Gear Joshua L MD is a private psychiatric practice in downtown Portsmouth, New Hampshire. Joshua L. Gear, MD, received his medical degree from the University of Illinois College of Medicine at Chicago in 1990, completed a psychiatry residency at the University of Illinois Hospitals and Clinics, and completed a fellowship in Child and Adolescent Psychiatry at the Yale Child Study Center in 1995. He also directed an inpatient adolescent unit at Riverview Hospital, Connecticut’s state psychiatric hospital for children and adolescents, before returning to the seacoast in 1997 to begin private practice.