Psychiatry is not delivered by a single clinician. It is delivered by a system — the same system whether the treatment is a medication, an infusion, or a course of TMS. At WIP, that system is thirty-three people, each with a defined role:

• 13 psychiatrists, board-certified, who evaluate every patient and own every interventional treatment plan
• 1 anesthesiologist, who performs stellate ganglion blocks
• 2 psychiatric nurse practitioners, who provide medication management and follow-up within psychiatrist-led plans
• 4 registered nurses, who administer ketamine and Spravato sessions and monitor patients throughout
• 2 TMS technicians, who deliver daily and accelerated protocols under psychiatrist supervision
• 11 administrative and care-coordination staff, who manage scheduling, refills, reimbursement filing, and prior authorizations through to decision

This roster is not fixed. When schedules approach capacity, we hire — so new patients are seen without a waitlist.

During clinic hours, a staff member is available to speak with directly. Refills and pharmacy problems are handled by a person, not a portal.

The coordination is not overhead. The system is the treatment.

Training includes Yale, Cornell, Columbia, and Mount Sinai, with subspecialty coverage in child and adolescent, addiction, and forensic psychiatry. WIP is a Georgetown University teaching site.