Second Opinion Consultation Service
- The Young Adult Consultation Clinic offers a one-time evaluation for patients age 18-35 years suffering from depression, anxiety, or bipolar illness and under the care of a psychiatrist or psychiatric nurse practitioner.
- This second opinion consultation consists of a clinical interview lasting approximately 2.5 hours, aimed at addressing diagnostic and treatment recommendations.
- A typed summary of the evaluation and treatment recommendations are shared with the patient and their treating provider(s) after the visit.
- We strongly encourage family members to participate to provide added perspective.
- For patients physically located in Maryland, in addition to in-person visits, we offer second opinion consultations by way of telemedicine; you will need a computer with a camera and microphone for the telemedicine visit.
The psychiatry professional fee for the one-time visit is $1,200.00 payable at the time of the consultation. Our billing office will process insurance claim forms, and insurance carriers may reimburse for part of the consultation fee. The patient is responsible for contacting their insurance company prior to the visit in order to obtain any necessary pre-authorization, and to verify mental health benefits as they relate to this one-time outpatient psychiatry visit at Johns Hopkins Hospital. For persons with types of insurance different from those with which Johns Hopkins has contracted, the consultation clinic requires payment in full at the time of visit. Unfortunately, we are unable to see patients who are insured by a Medicaid plan from outside the state of Maryland.
We require at least two working days notice for rescheduling or cancellation. If adequate notice is not given, a fee may be charged.
The Consultation Clinic does not provide ongoing treatment services. However, if a patient seen in the Consultation Clinic desires a subsequent, follow-up consultation, this follow-up consultation can be scheduled as early as six months after the initial consultation. A follow-up consultation is approximately 1.5 hours long. A summary of interim treatment history and/or other pertinent interim records must be received before scheduling the follow-up consultation.
Psychiatrist for Young Adults
Our Young Adult Mood Disorders Consultation Clinic is structured so that each patient receives thoughtful recommendations from two experts, each of whom are dedicated to 1) the specialized care of young adults with treatment-resistant mood disorders, and 2) brain imaging research that promises to inform novel and emerging clinical approaches.
Jennifer Coughlin, M.D.
Dr. Jennifer Coughlin is an associate professor in the Department of Psychiatry and Behavioral Sciences, with joint appointments in Neurology and Radiology. She directs the Young Adult Affective Disorders Inpatient Service and the Young Adult Affective Disorders Consultation Clinic. Dr. Coughlin co-directs the Brain Health Program and her research uses molecular neuroimaging techniques, with focus in the use of positron emission tomography (PET). PET imaging allows her team to study markers of neuroinflammation and receptor systems in the living brain. Her work spans the study of treatment-resistant depression, psychosis in young adults, sports-related concussion in NFL players, inflammatory conditions, and healthy aging. She aims to inform the molecular understanding of neuropsychiatric conditions in order to identify, develop, and apply targeted therapeutic strategies to get the right treatment to the right patient at the right time.
Ana Soule, CRNP
Ana Soule is a psychiatric nurse practitioner with dedicated expertise in the diagnosis and treatment of young adults with mood disorders. She has over twelve years of working with young adults with treatment-resistant mood disorders, including medication management. She also has the unique perspective gained through work experience across both inpatient and outpatient systems, the latter in private practice and academic settings. Ms. Soule evaluates each patient in the Young Adult Mood Disorders Consultation Clinic and provides her own recommendations to complement those of Dr. Coughlin. Ms. Soule is also an integral member of the clinical research team across the Molecular Psychiatry and Brain Health Programs. She conducts clinical research interviews in studies that aim to inform new treatment approaches that are based on brain imaging discoveries.
Scheduling the Consultation Session
Here are the two steps to secure a consultation:
- Step 1: Complete the Demographic and Insurance Information form and e-mail to [email protected]
- Step 2: Prepare forms and documents as noted below and send to the clinic via:
Here are the forms and documents for Step 2:
Item #1 is essential, the other items greatly improve the quality of the consultation.
(Click here for a copy of the Young Adult Mood Disorder Consultation Clinic Letter for detailed information that you can also send to your psychiatrist or hospital to clarify the type of records needed.)
In short—we need the following items:
- Essential: A note summarizing the clinical information and the reason for the consultation from the referring clinician
- A note summarizing the case from any other current doctors and therapists
- Psychiatric hospitalization records (Admission and Discharge Summaries only)
- Other pertinent medical records
- Radiology reports such as: Head CT, Head MRI, or EEG
- Most recent lab reports, if applicable.
- Authorization for Release of Health Information
After you provide these materials, please contact our office via email: [email protected] to ensure that the materials have been received and reviewed. At that time, we will offer a selection of available appointment times and we will email you a link to an online questionnaire that must be submitted electronically at least 48 hours before the visit.
Young Adult Mood Disorders Consultation Clinic
Clinician Experts: Jennifer Coughlin, M.D.; Ana Soule, CRNP-PMH
Clinic Coordinator: Yolanda Bynum Barnes
The Johns Hopkins Hospital
Osler Building, Third Floor, Room 320
600 North Wolfe Street
Baltimore, MD 21287
E-mail: [email protected]
- Patients and visitors, please use the Wolfe Street entrance at the end of the traffic circle. Directions to the Johns Hopkins Hospital | Hospital campus map
- International Patients: Please contact Johns Hopkins Medicine International: 410-955-8032
- Assistance with Travel and Accommodations: Please contact Johns Hopkins USA: 410-735-4872