Iris Vanessa Guerrero Urena, MD

Maria-Anne Duncan, LCSW-R holds the position of psychotherapist at Talkiatry. She has over twenty years of experience working with individuals, families, and groups addressing symptoms of anxiety, depression, and trauma. Before joining Talkiarty, Ms. Duncan worked as a Director of Clinical Services for a not-for-profit in the Hudson Valley Region of New York State. Prior to that, Ms. Duncan worked for a local hospital in the psychiatric department providing treatment to the Inpatient and Outpatient units. She has held several positions as a clinician and program director. Additionally, Ms. Duncan has taught parenting classes, Mental Health First Aid and provides training on Trauma-Informed Care. Ms. Duncan started her career as a clinician in a Crime Victims' Assistance Program funded by New York State. Through this experience she began to explore the effects of trauma on individuals, their families, and the community. Ms. Duncan has been trained in both EMDR (Eye-Movement Desensitization and Reprocessing) and SE (Somatic Experiencing). She utilizes these body-focused therapies to help her clients be released from years of painful energies locked in their systems. Ms. Duncan received her Bachelor's Degree from Marist College and her Master's from Fordham University. She has been trained to supervise Social Work Students in their field placements. Ms. Duncan appeared in the Vassar College student-developed training video, "He said, She said" which is used to train peer sexual assault counselors. In April of 2022, she became a trainer for LivingWorks "SafeTALK" program. Additionally, Ms. Duncan has a trained therapy dog, Monkey, who goes with her to local hospitals and nursing homes to provide comfort and affection.

Dr. Karla Garcia is a board-certified psychiatrist trained in Adult Psychiatry. She graduated from the University of Notre Dame with a Bachelor of Science and a Master of Education. She then went on to complete her medical education and residency training at the University of Chicago. She is board certified in Adult Psychiatry by the American Board of Psychiatry and Neurology.

Dr. Garcia believes in patient-centered care, seeking to care for the whole person.  She values the therapeutic relationship, working to guide patients in their treatment while also encouraging patients to take an active role in their care. Dr. Garcia cares about getting to know you as a person and helping you reconnect with your values. Her clinical approach is holistic, collaborative, and supportive.

Dr. Garcia focuses on evidence-based treatments for psychiatric illness that utilize a combination of medications and psychotherapy. Using a range of skills and interventions, Dr. Garcia believes in a multi-faceted approach to treatment.

Dr. Garcia has experience working in a wide variety of inpatient, emergency, partial hospitalization, intensive outpatient, and outpatient psychiatric settings and in treating a broad spectrum of psychiatric disorders including depression, anxiety, bipolar disorder, trauma, substance use disorders, personality disorders, ADHD, and OCD. She treats patients in English and Spanish.

Farrah has worked almost exclusively in community mental health centers in Iowa and in Arizona for the last 15 years. She has been providing telepsychiatry services since 2013 across several states, serving hospitals, community mental health centers, local jails, and residential treatment facilities. Farrah was lead prescriber for Living Out Loud, a mental health program exclusively for LGBTQ+ persons. She has worked with patients with comorbid mental health & HIV+ status, and a long history of working with persons with severe mental illness.

Farrah has mentored countless new Psychiatric Nurse Graduates in their first year of outpatient practice and precepted students working to achieve their Psychiatric Nurse Practitioner Certification. She was also part of the pilot program for the Integrated Behavioral Health Home, which integrated primary care into treatment for SMI patients.

Farrah Lamoreux offers a warm patient centered approach to psychiatry. She is well known for being easy to talk to, and down to earth. Farrah believes that the patient is the most important part of the treatment team, and engaging patients in the decision-making process of their treatment. Patients say that she listens, they feel heard, and that she tailors care to what best fits your needs. She enjoys working with therapists whenever possible to ensure the best outcomes. Farrah specializes in the treatment of ADHD, but also treats Depression, PTSD, Anxiety, Panic, Agoraphobia, OCD, Autism and Bipolar Disorder.

