Dr. Barry Stanley Stein, MD, Ph.D.

Expertise

• Bipolar Affective Disorder
• Major Depression
• PTSD
• Anxiety Disorders
• Substance Abuse Disorders
• Personality Disorders
• Schizophrenia
• Schizoaffective Disorder
• Psychotic Depression
• Cannabis-Induced Chronic Psychosis
• CNS Vascular Disease induced Psychosis
• Personality Disorders
• Dementia
• Mood Disorder
• Learning Disorders
• Mild Mental Retardation
• Obsessive Compulsive Disorder
• Social Phobia
• ADD

Treatment Orientation

• Medication
• Psychotherapy

Work experience

• 7/99-7/01
  Physician Specialist (Psychiatry)
  The Center for Special Problems
  San Francisco Department of Public Health
  Human Resources, 101 Grove Street-Room 201
  San Francisco, CA 94301
• 7/19/99-10/24/08
  Senior Physician Specialist (Psychiatry)
  
  The Center for Special Problems
  San Francisco Department of Public Health
  Department of Human Resources, 101 Grove Street-Room 201
  San Francisco, CA
• Job Experience (9¼ years; retired from the SFDPH on 10/24/08)
  Performed psychiatric diagnostic evaluations and provided psychotropic medication management services.
  I worked with patients in the Trauma Resolution, HIV, Transgender, and Offender Service Programs, in a specialized outpatient Community Mental Health Care setting. Have extensive experience in the management of patients with Bipolar Affective Disorder, Major Depression, PTSD, Anxiety Disorders, Substance Abuse Disorders and Personality Disorders.
  Worked with patients with co-morbid medical problems including HIV/AIDS +/- antiretroviral therapy, Hepatitis C +/- treatment on pegylated alpha-interferon and ribavirin for eradication of infection, as well as more common medical illnesses including DM, CAD, CVD, cancer, head injury, COPD, asthma, obesity, etcetera.
• MDSI Physician Consultant in Psychiatry
  MDSI Physicians Services
  Ogden, Utah (Headquarters)
  I was a psychiatric consultant. I performed psychiatric evaluations to establish eligibility for these patients for SSI/SSDI benefits for a psychiatric disability. MDSI Physician Services is a recognized leader in providing medical and psychiatric disability evaluations.
  Contracted physicians work for MDSI as independent consultants to provide objective history and physicals, and comprehensive psychiatric and mental status examinations. Exams are performed at MDSI clinics staffed with qualified medical assistants and other technicians as indicated.
• Psychiatric Consultant
  Capital and Coast District Health Branch (CCDHB)
  Kapiti Outpatient Mental Health Care Team, Warrimoo Street
  New Zealand
  Performed diagnostic evaluations and provided continuity of psychotropic medication management. I worked with patients in an Outpatient Community Mental Health Care setting about 35 miles north of Wellington.
  I treated patients with early onset and mid-life onset Psychotic Disorders including Schizophrenia, Schizoaffective Disorder, Bipolar Disorder, Psychotic Depression, Cannabis-Induced Chronic Psychosis, CNS Vascular Disease induced Psychosis.
  Managed treatment of patients with Non-Psychotic Unipolar Depression and Non-Psychotic Bipolar Disorder as well as patients with PTSD and Personality Disorders.
  Comorbid substance abuse disorders consisted mainly of alcohol or cannabis dependence. Psychiatric nurses addressed psychosocial issues, crisis intervention and case management. A multidisciplinary team approach was taken as a paradigm for patient services.
• Psychiatric Consultant
  Physicians Clinic
  South Bend, Indiana 46617
  
