Clinical and forensic psychologist Thomas R. Macspeiden, PhD has practiced from 3914 Third Avenue in Hillcrest since the mid-1970s and served as president of the San Diego County Psychological Society in 1976. Pre-trial psychological evaluation of criminal defendants forms a growing share of the caseload, with parallel forensic work routed alongside Ellen G. Stein, PhD when independent second opinions are required. The general clinical practice continues to handle long-term individual psychotherapy for adults dealing with depression, anxiety, and the psychological fallout of legal proceedings. Defense and prosecution attorneys retain the practice for competency evaluations, mitigation reports, and sentencing-phase psychological testimony, work that overlaps the forensic caseload at Lynn Lunceford, PsyD. The most complex assignments are capital-mitigation evaluations and sustained therapy with defendants whose cases stretch across multiple years of trial proceedings.