Dual-boarded in psychiatry and neurology, the Kaiser Permanente-affiliated psychiatrist in Point Loma completed residencies in both internal medicine and psychiatry at UCSD Medical Center before joining the Kenyon Street medical offices. Published research on gender differences in schizophrenia and trazodone-fluoxetine combination therapy for OCD places the practice within an evidence-based framework that intersects with community mental-health infrastructure at organizations like Mental Health Systems Inc on the peninsula. The neurology cross-training adds diagnostic precision for patients whose psychiatric symptoms may stem from neurological conditions—seizure disorders presenting as mood disturbance, or autoimmune encephalitis mimicking psychosis. Within Kaiser's integrated model, psychiatric care coordinates with in-network primary care, pharmacy, and laboratory services, though patients also access independent therapy providers like Modern Counseling San Diego for supplemental psychotherapy outside the Kaiser panel. The most demanding cases require multi-axis differential diagnosis across neurology, internal medicine, and psychiatry, layering EEG findings, autoimmune panels, and psychopharmacologic trials into a unified treatment plan.