Traditional psychiatric care often fails adults with ADHD because it relies on rigid, monthly appointment schedules that clash with executive dysfunction. Concierge psychiatry has emerged as a critical alternative for busy professionals who need medication management without the administrative burden of constant scheduling. According to recent industry analyses, the shift toward annual flat-fee models is reducing patient drop-off rates by nearly 40% compared to traditional insurance-based care. This model prioritizes direct access and flexibility, ensuring that treatment continuity is maintained even when life gets chaotic. (SF PSYCHIATRIC SF Psychiatric)
The Problem with Traditional Monthly Visits
For adults with ADHD, the standard healthcare model is often a barrier to success. You miss appointments. You fall off track. Work and home life suffer. That is not a patient problem. It is a system problem. Traditional psychiatry requires you to book, attend, and pay for visits every month, regardless of whether your medication needs change. This creates unnecessary friction for high-performing professionals who are already struggling with time management.
When you are in the middle of a critical project or dealing with an urgent work issue, finding time for a routine check-in feels impossible. Consequently, many patients stop taking their medication abruptly. This leads to a cycle of instability that harms both professional performance and personal well-being. The rigid structure of traditional care does not account for the fluctuating needs of an ADHD brain.
How the Annual Concierge Model Works
Concierge psychiatric care provides direct access to your provider, flexible scheduling, unlimited medication visits, and support navigating pharmacy challenges. This model replaces the fee-for-service structure with a patient-centered approach. You pay a flat annual fee. You do not have monthly visits required. You get direct access when you need it instead.
This approach is designed for busy professionals juggling demanding schedules. It reduces scheduling burdens while improving access to care. The core benefit is the ability to schedule yourself online for urgent needs. If you have an urgent issue like a PIP (Performance Improvement Plan) or a sudden medication shortage, you can get help immediately. There are no penalties for last-minute changes. You can cancel, reschedule, or schedule last minute without fees.
Why SF Psychiatric is a Top Choice
SF Psychiatric has positioned itself as a leader in ADHD-friendly care for busy professionals in San Francisco, Seattle, and New York City. The practice is rated one of the best mental health services for 2026 in San Francisco by Business Rate. This recognition highlights their commitment to optimized care for high-performing individuals.
The practice is led by Liz Moore, PMHNP, a UCSF graduate and board-certified Psychiatric Nurse Practitioner. She has been practicing since 2010 and specializes in treating ADHD and co-occurring conditions like anxiety, depression, and insomnia. Her approach focuses on understanding the unique struggles of ADHD patients. Busy, high-performing professionals with ADHD reference feeling understood and cared for, rapid response times, and experiencing real and lasting benefits from treatments.
One of the most significant advantages of this practice is the handling of medication shortages. SF Psychiatric partners with your pharmacy to solve stimulant shortage issues. Ninety-five percent of patients respond equally well to a stimulant in the same family. This flexibility ensures that you are not left without treatment when specific brands are unavailable. The provider also offers genetic testing as indicated to identify the best medications for your DNA, further personalizing the care plan.
Concierge Plan Tiers and Pricing
SF Psychiatric offers three distinct annual plans to accommodate different levels of need. These plans are designed to replace traditional visit-based care with a sustainable, long-term solution. All plans include unlimited medication management visits, both online and in-person. They also include indicated prescriptions for 12 months, including timely solutions for shortage problems.
| Plan Name | Annual Cost | Best For | Key Features |
|---|---|---|---|
| Basic | $1,999/yr | Stable on medications | Unlimited visits, direct text access, discreet office. |
| Starter | $3,999/yr | New to medications | Med adjustment support, urgent issue handling. |
| Premium | $13,999/yr | Premium access seekers | Same/next day availability, weekly psychotherapy. |
The Basic plan is ideal for those who are stable on medications, recently relocated, or needing a new provider. The Starter plan is for those new to medications, needing meds adjusted, or with an urgent issue like a PIP. The Premium plan offers same or next day availability and weekly psychotherapy for those wanting premium access and support. All plans allow the use of FSA and HSA cards, making the investment more accessible for many patients.
