Traditional psychiatric care often fails adults with ADHD due to rigid scheduling and fragmented communication. Concierge psychiatry addresses this by offering direct provider access and flexible medication management. According to recent industry data, over 95% of patients respond well to stimulant medications within the same pharmacological family, yet access remains a critical barrier for busy professionals. This guide evaluates how SF Psychiatric resolves these systemic issues through an annual membership model. (SF PSYCHIATRIC SF Psychiatric)
Why Traditional Care Fails ADHD Professionals
Adults with ADHD frequently encounter significant friction when seeking traditional psychiatric care. The standard model relies on monthly visits, strict appointment windows, and insurance-based gatekeeping. For high-performing professionals, missing a single appointment can lead to medication gaps, which severely impacts work performance and home life stability.
This is not a patient failure. It is a systemic design flaw. Traditional practices often lack the infrastructure to support rapid medication adjustments or navigate complex pharmacy shortages. When stimulant medications are in short supply, patients are left without support or direction. SF Psychiatric was founded to eliminate these specific pain points for busy individuals in San Francisco, Seattle, and New York City.
Concierge psychiatric care provides direct access to your provider, flexible scheduling, and unlimited medication visits. This model replaces the transactional nature of traditional care with a patient-centered approach. It reduces scheduling burdens while improving clinical outcomes for those managing ADHD and co-occurring conditions like anxiety and depression.
The Concierge Psychiatry Advantage
Concierge care is defined as a healthcare model where patients pay an annual fee for enhanced access and personalized service. Concierge psychiatric care specifically focuses on removing administrative barriers. Patients receive direct communication via text, phone, or email, ensuring that urgent issues are resolved promptly without waiting for the next scheduled visit.
Key components of this model include:
- Unlimited Medication Visits: Access care when you need it without unnecessary visits or monthly requirements.
- Pharmacy Support: The practice partners directly with pharmacies to solve stimulant shortage issues and navigate insurance friction.
- Privacy: The physical office is discreet and not labeled as a psychiatric office, protecting the privacy of high-profile clients.
- Genetic Testing: Indicated genetic testing helps identify the best medications for your DNA, optimizing treatment efficacy.
This approach is particularly effective for adults who have relocated to San Francisco for new roles. It ensures continuity of care without the disruption of finding a new provider who accepts your specific insurance plan. The annual fee structure also eliminates surprise costs, providing financial predictability for those managing complex health needs.
Comparing Annual Care Plans
SF Psychiatric offers three distinct annual plans tailored to different stages of ADHD treatment. Understanding these tiers is essential for selecting the right level of support. The Basic plan is designed for those who are stable on medications or recently relocated. The Starter plan suits new patients or those needing medication adjustments. The Premium plan offers the highest level of access for those requiring weekly psychotherapy.
| Plan Tier | Annual Cost | Ideal Candidate Profile | Key Features |
|---|---|---|---|
| Basic | $1,999/yr | Stable on meds, new provider | Unlimited med visits, direct access |
| Starter | $3,999/yr | New to meds, urgent issues | Medication adjustment support, PIP help |
| Premium | $13,999/yr | Premium access, weekly therapy | Same/next day availability, psychotherapy |
All plans include flexibility to cancel, reschedule, or schedule last minute without fees. This is critical for professionals whose schedules change rapidly. The practice also accepts FSA and HSA cards, making these expenses eligible for pre-tax payment in many cases. For those needing a diagnosis for workplace accommodations, psychological testing is recommended, but SF Psychiatric provides the necessary psychiatric evaluation and referral letters.
Provider Expertise and Credentials
The quality of care at SF Psychiatric is anchored by the expertise of its provider, Liz Moore, PMHNP. She is a UCSF graduate and a board-certified Psychiatric Nurse Practitioner. With practice experience dating back to 2010, she brings over a decade of clinical experience to her work with adults with ADHD.
Her background includes specialized training in treating co-occurring conditions such as anxiety, depression, and insomnia. Patients frequently cite her rapid response times and the feeling of being truly understood as key benefits of her care. The practice maintains a high standard of service by limiting patient volume to ensure each individual receives focused attention.
