Appellant David Wilson sued various officials in charge of New Hampshire’s mental health system alleging constitutional and statutory violations relating to the authority of his court-appointed guardian to approve the administration of anti-psychotic drugs without Wilson’s consent. On a motion for summary judgment, the district court dismissed the suit for lack of subject matter jurisdiction, citing the Rooker-Feldman doctrine. We affirm.
BACKGROUND
David Wilson suffers from mental illness which has been diagnosed as, among other things, paranoid schizophrenia. On February 6, 1997, following an incident in which Wilson apparently threatened a neighbor with a loaded gun, the Merrimack County Probate Court of New Hampshire ordered Wilson to be involuntarily confined to New Hampshire Hospital for up to three years. While under such confinement, the State petitioned the Belknap County Probate Court to appoint a guardian for Wilson, due primarily to Wilson’s refusal to take the anti-psychotic medication Haldol as recommended by his psychiatrists. Among the responsibilities sought to be assumed by the guardian were decisions relating to Wilson’s living arrangements and medical treatment options. The probate court granted this request on May 19, 1997. In re Guardianship of David Wilson, No.1997-0171 (order) [hereinafter Guardianship I ].
On March 20, 1997, Wilson filed a pro se complaint in the federal court in New Hampshire seeking injunctive relief and monetary damages. The crux of his charge was that the forced administration of anti-psychotic medication violated his constitutional rights. The magistrate judge assigned to review Wilson’s complaint dismissed most of the claims except for those alleged under the Eighth and Fourteenth Amendments.
On November 10, 1997, Wilson was conditionally discharged from New Hampshire Hospital. This discharge has since been revoked several times due to refusal of medication, depression, and suicidal ideation, resulting in admissions to either New Hampshire Hospital or Cypress Center. Because of Wilson’s continued refusal to take anti-psychotic medication, his guardian has approved the forced administration of Haldol to Wilson.
On December 23, 1997, Wilson filed a Petition to Terminate Guardianship in Belknap' County Probate Court pursuant to NH.Rev.Stat. Ann. § 464-A39 II. Concurrently, he filed an Assented to Motion to Stay Proceedings in the federal district court pending a determination on the motion to terminate the guardianship. On June 8, 1998, the probate court denied Wilson’s Petition to Terminate Guardianship, finding, beyond a reasonable doubt, that:
*122 (a) David Wilson continues to be incapacitated. (b) Guardianship is necessary as a means of providing for the ward’s continuing care, supervision and rehabilitation. (c) There are no available alternative resources which are suitable with respect to the ward’s welfare, safety and rehabilitation, (d) Guardianship is appropriate as the least restrictive form of intervention consistent with the preservation of the ward’s civil rights and liberties.
In re Guardianship of David Wilson, No.1997-0171 at 2 (order) [hereinafter Guardianship II]. In addition, the court held that Wilson continued to be incapable of exercising the rights that had been assigned to the guardian in the initial determination. As such, Wilson’s guardian retained the authority to make decisions regarding his medical treatment, including the administration of anti-psychotic medication. Wilson’s notice of appeal to the New Hampshire Supreme Court was denied on January 29, 1999.
Subsequent to the second guardianship determination, the voluntary stay was lifted from the federal lawsuit, and Wilson filed an amended complaint naming as defendants: Donald Shumway, in his official capacity as the Commissioner of the New Hampshire Department of Health and Human Services, Paul Gorman, in his official capacity as Director of the Division of Behavioral Health Services, and Chester Batchelder, in his official capacity as Superintendent of New Hampshire Hospital. The claims were brought pursuant to 42 U.S.C. § 1983 and the Americans with Disabilities Act (“ADA”), 42 U.S.C. § 12132 et seq., and invoked Wilson’s rights under the First, Fourth, Fifth, Eighth, Ninth, and Fourteenth Amendments to the United States Constitution.
More specifically, Wilson alleged that the forcible administration of anti-psychotic medication: (1) violated his right to personal privacy and bodily integrity; (2) violated his right to freedom of speech and association; (3) violated his right to substantive due process; (4) deprived him of his ability to make an informed judgment regarding anti-psychotic medication based on his mental illness, thus not affording him the benefit of New Hampshire law, in violation of the ADA; and (5) violated his right to procedural due process in not giving him notice and a hearing prior to the forced medication. Wilson requested a preliminary and permanent injunction preventing the defendants from forcibly medicating him unless a serious and immediate physical threat to himself or others existed, a judgment declaring that defendants’ actions violated the above enumerated constitutional rights and the ADA, attorneys fees, and any other appropriate relief.
The district court dismissed Wilson’s case, holding that, under the
Rooker-Feld-man
doctrine,
1
the federal court lacked subject matter jurisdiction to rule on the substance of his claims.
Wilson v. Shumway,
No. Civ. 97-099-B,
DISCUSSION
Our review of a dismissal for lack of subject matter jurisdiction is
de novo. Corrada Betances v. Sea-Land Serv., Inc.,
A. Rooker-Feldman Doctrine
The
Rooker-Feldman
doctrine takes its name from two Supreme Court cases:
Rooker v. Fidelity Trust Co.,
The
Feldman
ease expanded in some significant ways upon the relatively noncontroversial principle that only the Supreme Court has jurisdiction to review decisions of state courts. The plaintiffs, Marc Feldman and Edward Hickey, Jr., had both sought admission to the District of Columbia bar.
