Comprehensive Evaluation
The comprehensive care of 7 specialists in 1 doctor — like the Mayo Clinic, only better.
For complex cases and treatment-resistant conditions, Dr. Hedaya personally conducts a thorough 3-5 hour assessment, analyzing over 6,000 data points to identify root causes others have missed.
What Makes This Different
Unlike traditional psychiatric appointments that last 15-30 minutes and focus primarily on symptoms and medications, Dr. Hedaya’s Comprehensive Evaluation is an intensive, detective-like investigation into the root causes of your condition.
This is functional medicine psychiatry at its finest — where we don’t just ask “what medication should we try next?” but rather “why is this happening in the first place?”
What’s Included in Your Comprehensive Evaluation
Detailed Medical and Psychiatric History (90+ minutes)
Dr. Hedaya personally spends extensive time understanding:
- Your complete medical history from birth to present
- Psychiatric symptoms and their progression over time
- Previous treatments and why they may not have worked
- Family medical and psychiatric history
- Environmental exposures and lifestyle factors
- Your goals for health and quality of life
Partial Physical Examination
Focused physical exam of relevant systems to identify physical findings that may contribute to psychiatric symptoms.
Comprehensive Medical Records Review
Dr. Hedaya personally reviews:
- All previous medical records and specialist reports
- Laboratory results from past testing
- Brain imaging studies (MRI, CT scans)
- Previous psychiatric evaluations
- Hospital discharge summaries
Analysis of Over 6,000 Data Points
Comprehensive functional medicine assessment including:
- Hormonal Function: Thyroid, adrenal, reproductive hormones
- Immune System: Inflammatory markers, autoimmune indicators
- Infections: Chronic infections affecting brain function
- Toxins: Heavy metals, mold, environmental toxins
- Nutrition: Micronutrient status, metabolic function
- GI Function: Gut health and microbiome assessment
- Vascular Health: Circulation and cardiovascular factors
Quantitative EEG (qEEG) Brain Assessment
- Detailed analysis of brain wave patterns and connectivity
- Identification of specific neural network dysfunctions
- Objective measurement of brain function
- Baseline for tracking treatment progress
Genetic Testing and Analysis
- DNA analysis for psychiatric medication response
- Methylation pathway assessment
- Identification of genetic risk factors
- Cross-referencing with metabolic and biochemical data
Root Cause Analysis and Synthesis
Dr. Hedaya integrates all data to:
- Identify underlying biological dysfunctions
- Understand why previous treatments didn’t work
- Pinpoint specific metabolic, hormonal, or inflammatory issues
- Create a comprehensive understanding of your unique case
Who Is This For?
The Comprehensive Evaluation is ideal if you:
Have Complex or Treatment-Resistant Conditions:
- Multiple failed medication trials
- Psychiatric symptoms that don’t respond to standard treatment
- Diagnoses that don’t fully explain your symptoms
- Co-occurring medical and psychiatric conditions
Seek Root-Cause Solutions:
- Want to understand why you’re experiencing symptoms, not just manage them
- Are interested in addressing underlying biological dysfunctions
- Desire a precision medicine approach based on your unique biology
- Are open to comprehensive functional medicine interventions
Want Dr. Hedaya as Your Primary Psychiatric Provider:
- Seeking a psychiatrist who will serve as your ongoing care provider
- Need expertise in both traditional and functional psychiatry
- Value thoroughness, leading edge thinking, and personalized attention
- Are committed to a comprehensive treatment approach
Need Medication Reduction Support:
- Experience significant side effects from psychiatric medications
- Want to explore reducing or eliminating medications safely
- Desire a more natural approach when appropriate
The Evaluation Process
Before Your Visit:
- Complete New Patient Forms – Detailed intake forms help us understand your health history
- Organize Medical Records – Gather all previous records, test results, and imaging studies chronologically
- Arrange Support – Bring a trusted family member or friend to your appointment
- Prepare Questions – Write down what you most want to understand about your health
During Your 3.5-4.5 Hour Visit:
- Detailed history taking with Dr. Hedaya
- Physical examination and records review
- Functional medicine assessment and qEEG brain mapping
- Collateral interview, initial impressions, and next steps discussion
After Your Visit:
- Laboratory Testing – Comprehensive functional medicine panels
- Data Integration – Dr. Hedaya synthesizes all findings to identify root causes
- Follow-Up Appointment – Detailed treatment plan presentation
- Treatment Implementation – Begin personalized protocol with ongoing support
What You’ll Receive
Immediate Benefits:
- Feeling truly heard and understood for the first time
- Comprehensive assessment beyond anything you’ve experienced
- New insights into your condition from a functional medicine perspective
- Hope based on a clear path forward
Detailed Treatment Plan Including:
- Specific root causes identified and explained
- Personalized HYLANE protocol when appropriate
- Targeted nutritional and supplement recommendations
- Lifestyle and dietary modifications
- Medication adjustments or optimization
- Follow-up testing and monitoring plan
- Clear timeline and expectations
Ongoing Support:
- Regular follow-up appointments
- Access to Dr. Hedaya’s clinical team
- Continuous protocol optimization based on progress
- Long-term partnership in your health journey
Investment in Your Health
The Comprehensive Evaluation represents a significant investment in understanding and addressing the root causes of your condition. While we don’t accept insurance, many patients find that this thorough approach saves money long-term by:
- Avoiding years of ineffective treatments and mounting medical bills
- Preventing costly complications from untreated underlying conditions
- Reducing or eliminating expensive medications
- Addressing problems correctly the first time
Payment Options Available:
- Fee accepted at time of service
- Major credit cards accepted
Patient Experiences
“I am a physician and recently had the privilege of seeing Dr. Hedaya for a complex medical problem that had been worked up and treated by my doctors without producing much change in my symptoms or sense of wellbeing. I was impressed with the amount of time Dr. Hedaya spent with me but more importantly how thorough, skilled and genuinely concerned he was. His workup and subsequent follow-up produced a much more coherent formulation of the problem I was contending with and now four months out from our initial encounter I am feeling much better and have both renewed hope and the information I need to make decisions about my life and work.”
“Dr. Hedaya has an extremely rare combination of skills—board-certified in neurology and psychiatry, as well as a very strong background in endocrinology. Our son was assessed by a variety of physicians at very prestigious institutions on the west coast but they were not able to figure out what was wrong with him. We flew from CA to DC to meet with Dr. Hedaya. His intake was at least 3 hours and at a level of detail that we had not experienced with anyone else.”
“The comprehensive care of 7 specialists in 1 doctor — like the Mayo Clinic, only better.” – Patient KW
“Your problems are complex. Our evaluation is thorough so our solutions are effective.”