Dr. Mendez obtained his medical degree from the University of Texas Medical School in Houston. He subsequently completed his Psychiatry residency training at the same institution, UT Medical School in Houston. Dr. Mendez has extensive training in the field and is board certified in Adult Psychiatry by the American Board of Psychiatry and Neurology. After professional training, Dr. Mendez has had vast experience of 15 years primarily in the outpatient setting including ample experience with telemedicine services to patients. He has extensive experience in diagnosing and treating adult patients dealing with attention deficit disorders and a wide spectrum of adjustment and anxiety disorders. Dr. Mendez has a special interest in the treatment of mood disorders from Major Depression to Bipolar spectrum disorders. Dr. Mendez prioritizes the development of great communication, mutual understanding and trust with his patients as he finds these elements to be key to a successful treatment. He establishes his treatment plans upon evidence-based guidelines and encourages a holistic approach for optimal well-being. Through effective medication management and supportive psychotherapy, Dr. Mendez leads his patients to optimal mental health. He encourages patients to strive to develop fulfillment and optimal functionality in their life's roles.

Background and credentials

Dr. Jonathan Myrtil is a board-certified adult psychiatrist. He earned his medical degree from Ross University School of Medicine and completed his residency in Adult Psychiatry at the University of Central Florida, affiliated with North Florida Regional Medical Center. After completing his training, he remained at North Florida Regional as an adult psychiatrist and supervising physician, gaining experience treating patients in inpatient, outpatient, partial hospitalization, and intensive outpatient program (IOP) settings.

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Treatment approach

Dr. Myrtil takes a collaborative approach to psychiatric care, integrating medication management with supportive therapy to provide well-rounded treatment. His primary focus is on treating adults with mood and anxiety disorders, PTSD, and ADHD. He prioritizes patient involvement in treatment decisions, ensuring that care plans align with individual needs and goals.

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What you can expect in a first visit

Patients meeting Dr. Myrtil for the first time can expect a thorough evaluation where he assesses their symptoms, treatment history, and personal goals. He fosters a supportive and collaborative environment, working closely with patients to create a personalized treatment plan that incorporates medication management and therapeutic interventions tailored to their specific 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. Mary O'Malley is board certified in Adult Psychiatry and Sleep Medicine. She received her medical degree from Weill Cornell Medical School and PhD in Neurobiology from The Rockefeller University. She completed her Psychiatry residency and Sleep Medicine Fellowship training at the New York University Medical Center. In her psychiatric practice, Dr. O'Malley uses an integrative approach to health, combining evidence-based concepts in neurobiology with psychological, social and spiritual/existential worldviews to understand and treat every patient. Her primary practice is medication management. She also integrates elements of psychotherapy into her work, typically within 30-minute follow-up visits. In addition to medication and psychotherapy, she incorporates wellness tools into visits, such as mindfulness exercises and sleep management strategies. If she believes that additional psychotherapy is needed, she will recommend that you add a therapist to your care team. Dr. O'Malley has extensive experience working with people from many stages of life, with diverse world views and cultural backgrounds. She has always had an inclusive practice and welcomes people who identify as LBGTQIA+. As part of her own life path she became an Interfaith Minister and enjoys including spirituality and the supportive role it can play in healing for her patients. Her primary focus is working with adults with mood and anxiety disorders, trauma symptoms, ADHD, and problems with sleep. She enjoys working with people facing life transitions, especially older adults and women who are struggling with mental health challenges related to pregnancy and post-partum health. Prior to joining Talkiatry, Dr. O'Malley was working at Hartford Healthcare with adults in intensive outpatient programs and at Hackensack Meridian Health outpatient clinics. She was the medical director of the Consultation Liaison Service at Berkshire Medical Center in Pittsfield, Massachusetts, and an assistant professor at UMass Medical School. She has published and presented widely on topics related to Wellness in Psychiatry, Ethics and Sleep Medicine. She is an advocate for finding your voice in medical decision-making and enjoys using sound healing for relaxation and stress management.