Frequently askedQuestionsEverything You Need to Know About Psychiatric Care in Tijuana
From scheduling your first appointment to crossing the border with your prescription — clear answers to the questions patients ask most often. Organized by category for easy navigation.
Most new patients are seen within 3 to 5 business days. Compare this to the 2-to-6-month wait that is common for psychiatrists in San Diego and California. In urgent situations, please mention it when you contact us so we can prioritize.
03
How long is the first appointment?
The initial evaluation lasts a full 60 minutes. This includes a detailed clinical interview, diagnostic assessment, treatment plan discussion, and prescription if clinically indicated. All follow-up visits are also 60 minutes — not the rushed 15-to-20-minute medication checks typical in the U.S. system.
04
Can I do my first visit via telepsychiatry?
The first evaluation is always in person at our Tijuana office. This ensures the most thorough and accurate assessment. After the initial visit, follow-up appointments can be conducted via telepsychiatry (Google Meet) for established patients when clinically appropriate and where legally permitted.
05
What are your office hours?
Monday through Thursday: 10:00 AM to 7:00 PM. Saturday: 10:00 AM to 3:00 PM. Closed Friday and Sunday. All visits are by appointment only. WhatsApp messages outside office hours are answered the next business day.
06
Do I need to bring anything to my first visit?
Bring a valid photo ID, a list of current medications with doses, any previous psychiatric evaluations or records if available, and recent lab work if you have it. If a family member has been observing your symptoms, you are welcome to bring them along — but it is not required.
02Costs and Insurance
Pricing and payment
Transparent fees with no hidden charges. Multiple payment methods accepted.
07
How much does a visit cost?
Initial evaluation: $125 USD (60 minutes, in person). Follow-up visits: $105 USD (60 minutes, in person or online). Online telepsychiatry: $125 USD (60 minutes via Google Meet). All-inclusive fees — no hidden charges, no surprise bills. Equivalent in MXN: $2,200 / $1,800 / $2,200.
08
Do you accept U.S. health insurance?
We do not bill insurance directly. However, at $125 USD for a comprehensive 60-minute first visit, our fees are often less than insurance copays for U.S. specialists. We provide detailed superbills with ICD-10 diagnostic codes and CPT procedure codes that many patients submit for out-of-network reimbursement under their PPO plans.
09
What payment methods do you accept?
We accept Stripe, Visa, Mastercard, American Express, Apple Pay, and cash in either U.S. dollars or Mexican pesos. Payment is due at the time of visit — no deposit required to book your appointment.
10
Is there a cancellation fee?
We ask for at least 24 hours notice if you need to cancel or reschedule. We understand that border crossing times can be unpredictable — if you are running late due to the crossing, just let us know via WhatsApp and we will do our best to accommodate you.
03For California Patients
Cross-border and travel
Everything about getting to our Tijuana office from San Diego and Southern California.
11
Is it safe to travel to Tijuana for a doctor's appointment?
Yes. Our office is in New City Medical Plaza in Zona Río — Tijuana's safest and most developed commercial district. This is where the U.S. Consulate, major hospitals, and international corporate offices are located. The building has 24-hour security, controlled access, and underground parking. Thousands of Americans cross the border daily for medical care.
12
How do I get to your office from San Diego?
Drive south on I-5 to the San Ysidro border crossing (about 20 to 30 minutes from downtown San Diego). After crossing, our office is 15 minutes away. You can also take the San Diego Trolley Blue Line to San Ysidro, walk across the pedestrian crossing, and take a taxi (about 10 minutes). View on Google Maps.
13
Do I need a passport to cross into Mexico?
A valid U.S. passport or passport card is required to re-enter the United States. You technically don't need a passport to enter Mexico for a short visit, but you absolutely need one to get back into the U.S. A SENTRI pass also works and significantly speeds up the return crossing.
14
How long does the border crossing take?
Entering Mexico by car takes 5 to 15 minutes. Returning to the U.S. varies: with SENTRI, under 5 minutes; in the general lane, 15 to 60 minutes depending on the time of day. Early morning and mid-afternoon tend to be fastest. The pedestrian crossing is often quicker than driving.
15
Do I need to speak Spanish?
Not at all. All consultations, prescriptions, and materials are available in English. Dr. Cedillo and the entire team are fully bilingual. From WhatsApp to your last follow-up, everything can be in English.
Question Not Listed?
