Dr Rayner

BOARD-CERTIFIED PSYCHIATRIST

Thomas Rayner, MD

Staff Psychiatrist — Sanctuary Clinics

Dr. Rayner cares for the patients others have struggled to reach. His clinical practice is built around treatment-resistant mood disorders — the men and women for whom standard protocols have not delivered relief, and who arrive at Sanctuary still searching for a way forward.

ABOUT DR. RAYNER

A clinician’s path shaped by research and residency.

Dr. Thomas Rayner earned his medical degree at the University of Utah School of Medicine and completed his psychiatric residency at the University of Nevada, Reno. He is board certified in psychiatry and holds a DEA buprenorphine waiver, allowing him to provide medication-assisted treatment for patients with co-occurring substance use disorders.

Before joining the Sanctuary Clinics team, Dr. Rayner founded and serves as chief medical officer of Whole Mind, a private psychiatric clinic focused on treatment-resistant mood disorders. He continues to provide care for civilly committed and forensic patients on a thirty-bed adult inpatient unit at Utah State Hospital, and consults via telepsychiatry for emergent cases in hospitals across Florida, North Carolina, and Ohio.

His clinical perspective is shaped by years of research at the University of Utah, where he contributed to studies on the genetic underpinnings of autism spectrum disorders, anti-cytomegalovirus antibodies in schizophrenia, and the prevention of delirium in older adults. He is a published author in Schizophrenia Research, the Journal of Autism and Developmental Disorders, and Critical Pathways in Cardiology.

Beyond his clinical practice, Dr. Rayner serves as a Captain in the Utah Army National Guard’s MEDCOM unit.

CLINICAL FOCUS

Conditions Dr. Rayner treats at Sanctuary.

CONDITION DR. RAYNER'S APPROACH
Treatment-Resistant Depression Advanced pharmacologic strategies for patients who have not responded to first-line therapies.
Mood Disorders Major depressive disorder, bipolar I and II, and persistent depressive disorder.
Anxiety, Trauma & OCD Generalized anxiety, PTSD, obsessive-compulsive disorder, and panic disorder.
Severe Mental Illness Schizophrenia, schizoaffective disorder, and other complex psychiatric presentations.
Addiction Treatment Medication-assisted treatment and integrated care for alcohol and substance use disorders in a residential setting.
Co-Occurring Substance Use Integrated psychiatric care alongside medication-assisted treatment.
Medication Optimization Evidence-based review for patients with long, complex medication histories.
Diagnostic Re-evaluation A second clinical opinion when prior diagnoses no longer fit, or when treatment has stalled.

EDUCATION & TRAINING

A foundation built across medicine, research, and service.

Medical Education

Doctor of Medicine

University of Utah School of Medicine

2014 — 2018

Residency in Psychiatry

University of Nevada, Reno

2018 — 2022

Bachelor of Science, Psychology

University of Utah — minors in Chemistry & Integrative Biology

2007 — 2012

Certifications & Service

Board Certified in Psychiatry

American Board of Psychiatry & Neurology

DEA Registration with Buprenorphine Waiver

Authorized to provide medication-assisted treatment

BLS & ACLS Certified

American Heart Association

Captain, MEDCOM Unit

Utah Army National Guard

Member

American Psychiatric Association

SELECTED PUBLICATIONS

Peer-reviewed contributions to psychiatric research.

i.

Anti-cytomegalovirus antibodies in schizophrenia and related disorders: A systematic review and meta-analysis.

Schizophrenia Research, February 2021

Moya Lacasa C, Rayner T, Hagen MM, Yang W, Marks K, Kirkpatrick B.

ii.

Early second trimester maternal serum steroid-related biomarkers associated with autism spectrum disorder

Journal of Autism and Developmental Disorders, 49(11): 4572–4583

Bilder DA, Esplin MS, Coon H, Burghardt P, Clark EAS, Fraser A, Smith KR, Rayner T, Chappelle K, Bakian A.

iii.

Gender disparities in cardiac catheterization rates among emergency department patients with chest pain

Critical Pathways in Cardiology, October 2020

Steenblik J, Smith A, Bossart CS, Hamilton DS Sr, Rayner T, Fuller M, Carlson M, Madsen T.

iv.

Prospective evaluation of a simplified risk stratification tool for patients with chest pain in an emergency department observation unit

Critical Pathways in Cardiology, 12(3), 132–136

Fuller M, Hamilton D, Holly J, Mallin M, Rayner T, Eshenroder N, Barton E, Madsen T.

Some of the patients we love most are the ones
who arrive having been told they are out of
options. Healing is still possible — with the
right care, the right time, and a place that
treats the whole person.

Some of the patients we love most are the ones who arrive having been told they are out of options. Healing is still possible — with the right care, the right time, and a place that treats the whole person.

THOMAS RAYNER, MD

Begin a conversation with our
clinical team.

Begin a conversation with our clinical team.

If you or someone you love is searching for a different kind of psychiatric care —
one grounded in faith, evidence, and patience —
we would be honored to speak with you.

If you or someone you love is searching for a different kind of psychiatric care — one grounded in faith, evidence, and patience — we would be honored to speak with you.

We are here to help! CALL (850) 935-3637