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Referrals

For referring clinicians :

WIP works with psychiatrists, primary care physicians, therapists, and nurse practitioners across DC, Maryland, and Virginia to provide specialized interventional psychiatric care —  Ketamine (IV, IM, troches), Spravato, ketamine assisted therapy, TMS, and stellate ganglion block — alongside ongoing medication management.

Most of our patients are referred. Over ninety percent come from clinicians who have worked with us before, and the working relationships we maintain with referring colleagues are central to how the practice operates.

When To Refer:

The patients most often referred to WIP fall into a few clinical patterns:

Depression that hasn't responded adequately to medication.

• Multiple SSRI, SNRI, atypical medication trials (TRD)
• Partial or inconsistent response
• Intolerance to medications

Acute worsening, including emerging suicidality.

• Rapid decline
• Safety concerns

These patients will be prioritized operationally and can be seen quickly for interventional evaluation..

PTSD or trauma-related conditions

  • Persistent symptoms despite established therapy
  • Therapeutic progress has stalled or when somatic and autonomic symptoms remain prominent.

Anxiety with prominent physiologic components.

• Hypervigilance
• Persistent autonomic activation
• Anxiety that persists despite cognitive understanding and medication trials.

Medication intolerance.

• Patients unable to tolerate the medications most likely to help them
• Patients who have reached the limit of what oral medication alone can offer.

Patients asking about ketamine, TMS, or Spravato directly.

A consultation is often useful — we can provide psychoeducation, clarify candidacy, and return the patient to your care with a clearer picture.

How We Work With You:

1.  Consultation Only

  • We evaluate the patient for interventional treatment, provide a recommendation, and return the patient to your care. This is appropriate when the consultation itself is the goal, or when the evaluation determines that interventional treatment is not currently indicated.

2.  Collaborative Care

  • We deliver the interventional treatment while you continue to manage the patient’s medication and ongoing psychiatric care.
  • We communicate at key decision points — initial evaluation, treatment plan, response, modifications, completion.
  • The patient remains your patient throughout.

3.  Transfer of Care 

  • When clinically appropriate and preferred by you and the patient, WIP can take on ongoing medication management alongside the interventional treatment.
  • This can be short-term during the interventional course or longer-term, and patients can transition back to your care at any point.
After referral:

Every referred patient for interventional care receives an initial consultation focused on interventional candidacy.  If appropriate, they will then obtain a full interventional evaluation. From that evaluation, we will recommend one of:

  • initiating an interventional treatment.
  • deferring intervention pending medication or psychotherapy adjustments.
  • recommending a medication change in coordination with you.
  • or determining that interventional treatment is not appropriate at this time.

You will receive a summary of the initial evaluation, updates at key decision points during treatment, and a final summary with recommendations for ongoing care. For patients in collaborative care, we communicate proactively when clinical questions or decisions arise.

A note for therapists referring for KAP

Ketamine-assisted psychotherapy at WIP is delivered within a psychiatrist-led medical framework, in collaboration with the treating therapist who remains central to the therapeutic work. WIP provides psychiatric evaluation, dosing strategy, in-office ketamine administration (IV, IM, troches), and medical monitoring. The therapist continues to provide preparation, integration, and ongoing psychotherapy.  KAP is not a standalone treatment; it supports and deepens clients existing therapeutic work. 

Discussing a case before referring

Many referring clinicians prefer a brief conversation before sending a patient — to clarify whether WIP is the right fit, to think through which modality might be most appropriate, or to ask a clinical question about a complex case. Two options:

  • Email: nreddy@washinterpsych.com to schedule a time to speak.
  • Submit the referral form and select “I’d like to discuss this case first.” A WIP psychiatrist will contact you before scheduling the patient.

How to Refer a Patient:

Send patients the following link to schedule a free interventional consultation:

https://app.nexhealth.com/appt/WashingtonInterventionalPsychiatry

To refer a patient yourself, please complete the form (below).

Clinician Information

Name of referring clinician(Required)

Patient Information

Name of patient being referred(Required)
Would you like to have a brief consult with one of our psychiatrists?