Sarah Debrey, MD

Dr. Alexis Kropf is a board-certified adult psychiatrist beginning her practice at Talkiatry after four years of clinical experience in residency. Dr. Kropf primarily focuses on providing medication management during 30-minute follow-up visits, weaving in elements of supportive therapy according to the needs of her clients. When additional therapy is indicated to promote recovery, Dr. Kropf may recommend that her clients work with a therapist as part of the treatment team. Dr. Kropf credits her undergraduate education at Southwestern University, a small liberal arts college, for strengthening her curiosity about and dedication to serving others. She received her medical degree from the University of Texas Southwestern Medical Center in Dallas, Texas, where she also completed her psychiatry residency training. During residency, she was involved in medical student education and resident leadership, serving as a chief resident during her final year of training. She also utilized her fluency in Spanish and medical Spanish interpreter training to serve Spanish-speaking patients and to lead Spanish-language group therapy sessions. In addition to psychopharmacology, Dr. Kropf studied psychotherapeutic interventions, including psychodynamic and cognitive behavioral therapies. She has experience working with clients experiencing many different mental health challenges, with a primary clinical focus including the treatment of anxiety, depression, and PTSD.

Dr. Kyle Baird, DO, earned his medical degree from A.T. Still University – Kirksville College of Osteopathic Medicine and completed his psychiatry residency at the University of Colorado School of Medicine. He has practiced in diverse academic outpatient settings, using a multidisciplinary approach to understand clients and develop personalized treatment plans. He also served as medical director of a large academic outpatient clinic, overseeing psychiatrists, residents, psychology students, and advanced practitioners.

Dr. Baird values a holistic perspective in care, emphasizing empathy, understanding, and patient-centered treatment. He fosters open, clear communication and collaborates with clients to explore the causes of symptoms, as well as the strengths and behaviors that support resiliency and well-being. He also considers daily routines and life contexts that influence mental health.

During the initial appointment, Dr. Baird conducts a thorough evaluation of concerns, history, and functioning, completing any necessary screenings. He then develops a personalized treatment plan collaboratively, reviewing potential therapeutic interventions. Follow-up visits typically combine medication management, if appropriate, with brief psychotherapeutic support, adjusting intervals based on client needs, monitoring, and treatment progress.

Dr. Michael Petetit has worked with people from many different walks of life in clinics, hospitals, and online, providing evidence-based treatments for a wide range of mental health conditions. His professional journey is unique—he began his career as a research chemist, later earned a Master’s degree in psychology and worked with children, before pursuing his medical degree and completing a psychiatry residency.

Dr. Petetit approaches treatment as a true collaboration. He partners with patients to clarify goals and create individualized treatment plans that reflect their priorities and values. He strives to be non-judgmental, direct, and honest in his style, building a therapeutic relationship that supports open communication and trust.

Dr. Petetit begins with a thorough evaluation to understand each patient’s circumstances and challenges. From there, he works with patients to set and prioritize goals, review treatment options, and select a plan that feels both comfortable and practical. As treatment progresses, he regularly revisits and refines the plan, ensuring it remains effective and aligned with the patient’s evolving needs.

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. Sadiq Mirza earned his medical degree from Western University of Health Sciences in Pomona, California, and completed his psychiatry residency in San Bernardino, California. He has experience in both inpatient and outpatient psychiatry, and for the past five years, he has worked extensively in telepsychiatry, helping patients across a variety of care settings.

New patients can expect a collaborative, patient-centered approach grounded in open communication and mutual respect. Dr. Mirza prioritizes creating a warm and supportive environment where care is personalized to meet individual needs. His style empowers patients to take an active role in their mental health journey through informed decisions and compassionate treatment.

Dr. Mirza begins by thoroughly understanding each patient's unique history and goals during the initial session. This sets the foundation for trust and transparency. Together, they create tailored treatment plans with clear, achievable objectives. Ongoing follow-ups ensure progress is tracked, adjustments are made when necessary, and care remains responsive and effective.

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Dr. Emily Sykes is a board-certified adult psychiatrist. She received her Bachelor of Arts degree with Magna Cum Laude distinction from Carleton College, where she majored in biology. Dr. Sykes completed her Doctor of Medicine degree from the University of Toledo. She completed her psychiatry residency at the University of Cincinnati and was the outpatient chief resident physician. Dr. Sykes' specialty interests include mood disorders, anxiety disorders, post-traumatic stress disorder (PTSD), obsessive-compulsive and related disorders, Cognitive-Behavioral Therapy (CBT) and holistic wellness. She is a certified Cognitive Processing Therapy (CPT) provider for PTSD. Dr. Sykes provides compassionate, evidence-based, individualized, holistic care for patients suffering from a variety of mental health diagnoses and concerns. She incorporates supportive therapy, cognitive-behavioral therapy and solutions-focused therapy into her sessions.