Feldman,
Feldman and Hickey then filed suit in federal district court challenging the denials of their waiver petitions and the constitutionality of the admission rule.
Id.
The district court dismissed the complaint, holding that it lacked subject matter jurisdiction. The Court of Appeals for the District of Columbia Circuit reversed,
Feldman v. Gardner,
After making a preliminary determination that the District of Columbia Court of Appeals’ denials of the waiver petitions were judicial proceedings,
2
Feldman,
460
*124
U.S. at 479,
If the constitutional claims presented to a United States District Court are inextricably intertwined with the state court’s denial in a judicial proceeding of a particular plaintiffs application for admission to the state bar, then the District Court is in essence being called upon to review the state court decision. This the District Court may not do.
Id.
at 482
&
n. 16,
Following the parameters of the Rook-er-Feldman doctrine as articulated by the Supreme Court and this circuit, 3 we proceed to the question of whether Wilson’s federal claims are “inextricably intertwined” with those of the state probate court proceeding, or if any general challenges to New Hampshire’s guardianship laws have been presented.
B. Deconstructing Wilson’s Federal Lawsuit
Not surprisingly, Wilson characterizes his federal claims as involving general constitutional challenges to New Hampshire’s procedure for permitting a guardian to authorize the involuntary administration of anti-psychotic drugs to a ward. First, Wilson emphasizes that he is not contesting the appointment of a guardian by the probate court. Instead, he argues that the current statutory scheme relating to involuntary medication lacks constitutionally-guaranteed procedural due process mechanisms. Specifically, Wilson claims that before a recommendation that a ward be forcibly medicated can be submitted to a guardian for authorization, a ward is entitled to: (1) notice that such a recommendation will be made, with legal and factual reasons for the recommendation explicitly provided; (2) notice of a right to a hearing before an impartial arbiter in which the need for medication must be proven beyond a reasonable doubt; and (3) notice of the right to be represented by counsel at that hearing.
Appellees, in contrast, interpret Wilson’s federal complaint as nothing more than a thinly-veiled attack on the state guardianship proceeding. Because Wilson’s federal complaint focuses on forcible medication as applied to him, and seeks personal, rather than general, relief, appellees charge that Wilson’s claim of a “general” challenge is merely an attempt to avoid the Rooker-Feldman bar to jurisdiction. Finally, ap-pellees argue that the injury Wilson complains of would not exist if not for the *125 probate court’s determination that guardianship was appropriate. His federal case, then, seeks to undo the consequences of the state court judgment, and such jurisdiction is prohibited under Rooker-Feldman.
After reviewing the arguments of both sides, as well as Wilson’s amended complaint, we conclude that the district court was correct in dismissing Wilson’s complaint for lack of jurisdiction. In so holding, we are unpersuaded by Wilson’s claim that he has mounted a general constitutional challenge to the New Hampshire provisions for authorizing the involuntary administration of anti-psychotic drugs. We turn first to the non-procedural claims alleged in Wilson’s complaint, and then proceed to his primary appellate argument.
Most of the claims asserted in Wilson’s federal lawsuit are obviously barred by the
Rooker-Feldman
principle that lower federal courts lack jurisdiction to review decisions of the state courts. Wilson implicitly concedes as much by not addressing them in his brief to this Court. Among the “disputed issues of law” submitted to the probate court in Wilson’s pre-trial statement were “[wjhether an order of guardianship which denies Mr. Wilson his right to refuse psychotropic medication discriminates against him ... contrary to the Americans with Disabilities Act,” and “violates the First Amendment, and the Equal Protection and Due Process Clause of the Fourteenth Amendment.” These arguments presented to the state probate court essentially mirror those made in Wilson’s federal amended complaint. The district court thus properly refrained from deciding whether the forcible administration of drugs
to Wilson
violates the Constitution and/or the ADA, because retaining jurisdiction would have put the district court in the position of reviewing the probate court’s decision.
See, e.g., Wang v. N.H. Bd. of Registration in Med.,
Turning to the main argument that Wilson asserts on appeal: that his federal suit includes a general allegation that a ward is constitutionally guaranteed certain notice and procedures, we examine Wilson’s amended complaint to determine whether a general constitutional challenge arguably not barred by
Rooker-Feldman
was actually made.
See Patmon v. Mich. Sup. Ct.,
“This is about substance, not about form.”
Musslewhite,
C. 42 U.S.C. § 1983
Wilson claims that the
Rooker-Feldman
doctrine should not be applied to cases brought under 42 U.S.C. § 1983. While acknowledging that this circuit
has
dismissed § 1983 suits pursuant to
Rooker-Feldman, Wang,
CONCLUSION
The decision of the district court dismissing the case for lack of federal court jurisdiction based on the Rooker-Feldman doctrine is affirmed.
Notes
. A full explanation of the Rooker-Feldman doctrine will be provided in the Discussion section of this Opinion.
. The Court held that the proceeding was judicial, rather than administrative or ministerial, reversing the conclusion of the D.C. Circuit that the denials of waiver were not judicial in nature. Since there is no claim that the probate court determination was any *124 thing but a judicial proceeding, we treat it as such in this appeal.
.
E.g., Sheehan v. Marr,
