Adult outpatient psychiatry anchors Bayardo J Fernando MD's practice, operating from Suite 635 inside the Hillcrest Medical Plaza building on Washington Street. Clinic work covers medication management for depression, anxiety disorders, bipolar spectrum conditions, and adult ADHD, with complex polypharmacy cases sometimes co-managed alongside Advanced Psychiatry Associates when a second psychiatric opinion is warranted. The Hillcrest Medical Plaza houses pediatric, primary care, and specialty tenants, placing adult psychiatry in the same elevator bank as internal medicine and OB-GYN practices. Cases that have cycled through multiple SSRI and augmentation trials often move into longer-form therapy alongside medication management, a model also offered by psychotherapy-integrated psychiatrists such as Dr. Kai MacDonald. Workflow coordinates with primary care on the same floor for labs, EKG monitoring for QT-affecting medications, and metabolic screening tied to antipsychotic regimens. The most involved caseload handles adults with co-occurring anxiety and mood disorders requiring careful titration of psychiatric and medical regimens at once.