Every service at D&Y begins the same way — with a thorough evaluation, a clear diagnosis, and a treatment plan built around your specific goals and history.
D&Y Integrated Psychiatry provides outpatient adult psychiatric services via secure telehealth, serving adults 18 and older throughout California. All care is delivered by Denis Grigorov, PMHNP-BC — a board-certified psychiatric nurse practitioner with a background in military service, emergency nursing, and VA psychiatry.
D&Y provides the following outpatient psychiatric services for adults across California — all via telehealth, all delivered by the same board-certified provider from your first appointment through ongoing care.
All D&Y clinical services are delivered via secure, HIPAA-compliant telehealth. The same clinical standards as in-person care — accessible from anywhere in California without geographic limitation or travel. No commute. No waiting room. Just care, done right.
Secure video appointments from wherever you feel most comfortable.
Learn moreA comprehensive diagnostic evaluation for adults seeking clarity on their diagnosis, a second opinion, or a thorough first evaluation with a provider who takes the time to get it right. D&Y conducts a structured diagnostic interview covering presenting concerns, symptom patterns, personal and family psychiatric history, prior treatment experiences, and functional impact across work, relationships, and daily life.
45–60 minutes. You will leave with a working diagnosis, a clear explanation of the clinical reasoning, and a structured treatment plan.
Learn moreOngoing psychiatric care for established patients, including medication monitoring, adjustment, and education. Every visit includes symptom review, medication response assessment, side effect discussion, and plan adjustment as needed. Your provider explains the reasoning behind every change — you are never left wondering what was adjusted or why.
Follow-up visits every 2–4 weeks initially, transitioning to every 1–3 months once stable.
Learn moreStructured ADHD evaluation and ongoing management for adults questioning whether they have ADHD, those previously diagnosed who feel their treatment is incomplete, or individuals seeking structured ADHD medication management in California. Evaluation includes symptom history, functional impact assessment, and differential diagnosis to rule out anxiety, mood disorders, and other presentations that can mimic ADHD.
Conservative, monitored prescribing approach — medication follows a clear diagnosis, not a quick assessment.
Learn moreAn integrated approach that combines psychiatric medication management with supportive psychotherapy techniques — including Cognitive Behavioral Therapy principles, Motivational Interviewing, and psychoeducation — within the scope of outpatient psychiatric practice. Designed for patients whose conditions benefit from both medication and therapeutic support in coordinated care.
Medication management and therapeutic support from the same provider, coordinated with any outside therapist already involved in your care.
Learn moreD&Y is an outpatient adult psychiatric practice. We do not provide intensive outpatient programs (IOP), partial hospitalization, inpatient care, emergency psychiatric services, forensic or court-ordered evaluations, complex substance use withdrawal management, or psychiatric care for children or adolescents. If your needs require a higher level of care, we will refer you clearly and professionally to the appropriate resource.
For patients who need psychotherapy alongside medication management, D&Y coordinates actively with licensed therapists. We refer, collaborate, and communicate — we do not leave patients navigating that gap alone.
Not sure if your situation is right for outpatient care?
Book an AppointmentWhether you are coming for ADHD, anxiety, depression, PTSD, or burnout, your first appointment is always a comprehensive psychiatric evaluation. D&Y does not skip this step — not even for patients who have been previously diagnosed elsewhere.
By the end of the first appointment, you will have a working diagnosis, an explanation of the clinical reasoning, and a structured treatment plan with defined next steps. No walking out confused.
Follow-up visits are scheduled at the pace that fits your treatment — every few weeks early on, then monthly once stable. Every medication decision is explained. Every adjustment is communicated clearly.
Book an Appointment — We will help you understand what kind of care fits your situation before you commit to anything.
Book an Appointment Or explore our conditions pages to see if your specific concern is listed →D&Y Integrated Psychiatry provides outpatient psychiatric care — not crisis services. If you need immediate support, the organizations below provide free, confidential help 24 hours a day. You do not need to be a D&Y patient to use any of these resources.
D&Y Integrated Psychiatry does not endorse or have a formal affiliation with the external organizations listed above. These resources are provided for informational purposes only. Listing does not constitute a referral or clinical recommendation. Links are verified at time of publication and may change.
