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Expert Psychiatric Collaboration for Complex Mood Cases

You care deeply about your patients — and that often means carrying a lot. You're doing your best with the tools you have: managing symptoms, trialing medications, and trying to tease out what’s really going on beneath the surface. But when treatment stalls or symptoms get more complex, it helps to have a trusted psychiatric partner.

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That’s where I come in.

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📝​Download the Quick Checklist for Referrals to learn more about when to refer to a specialist. ​

When to Refer for Mood Disorder Evaluation

Patients with mood disorders — especially bipolar spectrum conditions — often present with nonspecific or misleading symptoms. Many have tried multiple antidepressants with little success or worsening symptoms.
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Consider referring when your patient:
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  • Has had poor or paradoxical response to SSRIs

  • Shows signs of emotional lability, impulsivity, or racing thoughts

  • Has a family history of mood instability

  • Reports mixed features (insomnia, agitation, irritability alongside depression)

  • Is stuck despite multiple medication trials or therapy alone
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📝​Download this clinical decision-making guide if SSRIs aren't working for your patient. 

What to Expect When You Refer

I aim to make the referral process seamless and respectful of your role in the patient’s care. Here's how I work:​
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  1. Referral initiated (via secure form or message)

  2. Patient is contacted for intake + consent

  3. Comprehensive evaluation (includes diagnostics, history, screeners)

  4. Feedback shared with patient and provider

  5. Medication management initiated if appropriate

  6. Ongoing updates to you as the referring provider

  7. Patient returns to you when stable and well-supported​

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View The Referral Roadmap

   to get a visual overview.

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My Approach to Psychiatric Care

I specialize in mood disorders — especially bipolar spectrum diagnoses — and I approach every case with clinical depth and collaborative respect.

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My evaluations are:

Comprehensive

I take time to assess longitudinal mood patterns, not just symptoms.

Clarifying

I help patients understand their diagnosis, not just receive one.

Intentional

I avoid one-size-fits-all prescribing and move at a thoughtful pace.

The Provider Collaboration Loop

Ongoing Collaboration = Better Outcomes

You’ll never be left wondering what happened after you refer a patient.

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I prioritize shared care by:

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  • Sending clear feedback after evaluations

  • Including you in key decisions when patients consent

  • Returning stable patients to your care with clear recommendations

  • Remaining available for future consultation

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The Mood Mastery Pathway

a visual overview of my 7-step evaluation & stabilization process​

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Referring Is Easy

Use this simple process to get started:

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I'm not here to undo your work.
I'm here to support it.

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If you're managing a patient whose symptoms no longer respond to standard care — or if you suspect something deeper may be at play — I’d be honored to help bring clarity.

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Let's work together to ensure your patients receive the expert support they need to truly stabilize and thrive.

Christine Doucette, PMHNP-BC

📋 Referral Form

Referral Instructions


If you have a patient who may benefit from psychiatric evaluation and/or medication management — particularly for suspected bipolar disorder, treatment-resistant depression, or diagnostic clarification — you can use the secure form below to refer them directly to Christine Doucette, PMHNP-BC.


Please complete as much information as possible. Christine’s team will contact the patient within 2 business days. With patient consent, you’ll receive an update following the evaluation.


Thank you for your referral — we're here to support your care.

Referring Provider Information

Patient Information

Birthday
Month
Day
Year
Is the patient aware of this referral?
Yes
No
Patient's Preferred Method of Contact (check all that apply)

Clinical Concern / Reason for Referral 

Check all that apply:

Current Diagnoses (if known)

Relevant Psychiatric History 

(brief summary or attach records)

Current + Past Medications

Additional Notes or Concerns

Information Sharing

Attachments

(optional but helpful)

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