Everything I have seen on supplemental malpractice beyond the typical 1 mill/3 mill policies has been negative, that is they almost never help out and possibly put a larger target on your back as they are fairly uncommon. Particularly in psychiatry I don't think they make a lot of sense but I happy defer to the forensic folk out there who know more in this space. If I was doing spine or Ob/gyn I would likely have a different response.