Every QME is conducted independently, with no advocacy for either side. I perform a conflict check, review all records from all parties, and use a structured, evidence-based interview to reach an opinion. Findings are explained in clear, neutral language with sources—and any limitations—clearly noted.

I review the complete record set from all parties, obtain a detailed history, and use a structured interview—adding collateral information and validated measures when appropriate. I reconcile discrepancies, consider differential diagnoses and alternative explanations, and only render an opinion once the evidence is consistent and clearly supported.

A QME exam is not a treatment relationship. I avoid dual roles, keep all interactions within the scope of the evaluation, protect confidentiality, and communicate neutrally—delivering findings only to authorized parties, on time and without advocacy or promises of outcome.

Care is collaborative and paced to your needs. We blend psychotherapy—psychodynamic and CBT—with evidence-based medication management when appropriate, revisiting the plan as your symptoms and goals evolve. The priority is safety, clarity, and outcomes that fit your life.