San Francisco, California (Bay Area)
Diagnostic Psychiatry for San Francisco Professionals
Medical-first psychiatric evaluation for focus, mood, sleep, medication response, burnout, and performance bottlenecks — available now to San Francisco and Bay Area patients by California telehealth. In-person San Francisco availability begins June 2026 on a limited monthly cadence — booking now.
Founder, Engineer & Executive Care
When performance problems need a medical differential, not another productivity hack
In San Francisco, the problem is often not lack of ambition. It is an overloaded system: sleep debt, medication mismatch, ADHD, anxiety, metabolic drift, hormone changes, iron deficiency, thyroid disease, or burnout stacked together. Our role is to identify what is actually driving the signal before treatment gets more complicated.
Founder Burnout vs ADHD
We separate occupational overload from lifelong executive dysfunction, sleep debt, stimulant side effects, thyroid disease, iron deficiency, and mood disorders.
Cognitive Drag
Brain fog, low drive, poor focus, and emotional volatility can come from psychiatric, metabolic, medication, hormone, or sleep-related causes.
Optimization With Guardrails
The private pathway is for deeper diagnostic work, not casual anti-aging claims or one-size-fits-all biohacking stacks.
Our Services
Psychiatric Services in San Francisco
Comprehensive diagnostic psychiatry with medical investigation
ADHD Assessment
Comprehensive evaluation with medical workup to identify true ADHD vs medical mimics
Anxiety Treatment
Root-cause investigation including thyroid, hormones, and nutritional factors
Psychiatric Evaluation
75-90 minute initial assessment with thorough medical investigation
Medication Management
Evidence-based psychiatric prescribing with medical oversight
Medication Titration
Precise dosing optimization for maximum efficacy
Diagnostic Optimization
Private-pay evaluation for performance, longevity, focus, sleep, metabolic, and psychiatric bottlenecks
Why Choose Us
Diagnostic Psychiatry That Goes Deeper
Most psychiatric visits last 15 minutes. Ours start at 75-90 minutes. We investigate the medical factors—thyroid, hormones, nutrition, sleep—that can mimic or worsen psychiatric symptoms.
- California telehealth available now for San Francisco and Bay Area patients
- In-person San Francisco availability begins June 2026 on a limited monthly cadence — booking now
- 75-90 minute initial evaluations (not rushed 15-minute visits)
- Medical workup before psychiatric diagnosis
- Private diagnostic optimization pathway for high-complexity cases
- Board-certified psychiatric nurse practitioner
- Most major insurance plans accepted
San Francisco Care
San Francisco and Bay Area patients are seen now by California telehealth. In-person visits in San Francisco begin June 2026 on a limited monthly cadence — June dates are open for booking now.
Address
220 Montgomery St Suite 600, San Francisco, CA 94104
Phone
(310) 955-1041
Hours
Monday - Friday: 9:00 AM - 5:00 PM
Areas We Serve
Serving San Francisco & the Bay Area
California telehealth is available now for San Francisco, the Peninsula, the East Bay, and the broader Bay Area. Limited in-person San Francisco visits begin June 2026.
Embarcadero BART Station
4-6 minWalk west on Market St, then north on Montgomery St to the office at 220 Montgomery St.
Union Square
8-12 minHead east toward Montgomery St, then north to 220 Montgomery St in the Financial District.
Salesforce Transit Center
7-10 minWalk north toward Market St, then west to Montgomery St and north to the office.
Ferry Building
10-12 minHead west on Market St, then north on Montgomery St to 220 Montgomery St.
Telehealth appointments available for all California residents
Insurance
Most Major Insurance Accepted
Don't see your insurance? Contact us to verify coverage.
Ready to Get Started in San Francisco?
Book California telehealth now, or reserve a limited in-person San Francisco visit beginning June 2026.
Book Telehealth Visit