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Abstract Brain Design

Beyond the 15-Minute Med Check.

INTEGRATIVE PSYCHIATRY & COMPLEX CASE MANAGEMENT | SAN DIEGO, CA

Thoughtful psychiatric care for patients seeking expert medication planning and long-term stability—from first-time diagnoses to complex second opinions.

Currently Accepting New Patients in California
Advanced Medication Optimization • Telehealth & In-Person Care • Select Insurance Plans Accepted

Our Clinical Approach

We believe effective psychiatry requires careful clinical reasoning—not just prescriptions.

Our approach is deliberate, data-driven, and designed to give you clarity—whether you are seeking a new diagnosis or fixing an old one.

1. In-Depth Diagnostic Review

2. Thoughtful Medication Design

3. Active Optimization

Care begins with a deliberate review of your clinical course—examining how symptoms and treatments have interacted over time to inform more precise treatment decisions. 

Treatment plans are built using rational psychopharmacology, with careful attention to dosing, interactions, side effects, and long-term stability.

Medication care is an iterative process. We adjust thoughtfully over time to reach the simplest, most effective regimen for you.

Who This Practice Is Best Suited For

Our approach is intentionally thoughtful and structured.

It’s designed for patients who value careful clinical reasoning over quick decisions.

This practice may be a good fit if you:

  • Have tried multiple psychiatric medications without the results you hoped for

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  • Feel over- or under-medicated, emotionally blunted, or not fully like yourself

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  • Want a careful review of your diagnosis and overall medication strategy

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  • Are seeking a structured, thoughtful approach to medication trials, with the goal of achieving meaningful improvement efficiently 

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  • Have been relying on substances to cope with mood, anxiety, or emotional instability and want a clearer understanding of underlying contributing factors

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  • Have pursued interventional treatments such as TMS, Spravato, or ketamine with limited or incomplete benefit and are seeking further clinical reassessment

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  • Appreciate collaborative, well-reasoned treatment decisions

This practice may not be the right fit if you:

  • If you are seeking medication refills without periodic clinical review or ongoing care

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  • Prefer medication changes without clinical rationale, discussion, or follow-up

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  • Prefer ongoing reliance on medications with physical dependence potential without a plan for reassessment or tapering when clinically appropriate

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  • Are seeking a one-time prescription rather than ongoing care

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  • Expect a high-volume or algorithm-driven approach to treatment

​Patients are often referred for evaluation when conditions such as depression, anxiety, ADHD, mood swings, irritability, insomnia, substance use issues, or bipolar-spectrum symptoms have not responded as expected to standard treatment approaches.

Service Preview

A full spectrum of psychiatric services, from initial evaluation and follow-up care to advanced medication optimization.

Comprehensive Diagnostic Review

A focused psychiatric evaluation designed to clarify diagnosis and treatment direction before medication decisions are made.

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Precision Medication Management

Clinically guided medication care emphasizing appropriate selection, targeted adjustments, and regimen refinement when response has been incomplete.​​

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Second Opinion Consultations

​Independent consultations providing diagnostic confirmation, treatment reassessment, and clear guidance for next steps.​​​​​

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Care Modalities & Access
  • In-office visits (San Diego)

  • Telehealth appointments across California

  • Psychotherapeutic care integrated into treatment when appropriate

  • Evidence-informed nutraceutical and supplement guidance as adjunctive support​​

  • We are in-network with select insurance plans. Coverage and eligibility vary by plan and will be confirmed prior to scheduling.

Contact us

Our Clients Say

(Note: Identifying details have been removed, but these are real comments from our clients.)

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CONTACT US

8880 Rio San Diego Drive, 8th Floor

San Diego, CA 92108

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(858) 422-4791

Book Your Initial Consultation Today
 

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