Board-certified psychiatrist Andrey Khalafian, MD practices in La Mesa's Grossmont area with Sharp Grossmont Hospital affiliation, treating psychiatric conditions across the adult and geriatric age spectrum. Medication-management plans for homebound geriatric patients require coordination with visiting caregivers from agencies such as Senior Helpers, ensuring dosage compliance and side-effect monitoring between office visits. A graduate of the University of Oklahoma College of Medicine in 2013, Khalafian completed his psychiatry residency at the University of Oklahoma Health Sciences Center and has published research on catatonia diagnosis in patients with prior traumatic brain injuries. The practice's clinical focus includes conduct disorder, mood-episode stabilization, psychotic-spectrum management, and psychopharmacology for patients with complex medical comorbidities. Renal-dose adjustments for lithium and other narrow-therapeutic-index psychiatric medications require lab-result coordination with nephrologists at Balboa Nephrology - La Mesa to prevent toxicity in patients with concurrent kidney disease. The practice utilizes pharmacogenomic testing panels to identify CYP450 enzyme polymorphisms that affect antidepressant and antipsychotic metabolism, reducing trial-and-error prescribing cycles for treatment-resistant cases.