A fixed point for complex psychiatric care.
Lodestar Psychiatry is the private practice of Shafi Lodhi, MD, a neuropsychiatrist in Cary, North Carolina. He sees patients whose symptoms haven’t been explained, or haven’t improved with treatment, and gives each case the time it needs.
Built for the difficult cases.
Lodestar is for cases that routine psychiatric care hasn’t resolved. Often the symptoms sit somewhere between psychiatry and neurology, or the diagnosis has changed more than once. If short appointments haven’t been enough, you are in the right place.
Diagnostic uncertainty
Symptoms that have collected multiple conflicting diagnoses, or none at all.
Treatment-resistant depression & anxiety
When several adequate medication trials and therapy have not delivered relief.
Cognitive & memory concerns
Changes in thinking, memory, or attention, and the question of what is driving them.
Concussion & brain injury
Mood, cognitive, and behavioral symptoms that persist after head injury.
Functional neurological disorder
Neurological symptoms without structural disease: a condition few physicians treat well, and fewer treat with respect.
Psychiatric symptoms in neurological disease
Depression, anxiety, psychosis, or behavioral change in epilepsy, Parkinson's disease, autoimmune and other neurological conditions.
Complex medication regimens
Rationalizing polypharmacy, including careful, structured deprescribing.
Second opinions
A rigorous, independent review of the diagnosis and treatment plan, for patients, families, and referring physicians.
How the practice works.
Complicated problems need more time than a standard psychiatric visit allows, and much of the work happens outside the appointment itself. The practice is set up around that.
Ninety minutes for the first evaluation.
The initial evaluation runs a full ninety minutes. Follow-up visits are thirty or sixty minutes, depending on what the problem needs.
The work happens before and after the visit.
Dr. Lodhi reads your records before the first visit and reviews imaging himself. When it helps, he also speaks with a family member or with your other physicians, so the evaluation rests on everything available.
The same physician throughout.
Dr. Lodhi sees you himself at every visit and answers the questions that come up in between. Your care is never handed off to a rotating team.
Services
Every engagement begins with a brief screening call, at no charge, to make sure the practice is the right fit.
Comprehensive neuropsychiatric evaluation
A review of your records and prior imaging, an extended in-person or video evaluation, structured neuropsychiatric assessment, and collateral history where it helps.
You leave with a written diagnostic formulation and a concrete treatment plan, whether or not the plan involves ongoing care at Lodestar.
Ongoing treatment
Continuing neuropsychiatric care for established patients: medication management informed by brain-behavior expertise, coordination with your neurologist, therapist, and primary care physician, and a long-term relationship with a physician who knows your case completely.
Second opinion consultation
A single engagement: an independent review of the diagnosis and treatment plan and the evidence behind them, delivered as a written consultation to you and, with your permission, to your treating clinicians.
Shafi Lodhi, MD
Dr. Lodhi trained in neuropsychiatry and forensic psychiatry at Stanford University School of Medicine and later joined the faculty of Harvard Medical School. Neuropsychiatry is a small field that works where psychiatry and neurology meet.
His clinical focus is the difficult middle ground: patients whose symptoms cross specialty lines, whose imaging and presentation don’t agree, or whose treatment has stalled. That work takes time and careful reading, and it is the reason Lodestar exists.
Request a consultation.
Every engagement begins with a brief screening call (no charge) to understand your situation and confirm the practice is the right fit. Write to us and we will respond within two business days.
- Office101 SW Cary Parkway, Suite 40
Cary, NC 27511 - ReachServing the Triangle in person and all of North Carolina by telehealth.
- Emailshafilodhi@lodestarpsychiatry.com
- Telephone(919) 789-1865