardens need only seasonal care while others require more consistent tending, medication plans are personalized to support each person’s long-term mental wellness. When the garden is healthy, there's more room to grow, connect, and fully enjoy life.

With a strong background in chemistry and pharmacology, Dr. Ruiz prioritizes educating her patients about how medications work and why they can be helpful. She believes patients should take an active role in understanding their diagnosis and treatment. Her approach emphasizes diagnostic clarity, medication management, patient education, and brief psychotherapy based on cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT).

Your first appointment is a supportive, in-depth conversation to share your story, challenges, and goals. Dr. Ruiz will review your medical and psychiatric history and assess symptoms using a whole-person approach that considers biological, psychological, and social factors.

Together, you’ll develop a personalized plan that may include lab work, medication, and therapy. Initial visits last 60 minutes for thorough evaluation; follow-ups typically last 20–30 minutes, focusing on medication management and brief therapy. If needed, Dr. Ruiz can refer you to in-house or community therapists for add-on therapy support.  

Throughout your care, Dr. Ruiz prioritizes shared decision making to ensure you feel informed, empowered, and supported.

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Dr. Bakhtier is certified in Adult Psychiatry by the American Board of Psychiatry & Neurology. Dr. Bakhtier has been practicing for over 15 years and has been working in the field of Telemedicine for over 10 years. Dr. Bakhtier has been working to make easy access to mental health treatment for everyone and believes that Telemedicine is a great option for more access to mental health treatment.  After completing residency training and a master’s in public health, Dr. Bakhtier started practicing as a staff Psychiatrist and later promoted to the medical director position. He had the privilege of working as the Chief Resident during his residency training and worked with a diverse population, treating many people with different types of mental illness at Lincoln medical and mental Health Center in affiliation with Downtown Bronx Medical Associates P.C. and Joan and Sanford I. Weill Medical College of Cornell University.

Although he is focused on medication management, he is also very interested in therapies like Motivational interview, Supportive therapy to include in the treatment plan. He is very grounded in humanistic values. He likes to work very closely with his patients to build a treatment plan, and he believes in listening to patients and believing that the best outcomes are possible only by working together with patients. He will make decisions after consultation with you and with your approval first regarding adding or changing medication.

Dr. Bakhtier will spend at least 60 minutes on the initial visit and then 30mintues for follow-up appointments where he will develop a treatment plan with you and will be very open to listening to your preferences regarding medication management.

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