Independent Psychiatric Consultation for Complex and Treatment-Resistant Cases
Consultation for patients with diagnostic uncertainty, incomplete response to treatment, or medication-related complications, including challenges related to long-term pharmacotherapy.
Clinical Areas of Consultation
Psychiatric Second Opinion
Independent diagnostic clarification and treatment review in complex or unclear cases.
Complex Case Consultation
Longitudinal assessment of psychiatric, medical, and psychosocial contributors to illness.
Medication Review & Deprescribing
Structured evaluation of current regimens, including appropriateness, risk, and tapering when clinically indicated.
Substance Use & Addiction Medicine
Assessment of substance use patterns and their interaction with psychiatric symptoms and treatment.
Integrated Medical Evaluation
Consideration of metabolic, inflammatory, endocrine, and lifestyle contributors.
Clinical Approach
Dr. Monsalve’s approach emphasizes careful characterization of the underlying drivers of psychiatric symptoms, with attention to biological, psychological, and social contributors.
Treatment recommendations are evidence-based and individualized. Particular attention is given to medication appropriateness, with structured deprescribing considered when clinically indicated.
Care is collaborative and designed to complement the work of referring clinicians.
How to Refer
Referrals may be made by:
Completing the contact form
Contacting the practice directly at contact@verigrate.com
Providing the patient with the intake link
Brief clinical summaries or relevant records may be included but are not required.
Communication
Updates and collaboration with referring clinicians are available when appropriate and with patient consent.