Patricia Michel-Garrison, DO

Dr. Ryan Rode is a board-certified psychiatrist with experience in both outpatient and inpatient settings, treating a wide range of mental health conditions. He earned his medical degree from St. George’s University School of Medicine and completed his psychiatry residency at the University of Kansas. Dr. Rode holds medical licenses in New York, South Carolina, and Georgia.

Dr. Rode values open communication and prioritizes patient education. He collaborates with patients to set clear treatment goals and fosters a supportive environment where individuals feel heard and respected.

In the first session, Dr. Rode focuses on understanding each patient’s history, concerns, and goals. He then develops individualized treatment plans aligned with these goals and works with patients to update their plans as needed to ensure care remains effective and personalized.

Background and credentials

Dr. Nereida Gonzalez-Berrios is a general psychiatrist fluent in English and Spanish. She earned her bachelor’s degree in Microbiology from the University of Puerto Rico and her medical doctorate from Ponce School of Medicine (now Ponce Health Sciences University). She completed her General Psychiatry Training Program at the University of Puerto Rico Medical Sciences Campus, graduating in 2008. After practicing privately in Puerto Rico, she relocated to Texas, where she worked for over five years at the Michael E. DeBakey VA Health System, providing mental health care to veterans. She has also gained extensive experience in telemedicine, working both within the VA system and as a locum tenens provider.

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Treatment approach

Dr. Gonzalez-Berrios has extensive experience treating a wide range of psychiatric conditions, including mood disorders, anxiety disorders, psychotic disorders, intellectual impairment, ADHD, eating disorders, PTSD, and personality disorders. She integrates traditional psychiatric treatment with a holistic wellness approach, drawing on her background as a motivational speaker, wellness coach, certified personal fitness trainer, nutrition coach, and weight-loss specialist. Her approach emphasizes improving overall mental and physical well-being through personalized treatment plans that incorporate psychiatric care, wellness strategies, and lifestyle modifications.

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What you can expect in a first visit

Patients can expect a comprehensive psychiatric evaluation where Dr. Gonzalez-Berrios carefully assesses their symptoms, medical history, and personal wellness goals. She takes a collaborative and patient-centered approach, ensuring that treatment is tailored to each individual’s mental and physical health needs. As an experienced telemedicine provider, she offers accessible and flexible mental health care, combining medication management and holistic wellness strategies to help patients achieve lasting 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. Goicochea is Peruvian and speaks Spanish fluently. She is a "triple Gator” having completed her undergraduate and medical degree at the University of Florida (UF) and psychiatric training at UF Jacksonville. She was recognized by the Gold Humanism Honor Society for exemplary service, integrity, clinical excellence, and compassion and awarded Resident of the Year for exceptional clinical skills and commitment to patients. Dr. Goicochea is a board-certified adult psychiatrist who specializes in providing person-centered mental health care. She believes in a comprehensive, holistic approach to best improve the overall well-being of her patients; she explores psychosocial and physical health contributions to psychiatric symptoms and incorporates therapy into visits to develop a deeper understanding of the particular psychiatric concerns and their impact on patients' lives. Dr. Goicochea actively listens and creates an empathetic, non-judgmental space to work collaboratively with patients in achieving treatment goals. Dr. Goicochea's expertise is in the combination of evidence-based medication management with psychotherapy, which includes supportive, person-centered, cognitive behavioral, acceptance and commitment, interpersonal, and solution-focused therapy. While she enjoys working with young adults, her skills and experience allow her to effectively assist patients of all ages. Her clinical areas of interest include the treatment of depression, bipolar disorder, anxiety, and ADHD.

Dr. Susan Kim is a board certified psychiatrist who was born and raised in Queens, NY. She has spent much of her time in the North East and is currently residing in New Jersey with her spouse and dog, Luna. Dr. Kim began her medical training at Temple University in Philadelphia and completed her psychiatric residency at Stony Brook University Hospital, where she was chief resident for her final year. She has worked in numerous psychiatric roles. This includes working at a Comprehensive Psychiatric Emergency Program (CPEP) at Stony Brook University Hospital, as well as the inpatient voluntary psychiatric unit at Holy Name Hospital. She has also worked as a psychiatric consultant for patients admitted to medical-surgical units at Holy Name Hospital. Dr. Kim is well versed in medication management, particularly for depression, anxiety, as well as psychotic disorders. Her treatment style includes several psychotherapeutic techniques, including supportive, cognitive behavioral, and psychodynamic, based on her patient's needs and preferences. She also holds a special interest in cultural psychiatry as well as relational intelligence.

Dr. Sharon Kahler is Board Certified in Adult and Child & Adolescent Psychiatry and treats patients of all ages. She has over a decade of experience in both community mental health centers and private practice, working with individuals from diverse backgrounds. She earned her medical degree from New York Medical College, completed Adult Psychiatry Residency at New York-Presbyterian/Weill Cornell, and completed Child and Adolescent Fellowship training at NYU Langone and Bellevue Hospital. Her clinical interests include mood and anxiety disorders, PTSD, and childhood psychiatric disorders.

Dr. Kahler is committed to providing compassionate, high-quality mental health care. She fosters a therapeutic, nonjudgmental environment where patients can openly share their concerns and values. Viewing treatment as a partnership, she encourages patients to play an active role in their care and takes a whole-person approach, considering lifestyle, environmental, and social factors that contribute to healing.

Dr. Kahler begins with a comprehensive assessment to understand each patient’s history, background, and treatment priorities. She develops individualized treatment plans using evidence-based approaches, supporting patients in navigating life’s challenges and finding a path to mental wellness.

Trudy Warner-Phillips, PMHNP, is a board-certified psychiatric nurse practitioner with over 25 years in nursing and 7+ years in psychiatric care. Her experience spans outpatient, inpatient, and telehealth settings, where she treats conditions such as anxiety, depression, PTSD, mood disorders, and ADHD. She is passionate about delivering thoughtful, evidence-based care in a supportive and accessible virtual environment.

Trudy’s approach is grounded in trust, respect, and collaboration. She values open, honest communication and aims to create a space where clients feel heard, safe, and empowered. By understanding each person beyond their symptoms, she tailors care to support individual challenges, strengths, and goals.

Initial sessions involve a thorough assessment of medical and psychiatric history, current concerns, and past treatments. Trudy then works with clients to develop a personalized care plan focused on their most pressing symptoms. Her treatment may include medication management, supportive therapy, and lifestyle recommendations to promote lasting emotional well-being.