Assistant Clinical Professor of Psychiatry at UC San Diego and former Chief Resident in Psychiatry at the same institution, Isabel Ribeiro Caldas Domingues MD practices with the CARE Early Psychosis Specialty Clinic at 350 Dickinson Street. Her medical degree comes from the University of Porto Medical School in Portugal, and she conducts assessments in Portuguese, Spanish, and French in addition to English, taking referrals from across UCSD pediatric and adolescent services including Dr. Tony T. Yang, MD in child and adolescent psychiatry. Her clinical interest centers on early identification and treatment of first-episode psychosis with particular attention to metabolic abnormalities that emerge in patients on second-generation antipsychotics. Workups for weight gain, glucose dysregulation, and lipid changes route through internal medicine partners at UC San Diego Health Internal Medicine – Hillcrest. She joined the CARE team in 2009 and has been involved in service planning, patient care delivery, and training of junior staff since. The most complex caseload involves managing antipsychotic regimens for young adults with first-episode psychosis who develop severe metabolic side effects within the first year of treatment.