For Referring Physicians
A Trusted Psychiatric Resource for Referring Clinicians
Verigrate Health collaborates with physicians, psychologists, and psychotherapists seeking thoughtful, private, longitudinal psychiatric care for appropriate patients. Consultations are conducted personally by Christian S. Monsalve, M.D., a board-certified psychiatrist, with particular depth in diagnostic clarification, benzodiazepine and antidepressant tapering, and psychiatric deprescribing.
Referral Considerations
When a Referral May Be Appropriate
Referral may be appropriate for patients whose psychiatric needs call for unhurried assessment, careful medication decision-making, or sustained physician-level attention.
Complex diagnostic questions
Patients whose presentation warrants careful diagnostic clarification before treatment decisions.
Anxiety disorders and OCD
Evidence-based psychiatric care for anxiety disorders and obsessive-compulsive disorder.
ADHD and insomnia
Adult ADHD evaluation, non-stimulant treatment considerations, and insomnia care.
Benzodiazepine and antidepressant tapering
Gradual, individualized dose reduction for patients seeking to discontinue psychiatric medications.
Psychiatric deprescribing
Structured review and careful reduction of psychiatric medication regimens when clinically appropriate.
Extended, individualized appointments
Patients who require unhurried psychiatric appointments and highly individualized attention.
Discreet private psychiatric care
Patients for whom privacy, discretion, and continuity are central considerations.
Collaborative, multi-clinician cases
Cases requiring careful coordination among physicians, psychologists, and psychotherapists.
A Focused Second Opinion Rather Than Transfer of Care
Where the question is a difficult diagnosis, extensive prior treatment, conflicting recommendations, complex psychopharmacology, or whether a taper is clinically appropriate — and you intend to retain longitudinal care — a focused advisory review may be the more useful pathway. Verigrate does not assume ongoing care by default, and any recommendation returns to you for implementation.
Clinical Philosophy
The Verigrate Approach
The practice is intentionally structured for depth rather than volume: a limited panel, extended psychiatric consultations, and direct physician oversight from the first conversation onward.
Working Together
Collaboration and Continuity
A referral does not end the referring physician’s relationship with the patient. With the patient’s authorization, Dr. Monsalve coordinates with referring physicians, psychotherapists, and specialists — sharing clinical impressions, medication changes, and taper progress so that care remains coherent across the patient’s clinical team.
Confidentiality is protected throughout. Communication occurs only with appropriate patient authorization, and transitions of care — into the practice or back to the referring physician — are handled deliberately.
Geographic Availability
Care where Dr. Monsalve is licensed.
Psychiatric care is available only in jurisdictions where Christian S. Monsalve, M.D., is appropriately licensed and Verigrate Health currently serves patients. Telemedicine availability depends on the patient’s physical location at the time of care, and the practice is not structured for urgent or emergency psychiatric needs.
Referral Process
A simple, physician-to-physician pathway
A Note for Referring Clinicians
Verigrate Health is a limited-panel private practice and is not structured for urgent or emergency psychiatric care. Specific response times and intake logistics are confirmed individually at the time of referral.
Common Questions
Frequently Asked Questions
Which patients may be appropriate for referral?
Adults and adolescents with complex diagnostic questions, anxiety disorders, OCD, ADHD, insomnia, or a desire to taper or discontinue psychiatric medications — particularly those who value extended appointments and physician continuity.
In which states is psychiatric care available?
Care is available only where Dr. Monsalve is appropriately licensed. The current list of jurisdictions is maintained on the States Served page.
Does Verigrate Health collaborate with referring physicians?
Yes. With patient authorization, Dr. Monsalve communicates with referring physicians and psychotherapists and respects their continuing role in the patient’s care.
Are consultations virtual or in person?
Care is provided primarily by telemedicine, with availability determined by the patient’s physical location at the time of care.
How does a physician initiate a referral?
Contact the practice through the consultation request page, noting that you are a referring clinician. The practice follows up to discuss fit before the patient is scheduled.
Is Verigrate Health appropriate for urgent or emergency care?
No. The practice is not structured for psychiatric emergencies. Patients in crisis should be directed to emergency services or crisis resources in their area.
Consider Verigrate Health for your next complex psychiatric referral.
A brief conversation is often the easiest way to determine whether the practice is the right fit for your patient.