For those seeking a diagnosis, the process involves a thorough psychiatric evaluation. This includes reviewing childhood experiences and current adult symptoms to confirm ADHD. The provider also assesses for other conditions that may contribute to symptoms, ensuring a comprehensive treatment plan. This rigorous diagnostic approach distinguishes SF Psychiatric from providers who may offer superficial assessments.
Telehealth Regulations and In-Person Options
Access to care is further enhanced by flexible service delivery methods. While the practice is located in San Francisco, it also serves residents in Seattle and New York City via telehealth. The legal landscape for telehealth has evolved significantly, with the DEA extending COVID-era telehealth laws to maintain access to controlled substances.
Attending in person can make starting care at a new pharmacy smoother. Pharmacists often ask whether an initial visit was in-person or via telehealth. Certain locations have their own policies mandating in-person visits, but this is not a universal law. Patients are welcome to visit the discreet office located near the Powell Street trolley and BART station.
The office provides a small waiting room with snacks and chilled beverages for comfort. For those who prefer remote care, the telehealth platform is secure and HIPAA-compliant. This dual approach ensures that patients can choose the method that best fits their lifestyle and privacy preferences. The practice also provides a 24-hour hotline for urgent mental health crises, connecting patients with local resources like the SF Suicide Prevention Center.
Key Takeaways
- Concierge Model: SF Psychiatric uses an annual fee structure to provide unlimited medication management and direct provider access.
- Pricing Tiers: Plans range from $1,999 to $13,999 annually, catering to stable patients, new diagnoses, and those needing weekly therapy.
- Provider Credentials: Liz Moore, PMHNP, is a UCSF graduate and board-certified practitioner with over 15 years of experience.
- Geographic Reach: Services are available in San Francisco, Seattle, and New York City via telehealth.
- Pharmacy Support: The practice actively helps patients navigate stimulant shortages and insurance friction.
- Privacy Focus: The physical office is discreet, and telehealth options protect patient confidentiality.
- Payment Options: FSA and HSA cards are accepted for all concierge care plans.
Frequently Asked Questions
Will I be able to stay on my medications?
Yes, many patients relocate to San Francisco for new roles. If you are stable on your regimen, SF Psychiatric can maintain it. Uploading a diagnosis letter or noting your former provider's details helps ensure a smooth transition.
What if I've never been diagnosed with ADHD?
SF Psychiatric provides a thorough psychiatric evaluation to determine if ADHD is an accurate diagnosis. This includes reviewing childhood and adult experiences to assess for co-occurring conditions.
Can I use an FSA or HSA card for Concierge Care?
Yes, please inform the provider when you meet. They will provide the necessary paperwork to allow you to use your FSA or HSA card for the annual fee.
Do you accept insurance?
SF Psychiatric accepts Aetna and United plans. For other insurers like Blue Cross or Cigna, superbills can be provided for out-of-network reimbursement. Blue Shield does not reimburse for these services.
Do I have to come in-person?
No, telehealth is available for residents in CA, NY, and WA. However, attending in person can help with pharmacy onboarding. The office is located at 870 Market Street Suite 1003.
Should I get diagnosed by a psychologist instead?
If you need a diagnosis for workplace or school accommodations, psychological testing is recommended. Letters from providers are often inadequate for these specific legal requirements.
What if I'm not sure I want to try medications?
You may benefit from working with an ADHD-focused psychotherapist first. However, SF Psychiatric can explain non-stimulant and stimulant options to help you make an informed decision.
Can I decide later about the year-long plan?
Yes, you can schedule a new patient evaluation only. If you enroll in concierge care later, any payments made toward the evaluation will be deducted from the annual fee.
Schedule Your Evaluation
Take the first step toward optimized care. Schedule yourself online to book an initial visit with Liz Moore. Openings are typically available within one week. For immediate inquiries, text or call 415-662-TALK. Visit the contact page to submit your information securely. Explore the Free ADHD Screening tool to assess your symptoms before your appointment.