Varma Penumetcha, MD, FAPA Cascade Forensic Psychiatry

For Forensic Psychiatrists

Join the practice

Cascade Forensic Psychiatry was started to grow — deliberately, and with attention to who it grows with.

The practice was built to bring on additional forensic psychiatrists as the right people appear. Each evaluator works under their own name, authors their own reports, and answers for them on the stand. The practice carries the administrative weight so the work itself stays clean.

Credentials are the threshold, not the measure — board certification in psychiatry, forensic training or experience, and a commitment to independent, source-based evaluation. What matters more is temperament: the objectivity to follow the record wherever it leads, including to a conclusion that flatters neither side, and the rigor to sit with ambiguous data, set down the reasoning behind an opinion, and let that reasoning stand up to cross-examination before it ever reaches a report.

Forensic work is better reasoned through than performed alone. The hardest cases turn on a second reading, a colleague's question, a doubt raised early rather than late. This is a practice built for evaluators who want to think through the difficult ones together and sharpen against each other over time.

If that is the work you do, write to Dr. Penumetcha at varmapenumetchamd@outlook.com. Tell him about your training and the forensic work you do.