  In this position I was contracted to work as a full time psychiatric consultant in an Adult Outpatient Clinic to perform diagnostic evaluations and to provide continuity of psychiatric medication management. I worked with patients in Community Psychiatry.
  I treated large numbers of patients with mood disorders, mostly undiagnosed Bipolar Affective Disorder appearing as unipolar depression; Schizoaffective Disorder, Schizophrenia, PTSD, Dementia with mood disorders and Behavioral Disturbances, Alcohol/Cannabis abuse and dependence, Mood and Psychotic Disorders secondary to Medical Illness, Learning Disorders and Mild Mental Retardation, and Personality Disorders.
  There was a moderately heavy case load and I spent 100% of my time providing direct patient psychiatric services. I worked in a multidisciplinary environment including nursing staff, psychiatrists, and therapists when indicated.
• Psychiatric Consultant
  Stanislaus County
  Behavioral Health and Recovery Services
  Modesto, California 95354
  In this position I was contracted to work as a fulltime psychiatric consultant in an Adult Outpatient Clinic to provide Psychiatric Liaison Consultations for Primary Care Physicians and to provide continuity of medication management for patients (who were within the prior staff psychiatrist’s caseload) in a community psychiatry setting.
  I treated large numbers of patients with psychotic illness including Major Depressive Disorder with Psychotic Features, Bipolar Affective Disorder with history of Mood Congruent and Mood Incongruent Psychotic Mania and/or Psychotic Depression, Schizoaffective Disorder (both bipolar and depressed type), Schizophrenia (predominately paranoid and undifferentiated types), PTSD, Dementia with Mood Disorders and Behavioral Disturbances, and Learning and Developmental Disorders.
  I spent 100% of my time in direct outpatient patient clinical psychiatric services. I worked in a multidisciplinary environment including nursing staff, psychiatrists, and therapists.
• Psychiatric Consultant
  Gallup Indian Health Center (GIMC) – in Gallup, New Mexico)
  Behavioral Health and Substance Abuse Outpatient Clinic
  Gallup, NM 87301
  In this position, I was contracted to work as a full time psychiatric consultant in an Adult Outpatient Clinic at the Indian Medical Health Center in Gallup, New Mexico (GIMC-Gallup) to provide continuity of psychiatric services to the indigenous Native American population.
  The majority of patients were of the Navajo tribe as well as of the Zuni and Hopi tribes. A good proportion of patients lived on reservations and others in Gallup or other cities in New Mexico, and some in Arizona. GIMC-Gallup is a Federally Funded medical centre with a mission statement to serve the indigenous Native American Community.
  I worked in an outpatient clinic structured on the Community Psychiatry model. I performed outpatient psychiatric evaluations, outpatient medication follow-up visits, and consult liaison coverage of hospitalized patients on medical/ICU and surgery services when consulting liaison referrals were requested.
  I also provided emergency psychiatric evaluations for patients in the Emergency Room. The incidence of suicide has increased significantly amongst the Native American Indian population. The ER requested psychiatric referrals for suicidal patients for disposition – either to the Outpatient Psychiatric Clinic for follow-up or to various hospitals in the area for inpatient psychiatric services on an involuntary or voluntary basis.
  In the Outpatient Psychiatry Clinic, I treated patients with mood disorders, mostly Major Depressive Disorder both with and without psychotic features, undiagnosed Bipolar Affective Disorder appearing as Unipolar Depression; Schizoaffective Disorder, Schizophrenia, PTSD, Pervasive Development Disorders and Behavioral Disturbances in adults, Adult ADD, Alcohol Dependence and Abuse, Mood and Psychotic Disorders secondary to medical illness, Learning Disorders and Mild Mental Retardation, Pervasive Development Disorders and Behavioral Disturbances in adults, and psychiatric services.
  I worked in a multidisciplinary environment, including other psychiatrists, psychologists, psychiatric nurse practitioners and social workers.
• Full-time consultant psychiatrist
  New Mexico Behavioral Health Institute (NMBHI)
  Las Vegas, NM 87701
  Worked as a full-time consultant psychiatrist in four Extended Care Facilities. Was responsible for psychiatric evaluations, ongoing psychiatric medication management, and working with multi-disciplinary teams.
  The diagnostic demographic included schizophrenia, schizoaffective disorder, psychotic mood disorders, TBI, PTSD, personality disorders, dementia, mild mental retardation and co-morbid substance abuse disorders. I also assisted with inpatient admission evaluations when extra psychiatric staffing was required.
• Full-time psychiatric consultant
  Behavioral Health Clinic
  Charlotte Hungerford Hospital (CHH)
  Torrington, CT 06790
  In this position, I was contracted to work as a full-time psychiatric consultant in the CHH Adult Outpatient Mental Health Clinic to perform diagnostic evaluations and to provide continuity of psychiatric medication management.
  The demographic of the patient population included those manifesting primary DSM-IV-TR diagnoses as well as secondary DSM-IV-TR diagnoses with and without co-morbid medical illness and/or substance abuse.
  BAD Spectrum Disorder, Major Depression, PTSD, OCD, Social Phobia, Panic Disorder, Personality Disorders, and Alcohol Dependence/Abuse were the predominant illnesses encountered in this demographic area. and I also evaluated and treated patients in the Brief Partial Hospitalization Program.
  During my tenure, I took direct inpatient patient overnight calls, as well as weekday evening ER coverage from home. Consult Liaison referrals were performed when requested during inpatient overnight calls.
• VAMC San Francisco – Fort Miley
  Building 203 (PICU) Psychiatry (Director of Inpatient Psychiatry – Isabella Fernandez, MD)
  San Francisco, CA 94121
  In this position, I contracted to cover multiple service needs for both Combat and non-Combat Veterans in the Department of Psychiatry.
  The spectrum of diagnoses included refractory bipolar disorder both with and without psychotic features, schizoaffective disorder bipolar type, schizophrenia, PTSD both acute and delayed onset, TBI, cortical dementia, and co-morbid substance abuse.
• Outpatient Consultant Psychiatrist
  Watertown VA Outpatient Medical Health Clinic
  VAMC Syracuse, New York
  In this position I contracted as a full time Outpatient Consultant Psychiatrist performing new psychiatric evaluations and psychiatric medication management for Veterans. This population of Veterans served in the Vietnam War, Operation Desert Storm (Kuwait-Iraq) and in the Iraqi and Afghani Wars.
  Most of these Veterans suffered from chronic PTSD, both early and delayed onset. Military trauma typically experienced by these Veterans included being in the line of fire, being surrounded by hidden IED’s and other explosive devices; and witnessing the atrocities of war.
  The Watertown OMHC is located near Fort Drumm, NY where troops were being withdrawn from combat deployment to Iraqi and Afgani Wars and discharged from military service.
  A large proportion of patients I treated had comorbid mood disorders with chronic PTSD; predominately BAD Type I, BAD Type II, BAD NOS (Soft Spectrum BAD), and MDD. There was also a high prevalence of TBI, sensorineural hearing loss and tinnitus. Mental Health worked in tandem with Primary Care for comprehensive care.
• Consultant psychiatrist
  Fort Defiance Indian Health Medical Center
  Outpatient Mental Health Care Clinic
  Fort Defiance, Arizona
  Worked as a consultant psychiatric performing comprehensive psychiatric diagnostic evaluations and psychotropic medication management.
  The majority of patients were indigenous Native Americans mostly of the Navajo tribe from the Navajo Nation. Domestic violence, sexual abuse and mood disorders were the primary issues in this patient population.
  High incidence of PTSD, anxiety disorders, Major Depression, and Bipolar Affective Disorder. Cultural competence was employed to foster and trusting therapeutic relationship.
• Outpatient Consultant Psychiatrist
  Josefa Narvaez Mental Health Center
  San Jose, California
  In this position, I contracted as a full-time Outpatient Consultant Psychiatrist performing new psychiatric evaluations and psychiatric medication management. I primarily carried out initial psychiatric diagnostic consultations with follow-up psychiatric medication management. Patients with psychotic disorders also were managed – diagnoses of schizophrenia, schizoaffective disorder, depression and bipolar types, TBI, and pervasive developmental disorders. Early dementia with progressive courses was another diagnostic category. Anxiety spectrum disorders, in addition to PTSD, including OCD, hoarding disorder, panic disorder, and generalized anxiety disorder, were frequent.
  The majority of patients had comorbid medical illnesses: IDDM, NIDDM, HTN, CAD, obesity, OA, autoimmune disease such as RA/Crohn’s disease, chronic pain, and cancer, including malignant CNS disease. Patients with PTSD were victims of sexual trauma, domestic violence, military trauma and cultural trauma due to civil unrest and war.

