Services
Comprehensive, Personalized Psychiatric Care for Adults Throughout California
Peregrine Integrative Psychiatry provides comprehensive, evidence-based psychiatric care for adults through secure telepsychiatry, delivering expert, personalized care that integrates seamlessly into modern life.
Comprehensive Psychiatric Evaluation
A comprehensive psychiatric evaluation is the foundation of effective treatment. Initial evaluations are designed to provide a thorough understanding of your symptoms, medical and psychiatric history, prior treatment experiences, lifestyle factors, and treatment goals.
Psychiatric symptoms frequently overlap, and conditions such as anxiety, ADHD, trauma-related disorders, bipolar disorder, and depression can easily be mistaken for one another. A careful assessment is essential to developing an accurate diagnosis and effective treatment plan.
Detailed review of symptoms, psychiatric and medical history
Prior medication and treatment history
Review of labs, medical records, sleep, lifestyle, and metabolic health
Diagnostic clarification and collaborative treatment planning
Medication Management
Medication management appointments focus on optimizing treatment effectiveness while minimizing side effects and supporting long-term wellness. Treatment recommendations are individualized and may include initiating new medications, adjusting existing medications, addressing side effects, or refining treatment strategies over time.
Assessment of symptom response and treatment progress
Medication optimization and side-effect management
Ongoing diagnostic assessment
Education and collaborative decision-making
Integrative Psychiatry
Mental health is influenced by biological, psychological, social, and lifestyle factors. Integrative psychiatry combines evidence-based psychiatric treatment with a comprehensive, whole-person approach to care.
Sleep and circadian health
Nutrition, dietary patterns, exercise, and physical activity
Stress management and lifestyle factors affecting mental health
Medical contributors and evidence-based supplement recommendations when appropriate
The goal is not simply symptom reduction, but improving overall well-being and functioning.
Adult ADHD Evaluation & Treatment
Attention-deficit/hyperactivity disorder is frequently underdiagnosed or misdiagnosed in adults. Comprehensive ADHD evaluations include careful assessment of attention and executive functioning symptoms, developmental history, academic and occupational functioning, and screening for co-occurring psychiatric conditions.
Diagnostic evaluation and medication management
Education regarding ADHD
Behavioral, lifestyle, and executive functioning strategies
Ongoing symptom monitoring
Treatment-Resistant Depression & Complex Psychiatric Consultation
Some individuals continue to experience symptoms despite multiple prior treatments. For patients with treatment-resistant depression, diagnostic uncertainty, or complex psychiatric presentations, comprehensive consultation services are available to provide diagnostic clarification and advanced treatment recommendations.
Comprehensive review of prior treatment history
Diagnostic reassessment and review of medication trials
Identification of medical or lifestyle contributors
Evidence-based recommendations and second-opinion consultation
Physician-Supervised Ketamine Treatment
Ketamine may be an effective treatment option for carefully selected individuals experiencing treatment-resistant depression and certain other psychiatric conditions. Peregrine offers physician-supervised ketamine treatment as part of a comprehensive treatment plan for appropriate patients.
Comprehensive screening and evaluation
Determination of treatment appropriateness
Ongoing safety monitoring and follow-up
Integration into an overall treatment plan
Ketamine treatment is not appropriate for every individual and is offered only following careful evaluation.
Metabolic Psychiatry & Medication-Related Weight Management
Psychiatric medications can significantly affect weight, metabolism, energy, and overall physical health. Metabolic psychiatry focuses on identifying and addressing metabolic factors that influence mental health while minimizing the physical side effects of psychiatric treatment.
Assessment and management of medication-related weight gain
Weight-conscious medication selection and metabolic monitoring
Lifestyle, nutrition, and laboratory evaluation when appropriate
Coordination with primary care and consideration of GLP-1 medications when clinically appropriate
The goal is to optimize both mental and physical health while supporting long-term treatment success.
Psychiatric Medication Tapering & Discontinuation
Some individuals wish to reduce or discontinue psychiatric medications because of side effects, life circumstances, pregnancy planning, personal preferences, or sustained clinical stability. Discontinuing psychiatric medications should be approached thoughtfully and carefully.
Abrupt discontinuation can result in withdrawal symptoms, symptom recurrence, or other complications. Peregrine provides individualized, physician-supervised tapering and deprescribing services designed to safely and gradually reduce medications when clinically appropriate.
Comprehensive review of medication history
Risk-benefit assessment and individualized tapering plans
Monitoring for withdrawal symptoms and symptom recurrence
Education and support throughout the discontinuation process
Conditions Commonly Treated
Depression
Anxiety Disorders
Adult ADHD
PTSD and Trauma-Related Disorders
Bipolar Disorder
Psychotic Disorders
Treatment-Resistant Conditions
Medication-Related Weight Gain
Complex Psychopharmacology
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