High levels of responsibility require sustained cognitive clarity, emotional stability, and sound judgment. When psychiatric symptoms interfere with performance, decision‑making, or quality of life, care must be precise, confidential, and efficient.

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Our practice provides comprehensive psychiatric consultation and treatment across a broad spectrum of psychiatric and substance use conditions. Care is individualized, confidential, and grounded in advanced clinical expertise.

Each evaluation is conducted directly by Dr. Venera Miller and reflects a careful, diagnostic approach designed to clarify complexity and guide thoughtful treatment planning.

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Both in‑office and secure telepsychiatry appointments are available throughout the DMV region.

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Comprehensive Diagnostic Evaluation

Effective treatment begins with diagnostic precision.

Initial consultations include:

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• Detailed psychiatric and medical history

• Diagnostic clarification

• Risk assessment

• Medication and prior treatment review

• Development of an individualized treatment strategy

Conditions evaluated and treated include:

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• Depressive, anxiety, and affective spectrum disorders

• Bipolar spectrum and schizoaffective conditions

• Schizophrenia spectrum illnesses and psychotic decompensations

• Trauma‑ and stressor‑related disorders, including complex post‑traumatic syndromes

• Obsessive–compulsive and related spectrum disorders

• Attention‑deficit/hyperactivity disorder and disorders of impulse regulation

• Eating disorders and associated disturbances of appetite and weight regulation

• Substance use disorders and behavioral addictions

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Advanced Psychopharmacology

Medication management is conducted with clinical rigor and ongoing reassessment.

Treatment options include established psychotropic medications as well as newer, evidence‑based interventions.

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Innovative Treatment for Treatment‑Resistant Depression

We offer SPRAVATO® (esketamine) nasal spray, an FDA‑approved therapy for treatment‑resistant depression.

Our office is a REMS‑certified SPRAVATO® treatment center, providing in‑office monitoring and physician supervision in accordance with federal safety standards.

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Addiction Informed  Psychiatry &

Medication‑Assisted Treatment

​Substance use concerns in high‑performing individuals often require structured, confidential care.

Comprehensive evaluation and treatment are available for:

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• Alcohol use disorder, including high‑functioning or professional alcohol overuse

• Opioid use disorder and prescription opioid dependence

• Stimulant misuse, including cocaine and prescription stimulant overuse

• Benzodiazepine dependence and sedative‑hypnotic overutilization

• Prescription medication misuse with structured, medically supervised tapering

• Behavioral addictions, including gambling disorder

• Co‑occurring psychiatric and substance‑related conditions (dual diagnosis)

• Complex or treatment‑refractory presentations

Medication-assisted treatment may include:

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When clinically indicated, treatment may incorporate FDA‑approved pharmacotherapies for alcohol and opioid use disorders, including oral and long‑acting injectable formulations designed to reduce craving, diminish relapse risk, and support sustained stabilization.

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Treatment plans are individualized and designed to support both recovery and sustained professional function.

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Specialty & Forensic Evaluations

We provide formal psychiatric evaluations and consultation for:

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• Bariatric, plastic, and general surgery clearance

• U.S. Citizenship and Immigration Services (USCIS)

• Federal Aviation Administration (FAA)

• Court‑related matters

• Independent Medical Opinions (IMO) and Nexus Letters

• Disability Benefits Questionnaires (DBQ) for veterans

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Dr. Miller also provides expert witness services, including record review, written opinions, deposition testimony, and court appearances, when requested.

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Extensive experience includes work with Active Duty military personnel and Veterans.

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​Secure Discrete Telepsychiatry

Comprehensive psychiatric evaluation and treatment are available via a secure, HIPAA‑compliant telemedicine platform for patients across Washington, DC, Maryland, and Northern Virginia.

Telepsychiatry allows continuity of care while preserving discretion and accessibility.

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A Personalized Approach

Every consultation is conducted directly by Dr. Miller. Care is individualized, structured, and aligned with the unique professional and personal demands of each patient.

To arrange a confidential consultation, please contact our office.

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