MEMBERSHIPS

• Fellow of the American Psychiatric Association (2013)
• Northern California Psychiatric Society
• American Medical Association

LICENSES

• California
• Indiana
• Arizona
• New Mexico
• Connecticut

Education

• 2/70-6/72
  University of Southern California
  B.S., Biological Sciences
• 9/72-9/78
  Ph.D., Experimental Pathology
  (Doctoral Thesis done at The Salk Institute in San Diego, as a Visiting Graduate Student)
• 9/78-6/81
  University of California, San Francisco
  Pharm.D., Clinical Pharmacy
• 8/90-5/93
  The George Washington University School of Medicine M.D.

Scholarships:

• 9/81-8/85
  NIH Postdoctoral Tumor Biology Training Grant
• 7/87-7/89
  State of California University Task Force Grant on AIDS

Fellowships and Residency Training

• 9/81-8/85
  Postdoctoral Research Fellowship
  Department of Pathology
  Stanford University School of Medicine
  Research Focus: Receptor Biology
• 7/93-6/95
  Anatomic Pathology (PGYI-II)
  Department of Pathology
  Stanford University Medical Center
• 6/95-6/96
  Internal Medicine (PGYI)
  Kaiser Permanente Foundation Hospital, San Francisco
• 7/96-6/99
  General Adult Psychiatry (PGYII-IV)
  Department of Psychiatry and Behavioral Sciences
  Stanford University Medical Center

CERTIFICATIONS

• Diplomate of the American Board of Pathology
• Diplomate of the American Board of Psychiatry and Neurology