Forensic Practice

Experience
I am a board-certified Child, Adolescent, and Adult Psychiatrist and a Diplomate of the American Board of Psychiatry and Neurology. I completed my Psychiatry and Child and Adolescent subspecialty training at the University of California, San Francisco, and have been in private psychiatric practice in the San Francisco Bay Area since 2002. Alongside clinical work, I have built a forensic practice that takes me into courtrooms, depositions, and the quieter work of helping counsel think through difficult psychiatric questions in their cases.
I take engagements for plaintiff and defense counsel. I have worked in civil, criminal, administrative, worker’s compensation, conservatorship, and immigration matters. Whatever the legal question, the underlying work is the same. I answer the question asked. This often includes conducting a careful psychiatric evaluation, reviewing the records, and preparing a report with clear, jargon-free conclusions. I place data in context for the court, clearly, so a layperson can follow the reasoning without losing the precision the science requires.
I value collaboration with the legal team. Some of the most useful work I do happens before deposition: anticipating the questions an opposing expert is likely to raise, identifying where the records support the case and where they complicate it, and consulting with counsel
Practice areas
Where my forensic work is most often called upon
Injury and its effect on a life
A whole-person psychiatric assessment of how an injury, whether from a motor vehicle collision, a workplace event, or another incident, has affected someone’s functioning, daily life, work, relationships, and recovery. Diagnosis is part of the work; placing it in the full context of the person’s life is the rest.
The effects of substances and Mental Illness
Testimony in both civil and criminal trials on the effects of substances on consciousness, awareness, intent, memory, and behavior at the time of an event.
State of mind evaluations
Psychiatric assessment of state of mind in defendants and in others whose mental state is at issue, including key figures in a case who are not themselves on trial.
Testamentary Capacity
Assessment of capacity to make or modify a will, and related capacity questions in trusts and estates matters. Retrospective evaluations are part of this work where the person at issue is no longer available.
Employment-related psychiatric matters
The impact of workplace events, harassment, and work-related injuries on psychiatric conditions, and the reverse direction: how an existing psychiatric condition interacts with a person’s capacity to work.
Additional Areas of Expertise
My broader practice has also included competency to stand trial. I am credentialed by the Superior Courts of San Francisco and Marin Counties to perform Penal Code section 1368 and 1369 evaluations. I have testified in conservatorship, immigration , and medical licensure cases.
Consultation
Not every engagement requires testimony
A significant portion of my forensic work is consultative rather than testifying. That can mean helping counsel evaluate the psychiatric strengths and weaknesses of a case before it is filed, reviewing records and offering an informal opinion, preparing for the deposition or cross-examination of an opposing expert, or assisting with the questions that go to a treating clinician.
I have served as an expert reviewer for the Medical Board of California, from 2010 to 2017 and again from 2019 to 2023, and I have provided malpractice consultation in both directions. I have also contributed as an expert in amici curiae briefs, including in Pickup v. Brown and Equality California in 2013.
A long engagement
Twelve years with the U.S. Department of Justice
I have prepared reports and provided testimony for the United States Department of Justice over twelve years, on civil rights consent decrees involving young people in custody. The work has taken me to Puerto Rico, Alabama, and Indiana, among other sites. Many of the youth I evaluated carried multiple psychiatric diagnoses and faced serious charges, and some required emergency referrals during the assessment process. Spanish-language competency was a requirement of the work.
It is some of the most demanding work I do. It has also shaped how I think about the institutions that make decisions about people’s mental health.
A note on what this page is and is not
This page describes my forensic practice for attorneys, agencies, and courts considering retention. It is not legal advice and not medical advice. No physician-patient relationship is created by contacting me about an engagement, and any forensic relationship is governed by a written engagement letter rather than by communications through this site.