Comprehensive Psychiatric Consultation and Psychotherapy
I’m offering comprehensive psychiatric consultations for adults who’d like a second look at their diagnosis, medications, or treatment.
I also provide psychotherapy for those ready to explore longstanding patterns and difficulties more deeply.
Currently serving New Hampshire by secure telehealth only.
I also provide psychotherapy for those ready to explore longstanding patterns and difficulties more deeply.
Currently serving New Hampshire by secure telehealth only.
Medical Director – Community Mental Health
Diplomate – American Board of Psychiatry and Neurology
Clinical Assistant Professor of Psychiatry – Geisel School of Medicine at Dartmouth
About
Many of the people who reach out to me have already spent time in treatment.
I created this practice for adults who want careful attention: time to revisit a diagnosis, think clearly about medications, or engage in deeper psychotherapy.
My approach is to listen carefully, understand each person in the context of their life, think critically about the clinical evidence, and offer honest guidance.
I created this practice for adults who want careful attention: time to revisit a diagnosis, think clearly about medications, or engage in deeper psychotherapy.
My approach is to listen carefully, understand each person in the context of their life, think critically about the clinical evidence, and offer honest guidance.
Services
Psychiatric Consultation
I offer a comprehensive, independent evaluation and provide a written summary of my impressions and recommendations that you can share with your existing care team. When appropriate, those recommendations may include a thoughtful de-prescribing strategy.
Psychotherapy
My approach to psychotherapy is grounded in the core principles of Acceptance and Commitment Therapy (ACT). I also draw on enduring insights from philosophical and contemplative traditions.
Common Questions
What is a psychiatric second opinion?
It’s an opportunity for me to take a fresh look at your diagnosis, medication history, or treatment plan.
Do you accept insurance?
I work on a private-pay basis and don’t bill insurance directly. I’ve chosen this approach to make room for longer, more comprehensive evaluations.
When you reach out, I can answer questions about receipts, superbills, and possible out-of-network reimbursement.
When you reach out, I can answer questions about receipts, superbills, and possible out-of-network reimbursement.
What is the difference between psychiatric consultation and medication management?
Medication management is an ongoing relationship with a clinician who prescribes your medications, follows how you’re doing, and makes adjustments over time.
A consultation with me is a focused, time-limited evaluation of your diagnosis, medication history, and overall treatment.
A consultation with me is a focused, time-limited evaluation of your diagnosis, medication history, and overall treatment.
What kind of psychotherapy do you offer?
Acceptance and Commitment Therapy (ACT) is an approach that helps us understand how we relate to our thoughts, emotions, physical sensations, and patterns of behavior. It helps us develop greater awareness, acceptance, and flexibility in how we respond to these. ACT also explores what matters to us and how we can live in accordance with our values.
I also integrate insights from the perennial teachings into my work, exploring questions of suffering, meaning, and how we relate to ourselves and others.
Unlike a consultation, this is ongoing work that involves a longer-term therapeutic relationship.
I also integrate insights from the perennial teachings into my work, exploring questions of suffering, meaning, and how we relate to ourselves and others.
Unlike a consultation, this is ongoing work that involves a longer-term therapeutic relationship.
Can I keep seeing my current therapist or prescriber after a second opinion?
Yes. A consultation is meant to support the care you’re already receiving, not replace it. My written report can be used to discuss possible next steps with your current providers.
A Note to Referring Providers
Dear Colleague,
I developed this practice with fellow clinicians foremost in mind. If another set of eyes on a diagnosis or medication regimen would be helpful for one of your clients, please share my website and encourage them to reach out to me directly.
For psychiatric consultations, I provide your client with a written report they can share with you to support the work you’re already doing together.
You’re also welcome to contact me directly.
I developed this practice with fellow clinicians foremost in mind. If another set of eyes on a diagnosis or medication regimen would be helpful for one of your clients, please share my website and encourage them to reach out to me directly.
For psychiatric consultations, I provide your client with a written report they can share with you to support the work you’re already doing together.
You’re also welcome to contact me directly.
Brian T. Paul, MD