Expert Psychiatry & Psychotherapy
in San Diego

Unsuccessful treatment is common and usually reflects a mismatch — the wrong approach for the condition, or insufficient attention to complexity. We don't treat prior lack of progress as fixed. We start with a thorough evaluation and work from there.

Yes, and for many patients this is the most effective arrangement. Research consistently shows that combined medication management and psychotherapy outperforms either treatment alone. When you see both Dr. Papp and one of our psychologists, they communicate directly — which is not standard practice at most clinics.

We do not bill insurance directly. Patients often find that working outside insurance constraints allows for more flexibility in session length, appointment availability, and treatment options. Depending on your plan, out-of-network reimbursement may be available, and we can provide documentation to support that process.