The full range, chosen carefully.

Comprehensive psychiatric evaluation

Every course of care begins with an extended evaluation — [length, e.g. 90 minutes, and whether it spans one or two sessions] — that reconstructs the history of your symptoms over time, reviews prior treatment in detail, and considers medical, sleep and substance contributors. It ends with a clear formulation, a diagnosis, and a written plan. Records from prior clinicians are requested in advance, [how to send records securely].

Second opinions and diagnostic consultation

For people, families or referring clinicians who need a focused answer to a specific question — most often whether a recurring depression conceals a bipolar course, or why treatment has not worked. A consultation ends in a written summary, shared with your treating clinician if you wish, [and state whether you then take over ongoing care or return the patient to their treater].

Medication management

Pharmacology done carefully: the right agent for the right diagnosis, at an adequate dose for an adequate time, with side effects and laboratory monitoring managed properly and every change explained. Special attention is given to the histories of people who have been through many medication trials, where the pattern of what worked, what did not and what caused harm is itself diagnostic.

[State whether pharmacogenomic testing is ordered or interpreted in this practice, and how it is billed]

Psychotherapy

Psychotherapy is offered in the practice alongside medication, and for some people instead of it. [Modalities offered — e.g. CBT, interpersonal and social rhythm therapy for bipolar disorder, psychodynamic therapy — and typical session length and frequency]. When you already have a therapist you trust, the practice works in coordination with them rather than replacing them.

Personalized, image-guided TMS

Transcranial magnetic stimulation (TMS) is a non-invasive, medication-free treatment in which focused magnetic pulses stimulate the brain circuits involved in mood. Dr. Pellionisz’s training in interventional psychiatry and his doctoral work in medical imaging come together here: treatment is planned with targeting informed by imaging, so that stimulation is delivered to the right place for the individual rather than to a population average.

[Specify: which indications TMS is offered for in this practice; the protocol(s) used; where treatment is delivered; the course length and schedule; and how it is billed. Any statement about indications and clearance must be reviewed by you before launch.]