Board-certified psychiatrist Wendy Khentigan, MD in Encinitas earned her medical degree from New York Medical College in 1990 and completed her psychiatry residency at UC San Diego Medical Center following an internal-medicine internship at Norwalk Hospital/Yale University. Her Manchester Avenue practice near San Elijo Lagoon coordinates psychiatric care with primary-care providers including Kind Health Group for patients requiring integrated medication management alongside psychotherapy. Published research on buprenorphine maintenance treatment for opiate dependence reflects a dual-diagnosis psychiatry focus that extends beyond standard psychopharmacology. Affiliation with Scripps Memorial Hospital Encinitas and membership in the San Diego Psychiatric Society position the practice within the region's hospital-referral and consultation network. Patients with complex presentations involving medication-resistant mood disorders sometimes benefit from collaborative care with integrative clinics including ActiveMed Integrative Health Center for multimodal treatment planning. Highest-acuity cases involve combined psychopharmacological and psychotherapeutic management of treatment-resistant depression with co-occurring substance-use disorders requiring structured relapse-prevention protocols.