With a medical degree from the University of Colorado School of Medicine class of 1973 and psychiatric residency completed at Naval Medical Center San Diego, the Hicks H Randall practice runs a solo psychiatric office at 4060 Fourth Avenue specializing in adult medication management. Treatment focuses on bipolar disorder, major depression, anxiety disorders, and schizophrenia spectrum diagnoses, with complex cases requiring intensive therapy alongside pharmacology often co-managed with psychiatrists like Dr. David Folsom in the same Hillcrest medical corridor. Sessions emphasize careful titration of mood stabilizers and antipsychotics over time rather than rapid rotation between agents. Hospital privileges extend to Palomar Medical Center for inpatient continuity when admission becomes necessary. Lab draws and metabolic monitoring for patients on second-generation antipsychotics route to Scripps Coastal Medical Center Hillcrest a few blocks east. The most demanding work involves long-term pharmacologic management of treatment-resistant bipolar I patients who have failed multiple prior medication trials elsewhere.