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

We treat people, not labels.

A diagnosis is a starting point, not the whole story. These are some of the conditions patients come to me with — from everyday anxiety to the complex, chronic, and multi-diagnosis cases that fall between specialties. The care is always built around the specific human in front of me.

Depression

From persistent low mood to treatment-resistant depression that hasn't responded to medication alone.

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Anxiety Disorders

Generalized, social, and performance anxiety, panic, and phobias — the chronic over-activation that keeps the nervous system on high alert.

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OCD & Related

Obsessive-compulsive disorder and spectrum conditions, with evidence-based and integrative approaches — including a role for neuromodulation.

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Bipolar & Mood Instability

Precise, longitudinal management of mood across its full range — stability without flatness.

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Treatment-Resistant Depression

When prior medications haven't worked — a setting where neuromodulation and metabolic work often change the picture.

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Trauma & Complex PTSD

Depth-oriented, integrative work with trauma and complex trauma — including preparation for and integration of expanded-state work.

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Psychedelic Integration & Preparation

Safe, structured preparation and integration that turns profound, expanded-state experiences into lasting change — held within your broader psychiatric care.

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ADHD & Focus

Careful evaluation and treatment of attention, executive function, and the lifestyle factors that shape them.

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Personality Spectrum

Compassionate, long-view care for personality-spectrum conditions and the relational patterns that come with them.

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Complex & Chronic Conditions

The cases that fall between specialties — chronic medical and autoimmune conditions, and complex, comorbid, multi-diagnosis presentations — treated as one whole system, not handed off in pieces.

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Sleep & Circadian Health

Insomnia, circadian disruption, and the deep two-way link between sleep and mood — a cornerstone of metabolic and integrative psychiatry.

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Addiction & Substance Use

Compassionate, medical treatment for alcohol and substance use — including Medication-Assisted Treatment (MAT) — grounded in fellowship training in addiction psychiatry.

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Behavioral & Process Addictions

Digital media, social media, gaming and technology, gambling, and sex and pornography — the compulsions conventional care often overlooks.

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Medication Tapering & De-prescribing

Thoughtful, carefully supervised tapering and de-prescribing for those who want to simplify or come off medications safely.

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Burnout & Resilience

For executives, founders, and creatives running on empty — restoring capacity and well-being without losing the edge.

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Life Transitions & Meaning

Identity, purpose, relationships, and the existential questions that conventional psychiatry rarely has time for.

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Beyond the Diagnosis

Wrap-around support.

Concierge care doesn't stop at a prescription. For those who want it, the practice extends into the parts of life where mental health actually plays out.

i.

Executive Coaching & Leadership

Performance, decision-making, and resilience for leaders carrying real weight — psychiatrically informed, and entirely confidential.

ii.

Crisis Management & Navigation

Steady hands in acute moments, plus expert behavioral-health navigation and trusted referrals when a higher level of care is right.

iii.

Wrap-Around Care

Coordinated coaching and case management that keeps every part of your care — and your team — moving in the same direction.

The difference

Why an integrative approach changes outcomes.

The same diagnosis can have very different roots in two different people — one metabolic, one psychological, one a nervous system stuck in overdrive. Treating only the label misses this. I assess across all four dimensions — mind, body, brain, and spirit — so the plan addresses the cause, not just the symptom. More about my approach →

It's time to prioritize you.

A confidential first conversation, with no obligation. Tell me what's bringing you here.