Patricia Michel-Garrison, DO

Dr. Angela Durham is a licensed psychiatrist with over 15 years of experience providing compassionate care in both outpatient and telehealth settings. She has a strong background in treating a wide range of mental health conditions, including mood disorders, anxiety disorders, and ADHD. Dr. Durham earned her medical degree from the University of Louisville and completed her psychiatry residency at the University of Kentucky. She maintains an active medical license and DEA registration.

Dr. Durham creates a supportive, nonjudgmental environment where patients feel comfortable sharing their experiences. She values collaboration and open communication throughout the treatment process, focusing on empowering individuals with education and tools to better manage their mental health. Her approach emphasizes tailoring care to each person’s unique needs and goals to promote long-term wellness.

Dr. Durham begins each therapeutic relationship with a thorough assessment of the patient’s history, symptoms, and goals. She works collaboratively to develop an individualized treatment plan that may include medication management, lifestyle strategies, and coordination with therapists or other healthcare providers. Dr. Durham regularly reviews progress, adjusts treatment plans as needed, and encourages patients to take an active role in their care and decision-making.

Dr. Ruiz is a compassionate psychiatrist specializing in adult and maternal mental health. She develops personalized treatment plans to address anxiety, depression, bipolar disorder, ADHD, OCD, PTSD, PMDD, and perinatal conditions. Her goal is to help patients reconnect with their values and live balanced, fulfilled, and meaningful lives.

Her passion for medicine began in childhood, inspired by curiosity about the mind and body. She earned an Honors Chemistry degree with  magna cum laude and completed her medical training and psychiatry residency at Texas Tech University Health Sciences Center. With a strong scientific foundation, Dr. Ruiz understands the role of medications, and embraces holistic healing through connection, gratitude, and spirituality.

Dr. Ruiz has experience in diverse clinical settings and has received national awards including the AWP International Fellowship and ADMSEP Innovations Award. She is dedicated to advancing maternal mental health screening and treatment through clinical care and education.

Dr. Ruiz combines pharmacotherapy (medication) with psychotherapy to create individualized treatment plans. Therapy provides powerful tools to manage thoughts, emotions, and behaviors that support balanced brain chemistry. Research shows that medication helps restore this balance more quickly and effectively, especially in moderate to severe cases.  

Dr. Ruiz likens medication for the brain to fertilizer for a garden. Imagine your mental health as a vibrant garden—when well-nourished, it can thrive with resilience, beauty, and balance. But when symptoms like depression, anxiety, ADHD, or mood instability take hold, they act like invasive weeds, crowding out healthy growth and making it hard to enjoy the space. Medication acts like fertilizer, strengthening the garden’s natural systems so the healthy parts can reclaim their place and flourish. Just as some gardens need only seasonal care while others require more consistent tending, medication plans are personalized to support each person’s long-term mental wellness. When the garden is healthy, there's more room to grow, connect, and fully enjoy life.

With a strong background in chemistry and pharmacology, Dr. Ruiz prioritizes educating her patients about how medications work and why they can be helpful. She believes patients should take an active role in understanding their diagnosis and treatment. Her approach emphasizes diagnostic clarity, medication management, patient education, and brief psychotherapy based on cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT).

Your first appointment is a supportive, in-depth conversation to share your story, challenges, and goals. Dr. Ruiz will review your medical and psychiatric history and assess symptoms using a whole-person approach that considers biological, psychological, and social factors.

Together, you’ll develop a personalized plan that may include lab work, medication, and therapy. Initial visits last 60 minutes for thorough evaluation; follow-ups typically last 20–30 minutes, focusing on medication management and brief therapy. If needed, Dr. Ruiz can refer you to in-house or community therapists for add-on therapy support.  

Throughout your care, Dr. Ruiz prioritizes shared decision making to ensure you feel informed, empowered, and supported.

