Comprehensive Psychiatric Consultation & Expert Evaluation for Complex and Treatment-Resistant Disorders
Advanced medication strategy and diagnostic clarification for adults seeking precise, physician‑directed psychiatric care.
Serving Washington, DC • Maryland • Northern Virginia
A Structured, Consultation‑Based Practice
Venera R. Miller, MD, FAPA, FASAM
I am a Double Board‑Certified Psychiatrist in General Psychiatry and Addiction Medicine with a focus on complex and treatment‑resistant adult psychiatric conditions.
This private consultation practice is designed for individuals who require careful diagnostic clarification, thoughtful psychopharmacologic strategy, and a more in‑depth approach than is typically available in high‑volume settings.
My clinical work includes bipolar spectrum disorders, complex depression and anxiety, obsessive‑compulsive symptoms, ADHD in professionals, and co‑occurring substance use conditions. Many patients seek consultation after incomplete response to prior treatment or when diagnostic uncertainty remains.
Appointments are conducted in person or via secure telepsychiatry for patients physically located in Washington DC, Maryland, or Virginia at the time of service.
Comprehensive Expert Psychiatric Evaluation
The initial consultation is a structured 90-120-minute evaluation focused on diagnostic precision and medication optimization.
This process includes detailed review of prior treatment history, assessment of mood and anxiety patterns, evaluation for bipolar spectrum illness or ADHD when indicated, and careful risk–benefit analysis of current or proposed medications.
The objective is clarity — a coherent diagnosis and a deliberate, individualized treatment plan.
When clinically appropriate and space permits, ongoing care may be offered. In other cases, patients may return to their treating clinicians with structured recommendations.
Clinical Focus
Bipolar spectrum disorders, complex mood and anxiety conditions, treatment-resistant depression, obsessive‑compulsive disorder, ADHD in high‑functioning adults, co‑occurring substance use disorders, and second‑opinion medication consultations.
Care is grounded in evidence‑based psychopharmacology, addiction‑informed principles, and attention to medical–psychiatric interface.
Expert Witness Services
Dr. Miller provides expert witness services in General Psychiatry and Addiction Medicine, including independent psychiatric evaluations, case review, written reports, and testimony in civil, some criminal, and administrative matters.
Request a Consultation
If you are seeking comprehensive psychiatric consultation in Washington, D.C., Maryland, or Virginia, you may submit an inquiry through the secure contact form on the New Patients Page.
Appointments are intentionally limited to preserve quality and clinical focus.
