Complex Cases

When Diagnosis Is Unclear and Treatment Has Failed

You’ve seen multiple providers who’ve given different diagnoses. Perhaps you’ve been told it’s depression, then bipolar, then anxiety—or maybe providers have said they’re “not sure what’s going on.” Treatment attempts have provided minimal improvement or made things worse.

When diagnostic uncertainty and treatment failures leave you without answers, our comprehensive team approach provides clarity and effective treatment pathways for the most challenging mental health presentations.

Therapy session. Professional psychologist, psychiatrist listening woman and her son patients and looking for solutions in family relationship.

Multi-Diagnostic Presentations We Specialize In

Complex cases typically involve:

  • Conflicting diagnoses from multiple providers over time
  • Multiple failed treatment attempts across various approaches
  • Co-occurring conditions that interact and complicate treatment
  • Diagnostic uncertainty when presentations don’t fit standard categories
  • Crisis situations requiring immediate intensive intervention

Common complex presentations:

  • Treatment-resistant depression with unclear contributing factors
  • Bipolar disorder complicated by trauma, ADHD, or autism spectrum
  • Anxiety presentations with multiple overlapping conditions
  • Autism spectrum with co-occurring mood, anxiety, or behavioral challenges
    Personality patterns affecting treatment engagement and response

Aaron Krasner MD LLC: Intensive Assessment for Complex Cases

The Aaron Krasner MD LLC provides intensive, team-based evaluation for the most complex adolescent mental health presentations requiring comprehensive assessment and stabilization.

Intensive assessment includes:

  • Eight-member interdisciplinary team including psychiatrists, psychologists, and specialists
  • Comprehensive evaluation over 4-6 weeks with multiple perspectives
  • Home visits to observe family dynamics in natural settings
  • Crisis stabilization capabilities during the assessment process
  • Diagnostic conference with entire team synthesizing findings

Specializes in:

  • Multiple failed evaluations that haven’t provided clarity
  • Crisis presentations needing immediate intensive support
  • Complex family dynamics requiring in-depth system assessment
  • Legal or custody situations requiring detailed documentation
  • School or treatment facility requirements for comprehensive evaluation

Investment options:

  • Half Team: Smaller team, shorter duration, no crisis stabilization
  • Full Team: Complete eight-member team with crisis capabilities

Team-Based Diagnostic Clarification

Our comprehensive team approach ensures:

  • Multiple discipline evaluation preventing single-perspective limitations
  • Collaborative analysis with weekly case consultation
  • Integrated findings synthesized into coherent treatment plans
  • Family system assessment understanding relational factors

Team members may include:

  • Dr. Krasner providing psychiatric leadership and medication expertise
  • Dr. Gruzdev offering psychological testing and neuropsychological assessment
  • Dr. Landino contributing specialized psychological evaluation
  • Family therapy specialists through our Faculty Practice
  • Educational consultants when academic functioning is impaired

What You’ll Receive

  • Clear diagnostic understanding based on comprehensive evaluation
  • Explanation of treatment failures and why previous approaches weren’t effective
  • Integrated treatment plan addressing all identified factors
  • Ongoing consultation during treatment implementation
  • Family guidance for supporting recovery and preventing relapse

Signs You May Need Complex Case Evaluation

  • Multiple providers have given different diagnoses
  • Various treatment attempts have provided minimal improvement
  • Your presentation doesn’t fit standard diagnostic categories
  • Crisis situations require immediate intensive assessment
  • Previous evaluations haven’t provided clarity or effective treatment direction

Getting Started

Complex mental health presentations deserve comprehensive understanding. When standard evaluations haven’t provided answers, our intensive team approach delivers the clarity and direction needed for successful treatment.

Call: 203-762-6442 Email Us
Serving Connecticut, New York, and New Jersey with comprehensive evaluation for complex mental health presentations.