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Dr. Rodriguez is an adult psychiatrist, who is fluent in Spanish and English. She completed residency at St Luke's-Roosevelt Hospital in New York City via Columbia University College of Physicians and Surgeons followed by a Fellowship in Forensic Psychiatry in a combined Cornell University - Columbia University program with the New York State Psychiatric Institute. She obtained her medical degree at the Pontificia Universidad Catolica Madre y Maestro in the Dominican Republic. Dr. Rodriguez is an adult psychiatrist and has worked with a wide array of patients across various medical settings including extensive experience in Telehealth. Her experience includes Kings County Hospital in Brooklyn, New York, in addition to outpatient experience in both clinics and correctional facilities. Dr. Rodriguez has experience treating patients with psychiatric illness who may also be suffering from medical comorbidities, such as obesity, hypertension, pain, and diabetes. She has been deeply involved with teaching and emphasizes psychoeducation while working in collaboration with her patients to help tailor their personalized treatment plan. Her primary focus has been on treating adults with depression, bipolar disorder, anxiety, ADHD, OCD, and PTSD. Dr. Rodriguez has an approachable, patient-centered style, combined with a passion for optimizing sleep as it pertains to management of a psychiatric illness and overall well-being. She offers supportive therapy as part of her medication management visits, and at times may also offer cognitive behavioral therapy to address underlying stressors which may be contributing to one's presenting ailments. She may also recommend including a therapist in your care team to optimize outcomes.

Dr. Roxanne McClung is completing her General Psychiatry Residency at the University of Texas Health Science Center at Tyler, where she serves as Chief Resident. She earned her MD from the American University of the Caribbean and holds a Master of Science in Clinical Psychology from the University of Texas at Tyler and a BA in Psychology from Southern Methodist University. With over 20 years of experience in mental health, she has worked as a case manager, psychotherapist, and program/clinical director.

Dr. McClung is passionate about helping people through life’s challenges. She creates a non-judgmental, patient-centered environment that fosters open communication and collaboration. She emphasizes individualized care and integrates lifestyle medicine and psychotherapy, primarily using Cognitive Behavioral Therapy and Cognitive Processing Therapy.

Dr. McClung begins with a thorough assessment to understand each patient’s history, concerns, and goals. She works collaboratively to create a personalized treatment plan that may include medication and evidence-based therapy. Her approach ensures clarity, respect, and patient involvement throughout the process.

Dr. Tamoria is a California native whose career has taken him around the country. As a medical student at Temple School of Medicine in Philadelphia, PA he worked in a culturally diverse, urban community. He was Chief Resident at the “President’s Hospital” in Washington DC and spent the first part of his career serving as an active-duty Navy psychiatrist helping servicemembers and veterans. After the Navy, he returned west to WA whereas a Medical Director he led one of the state’s most successful behavioral health programs through COVID and into the telehealth revolution. Now he serves as Talkiatry’s first West Coast Chief leading and supporting psychiatrists across the western US.

Dr. Tamoria works with adults to diagnose and treat a wide variety of mental health conditions including Depression, Anxiety, ADHD, Bipolar Disorder, PTSD, and more. He uses a combination of medication management and psychotherapy treatment to help patients improve and thrive. He is well experienced in caring for patients with complex histories or co-morbid medical conditions.

In the first appointment with Dr. Tamoria he completes a comprehensive evaluation of mental health symptoms, medical history, social supports, and stressors. He works collaboratively with patients to develop a treatment plan that may include lab tests, managing medications, initiating psychotherapy, or referring to other specialists. Over time he builds on the patient’s strengths and resilience to lead to recovery.

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Dr. Pan is a board-certified psychiatrist with over 10 years of experience. She holds a Doctor of Medicine degree from UT Southwestern Medical School and completed her medical specialty training in the Department of Psychiatry at UT Southwestern Medical Center. She has served as faculty at UT Southwestern, teaching medical students and mentoring psychiatry residents.

Dr. Pan is a diplomate of the American Board of Psychiatry and Neurology. Dr. Pan specializes in medication management for adults with a broad range of psychiatric conditions, including anxiety, bipolar, depression, insomnia, PTSD/trauma-related disorders. Medication treatment may be complemented with elements of supportive psychotherapy, psychodynamic therapy, and cognitive behavioral therapy.

Dr. Pan works collaboratively with patients to develop evidence-based treatment plans tailored to their unique needs. If further psychotherapy is needed, she may recommend working with a therapist as well. Asking for help can be difficult, especially when it comes to mental health. During the first visit, patients can expect a welcoming space where they can share their concerns. The visit will also focus on a psychiatric evaluation covering symptom details, psychiatric and other medical history, prior treatments, and how the current symptoms affect the person as a whole.‍

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