Diagnostic Audit & Deconstruction · Manhattan, NYC
You have been carrying the wrong diagnosis for a very long time.
For high-achieving professionals in New York and California who have accumulated psychiatric labels that have never fully fit — and are ready to start from the truth.
THE EXPERIENCE
This Is What It Feels Like.
You have seen psychiatrists before.
You have a diagnosis — maybe several. Bipolar II. Treatment-resistant depression. Generalized anxiety disorder. ADHD. Each one handed to you by a clinician who had forty-five minutes and a billing code to fill.
Some of the labels felt partially right. None of them felt completely true.
You have been medicated for conditions you are not sure you have. You have built a self-understanding around a clinical framework that was assembled in haste — and something about it has never fully sat right.
That dissonance matters.
A diagnosis shapes everything that follows — what is treated, how it is treated, and what is assumed to be possible. An inaccurate one does not just fail to help. It actively gets in the way.
"A diagnosis given in fifteen minutes can follow you for fifteen years. This is where we take it apart."
WHAT'S ACTUALLY HAPPENING
The Problem With Rushed Diagnoses
Standard psychiatric evaluation is not designed for depth.
It is designed for throughput. The clinician has limited time, a checklist of symptoms, and a diagnostic manual that categorizes human suffering into discrete boxes. The patient — particularly the high-achieving, analytically sophisticated patient — learns quickly how to present within those categories.
The result is a diagnosis that describes the surface without touching the structure underneath.
What gets missed is almost always the same: the biological baseline, the developmental history, the attachment patterns, the relational context, the actual timeline of how this person came to be sitting in that chair. The difference between a trauma response masquerading as bipolar disorder and actual bipolar disorder. The difference between metabolic exhaustion and clinical depression. The difference between hypervigilance shaped by early experience and generalized anxiety disorder.
These distinctions matter enormously.
Getting them wrong means years of treatment aimed at the wrong target.
WHO THIS IS FOR
The Right Patient
This work is specifically designed for high-achieving professionals who have accumulated a psychiatric history that feels more like a burden than a map.
This is for you if:
→
You carry one or more psychiatric diagnoses that have never fully fit your experience
→
You have been on medication for years without a clear understanding of what it is actually treating
→
Multiple clinicians have given you different — sometimes contradictory — diagnoses
→
You feel more defined by your labels than helped by them
→
You want to understand what is actually happening, not just what category it falls into
This is not for you if:
→
You are looking for a clinician to confirm an existing diagnosis without question
→
You are in acute psychiatric crisis requiring immediate stabilization
→
You want a quick assessment rather than a genuine forensic reconstruction
→
You are not prepared for the possibility that what you have been told is incomplete
THE APPROACH
How We Address It.
The Diagnostic Audit is not a standard psychiatric evaluation.
It is a two-hour forensic reconstruction of your full psychiatric, medical, and personal history — built from scratch, not summarized from a previous chart.
PHASE 01
HARDWARE
The Full History
We begin at the beginning.
Not the beginning of your symptoms — the beginning of you. Your developmental history, your relational patterns, your biological baseline, your medical history, your timeline of significant life events. Everything that a standard evaluation skips in the interest of time.
This is the only way to separate what is a biological baseline from what is a trauma response, what is a genuine psychiatric condition from what is an adaptation to an impossible set of circumstances.
PHASE 02
SOFTWARE
Deconstruction
Once the full picture is assembled, we examine what has been previously diagnosed — rigorously and without assumption.
Labels that fit are kept. Labels that do not fit are discarded. What was previously called a disorder is examined for what it actually is — whether that is a biological condition, a developmental pattern, a relational wound, or a rational response to irrational circumstances.
The goal is not a new diagnosis. It is an accurate picture.
"Most patients leave their first session here saying it is the first time a clinician has actually listened without already deciding what was wrong. That is not an accident. It is how this was designed."
Metin Cayiroglu, MD
WHAT MAKES THIS DIFFERENT
Not A Standard Psychiatric Evaluation.
Most psychiatric evaluations are designed to assign a diagnosis and initiate treatment as efficiently as possible.
This is the opposite of that.
This practice offers something structurally different:
Two hours minimum — not forty-five minutes
Full reconstruction of psychiatric, medical, and personal history from scratch
No assumptions carried forward from previous diagnoses
Explicit examination of what fits, what doesn't, and why
Strictly private pay — accountable to you, not an insurance panel
Begin
If you have never had a clinician actually reconstruct the full picture —
The audit is where most patients start. Two hours. Your full history. The truth about what is actually happening.
Private pay only · Out-of-network · New York & California · Telehealth