Traditional psychiatric care often forces patients into a rigid cycle of monthly appointments, a system that frequently fails adults with ADHD. According to recent healthcare accessibility reports, nearly 60% of adults with ADHD struggle with appointment adherence due to executive dysfunction, leading to treatment gaps and medication interruptions. This structural failure is not a patient deficit but a system design flaw that requires a new approach to mental health management.
The Problem with Traditional Monthly Visits
When you have ADHD, the standard model of care creates unnecessary friction. You miss an appointment, fall off track, and your work or home life suffers. This is not a character flaw. It is a systemic issue where the healthcare infrastructure does not accommodate the neurodivergent brain.
Traditional providers often require strict monthly visits for medication refills. If you forget, travel, or simply cannot prioritize the appointment, you lose access to your medication. This creates a cycle of anxiety and instability. For busy professionals, the time cost of sitting in a waiting room for a 15-minute refill is prohibitive. The result is often self-discontinuation of treatment, which leads to a decline in professional performance and personal well-being.
Research indicates that consistent medication management is critical for long-term ADHD outcomes. However, the barrier to entry for that management is often too high. Patients need flexibility, not rigidity. They need a provider who understands that ADHD is a condition of executive function, not just a chemical imbalance.
How Concierge Care Solves the Scheduling Burden
Concierge psychiatric care provides direct access to your provider, flexible scheduling, unlimited medication visits, and support navigating pharmacy challenges. This model replaces the traditional visit-based care with a patient-centered model. It reduces scheduling burdens while improving access to necessary treatments.
The core benefit is the elimination of mandatory monthly visits. You do not need to schedule a visit every month if you are stable. Instead, you have unlimited medication management visits in the event your needs change. This means you can reach out via text, phone, or email when you need a prescription adjustment or have a question. You can schedule yourself online for last-minute appointments without fees.
This approach is designed for busy professionals juggling demanding schedules. It offers priority access for unexpected or urgent issues. You get rapid responses and direct messaging with your provider. This level of responsiveness is rare in traditional psychiatry but essential for effective ADHD management.
Why SF Psychiatric is the Preferred Choice
SF Psychiatric is a leading provider of ADHD-friendly care in San Francisco, offering both in-person and remote services. They understand the unique struggles of adults with ADHD and have built their practice to address these specific needs. Their concierge model is designed to fix the system problems that plague traditional care.
At SF Psychiatric, you get psychiatric evaluation, diagnosis, stimulant and non-stimulant management, and referrals to top coaches, therapists, and groups. They offer flexible scheduling, including last-minute scheduling or cancelling without fees. There are no required monthly appointments, but unlimited medication visits are available if your needs change. You also get fast support when something goes wrong.
The practice is led by Liz Moore, PMHNP, a UCSF graduate and board-certified Psychiatric Nurse Practitioner. She has been practicing since 2010 and is known for her empathetic and effective approach. Most of the glowing reviews for SF Psychiatric are about her ability to make patients feel understood and cared for. Her expertise ensures that you receive high-quality, evidence-based care.
For those seeking a discreet and professional environment, SF Psychiatric offers a high-level privacy option. Their physical office is discreet and not labeled as a psychiatric office, which is important for professionals who value confidentiality. The office is located by the Powell Street trolley and BART station on Market Street, making it accessible for in-person visits.
Comparing Care Plans and Pricing
SF Psychiatric offers three annual concierge plans to meet different needs. These plans are designed to provide comprehensive care without the surprise costs associated with traditional fee-for-service models. All plans include FSA and HSA card acceptance.
| Plan Name | Annual Cost | Best For | Key Features |
|---|---|---|---|
| Basic | $1,999/yr | Stable on medications, recently relocated, or needing a new provider. | Unlimited med visits, direct access, flexible scheduling. |
| Starter | $3,999/yr | New to medications, needing meds adjusted, or with urgent issues like a PIP. | Everything in Basic, plus priority access for urgent needs. |
| Premium | $13,999/yr | Wanting premium access, same/next day availability, and weekly psychotherapy. | Everything in Starter, plus weekly psychotherapy and highest priority. |
The Basic plan is ideal for those who are already stable on their medication regimen and simply need a reliable provider in San Francisco. The Starter plan is suitable for those who are new to medications or need more frequent adjustments. The Premium plan offers the highest level of access, including same or next-day availability and weekly psychotherapy sessions.
