Concierge integrative & addiction psychiatry · By appointment · The Presidio, San Francisco Licensed in CA · CO · NY · CT · FL   Call or Text (424) 432-0452
APPASANI MD
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Concierge Integrative & Addiction Psychiatry

The art & science of being
fully human.

Psychiatry returned to its senses — a deeper kind of care in the Presidio of San Francisco · in your home · or virtually across five states.

Request a Consultation → Call or Text (424) 432-0452
Whole-personMind · Body · Brain · Spirit, treated as one system
Where you areIn-office at the Presidio, private home visits, or virtual
West + EastEclectic therapies, integrated with rigor
The Presidio

A national park as your waiting room.

The thesis

Most psychiatry treats a symptom. I treat the whole human — the biology, the story, the nervous system, and the search for meaning.

The gap

Conventional care fragments you across specialists. Your brain, your gut, your sleep, your relationships, your purpose — handled by people who never speak to one another.

The practice

One physician holding the full spectrum. Evidence-based medicine and psychotherapy, metabolic and nutritional health, neuromodulation, and contemplative wisdom — woven into a single plan.

The promise

Not a faster appointment. A deeper one. Care designed around your life, delivered in a place that helps your nervous system remember what calm feels like.

The Setting

A sanctuary in the Presidio, where the treatment begins before you speak.

I am located in one of the most magical places in San Francisco — 1,500 acres of forest, coastline, and quiet on the edge of the city. Discretion is built into the geography. You arrive through cypress and fog, not a fluorescent waiting room.

i.

Private & discreet

A calm, unmarked setting away from the clinical bustle. You are the only patient on the schedule when you arrive.

ii.

Nature as medicine

Walk-and-talk sessions, daylight, and the regulating effect of the natural world — built into the therapeutic frame, not an afterthought.

iii.

Concierge by design

Generous appointments, direct access between visits, and continuity conventional psychiatry can't offer — including private home visits when you'd rather not travel.

The Approach

Four dimensions of one person.

Health is not the absence of a diagnosis. It is the whole system being coherent and well. I assess and treat across four dimensions at once, drawing on the best of Western evidence and Eastern practice.

i.

Mind

Psychotherapy, psychodynamic insight, and the narrative work of understanding why you feel the way you do.

ii.

Body

Metabolic and nutritional psychiatry, sleep, hormones, and inflammation — the biology that drives mood.

iii.

Brain

Precise pharmacology and neuromodulation that work with your nervous system, not against it.

iv.

Spirit

Meaning, contemplative practice, and psychedelic integration — the human search for purpose and connection.

Services

A full spectrum of care,
under one roof.

Most patients come for one thing and stay for the way it all connects. Every service below is delivered personally, and designed to work together.

01

Concierge Psychiatry

A small, by-invitation practice with generous appointments, direct access, and true continuity — in-office, in your home, or virtual.

Signature 02

Integrative & Metabolic Psychiatry

Treating mood through biology — nutrition, metabolism, sleep, and inflammation alongside the mind.

Whole-body 03

Neuromodulation & TMS

Drug-free, FDA-cleared brain stimulation and emerging modalities for depression, anxiety, and beyond.

Drug-free 04

Psychotherapy

Depth-oriented, somatic, attachment theory, IFS, trauma-informed evidence-based therapy — the relationship at the center of all the work.

In-person · Virtual 05

Psychedelic Integration Therapy

Safe, structured preparation and integration to turn profound experiences into lasting change.

Integration 06

Addiction Psychiatry

Compassionate, medical treatment for substance use and behavioral addiction, without judgment.

Recovery 07

Behavioral Health Navigation & Treatment Placement

Expert guidance and trusted referrals when a higher level of care is the right next step.

Guidance 08

Intensives

Concentrated, multi-day work for those who want meaningful progress in a focused window of time.

Focused 09

Family Healing

Working with couples and families as a system because we heal in relationship, not isolation.

Relational
Featured · Neuromodulation

Healing the brain
without medication.

For many people, the answer isn't another prescription. Neuromodulation gently retrains the brain's circuitry — a drug-free, evidence-based path for depression, anxiety, and conditions that haven't responded to medication alone.

i.

Transcranial Magnetic Stimulation (TMS)

FDA-cleared magnetic pulses that re-activate underperforming mood circuits — no anesthesia, no downtime.

ii.

Personalized protocols

Targeting and dosing matched to your brain and your goals, not a one-size-fits-all setting.

iii.

Integrated, not isolated

Delivered alongside therapy, metabolic care, and lifestyle work — so the gains actually hold.

