De Borja Narciso, MD in Baltimore: Psychiatry and Individual Psychotherapy
Dr. Narciso is a board-certified psychiatrist in Baltimore who provides diagnostic assessment, medication management, and individual psychotherapy for adults, combining psychiatric evaluation with talk-based treatment rather than offering medications alone or therapy through separate referral.
What Dr. Narciso actually offers
De Borja Narciso, MD practices psychiatry with an emphasis on integrated care. The work involves psychiatric diagnosis (using structured interview and clinical history), psychopharmacology when indicated, and ongoing individual psychotherapy during the same treatment relationship. This model differs from a medication-only appointment model common at some Baltimore psychiatric practices, where the clinician prescribes but does not provide counseling, leaving therapy coordination to a separate therapist.
Services and what they cost
Psychiatry consultation typically includes a comprehensive intake (1.5 to 2 hours) covering psychiatric history, medical history, family history, current symptoms, and functional impairment, followed by ongoing follow-up appointments (usually 30 to 50 minutes). Pricing for initial evaluation and ongoing sessions is not published online; contact the practice to confirm fees, which vary based on insurance plan and session type. Dr. Narciso accepts major insurance carriers; verify your plan's coverage before booking.
How this approach compares locally
Baltimore has several psychiatry practices that segment services: some primary-care doctors manage psychiatric medications, some psychiatrists see patients for med checks only and recommend separate therapy, and some therapists provide counseling without prescribing. The University of Maryland Medical Center psychiatry clinic (downtown Baltimore) offers diagnostic evaluations and medication management but operates as a larger system with longer wait times and less continuity. Dr. Narciso's integrated model (assessment, medication, and therapy in one relationship) is better suited to patients who want a single clinician knowledgeable about both drug response and talk-based progress, while medication-only practices work for patients already engaged with a therapist or those seeking symptom management alone.
Who this suits and who it does not
This practice is a good fit for adults with depression, anxiety, bipolar disorder, ADHD, or other psychiatric conditions who want to avoid coordinating care across multiple providers. It also suits patients who benefit from psychotherapy alongside medication, or who prefer continuity with one clinician. It is less ideal for patients seeking purely talk-based therapy without medication consideration, for those already receiving therapy elsewhere who simply need psychiatric evaluation, or for adolescents (Dr. Narciso does not list pediatric psychiatry as a focus).
What the first visit involves
The initial appointment is a full diagnostic interview. Bring a list of current medications and supplements, any prior psychiatric or medical records, insurance information, and a description of what prompted you to seek care. Dr. Narciso will ask detailed questions about mood, sleep, anxiety, substance use, family psychiatric history, and how symptoms affect daily functioning. If medication is appropriate, a plan is developed; if psychotherapy is the primary focus initially, that begins as well. The appointment duration typically exceeds a standard follow-up, so allocate 2 hours.
Hours, location, and logistics
Dr. Narciso maintains an office-based practice in Baltimore; confirm current hours and address by calling or checking the practice website, as psychiatry practices often shift scheduling. Parking is usually available at the practice location or nearby. If you rely on public transit, check the MARC or MTA routes to the address before your appointment.
Why this practice matters in Baltimore
Integrated psychiatry (combining medication management with ongoing talk therapy) is less common than segmented care in Baltimore's mental health landscape. This approach reduces the administrative burden on patients of coordinating with separate providers and ensures that medication decisions account for therapeutic progress and psychological context, not clinical symptoms alone.
