ABPN board-certified with peer-reviewed publications on antidepressant-discontinuation syndrome, the Point Loma Clinic psychiatrist practices from 2918 Emerson Street in Point Loma. The practice integrates psychopharmacology with interventional ketamine protocols for treatment-resistant depression, bipolar disorder, and PTSD, a medication-plus-procedure model that coordinates with psychotherapy providers like Burd Psychotherapy for patients who benefit from combined care. Initial 90-minute psychiatric evaluations encompass diagnostic workup, pharmacogenetic testing, and treatment-goal setting before any prescribing begins. An assistant clinical professorship at UCSD anchors the practice in current research, and the integration of consultation-liaison psychiatry training sharpens identification of medical contributors to psychiatric symptoms—a diagnostic layer distinct from the psychotherapy-first approach at Dialogic Healing in Point Loma. The most complex cases involve multi-session ketamine treatment courses paired with concurrent psychotherapy, pharmacogenetic-guided medication adjustments, and coordinated outside-specialist referrals for patients with overlapping medical and psychiatric diagnoses.