Method

How the Diagnostic Psychiatry review works.

The review is a structured synthesis of symptoms, labs, sleep, medications, substances, screening scores, timeline, and medical context. It produces a differential and a responsible next step, not a diagnosis from a lab panel.

Inputs

Labs, symptoms, sleep, medications

Differential

Psychiatric and medical contributors held together

Route

Care, referral, monitoring, or no medical action

Safety

Educational review with clinical boundaries

Review frame

The core review frame

Inputs

  • Labs
  • PHQ-9 and GAD-7
  • Insomnia screen
  • Medication and supplement list
  • Sleep, caffeine, alcohol, and substance pattern
  • Symptom timeline
  • Top goals

Output

  • Symptom and timeline summary
  • Lab-pattern read in psychiatric context
  • Medication, supplement, sleep, and substance review
  • Psychiatric-medical differential
  • Named pathway for care or monitoring

Not this

  • Not emergency care
  • Not a diagnosis from labs
  • Not a medication or supplement change by website
  • Not a replacement for primary care, psychiatry, or therapy
  • Not proof that biology explains every symptom

Step 1

Assemble the record before making meaning.

The review starts with the timeline: onset, course, prior diagnoses, medication trials, side effects, medical events, sleep pattern, substance pattern, and the labs or screens already available.

Step 2

Read the pattern, not one isolated signal.

A red value may be unrelated. A normal value may be incomplete. A PHQ-9 score, ferritin, TSH, medication change, stimulant crash, sleep apnea risk, and panic timeline only become useful when read together.

Step 3

Widen the differential without widening the claims.

The review asks what is primary psychiatric, medical, sleep-related, medication-related, substance-related, psychological, mixed, or still uncertain. It does not turn every symptom into biology.

What you receive

A written differential and a named next step.

  • A symptom and timeline summary that can be read in one sitting.
  • A lab-pattern read in psychiatric context, not in isolation.
  • A medication, supplement, sleep, and substance-context review.
  • A psychiatric-medical differential with what is more likely, less likely, and still uncertain.
  • A pathway: psychiatric care, primary care, specialty referral, further testing, monitoring, or no medical action.

Safety boundary

The review does not turn signals into certainty.

  • Suicidal thoughts, psychosis, mania, delirium, withdrawal, severe self-neglect, or acute medical symptoms need urgent or emergency care.
  • Labs are signals, not diagnoses.
  • This does not replace primary care, emergency care, psychiatric care, or therapy.
  • Medication and supplement changes require clinician guidance.
  • Urgent findings belong with the appropriate medical or emergency pathway.
  • Sometimes the honest conclusion is that no medical change is needed.

Common questions

Questions people ask before they start.

Is this more testing?

No. Testing may be part of the pathway, but the method is interpretation first: what is already known, what is missing, what is plausible, and what should be routed to the right clinician.

Can the review diagnose from labs?

No. Labs can change the differential, but diagnosis and treatment decisions require clinical evaluation, history, risk assessment, and the appropriate clinician-patient relationship.

What makes this different from a wellness dashboard?

The output is not a score or supplement plan. It is a psychiatric-medical differential with care routing, uncertainty, and safety boundaries named plainly.

The standard is synthesis.

Bring the record, then decide what belongs in the differential and who should handle the next step.