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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• Anxiety spectrum disorders with diagnostic overlap

• Refractory or treatment-resistant depression and mood disorders

• Bipolar spectrum complexity

• 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

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​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.