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Silverlining Psychiatry provides thoughtful, evidence‑based psychiatric care for adults in San Diego. Care is direct, consistent, and grounded in clear communication—every visit is with a board‑certified psychiatrist who takes the time to understand what you’re experiencing and what you need.

 

Why patients choose Silverlining

  • Calm, unhurried visits — appointments focused on understanding you.

  • Direct physician care — every patient seen by a board‑certified psychiatrist.

  • Evidence‑based treatments — medication, TMS, and Spravato used thoughtfully.

  • Transparent next steps — clear intake, evaluation, and treatment planning.

  • Insurance help available — we verify benefits and explain costs.

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Meet Your Psychiatrist — Dmitriy Sivtsov, MD, ABPN

  • Board‑certified psychiatrist.

  • Harvard and UCLA training.

  • Extensive clinical experience in TMS and ketamine treatment.

  • Clinical approach: steady, evidence‑based, patient‑centered care.

  • Learn more

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Conditions we help with

People come to Silverlining Psychiatry for support with a range of mental‑health concerns, including:

  • Depression.

  • Anxiety.

  • Trauma‑related symptoms.

  • Bipolar spectrum conditions.

  • Sleep and stress‑related concerns.

These conditions often overlap, and many patients seek care when symptoms begin affecting work, relationships, or daily functioning. We help you understand what’s happening and what can help.

 

Treatment options

Treatment is individualized and include:

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Medication management with a focus on clarity, safety, and evidence‑based care

 

TMS 

  • Non‑invasive brain stimulation for treatment‑resistant depression

  • Who it helps: Adults with depression not responding to medication

  • Quick facts: 3-20 minute sessions; FDA‑cleared; covered by insurance

  • Learn more

 

Spravato/ketamine for severe or persistent depressive symptoms

  • Rapid‑acting, nasal treatment for adults with treatment‑resistant depression

  • Who it’s for: Adults with major depressive disorder not responding to oral antidepressants

  • Quick facts: In‑office nasal spray; monitored recovery period; FDA‑approved; covered by insurance

  • Learn more

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Ongoing follow‑up to support stability and long‑term improvement

 

Insurance accepted

Silverlining Psychiatry accepts several major insurance plans, including:

  • Aetna

  • Anthem Blue Cross

  • Blue Shield of California

  • Cigna

  • UnitedHealthcare/Optum

  • UMR

  • Sharp Health Plan

  • TRICARE

 

We unfortunately do not accept Medi‑Cal at this time.

 

What to expect as a new patient

  • Verify benefits — we confirm insurance coverage and out‑of‑pocket costs.

  • Initial evaluation — a thorough, focused visit with the psychiatrist.

  • Personalized plan — clear recommendations and next steps, including scheduling treatments.

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Start your care

If you’re looking for steady, evidence‑based support and a clear path forward, Silverlining Psychiatry is here to help. Request an appointment to begin.

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Frequently Asked Questions

 

What conditions does Silverlining Psychiatry treat?

Silverlining Psychiatry provides care for adults experiencing depression, anxiety, trauma‑related symptoms, bipolar spectrum conditions, and sleep or stress‑related concerns. Treatment plans are individualized and focused on clarity, stability, and long‑term improvement.

 

Do you offer TMS in San Diego?

Yes. Silverlining Psychiatry offers TMS for adults with depression who have not improved with standard treatments. Patients receive a full evaluation to determine whether TMS is an appropriate next step.

 

Do you offer Spravato or ketamine treatment?

Yes. Spravato (esketamine) and ketamine‑based treatments are available for adults with treatment‑resistant depression. These treatments are provided in a structured, medically supervised setting with ongoing monitoring.

 

How soon can I get an appointment?

Most new patients can be seen within 7–10 days. The scheduling process is designed to be straightforward, with support for verifying insurance benefits before your first visit.

 

Do I need a referral to start care?

No referral is required for most patients. You can schedule directly, and our team can help confirm your insurance coverage and expected costs.

 

What insurance plans do you accept?

Silverlining Psychiatry accepts Aetna, Anthem Blue Cross, BlueCross BlueShield, Blue Shield of California, Cigna, UnitedHealthcare/Optum, UMR, Sharp Health Plan, and TRICARE. Medi‑Cal is not accepted at this time.

 

Do you offer virtual appointments?

Yes. Telepsychiatry appointments are available for adults located in California, offering flexibility while maintaining the same level of clinical care.

 

What happens during the first appointment?

The initial visit includes a detailed review of symptoms, history, and goals. You and your psychiatrist discuss treatment options, including medication, TMS, or Spravato/ketamine when appropriate.

 

Can you help me understand my diagnosis?

Yes. Many patients seek care because they want clarity about what they’re experiencing. Your psychiatrist provides clear explanations and works with you to understand your symptoms and treatment options.

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