Do you accept insurance?

We offer both insurance-based and self-pay options. Coverage and rates can vary depending on your plan, location, and the type of visit, so we’ll review the details with you before scheduling so you know exactly what to expect.

What happens during the first appointment?

The first visit is a comprehensive evaluation where we take the time to understand your full picture. This includes reviewing your symptoms, history, and what’s been working (or not). Most people leave with a clear understanding of what’s going on and a structured plan for what to do next.

How soon can I get an appointment?

Appointment availability varies, but we typically offer scheduling sooner than many traditional clinics. Most first appointments are scheduled within 2–3 weeks, though earlier openings may occasionally be available. We’ll review current availability with you before booking.

Do you prescribe medication?

Yes — when appropriate. Medication decisions are made thoughtfully based on your full evaluation, with a focus on safety, effectiveness, and long-term outcomes. Options are discussed in detail so you understand the reasoning behind recommendations and can be actively involved in decisions about your care.

Where is Psynoptic available?

Florida, Hawaii, California, Maryland, North Carolina, Virginia. If you are located in a state outside of our current coverage, please let us know so that we can consider expediting our availability in your area. Your interest helps us prioritize our expansion efforts to meet the needs of more individuals seeking our services.

Where is care available?

Services are provided via telehealth to patients located in states where clinicians are licensed. This includes, but is not limited to: California, Florida, Hawaii, Maryland, Montana, North Carolina, Virginia, Wisconsin.

psynoptic

Your treatment isn't working the way it should.

A one-time psychiatric consultation to identify what’s been missed — and give you a clear next step.

Schedule Consultation

No more trial and error. A clear plan forward.

Telehealth · 90-120 minutes · Structured · Self-pay

If this feels familiar, you're in the right place.

Who This is For

You've tried treatment, but it hasn't worked the way you expected

Your diagnosis or plan doesn’t fully make sense

You’ve made progress but you still feel stuck

A one-time consultation to identify what’s been missed and give you a clear next step.

Schedule Consultation

Takes ~2 minutes · No commitment

Common Situations We See

You’ve tried multiple medications without meaningful improvement
Anxiety or mood symptoms that keep coming back
Uncertainty around your diagnosis and symptom overlap
Past trauma that still feels unresolved
You’re on several medications, but not sure what’s actually helping

If this resonates — even if your situation looks different — this may still be right for you.

When standard care fails, a different approach is needed.

How This is Different

A deeper, structured evaluation

We carefully evaluate your full history, prior treatments, and symptom patterns over time in a 90–120 minute consultation.

So your case is finally understood in context, not reduced to isolated symptoms.

Focus on why treatment hasn't worked

We analyze your treatment history to identify patterns, gaps, and overlooked factors.

So you're no longer guessing what to try next and can move forward with clarity.

Expertise for complex cases

We identify how your symptoms overlap and what’s contributing across medical, psychiatric, and environmental factors.

So your situation is clarified, not oversimplified.

Time to actually think through your case

We review your records before the visit, spend 90–120 minutes in a focused consultation, and continue the work afterward with careful synthesis.

So your case is fully worked through, not just briefly discussed.

A synthesized, big-picture understanding

We integrate your symptoms, history, and treatment responses into a single, cohesive understanding of what’s actually going on.

So you can clearly see how everything fits together, not just as separate pieces.

Clear, individualized recommendations

We provide specific, prioritized recommendations based on your full evaluation, including medication, therapy, and advanced treatment options.

So you leave with a plan you can act on and confidently share with your providers.

If you’re ready for a more precise and structured approach, this is where it begins.

Schedule Your Consultation

Here's what to expect.

How It Works

1 Start with a brief application

A short form to understand your history and current concerns.

2 Schedule your consultation

If it’s a good fit, you’ll be invited to schedule a telehealth consultation at a time that works for you.

3 Leave with clear understanding and next steps

You’ll receive a clear summary of your case and a structured plan outlining what to change, reconsider, or explore next.

This is a focused, highly structured evaluation designed to clarify what you’re experiencing, why prior treatment has not worked, and what to do next.

Consultation Fee

$---

What's included:

Pre-visit review of your records and history
90–120 minute in-depth consultation
Diagnostic clarification and synthesis of your case
Clear, structured recommendations for next steps

Each recommendation is the result of a comprehensive, individualized analysis of your case.

Designed as a one-time, high-value evaluation; not ongoing care.

Not billed to insurance.

This type of evaluation requires advanced diagnostic precision, pattern recognition, and clinical judgment.

Gerald Richardson, MD
Harvard-Educated, Board-Certified Psychiatrist

I specialize in complex psychiatric cases where prior treatment has not led to clear answers or meaningful improvement.

My approach is intentionally more in-depth than standard outpatient care. It includes extended evaluation time, detailed review of prior records, and careful consideration of medical, psychological, and social contributors that are often overlooked.

I identify what has been missed across diagnosis, treatment strategy, and contributing factors by synthesizing patterns over time and clarifying overlapping symptoms.

The result is a more precise understanding of your condition and a clearer set of options, including specific medication, therapy, and neuromodulation recommendations when appropriate.

You leave with a structured, actionable plan that can be confidently implemented and easily communicated to other providers.

This work is grounded in advanced diagnostic training and experience with high-complexity cases. I served as Chief Psychiatry Resident with top 1% national performance on standardized psychiatric examinations and received national recognition from the American Psychiatric Association. I also have advanced training in neuromodulation, including ECT, TMS, and ketamine, and work with complex cases in both clinical and forensic settings.

This evaluation is designed for cases that require depth, precision, and clinical judgment beyond standard outpatient care.

If prior treatment hasn’t gotten you where you need to be, this is the next step.

Begin Your Evaluation