Jennifer Ruch, DO

Dr. De Paz received his medical degree from the University of Texas Medical Branch in Galveston, TX, and has been practicing for 9 years. He completed his psychiatric residency and child and adolescent psychiatry fellowship training at the University of Texas Medical Branch. After completing training, he worked at the Center for Health Care Services in San Antonio, TX. He worked with special needs children and adults who required the highest level of care both behaviorally and medically. He then continued his treatment of children and young adults at CommuniCare Health Center also in San Antonio. He served as Director of Behavioral Health for CommuniCare for 4 years. Dr. De Paz completed his undergraduate studies in Psychology and Biology at the University of Houston in Houston, TX. While having treated a wide variety of patients, his primary clinical focus has been the treatment of ADHD in children and adults, and working with special needs children and adults who may have Autism Spectrum Disorder or other Intellectual or Developmental Disabilities. Dr. De Paz's practice focuses on medication management. He offers medication management evaluations and follow-up visits. If the need arises, he works with licensed therapists to provide behavioral support.

Dr. Jacqueline Hong is a board-certified adult psychiatrist who takes a genuine interest in her patients and values collaborative decision-making. Over the past 4 years of practicing, she has followed a holistic model of care that accounts for the physical, mental, social, and spiritual needs of the individual. She has a down-to-earth, patient, and warm personality, and prides herself on timeliness and professionalism. Though Dr. Hong focuses on medication management, she has a passion for supportive therapy with elements of CBT, psychodynamic therapy, and mindfulness. She may also recommend that a therapist be included in your care team if more specialized therapy is required. Dr. Hong graduated summa cum laude from Grove City College, and completed medical school at UTMB at Galveston. She finished her residency at Memorial Healthcare System in FL, where she held a leadership position in Graduate Medical Education. Dr. Hong has experience in treating a wide range of disorders, including depression, anxiety, OCD, PTSD, ADHD, schizophrenia, bipolar disorder, and addiction. She has worked with adolescent, geriatric, pregnant, and medically complex patients. Growing up in a Korean immigrant household and training in the ethnically diverse South Florida region has informed her of the unique struggles that immigrant populations face. Dr. Hong has a special interest in treating mood and anxiety disorders. Outside of the office, Dr. Hong enjoys art, cinema, and powerlifting.

Dr. Danielle Gelfond is an Adult Psychiatrist and a graduate from Loyola University Medical Center's residency program in Chicago, IL. Prior to attending residency, Dr. Gelfond graduated from Rush Medical College at Rush University. Throughout residency, Dr. Gelfond spent time focusing on her clinical interests which include mood disorders, anxiety disorders, substance use disorders, and women's mental health. During her training, Dr. Gelfond spent several years working with the Perinatal population and completed a year-long program focusing on Women's Mental Health through the National Curriculum in Reproductive Psychiatry organization. She held the role of Chief Resident of her program during the last two years of her training and received several awards commending her leadership style and rapport with patients through her program. Dr. Gelfond takes on a holistic and "patient-centered" approach in her treatment style. She incorporates both medication management, supportive psychotherapy, and discussions surrounding lifestyle and wellness into her appointments and emphasizes patient education and autonomy, which she believes helps support the therapeutic relationship, improve clinical outcomes, and helps treatment align with the patient's goals of care.

Meet Alex Starmer, LMHC, your friendly mental health counselor here at Talkiatry. She's not just a counselor; she's your partner on your mental health journey. Alex earned her Master of Science in Mental Health Counseling from Syracuse University in 2020 and has been in the field since January 2021, working closely with clients facing mental health and substance use challenges. Alex believes in the power of the mind-body connection, and she loves to share polyvagal exercises and mindfulness techniques to help you better understand yourself. She's always learning and growing, with ongoing training in Internal Family Systems (IFS) and eye movement desensitization and reprocessing (EMDR). Her go-to tools for therapy are Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT). With her, you can expect a compassionate and comprehensive approach to your mental well-being. You're in good hands with Alex.‍

Background and credentials

Dr. Munoz is a board-eligible adult psychiatrist. He earned his medical degree from Rutgers, New Jersey Medical School and completed his psychiatric residency at Mount Sinai Beth Israel. Throughout his training, he gained experience in a variety of clinical settings, including outpatient and inpatient care, as well as psychiatric emergency services.

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Treatment approach

Dr. Munoz provides compassionate psychiatric care through a combination of pharmacotherapy and supportive therapy. He specializes in treating depression, anxiety, bipolar disorder, and psychotic disorders. He has extensive experience working with LGBTQ+ and Spanish-speaking communities. His treatment philosophy is holistic, viewing patients as whole individuals and addressing their specific needs at different stages of life. He also emphasizes the importance of exercise, relationships, and overall well-being in his approach to mental health care.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive and patient-centered evaluation. Dr. Munoz takes the time to understand each patient’s symptoms, background, and personal goals. He collaborates with patients to develop an individualized treatment plan that may include medication management, supportive therapy, and lifestyle modifications to support their overall well-being.

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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. Michael Padua is a graduate from the University of Nevada, Reno School of Medicine and completed his psychiatry residency training at Loyola University Medical Center at Maywood, IL. He is trained and experienced in diagnosing and treating various psychiatric disorders including depression, anxiety, psychosis, and bipolar disorder with a focus on posttraumatic stress disorder, women's mental health, and cultural psychiatry. He combines his clinical expertise with a passion for working with underserved populations and the LGBTQIA+ population to address mental health needs across various communities. Dr. Padua has experience working in a variety of settings, which includes working as an outpatient psychiatrist at a federally qualified health center (FQHC), and as a correctional psychiatrist at the Washoe County Sherriff's Office in Reno, NV. In addition to his clinical work, Dr. Padua has also participated in research and education, and has co-authored peer-reviewed articles in the fields of psychiatry and biology.