We Welcome Clinician Visits
You and your staff are welcome to visit our office, see our treatment systems, and learn more about our treatment process. We are also happy to schedule a presentation at your office.
For Referring Clinicians
A Reliable Specialty Partner for Your Patients
We serve as a specialty consultation and treatment partner for psychiatrists, therapists, primary care clinicians, and hospitals. We evaluate, treat, communicate our recommendations, and return patients to ongoing care.
Our Commitment
What Referrers Can Expect From Us
- Clear impressions and treatment recommendations communicated back to the referring clinician when releases allow
- Honest assessment of whether the patient is appropriate for our clinic or needs a different level of care
- Coordination with existing clinicians. We do not aim to disrupt helpful treatment relationships.
- Measurement-based care using PHQ-9, MADRS, GAD-7, and Y-BOCS to track outcomes
- Insurance coordination and prior authorization support for appropriate treatments
- Open to clinician questions before and during treatment
Fax: (571) 540-8425
When to Refer
Appropriate Referral Scenarios
- Persistent MDD after two or more adequate antidepressant trials
- Medication intolerance limiting adequate treatment
- Partial response with ongoing functional impairment
- Recurrent depression with high relapse burden
- OCD with persistent symptoms despite ERP and medication
- Older adults needing geriatric psychiatric assessment
- Need for TMS, esketamine, ketamine, or VNS evaluation
- Diagnostic uncertainty in a patient labeled treatment-resistant
- Depression with suicidal ideation not requiring emergency or inpatient care
Higher Level of Care First
When to Consider Emergency or Inpatient Care First
- Imminent suicide risk or inability to maintain safety
- Severe psychosis, catatonia, or delirium
- Active uncontrolled substance use interfering with outpatient care
- Unstable medical illness requiring medical stabilization first
- Need for daily containment or inpatient psychiatric management
If you are uncertain whether a patient is appropriate for outpatient evaluation, contact our office. A consultation may still be useful, but patient safety and level of care come first.
Referral Information
What to Include With a Referral
Diagnosis and current symptoms
Helps determine whether the patient is appropriate and which treatments to evaluate.
Medication trial history (drug, dose, duration)
Helps assess adequacy of prior trials and identify remaining options.
Psychotherapy history
Helps determine whether ERP, CBT, or other therapy is already in place.
Prior TMS, esketamine, ketamine, ECT, or VNS
Avoids duplication and guides risk-benefit discussion.
Hospitalization and safety history
Helps determine whether outpatient care is appropriate.
Relevant medical history and medications
Screens for contraindications and safety concerns.
Rating scales (PHQ-9, MADRS, GAD-7, Y-BOCS)
Establishes baseline severity and treatment targets.
Insurance information
Allows our team to begin prior authorization and coverage review.
Insurance Coverage
Treatment Coverage Overview
We accept all major insurances including Virginia Medicaid and Medicare. Our insurance coordinators work closely with patients and insurers to navigate prior authorization.
| Treatment | Typical Coverage Pattern |
|---|---|
| TMS for Depression | Typically covered when criteria met |
| Esketamine (Spravato) | Typically covered when REMS and plan criteria met |
| Ketamine Treatment | Very rarely covered by insurance |
| TMS for OCD | Case-by-case coverage |
| VNS for Depression | Case-by-case, improving coverage |
| Medication Management | Typically covered |
Our Commitment
What Referrers Can Expect From Us
- Clear impressions and treatment recommendations communicated back to the referring clinician when releases allow
- Honest assessment of whether the patient is appropriate for our clinic or needs a different level of care
- Coordination with existing clinicians. We do not aim to disrupt helpful treatment relationships.
- Measurement-based care using PHQ-9, MADRS, GAD-7, and Y-BOCS to track outcomes
- Insurance coordination and prior authorization support for appropriate treatments
- Open to clinician questions before and during treatment
Fax: (571) 540-8425
Free Clinical Resources
Download Our Clinician Guides
Written by Dr. Haq for clinicians and therapists managing patients with treatment-resistant depression. Free to download and share with colleagues.
For Therapists
The Stuck Patient
A guide for therapists when good therapy stops working. Understand when biology is limiting progress and when to consider referral.
Download Free PDF
For Medical Clinicians
When Depression Treatment Stalls
A biological framework for persistent depression. For PCPs and psychiatrists managing treatment-resistant cases.
Download Free PDF
Clinician Engagement
We believe the best referrals come from clinicians who understand exactly what we do and how we do it. We offer two ways to learn more about our practice.
Visit Our Clinic
You and your staff are welcome to visit our McLean office. See our treatment systems, walk through the treatment rooms, and learn more about our patient intake and care processes.
Schedule a Presentation
We are happy to provide an educational presentation at your office for your clinical team. Topics include identifying treatment-resistant depression, when to refer for advanced interventions, and the mechanics of esketamine and TMS. We will bring lunch and keep the focus on practical, actionable clinical information.
We Welcome Clinician Visits
You and your staff are welcome to visit our office, see our treatment systems, and learn more about our treatment process. We are also happy to schedule a presentation at your office.