Patricia Michel-Garrison, DO

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. Suneja practices psychiatry through a collaborative, integrative, disability and healing justice-informed lens. He rejects oversimplified binaries, recognizing that healing requires embracing complexity. His training includes Columbia, Johns Hopkins, and a global mental health fellowship at UCSF. His clinical interests include anxiety, OCD, women’s reproductive mental health, climate stress, intergenerational trauma, immigrant and refugee mental health, and substance use concerns. Based in Tucson, he enjoys desert life, reading, baking, making art, and spending time with his two dogs.

Dr. Suneja provides a healing space that prioritizes each service user’s goals and lived experiences. His approach integrates psychiatric and psychotherapeutic practices with complementary, alternative, and natural therapies, as well as harm reduction. His approach is neurodivergence-, queer-, and gender-affirming as well as trauma-informed. Rejecting the binary of “mentally ill” vs. “mentally healthy,” he recognizes the mind, body, and soul’s inherent complexity.

Dr. Suneja tailors care to each service user. The first session explores goals, treatment options, and optimal meeting frequency. In many cases, visits are more frequent at the beginning of treatment and spaced out over time. He prefers visits at least every 4-6 weeks and integrates psychotherapy into all treatment plans, with many service users benefiting from ongoing deeper therapeutic work.

Background and credentials

Dr. Nilesh Tannu is a board-certified psychiatrist by the American Board of Psychiatry and Neurology. He earned his medical degree from B.J. Medical College in Pune and completed his adult psychiatry residency at the University of Texas Medical School at Houston, where he served as chief resident. During his training, he received awards from the Society of Biological Psychiatry, the American Academy of Addiction Psychiatry, and the American Psychiatric Institute for Research and Education. He has been practicing General Psychiatry and Consultation-Liaison Psychiatry for the past seven years at Texas Medical Center in Houston, Texas. Additionally, he has served as an assistant professor of psychiatry at the Texas Medical Center, working at UT Physicians Clinics and Memorial Hermann Hospital. He is also a member of the Editorial Board for BMC Genomics Journal.

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Treatment approach

Dr. Tannu follows the bio-psycho-social model to provide evidence-based psychopharmacologic treatment. He integrates supportive therapy and cognitive-behavioral therapy (CBT) modalities into his practice to create personalized and comprehensive treatment plans. He is committed to mental health care, education, and helping patients achieve optimal functioning in their personal and professional lives. His clinical expertise includes ADHD, anxiety disorders, depressive disorders, bipolar disorder, psychotic disorders, insomnia, eating disorders, and complex medical comorbidities.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive assessment where Dr. Tannu takes the time to understand their symptoms, treatment history, and personal goals. He employs a collaborative approach to develop a tailored treatment plan that may include medication management and therapy interventions. His focus is on evidence-based care, ensuring that patients receive treatments that are scientifically backed and aligned with their individual 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. Boski Patel holds the position of psychiatrist at Talkiatry. She is double board-certified in geriatric and adult psychiatry and she has been practicing for over 3 years. Dr. Patel's practice focuses on medication management and she typically in conjunction with supportive therapy in 30-minute follow-up visits. On occasion, Dr. Patel may believe that additional therapy is also needed and asks that you bring a therapist into your care team to provide the best outcome. She received her undergraduate degree from the University of Pittsburgh, and then went on to receive her medical degree from Penn State University. Following medical school, she completed general psychiatry residency training at the University of Connecticut where she was Chief resident of outpatient psychiatric services. During that time, she was also chosen as an Honors scholar by the American Association of Geriatric Psychiatry. After training, she moved to California to do her geriatric psychiatry fellowship at Stanford. Following her fellowship, she worked at Kaiser Permanente in clinical roles of outpatient, geriatric, and C/L.

Dr. Robert Smeed, DO, is a board-certified psychiatrist with a passion for healing the human mind and consciousness. He earned his Doctor of Osteopathic Medicine from Lake Erie College of Osteopathic Medicine and completed his Psychiatry Residency at Wayne State University College of Medicine. Certified by the American Board of Psychiatry and Neurology (ABPN), Dr. Smeed served as an outpatient psychiatrist at Veterans Affairs for 11 years, honing his expertise in mental health care. Driven by a deep interest in consciousness and innovative treatments, he combines talking therapies, neuromodulation, and modern psychopharmacology to help patients achieve lasting wellness.

Dr. Smeed is proficient in treating a wide range of psychiatric conditions while specializing in treatment-resistant depression, neurodevelopmental disorders, anxiety and trauma disorders. His treatment style is empathic and collaborative, emphasizing family dynamics and relationships while integrating psychodynamic principles with biopsychosocial models. He approaches each patient with creativity, using open-ended discussions and innovative therapeutic and psychopharmacologic strategies to tailor care, ensuring a personalized and effective treatment experience.

Dr. Smeed begins with open-ended dialogue, allowing patients to develop their narrative, which is often therapeutic. Treatment plans are customized to patient needs and align with diagnostic standards of care. He incorporates medication reviews, mindfulness techniques, cognitive behavioral therapy (CBT), supportive therapy, and psychodynamic approaches. Dr. Smeed also educates patients on lifestyle factors, such as diet and exercise, to support mental health, fostering a holistic and individualized path to wellness.

Dr. Michael A. Murphy is board-certified in General Psychiatry as well as Child and Adolescent Psychiatry by the American Board of Psychiatry and Neurology. He has over 20 years of experience practicing medicine in outpatient, acute, and residential settings. He provides psychiatric assessments and medication management along with brief supportive psychotherapy. He is a strong advocate of collaboration between psychiatric care and psychotherapeutic interventions and encourages the utilization of therapists and counselors. Dr. Murphy holds a bachelor's degree in Chemistry Pre-med from Florida A & M University and a Medical Degree from the University of Florida College of Medicine. He completed both his residency in General Psychiatry and Fellowship in Child and Adolescent Psychiatry at the University of Virginia. He formally served as Chief of Behavioral Health Services at Ft. Eustis, Virginia. He has previously provided acute care and residential treatment at Newport News Behavioral Health Center, outpatient services in the community, and the foster care system. He has recently served as medical director of Harbor Point Behavioral Health Center. Dr. Murphy has an extensive history of providing care for both the adult and child population. He specializes in the treatment of children with Mood Disorders, Anxiety Disorders, ADHD, and Pervasive Developmental Disorders.