DC Primary Care Physicians

Psychiatric Referrals From Primary Care

We are a general psychiatric practice: thirteen board-certified psychiatrists providing medication management, psychotherapy, and the full range of interventional treatments, including TMS, IV ketamine, Spravato, and ketamine-assisted psychotherapy. Referrals can be structured however the case requires — a one-time consultation with the patient returned to your care, ongoing co-management, or transfer of care, temporary or long-term.

Why Refer to a WIP Psychiatrist?

Medication Management

Most psychiatric medication decisions are straightforward. When they stop being straightforward — the third failed trial, the ambiguous diagnosis, the patient who responds to nothing — that is where our structure matters. A hard case at WIP never sits with a single clinician: it goes to our live physician thread the same day and to weekly case conference for full review. When you refer a patient for medication management, you are not handing them to one psychiatrist. You are handing them to a practice built to escalate difficulty.

Complex Cases

Our team has extensive experience managing patients who have not responded to standard medications or psychotherapy. Complex cases are reviewed at our weekly case conference, where treatment plans draw on the full breadth of the practice — thirteen board-certified psychiatrists across every modality we offer. Collaboration is psychiatrist to psychiatrist: the physician managing your patient communicates with you directly, not through intermediaries.

Collaborative approach

Communication runs the length of the referral. Before you send a patient, you can reach a psychiatrist to talk through whether a referral makes sense and which treatment might fit. Your clinical impression comes with the patient — if you think ketamine is the right option, that recommendation carries real weight in our evaluation. Once treatment begins, you receive findings, treatment decisions, and outcome data as they develop, psychiatrist to referring clinician, not through front-desk intermediaries. And when a case turns difficult, you are part of that discussion too.

Treatment Matched to the Patient

Our psychiatrists provide medication management and the full range of interventional treatments — TMS including accelerated protocols, IV ketamine, Spravato, and ketamine-assisted psychotherapy. Referrals can be structured as a consultation for a specific intervention or medication question, ongoing co-management, or transfer of care, temporary or long-term.

Your clinical impression carries weight. If you refer a patient for ketamine, we evaluate, weigh your recommendation heavily, and discuss the details with the patient. We are also available to discuss treatment options with you before or after a referral.

Every patient is followed clinically by a psychiatrist, with standardized outcome measurement throughout treatment. We keep you informed at each stage and consult with you on findings and treatment decisions.

Patient Outcomes

We measure outcomes with standardized instruments throughout treatment — not impressions, data. Interventional treatments like TMS and ketamine produce rapid, measurable improvement for many patients, and measurement tells us quickly when they don’t. A patient who is not responding is a hard case by definition, and it triggers the same reflex as any other: physician thread, case conference, a revised plan. Referring clinicians receive these outcome data, so you see what we see.

The Full Range of Treatment

We are a general psychiatric practice with every tool available under one roof: diagnostic evaluation, psychotherapy, advanced psychopharmacology, and the complete range of interventional treatments. That breadth is not a menu — it is what allows treatment to be matched to the patient rather than to what a practice happens to offer. A practice that offers one treatment tends to find that every patient needs it. Ours is structured so the evaluation, not the equipment, determines the plan. Your patient is never one referral away from the next option.

For urgent cases — a patient with emerging suicidal ideation, rapid deterioration, or a treatment crisis who does not require emergency evaluation — we expedite scheduling. Patients at imminent risk should be directed to the nearest emergency department; we can coordinate follow-up care after discharge. We do not carry a waitlist. We hire psychiatrists continuously so that access never depends on one.

When to Refer

How to Refer:

To refer a patient or discuss a case first, call 202-525-5123 or use the link below. A psychiatrist reviews every referral. We accept referrals for all age groups across DC, Maryland, and Virginia.