Complex Psychiatric Case Review (Records-Based)

• A Complex Psychiatric Case Review is a consultative service for patients or clinicians who need expert evaluation of a challenging psychiatric case based entirely on existing documentation, without a live appointment with the patient. This service is particularly useful when:

  • The patient has a complex medication history or multiple failed treatment trials

  • There is diagnostic uncertainty or overlapping psychiatric conditions

  • Clinicians are seeking guidance on medication sequencing, augmentation strategies, or polypharmacy management

  • Additional expert insight is desired before initiating advanced treatments such as TMS, ketamine, or ECT

  What the Review Includes:

  1. Thorough review of records, including:

     • Psychiatric evaluations and progress notes

     • Medication history and treatment response

     • Laboratory and relevant medical documentation

  2. Identification of treatment gaps or potential alternative strategies

  3. Evidence-based medication recommendations tailored to the patient’s clinical history

  4. Written summary report, which can be shared with the treating clinician or care team

  5. Optional follow-up consultation call for clarifying recommendations

  Important Notes:

  • This is a records-based consult only; no direct prescribing occurs

  • Emergency or crisis management is not included

  • Designed to support and inform ongoing care, not replace it