For psychiatry integrated with anesthesiology-based pain management in downtown San Diego, Dr. Lisa J. Kutner, MD maintains a practice on Sixth Avenue. Her dual board certification in psychiatry and anesthesiology through Northwestern University Feinberg School of Medicine, class of 1988, enables treatment of patients whose chronic pain conditions present alongside psychiatric disorders, including those with temporomandibular and sleep-related diagnoses treated at San Diego Sleep and TMJ Center. Dr. Kutner's training combines psychopharmacology with interventional pain medicine techniques, addressing the neurobiological overlap between chronic pain signaling and depressive or anxiety pathways. She speaks English and Spanish, expanding access for bilingual patients across the downtown corridor. Her rehabilitation-oriented approach to pain-psychiatric comorbidity connects with movement-based recovery programs like Pro+Kinetix Physical Therapy & Performance in the downtown core. Complex case management involves multimodal analgesic-antidepressant regimens combining duloxetine for neuropathic pain with targeted nerve-block interventions for patients meeting DSM-5-TR criteria for somatic symptom disorder with predominant pain.