Just ask us directly
Send a WhatsApp message — we typically respond within 2 to 4 hours during office hours. Happy to answer any question before you schedule.
Filling prescriptions in Mexico, bringing medications across the border, and what to expect from psychopharmacology.
16
Where do I fill my prescription?
Prescriptions are filled at Mexican pharmacies. Most patients fill theirs at a pharmacy in Zona Río near our office before heading back across the border. Major pharmacy chains like Farmacias del Ahorro and Farmacias Similares are well-stocked and staffed by licensed pharmacists.
17
Can I use my Mexican prescription at a U.S. pharmacy?
No. Mexican prescriptions are not transferable to U.S. pharmacies. Medications prescribed in Mexico must be purchased at a Mexican pharmacy. However, the medications themselves are the same internationally recognized compounds available worldwide.
18
Can I bring my medication back across the U.S. border?
U.S. Customs generally allows individuals to bring a reasonable personal supply of prescription medications (typically up to 90 days) across the border for personal use, provided you have a prescription. Clear written prescriptions are provided in English with international medication names so they are easy to identify at customs. It is wise to declare your medications at the border.
19
Are psychiatric medications cheaper in Mexico?
Generally, yes — often significantly cheaper. Many branded psychiatric medications are available at a fraction of the U.S. cost, and quality generic options are widely available. The exact savings depend on the specific medication and brand.
20
Can you prescribe controlled substances like stimulants?
Controlled substances — including stimulants and benzodiazepines — can be prescribed when clinically indicated based on a thorough evaluation. Every prescription decision is based on medical necessity, not patient request. No specific medication is guaranteed before evaluating your condition.
05What We Treat
Treatment and conditions
Conditions, second opinions, therapy, and what to do in a psychiatric emergency.
Adolescents are treated from age 12 and older. For younger children, an initial evaluation and referral to a child psychiatrist who specializes in early childhood conditions can be provided.
23
Do you provide therapy (psychotherapy)?
The practice focuses on psychiatric evaluation, diagnosis, and medication management. Psychoeducation is incorporated into all sessions, but ongoing psychotherapy (weekly CBT or talk therapy) is not provided directly. If you need a therapist, recommendations to English-speaking therapists in San Diego or Tijuana can be provided to complement psychiatric care.
24
Can I get a second opinion on my current diagnosis?
Yes. Diagnostic clarification is one of the services provided most frequently. Many patients come because they feel their current diagnosis does not fully explain their symptoms, or because treatment has not been working as expected. A fresh 60-minute evaluation can often shed new light on what is going on.
25
What if I have a psychiatric emergency between appointments?
For psychiatric emergencies, always call 988 (Suicide and Crisis Lifeline) or 911 in the U.S., or go to your nearest emergency room. For non-emergency concerns between appointments — medication side effects, dosage questions, or clinical concerns — you can reach us via WhatsApp and we typically respond within hours during business hours.
06Credentials and Background
About Dr. Cedillo
Training, certifications, and clinical approach.
26
What are Dr. Cedillo's qualifications?
Board-certified psychiatrist. Medical degree at UNAM (Mexico's top university). 4-year psychiatric residency at Hospital Psiquiátrico Fray Bernardino Álvarez — one of Latin America's leading psychiatric institutions. Cédula Profesional 11206254 and Cédula de Especialidad 13577158. Certified by the Consejo Mexicano de Psiquiatría (Mexican Board of Psychiatry).
27
Do you use the same diagnostic standards as U.S. psychiatrists?
Yes. DSM-5-TR diagnostic criteria — the same diagnostic manual used by psychiatrists in the United States — and evidence-based treatment guidelines from the American Psychiatric Association, CANMAT, NICE, and other international bodies. The medications prescribed are the same internationally recognized compounds used worldwide.
28
How many patients do you see per day?
The number of patients seen each day is deliberately limited to ensure thorough, unhurried evaluations. Every visit is 60 minutes — initial, follow-up, or online. No double-booking. When you are in the office, you have my complete attention.
Ready to schedule?
If your question was answered, the next step is simple. Send us a message and we will get you an appointment within 3 to 5 business days.
Medical Disclaimer: This content is for informational purposes only and does not replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with any questions about a medical condition. If you are experiencing a mental health crisis, please call 988 (Suicide and Crisis Lifeline) or go to your nearest emergency room.
Last reviewed: May 2026 — Dr. Ernesto Cedillo Ramirez