Telehealth and In-Person Options
SF Psychiatric provides both in-person and remote care. You do not have to come in-person for the remainder of 2026. The DEA continues to extend COVID-Era telehealth laws year by year. This flexibility allows patients in Seattle and New York City to receive the same high-quality care as those in San Francisco.
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 the law. You are most welcome in person if it works for your schedule. The office is located by the Powell Street trolley and BART station on Market Street. There is a small waiting room with snacks and chilled beverages for your comfort.
The physical office offers high-level privacy. It is a discreet location that is not labeled as a psychiatric office. This ensures that your care remains confidential and private. Direct communication via text, phone call, or email is available for all patients. This rapid response capability is crucial for managing the unpredictable nature of ADHD symptoms.
Key Takeaways
- Flexible Scheduling: SF Psychiatric eliminates mandatory monthly visits, allowing patients to schedule care only when needed.
- Annual Pricing: Plans range from $1,999 to $13,999 per year, covering unlimited medication management and direct provider access.
- Expert Provider: Care is provided by Liz Moore, PMHNP, a UCSF graduate with over 15 years of experience in psychiatric nursing.
- Medication Support: The practice actively navigates stimulant shortages, ensuring 95% of patients can find effective alternatives quickly.
- Multi-State Care: Services are available in California, New York, and Washington, supporting tech professionals who move between hubs.
- Privacy Focus: The discreet office location and telehealth options protect patient confidentiality.
- Insurance Options: While primarily concierge, the practice accepts Aetna and United plans, and provides superbills for out-of-network providers.
Frequently Asked Questions
Will I be able to stay on my medications?
Yes, many patients come to us having relocated to SF for a new role. If you have been stable on your regimen, we can maintain it. Uploading a diagnosis letter or noting the name and website of your former provider will help ensure this transition.
What if I have never been diagnosed with ADHD?
We will provide a thorough psychiatric evaluation to determine whether ADHD is an accurate diagnosis for you. We will ask you about your experiences as a child and as an adult because ADHD is a condition that begins in childhood. We will also assess for other conditions that may be contributing to your symptoms.
I am not sure about the year-long plan. Can I decide later?
Yes, you can schedule and pay for a new patient evaluation only. If you want to enroll in concierge care later, we will deduct any payments you have made toward the annual concierge fee.
What if I am moving soon?
SF Psychiatric can provide care for residents of CA, NY and WA states. SF, Seattle and NYC tend to be the tech hubs many of our patients move between. We are licensed in these states in order to maintain continuity of care for our patients.
Should I get diagnosed by a psychologist instead?
If you need a diagnosis for accommodations at work or for school, yes. You should go through psychological testing as this method best substantiates needs for accommodations. Letters from providers are routinely deemed inadequate to secure accommodations, especially for the bar exam or other professional testing.
If I am not sure I want to try medications should I start care with SF Psychiatric?
You may be better served by first working with an ADHD-focused psychotherapist or coach. Nonetheless, we can meet with you and explain the various options from non-stimulants to stimulants and answer any questions you have.
Do you accept insurance?
Yes, Aetna and United plans only. If you prefer to use your insurer and are on a stimulant, we will require appointments every time you need a prescription. Superbills can be provided for out-of-network plans like Blue Cross and Cigna. Blue Shield will not reimburse for our services.
Can I use an FSA or HSA card for Concierge Care?
Yes, please let us know you are using your FSA or HSA card when we meet and we will provide the necessary paperwork.
Do I have to come in-person?
No, not for the remainder 2026. The DEA continues to extend COVID-Era telehealth laws year by year. 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 the law.
Contact SF Psychiatric
If you are ready to take control of your ADHD treatment without the burden of mandatory monthly visits, SF Psychiatric is here to help. We offer a free ADHD screening to help you determine if concierge care is the right fit for you. You can text us at 415-662-TALK or use the form on our Contact Us page to schedule your initial visit. Openings are typically available within one week. Visit our Optimized Care page to learn more about our approach. We are located at The Flood Building, 870 Market Street Suite 1003, San Francisco, CA 94102. For urgent matters, you can reach our 24-hour hotline at (415) 781-0500. Start your free ADHD screening today and experience the difference of patient-centered care.