About Dr. Ivania Irby
Focus areas
Adjustment Disorder
Medication Management
Psychiatric Medication Review
Anxiety Disorder
Mood Disorders
Psychiatry Consultation
Attention-Deficit / Hyperactivity Disorder (ADHD)
Obsessive Compulsive Disorder (OCD)
Clientele seen
Young adults (18-24)
Adults (25-64)
Individuals
Identity
Gender
FemaleLanguages spoken
English, Spanish
Getting to know Dr. Ivania Irby
I am inspired to work in mental health care because I am passionate about helping individuals overcome challenges, find resilience, and achieve a better quality of life. I find it deeply rewarding to be part of my patients’ journeys toward healing and growth, and I value the opportunity to address the stigma around mental health and advocate for compassionate, evidence based care. I ensure patients feel heard and understood by actively listening, reflecting their thoughts and feelings, and validating their experiences. I create a safe, nonjudgmental space, pay attention to verbal and nonverbal cues, and tailor my approach to their unique needs, fostering trust and collaboration.
Building trust and a strong therapeutic alliance with my patients begins with creating a safe, empathetic environment where they feel heard and respected. I approach each patient with genuine curiosity about their experiences and ensure that I validate their emotions and perspectives. Consistency and reliability are key, so I strive to communicate clearly and follow through on what I say. I also prioritize transparency by explaining my thought process, treatment recommendations, and the rationale behind decisions to involve the patient actively in their care plan. Additionally, I respect their autonomy and individuality, recognizing that trust is earned over time through mutual collaboration and demonstrating my commitment to their well being.
I earned my Doctor of Medicine degree and completed part of my residency training at the National Autonomous University of Nicaragua at León, with additional residency training at the Coliseum Professional Building. This education and training have equipped me with a strong foundation to provide comprehensive, patient centered mental health care.
What should a new client know about working with you?
I am inspired to work in mental health care because I am passionate about helping individuals overcome challenges, find resilience, and achieve a better quality of life. I find it deeply rewarding to be part of my patients’ journeys toward healing and growth, and I value the opportunity to address the stigma around Mental Health and advocate for compassionate, evidence-based care. I ensure patients feel heard and understood by actively listening, reflecting their thoughts and feelings, and validating their experiences. I create a safe, non-judgmental space, pay attention to verbal and nonverbal cues, and tailor my approach to their unique needs, fostering trust and collaboration.
ADHD Treatment Policy: Foresight requires validated, objective ADHD testing before initiating or continuing stimulant treatment. Previous testing and records from outside providers may be accepted following clinical review. If testing is needed, Foresight offers IVA-2 ADHD testing as a self-pay service.
What is your typical process for working with clients?
Building trust and a strong Therapeutic Alliance with my patients begins with creating a safe, nonjudgmental, and empathetic environment where they feel heard and respected. I approach each patient with genuine curiosity about their experiences and ensure that I validate their emotions and perspectives. Consistency and reliability are key, so I strive to communicate clearly and follow through on what I say. I also prioritize transparency by explaining my thought process, treatment recommendations, and the rationale behind decisions to involve the patient in their care plan actively. Additionally, I respect their autonomy and individuality, recognizing that trust is earned over time through mutual collaboration and demonstrating my commitment to their well-being.
Out-of-pocket fees and assistance
Initial session: $300 for 60 minutes
Ongoing session: $150 for 30 minutes
- Files your insurance claim: You pay the session fee upfront and the provider files the claim for you, so you can get reimbursed directly without worrying about the paperwork
- Charges post-reimbursement amount: This provider will only charge you for the amount you pay after you get reimbursed from your insurance plan, so you don’t need to pay the session fee upfront
More information on payments and coverage
By scheduling this appointment, I attest to the following statements as part of my care agreement with Foresight Mental Health:
ADHD Testing: I understand that validated, objective ADHD testing is required before initiating or continuing stimulant treatment at Foresight. I acknowledge that external records must be reviewed and approved, and that Foresight offers IVA-2 testing for a self-pay fee if needed.
Medication Management: I understand that the decision to initiate, continue, or adjust medication will be made by the psychiatric provider following a full clinical assessment and is not guaranteed.
Medication-Assisted Treatment (MAT): I am not seeking MAT services (e.g., Suboxone, Methadone) for opioid use or withdrawal, as these services are not offered by Foresight.
Suicidal Thoughts: I confirm I am not experiencing active suicidal thoughts with intent or plan. I understand that if my symptoms indicate a need for a higher level of care, I may be referred to more appropriate services.
Telehealth Access: I have a stable internet connection and a private space for telehealth sessions. I also have a backup option (such as a phone or hotspot) in case of internet issues.
State Residency: I confirm that I currently reside in the state where I am seeking care and will be physically present in that state at the time of my appointments. I intend to remain in that state for at least the next 30 days to support continuity of care.
No-Show & Late Cancellation Policy: I acknowledge Foresight’s 48-hour cancellation policy and understand that late cancellations or no-shows will result in a fee of $125 for therapy or $150 for psychiatry. I understand that repeated violations may result in discharge from care.
Custody Documentation: If seeking care for a minor, I acknowledge my responsibility to provide current and accurate custody documentation if applicable. I understand that providing false or incomplete information may affect the child’s care and result in liability.
Education and background
Board certifications
- American Board of Preventive Medicine
- American Board of Psychiatry and Neurology
- Psychiatry (American Board of Psychiatry and Neurology)
Education and training
- National Autonomous University of Nicaragua at León, Doctor of Medicine
- National Autonomous University of Nicaragua at León (Residency)
- Coliseum Professional Building (Residency)
Provider's gender
Female
NPI number
1205369253
Patient reviews
Overall rating
4.56
Wait time
4.75
Bedside manner
4.75
Your trust matters. All reviews have been submitted by verified patients after seeing the provider. Any content containing private health information is not published.
16 reviews
Most relevant
The doctor sometimes interrupted me & she was a little hard to understand, but she was very professional.
Less than 1 year agoInitials hiddenVideo visit
Dr Irby was very knowledgeable about medications and was very professional.
July 2, 2026Angelyn A.Verified patientVideo visit
Very nice and concerned about getting me to a better way of living instead of just existing. Thank you!
April 29, 2025Terri M.Verified patientVideo visit
She did listen and provided insight into my issues. The only thing was the intake was very long.
April 30, 2025Natalie R.Verified patientVideo visit
Less than 1 month agoInitials hiddenVideo visit
July 25, 2026Laura B.Verified patientVideo visit
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Less than 6 months agoInitials hiddenVideo visit
Less than 6 months agoInitials hiddenVideo visit
June 18, 2025Asia T.Verified patientVideo visit
May 29, 2025Heather F.Verified patientVideo visit
May 6, 2025Rena F.Verified patientVideo visit
More than 1 year agoInitials hiddenVideo visit
April 27, 2025Raymond A.Verified patientVideo visit