Dr. RS Isaac Gardner, MD, ACP, is a psychiatrist whose work is complimented by his dual specialty of psychiatry and endocrinology. His focus is 100% on understanding you and your history, and how it relates to your current symptoms, if at all. His unique integrative whole-person approach, and his depth of care, is an invaluable help to those seeking balance.

Symptoms First and Foremost. Dr. Gardner is a psychiatrist with additional insight as to whether you may be suffering from overlapping hormonal and mood imbalances. As a physician highly skilled in both specialties, he has a keen understanding of how all these systems integrate. As such, his integrative approach draws upon all available information about you, which may include a complete neuroendocrine evaluation if deemed necessary to rule out an endocrine cause for your symptoms.

Patient-Centered Treatment. Dr. Gardner can work in concert with your therapist or provide email support. If necessary, he can also assist in hospital placement.

A Neuroendocrine Evaluation, if indicated, includes the appropriate hormone tests to rule out an endocrine cause for depression, anxiety, or chronic fatigue.

This evaluation often includes:

• Lab tests and results,

• Endocrine abnormalities (e.g., thyroid, estrogen, or testosterone imbalances), and

• Medical illnesses that may contribute to an underlying psychiatric presentation. If indicated, you may both decide on genetic testing to help assess for appropriate medications.

Medication Management Plus: You will receive a review of your medications and health history to see if you are having adverse reactions to medications, whether some medications are incompatible, and whether there are other health issues that need to be addressed. If further laboratory work is needed, it will be ordered and reviewed. Brief psychotherapy is added as needed to address recent situational stressors.

"Doctor Gardner, I sincerely appreciate and thank you for identifying the underlying problems that created so many challenges for me. I feel much better now."

—ETB

*State law requires that all patients on controlled medications, including Adderall, must be seen in person at least once every six months.

Insurance: We don’t accept insurance assignment, but we provide our patients with statements to send to their insurance carrier for possible out-of-network coverage.

Out of State Patients: According to state law, out-of-state patients must meet with Dr. Gardner while they are in the state, although this meeting can occur online. However, an in-person meeting is required if the patient's visit results in a controlled medication prescription. Dr. Gardner apologizes for any inconvenience this may cause. Dr. Gardner maintains offices in both San Diego and Santa Rosa, California, for mandatory in-office appointments. Contact Vanessa for scheduling.