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Pharmacogenomics in Psychiatry

GeneSight® genetic testing for mental health.

Non-invasive cheek-swab pharmacogenomic testing that looks at genes involved in how your body processes certain psychiatric medications, to help inform treatment planning.

Precision Pharmacogenomics

How pharmacogenomics can inform psychiatric prescribing.

Finding the right psychiatric medication can be a challenging journey. Patients often face weeks of waiting, navigating troublesome side effects, dosage adjustments, or insufficient symptom relief.

Premier Psychiatry uses GeneSight® pharmacogenomic testing as adjunctive clinical decision support. By analyzing genes involved in drug metabolism (such as CYP2D6, CYP2C19, and CYP1A2), the test gives your clinician information that can help when weighing medication tolerability and dosing. It is one input alongside your history, diagnosis, and preferences.

What GeneSight® Analyzes

  • CYP450 Liver Enzymes: Reports your predicted metabolizer status (poor, intermediate, normal, or ultra-rapid) for specific enzymes.
  • Neuroreceptor & Transporter Genes: Analyzes genetic markers (including SLC6A4 and HTR2A) studied in medication response; current CPIC guidance does not support using these two markers to guide antidepressant prescribing.
  • Many Psychiatric Medications: Reports on many commonly prescribed medications for depression, anxiety, ADHD, and other conditions.

Color-Coded Report Categories

Your GeneSight® report sorts medications into three categories based on the genes tested:

GREEN TIER

Use as Directed

No significant gene-drug interaction is predicted for these medications based on the genes tested. This does not mean a medication will work or be free of side effects.

YELLOW TIER

Moderate Gene-Drug Interaction

A moderate gene-drug interaction is predicted. Your prescriber may consider dose adjustments or closer monitoring; for example, some intermediate metabolizers may need a slower dose increase or a lower maintenance dose.

RED TIER

Significant Gene-Drug Interactions

A significant gene-drug interaction is predicted. For example, a medication may be cleared unusually quickly (lowering blood levels) or slowly (raising the risk of side effects). Your prescriber weighs this with your full history; it does not by itself rule a medication in or out.

Three Simple Steps to Testing

No needles or blood draws are required: just a quick, comfortable cheek swab.

01

Quick Cheek Swab

If you and your clinician decide testing is right for you, a sample is collected with a non-invasive cheek swab. Ask our office how collection works for your visit.

02

CLIA-Certified Lab Analysis

Your sample is sent to the GeneSight® laboratory, which is CLIA-certified and CAP-accredited, and the laboratory returns the results to your clinician.

03

Review With Your Prescriber

You review the results with your prescriber, who considers them alongside your history and symptoms when planning treatment.

Clinical Guidance & Scientific References

Clinical Scope: Pharmacogenomic testing does not diagnose psychiatric conditions and does not replace comprehensive medical evaluation. Genetic variations provide adjunctive information regarding drug metabolism (pharmacokinetics) to assist the prescribing physician; they do not guarantee drug efficacy or clinical response. All prescribing decisions remain based on thorough diagnostic evaluation, clinical judgment, and patient history.

• U.S. Food and Drug Administration (FDA): Table of Pharmacogenetic Associations; and Safety Communication, “The FDA Warns Against the Use of Many Genetic Tests with Unapproved Claims to Predict Patient Response to Specific Medications” (2018).
• American Psychiatric Association (APA): APA Workgroup on Biomarkers and Novel Treatments, “Pharmacogenomic Clinical Support Tools for the Treatment of Depression,” American Journal of Psychiatry (2024).
• CPIC Guideline: Clinical Pharmacogenetics Implementation Consortium Guideline for CYP2D6, CYP2C19, CYP2B6, SLC6A4, and HTR2A Genotypes and Serotonin Reuptake Inhibitor Antidepressants (2023).
Psychiatric Evaluation & Medication Management

Find out whether pharmacogenomic testing fits your care.

Ask our office whether GeneSight® testing may be appropriate for you and how the sample is collected.

  • Same-day or next-day appointments when available
  • Orland Park, Willowbrook & telehealth
  • Children, adolescents, adults & older adults
  • Call to confirm your insurance

If you are in crisis, call or text 988, or call 911.