Comprehensive Psychiatric Consultation
60 Minutes

A comprehensive and human-centered approach in which each person is understood beyond their symptoms or diagnosis.

The evaluation considers the interaction between brain and body functioning, neurochemical and physiological processes, personal history, life experiences, and the individual’s current circumstances, seeking to understand what is happening and what may be contributing to their mental well-being.

Based on this understanding, treatment is tailored to each individual and may include medication management and different forms of brief psychotherapy, when clinically appropriate. Brief psychotherapy can focus on specific treatment goals during follow-up, supporting clinical progress and helping patients develop tools to address circumstances that may be affecting their well-being.

The goal is to provide care that considers both what is happening within the body and what is happening within the person’s life, as part of a unified treatment process.

Psychiatric Follow-Up and Medication Management 30 Minutes

Follow-up appointments focused on monitoring clinical progress and adjusting treatment according to each patient’s needs.

May include:

• - Monitoring symptoms and clinical progress.
• - Reassessment of the diagnosis and consideration of differential diagnoses.
• - Review and adjustment of psychiatric medications.
• - Assessment of treatment response, tolerability, and side effects.
• - Evaluation of changes in sleep, mood, anxiety, energy, and daily functioning.
• - Assessment of medication adherence and potential drug interactions.
• - Ongoing review of clinical progress and adjustment of the treatment plan when indicated.

Specialized Evaluations:

Autism Evaluation:
Dr. Valverde has specialized training in autism assessment using ADOS, an assessment tool used as part of the clinical evaluation process.
The evaluation considers the individual’s clinical history, characteristics, and other relevant information.

Psychiatric Forensic and Legal Evaluations:
Specialized psychiatric evaluations addressing mental health factors that may be relevant to legal or judicial proceedings.
Depending on the specific purpose of the evaluation, these may address:

• - Mental capacity and criminal responsibility
• - Mental state in relation to investigated events
• - Capacity to participate in legal proceedings
• - Functional impact of psychiatric conditions
• - Psychiatric evaluations in civil, employment, and family proceedings
• - Psychiatric symptoms and consequences associated with trauma

The evaluation is conducted according to the specific medical and legal question involved and may include preparation of a forensic psychiatric report.

Education and Professional Experience:

El Dr. Elmer Valverde Alfaro es médico especialista en Psiquiatría, graduado de la Universidad de Costa Rica.

Medical Training:

• - Doctor of Medicine and Surgery — University of Costa Rica, 2006
• - Specialty in Psychiatry — University of Costa Rica, 2013

Advanced Training and Specialization:

• - Doctorate in Public Health — Atlantic International University, United States
• - Master’s Degree in Sleep, Physiology, and Medicine — University of Murcia, Spain
• - Master’s Degree in Psychopharmacology — Neuroscience Education Institute, United States
• - Specialized Training in EMDR Therapy — EMDR Institute / EMDR Iberoamérica / CREA EMDR
• - Master’s Degree in Strategic Brief Therapy — Strategic Brief Therapy Costa Rica
• - Master’s Degree in the PARCUVE Method — PARCUVE Central America
• - Training in Digital Health and Healthcare Management
• - Specialized training in Couples Therapy based on the Strategic Brief Therapy approach

His ongoing professional education allows him to integrate different clinical perspectives into an individualized psychiatric practice.

Types of Appointments:

Virtual Psychiatric Care:

Virtual psychiatric appointments are available, subject to the applicable requirements for telemedicine.
Digital prescriptions and physical prescriptions sent by certified mail are available.

Schedule Virtual Session

Types of Appointments:

In-Person Psychiatric Care:

Availability may vary depending on the location and schedule.
Appointments are available at the following locations:

• - Escazú, San José
• - Alajuela, Alajuela
• - Orotina, Alajuela
• - Palmares, Alajuela
• - Quepos, Puntarenas

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