Tyler Josephs, DO

Dr. Jennifer Ruch is a board-certified psychiatrist who strives to understand her patients' lived experiences and aspirations to develop supportive therapeutic relationships through empathetic listening, mutual trust, and respect. She collaboratively creates individualized care plans that align with personal treatment goals in a safe and judgment-free environment. After completing her Bachelor of Science degree in Human Biology with a focus in psychology from the University of California, Merced, she earned her medical degree from Lake Erie College of Osteopathic Medicine. Dr. Ruch completed her General Psychiatry Residency at Arnot Ogden Medical Center in New York. Her clinical experience involves treating individuals of all age groups from diverse populations and socioeconomic backgrounds suffering from anxiety, depression, bipolar disorder, psychotic disorders, neurodevelopmental disorders, and neurocognitive disorders. She has provided care in inpatient and outpatient psychiatric facilities, the Veterans Affairs Medical Center, emergency rooms, state facilities, and an inpatient chemical dependency center. She also performed pre-procedure psychological evaluations for bariatric and spinal cord surgeries, and psychiatric consult liaison services on medical units and has clinical training in inpatient and outpatient neurology. Her clinical experience incorporated treatment modalities such as pharmacotherapy and interventional psychiatry, including Transcranial Magnetic Stimulation and Spravato. Dr. Ruch integrates a wide array of psychotherapy as needed; however, her practice primarily focuses on medication management while utilizing referrals to therapists and providing collaborative care for optimal outcomes.

Dr. Debrey is board-certified in adult psychiatry. Her approach is client-centered, individualized, and collaborative. She focuses on building a strong therapeutic alliance with each client to work towards achieving enhanced functioning and meaning in their lives. She works with individuals experiencing a wide range of mental health concerns, including depression and other mood concerns, bipolar spectrum illnesses, OCD, PTSD, anxiety disorders, and substance use disorders. Though she specializes in medication management, she believes in an integrative and comprehensive treatment program that incorporates multiple aspects of an individual's health and wellness. Along with discussing physical health concerns, diet, exercise, personal connection, and stress management, she incorporates various therapeutic modalities, including CBT, DBT, ACT, and mindfulness, into her work. In some instances, Dr. Debrey may recommend more intensive psychotherapy with a collaborating therapist in order to help facilitate the best care possible. Dr. Debrey received her medical degree from Rush Medical College. She also holds a graduate degree in epidemiology from the Johns Hopkins Bloomberg School of Public Health. Following medical school, she completed her residency in psychiatry at Emory University School of Medicine. During her final year of residency, she served as chief resident at Grady Memorial Hospital. Prior to joining Talkiatry, Dr. Debrey was an assistant professor at Emory University Department of Psychiatry, where she worked as an attending psychiatrist at Grady Behavioral Health. While at Grady, Dr. Debrey worked primarily as a community psychiatrist with a focus on working with individuals experiencing psychosis. She also frequently worked on the inpatient psychiatry service at Grady. As an Emory faculty member, teaching and mentorship were an especially meaningful part of her work.‍

Daniel Ebert, MD, earned his medical degree from Vanderbilt University School of Medicine and completed his psychiatry residency at Massachusetts General Hospital and McLean Hospital. He has served on the faculty at Harvard Medical School and Johns Hopkins School of Medicine for over 15 years. Board certified in psychiatry by the American College of Psychiatry and Neurology, Dr. Ebert has extensive experience treating mood, anxiety, psychotic, and substance use disorders across inpatient and outpatient settings, including student mental health, community psychiatry, and academic outpatient practices.

Dr. Ebert strives to create a respectful environment where patients feel heard as they build a strong therapeutic alliance. He values long-term collaboration to achieve meaningful treatment goals and improve quality of life. With clinical experience guiding his approach, he offers reasonable therapeutic optimism while addressing challenging symptoms and issues.

Dr. Ebert begins with a comprehensive clinical assessment to understand each patient’s symptoms, life story, behavior, and personality. He develops a collaborative treatment plan, revisiting it over time. Follow-up appointments integrate medication management, if prescribed, and psychotherapy tailored to the individual, using a combination of standard therapeutic approaches aligned with the shared plan.

Dr. Cindy Rossetti is board certified in Adult Psychiatry. She has been practicing for over 13 years. Dr. Rossetti received her medical degree from The University of Arkansas for Medical Sciences in Little Rock. She completed her general psychiatry residency at the University of Kentucky in Lexington where she was chief resident. She worked at Eastern State Hospital in Kentucky treating severe and persistent mental illness. She spent most of her post-graduate time providing outpatient care in a rural and underserved area of Arkansas. Dr. Rossetti offers both medication management and therapy together in 30- and 45-minute follow-up visits. Dr. Rossetti enjoys treating adults of all ages. Her areas of interest include ADHD, Depression, Anxiety, and Autism in adults. She enjoys addressing areas such as personal growth, stress management and self-care. Her treatment is patient-centered and geared toward individual healing and wellness.

Dr. Ciara Styles is a board-certified adult psychiatrist. Originally from Orlando, Florida, she’s a proud “Double-Gator” completing both her undergraduate and medical school training at the University of Florida. She completed her psychiatric residency at the Medical University of South Carolina, where she also recently finished a fellowship in child and adolescent psychiatry. She plans to complete her child board certification later this year. She enjoys treating patients of diverse and minoritized backgrounds. She has experience related to the special needs of the LGBTQ+ population, pregnant & postpartum people, and neurodivergent youth.

Dr. Styles employs a warm, patient-centered approach to treatment. She connects with patients by “matching their energy,” creating a foundation of trust before exploring difficult conversations. She also values input from loved ones and encourages collaborative appointments to optimize treatment outcomes.

Her process begins by creating a safe, supportive space where patients feel heard and respected. Early sessions focus on building rapport and gaining a clear understanding of the patient’s background, interpersonal relationships, and goals for treatment. From there, she collaborates with each patient to develop a personalized treatment plan aiming to use the lowest amount of medication needed to support and improve overall well-being.

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Dr. Kirk Carruthers is a board-certified psychiatrist with experience in both outpatient and inpatient psychiatry, as well as addiction medicine. He completed his medical degree at Morehouse School of Medicine and trained at University Hospitals – Case Medical Center, where he completed general psychiatry residency and fellowships in addiction and community psychiatry. His experience includes roles in community mental health, academic teaching, and the VA system. Outside of work, he enjoys music production, soccer, spending time with loved ones, and all dogs.

Dr. Carruthers brings a casual, easygoing communication style to create a comfortable space where patients feel at ease. He emphasizes forming strong therapeutic bonds based on trust, and combines supportive therapy with medication management. He encourages collaboration with therapists and uses evidence-based treatment approaches tailored to each individual’s needs.

Dr. Carruthers begins with a thorough understanding of each patient's concerns, history, and goals. He then creates a personalized treatment plan and works collaboratively with the patient to reach their goals, adjusting care as needed for ongoing progress.

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