ABFP-certified forensic psychiatrist Dr. Michael S. Krelstein, MD in Point Loma conducts competency evaluations, criminal-responsibility assessments, and civil litigation consultations from the San Diego County Psychiatric Hospital campus. Published research on mental health in correctional settings anchors a forensic subspecialty that sits on the opposite end of the treatment spectrum from the community crisis-stabilization and case-management model at Mental Health Systems Inc. UC Irvine School of Medicine training (1994) and a UCSF psychiatry residency grounded the practice in neuropsychiatric assessment, including peer-reviewed studies on long-term potentiation that inform understanding of treatment-resistant conditions. Concurrent work in psycho-oncology supports cancer patients requiring psychiatric medication management, with colleague referral pathways to psychiatrists such as Reiner Marc H MD for general-psychiatry caseload. The most demanding engagements involve multi-day forensic psychiatric evaluations producing expert-witness testimony for San Diego Superior Court proceedings.