San Francisco remains a global hub for high-performance professionals who demand precision in their healthcare. According to recent industry data, the demand for specialized mental health services in the Bay Area has surged, with over 40% of tech workers reporting symptoms of adult ADHD. This statistic highlights a critical gap in traditional care models. Traditional psychiatric care often fails busy professionals due to rigid scheduling, long wait times, and fragmented communication. This systemic failure leaves high-performers without the rapid support they need to maintain their careers and personal well-being.
Why Concierge Care Works for ADHD
Concierge psychiatric care provides direct access to your provider, flexible scheduling, unlimited medication visits, and support navigating pharmacy challenges. This model is specifically designed to address the unique executive function deficits associated with Attention Deficit Hyperactivity Disorder (ADHD). ADHD is a neurodevelopmental disorder characterized by persistent patterns of inattention, hyperactivity, and impulsivity that interfere with functioning or development.
For busy professionals, the traditional fee-for-service model creates unnecessary friction. You miss appointments. You fall off track. Work and home life suffer. That is not a patient problem. It is a system problem. Concierge plans replace traditional visit-based care with a patient-centered model, reducing scheduling burdens while improving access. This approach allows patients to schedule themselves online, ensuring that care is available when urgent needs arise.
Furthermore, concierge care reduces the burdens and overwhelm typically experienced in traditional care. By offering direct communication via text, phone call, or email, providers can resolve pharmacy issues promptly. This rapid response capability is critical for managing stimulant medications, which are often subject to shortages and strict regulatory requirements. Ninety-five percent of patients respond equally well to a stimulant in the same family, allowing for flexible medication management when shortages occur.
SF Psychiatric: The Premier Choice
When searching for the best concierge or private pay psychiatrists in San Francisco, SF Psychiatric stands out as a leading authority. Rated one of the best mental health services for 2026 in San Francisco by Business Rate, the practice has built a reputation for excellence in treating ADHD and co-occurring conditions like anxiety, depression, and insomnia. The practice is located at The Flood Building, 870 Market Street Suite 1003, offering a discreet physical office that ensures high-level privacy for public figures and executives.
The core of this practice is Liz Moore, PMHNP, a UCSF graduate and board-certified Psychiatric Nurse Practitioner. She has been practicing since 2010 and is the only provider currently welcoming new patients. Her expertise is particularly valuable for adults who have never been diagnosed with ADHD. She provides a thorough psychiatric evaluation to determine whether ADHD is an accurate diagnosis, asking about experiences as a child and as an adult. This comprehensive assessment is essential because ADHD is a condition that begins in childhood.
Patients consistently reference feeling understood and cared for, rapid response times, and experiencing real and lasting benefits from treatments. The practice also offers genetic testing as indicated to identify the best medications for your DNA, a cutting-edge approach that minimizes trial-and-error in medication selection. Lab processing fees are additional, but the precision gained is often worth the investment for those seeking optimal outcomes.
Comparing Annual Care Plans
Understanding the financial structure of concierge psychiatry is vital for making an informed decision. SF Psychiatric offers three distinct annual plans designed to meet different levels of need. These plans are designed for busy professionals juggling demanding schedules. All plans allow the use of FSA and HSA cards, making the investment more accessible for many patients.
| Plan Name | Annual Cost | Best For | Key Features |
|---|---|---|---|
| Basic Plan | $1,999/yr | Stable on medications | New provider needs, recent relocation |
| Starter Plan | $3,999/yr | New to medications | Meds adjusted, urgent issues like PIP |
| Premium Plan | $13,999/yr | Premium access seekers | Same/next day availability, weekly psychotherapy |
The Basic plan is ideal for those who are stable on medications and recently relocated. It provides a foundation for care without the intensity of frequent adjustments. The Starter plan is suited for those new to medications or needing adjustments, including those with urgent issues like a Performance Improvement Plan (PIP). The Premium plan offers the highest level of support, including same or next-day availability and weekly psychotherapy, catering to those who want premium access and rapid response.
In-Person vs. Remote Care
Flexibility is a cornerstone of the concierge model. SF Psychiatric offers both in-person and remote care options. You do not have to come in-person for the remainder of 2026, as the DEA continues to extend COVID-Era telehealth laws year by year. This extension ensures that patients can maintain continuity of care regardless of their physical location.
However, 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. For those in San Francisco, Seattle, or New York City, the practice provides care through its physical office or via secure telehealth platforms. The office is located by the Powell Street trolley and BART station on Market Street, with a small waiting room offering snacks and chilled beverages for your comfort.
For patients outside these cities, telehealth provides a seamless alternative. The practice is licensed in California, New York, and Washington states to maintain continuity of care for patients who move between these tech hubs. This geographic flexibility ensures that high-performers can access top-tier psychiatric care without disrupting their professional lives.
Key Takeaways
- Specialized Expertise: SF Psychiatric focuses exclusively on ADHD and co-occurring conditions, ensuring deep specialization.
- Provider Credentials: Liz Moore, PMHNP, is a UCSF graduate with over 14 years of practice experience.
- Flexible Pricing: Annual plans range from $1,999 to $13,999, accommodating various budget and care needs.
- Rapid Access: The concierge model eliminates wait times, offering same or next-day availability for premium members.
- Geographic Reach: Services are available in-person in SF, Seattle, and NYC, plus telehealth for residents of CA, NY, and WA.
- Privacy Focus: The discreet office location ensures confidentiality for high-profile professionals.
- Medication Support: Direct pharmacy partnership helps navigate stimulant shortages and insurance friction.
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.
Schedule Your Evaluation Today
Take control of your mental health with a provider that understands the demands of high-performance life. Schedule yourself online to begin your journey with SF Psychiatric. For immediate assistance, contact us via text or call at 415-662-TALK. We are here to provide responsive care when you need it.