Explore Neuromodulation → Is it right for me?
Dr. Raghu Appasani, board-certified integrative psychiatrist
Raghu Appasani, MDDiplomate, ABPN
Your Physician

Meet Dr. Raghu Appasani

A psychiatrist who refuses to treat you in pieces.

Dr. Raghu Appasani is a board-certified psychiatrist and diplomate of the American Board of Psychiatry and Neurology, fellowship-trained in addiction psychiatry and integrative-medicine focused and one of the few physicians practicing across the entire spectrum of mental health, bringing together evidence-based psychotherapy, pharmacology, metabolic and nutritional medicine, neuromodulation, and holistic, contemplative practice into a single, personalized approach.

His path is deliberately eclectic: rigorous Western training paired with years studying healing traditions of the East. He has worked at the frontiers of psychedelic science, neuroscience, addiction science, digital wellness, and global mental health. He writes and speaks widely on what it means to be well — not just symptom-free.

The Presidio practice is the fullest expression of that philosophy: a place where the science is serious, the care is unhurried, and the setting itself helps you heal.

Board-Certified Psychiatrist Diplomate, ABPN Fellowship-Trained · Addiction Psychiatry Integrative Medicine Neuromodulation Psychedelic Medicine
Trained & affiliated with
UCSF Keck School of Medicine of USC UMass Chan Medical School MAPS – Multidisciplinary Association for Psychedelic Studies LAC+USC Medical Center Wesleyan University Icahn School of Medicine at Mount Sinai
As featured in
CNN The Wall Street Journal Forbes Thrive Global The Hollywood Reporter Vogue Fast Company The Boston Globe Psychiatric News People
As heard on
Be Here Now Network MUD\WTR Inside Mental Health Attachment Theory in Action This Is Candor The Alwell Co
How It Works

Beginning is simple.
The care is anything but ordinary.

01

Reach out

A brief, confidential inquiry by phone, text, or form. We'll see if the practice is the right fit for you.

02

Deep evaluation

An extended first consultation across mind, body, brain, and spirit — the full picture, not a 15-minute intake.

03

A plan for you

One integrated plan that may weave together therapy, medication, metabolic care, and neuromodulation.

04

Ongoing partnership

Continuity, direct access, and adjustments over time. Concierge means you are never managing this alone.

Coverage & Questions

Seeing patients in the Presidio
and across five states.

In-person concierge care in San Francisco — at the Presidio or in the privacy of your home — with virtual continuity for established patients across five states.

California Colorado New York Connecticut Florida
What is concierge integrative psychiatry? +
Concierge psychiatry is a membership-style model with a deliberately small patient panel. That means longer appointments, direct access to your physician between visits, and genuine continuity of care. "Integrative" means treating the whole person — combining evidence-based Western medicine with nutritional, metabolic, contemplative, and Eastern healing practices, rather than treating a single symptom in isolation.
What conditions do you treat? +
Depression, anxiety, treatment-resistant mood disorders, trauma and PTSD, ADHD, burnout, addiction and substance use, and the everyday struggles of high-performing, thoughtful people who feel that something deeper is off. Care is tailored to you, not to a diagnostic label.
What is neuromodulation and TMS? +
Neuromodulation uses targeted, non-invasive technology to regulate the brain's electrical activity. Transcranial Magnetic Stimulation (TMS) is an FDA-cleared, drug-free treatment that uses gentle magnetic pulses to reactivate the mood circuits involved in depression and related conditions — with no anesthesia and no downtime. It is especially valuable when medications haven't worked or aren't well tolerated. Learn more about neuromodulation →
Do you accept insurance? +
The practice is out-of-network, which preserves the time, privacy, and depth that concierge care requires. Many patients receive partial reimbursement through their plan's out-of-network benefits, and a detailed superbill is provided. Contact the office to discuss fees and membership.
Where is the office, and do you offer virtual visits? +
The practice is located in the Presidio of San Francisco. In-person concierge care is the heart of the work, with secure virtual visits available for established patients in California, Colorado, New York, Connecticut, and Florida.
What happens in a first consultation? +
Far more than a typical intake. The initial consultation is an extended, unhurried evaluation across all four dimensions — mind, body, brain, and spirit — to understand your history, biology, and goals. You'll leave with a clear, integrated plan and a real sense of the partnership ahead.
Begin

It's time to prioritize you.

Requesting a consultation is confidential and carries no obligation. Tell me a little about what's bringing you here, and we'll take it from there — at the pace that's right for you.

Call or Text (424) 432-0452 → Email the practice
Location
The Presidio
San Francisco, California
Exact suite shared upon confirmation, for discretion.
Call or Text
(424) 432-0452
Email
info@appasanimd.com
Hours
By appointment only
Monday – Saturday
Coverage
CA · CO · NY · CT · FL