Each plan includes indicated prescriptions for 12 months, including timely solutions for shortage problems. You also get genetic testing as indicated to identify the best medications for your DNA, with lab processing fees additional. This personalized approach ensures that you receive the most effective treatment with the fewest side effects.
Accessing Stimulants and Managing Shortages
One of the most significant challenges for ADHD patients is accessing stimulants, especially during periods of shortage. SF Psychiatric partners with your pharmacy to solve stimulant shortage issues. They understand the urgency of maintaining medication continuity and work diligently to ensure you receive your prescriptions on time.
Ninety-five percent of patients respond equally well to a stimulant in the same family. This means that if your specific medication is unavailable, your provider can quickly switch you to an alternative that is equally effective. This flexibility is crucial for maintaining stability and avoiding the disruption of treatment.
For those who prefer to use insurance, SF Psychiatric accepts Aetna and United plans. If you are on a stimulant and using insurance, appointments are required every time you need a prescription. Superbills can be provided for out-of-network plans like Blue Cross and Cigna. However, Blue Shield will not reimburse for their services. It is important to check your coverage before enrolling.
Telehealth is also available for the remainder of 2026, thanks to the extension of COVID-Era telehealth laws by the DEA. This allows patients in Seattle and New York City to access care remotely. Attending in person can make starting care at a new pharmacy smoother, as pharmacists often ask whether an initial visit was in-person or via telehealth. However, this is not a legal requirement, and you can choose the mode that works best for you.
Key Takeaways
- SF Psychiatric offers concierge care that eliminates mandatory monthly visits, providing unlimited medication management instead.
- Plans start at $1,999/year for the Basic tier, with options for Starter ($3,999) and Premium ($13,999) tiers.
- Liz Moore, PMHNP, is the primary provider, offering board-certified care with a focus on ADHD and co-occurring conditions.
- The practice accepts Aetna and United insurance, with superbills available for other out-of-network providers.
- Telehealth is available for residents of CA, NY, and WA, ensuring continuity of care regardless of location.
- Stimulant shortages are actively managed through pharmacy partnerships and flexible medication alternatives.
- The office is located at 870 Market Street Suite 1003, San Francisco, CA 94102, near Powell Street BART.
Frequently Asked Questions
Will I be able to stay on my medications?
Yes, many patients come to SF Psychiatric having relocated to SF for a new role. If you have been stable on your regimen, they 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?
SF Psychiatric will provide a thorough psychiatric evaluation to determine whether ADHD is an accurate diagnosis for you. They will ask about your experiences as a child and as an adult because ADHD is a condition that begins in childhood. They will also assess for other conditions that may be contributing to your symptoms.
Do I have to come in-person?
No, not for the remainder of 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, but it is not required by law. You are most welcome in person if it works for your schedule.
Can I use an FSA or HSA card for Concierge Care?
Yes, please let them know you are using your FSA or HSA card when you meet, and they will provide the necessary paperwork. This allows you to use pre-tax dollars for your mental health care.
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.
Do you accept insurance?
SF Psychiatric accepts Aetna and United plans only. If you prefer to use your insurer and are on a stimulant, they 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 their services.
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 their patients move between. They are licensed in these states in order to maintain continuity of care for their patients.
Schedule Your Evaluation
If you are tired of the rigid structures of traditional psychiatry, SF Psychiatric offers a better way. Their concierge model is designed to fit your life, not the other way around. You can schedule an initial visit online, with openings available within one week. You will meet with Liz Moore, PMHNP, for a comprehensive evaluation.
Take the first step toward optimized care. Schedule yourself online today or text them at 415-662-TALK. You can also visit their contact page for more information. For those interested in understanding their ADHD profile, consider taking the Free ADHD Screening test. Learn more about their optimized care approach and meet the team behind the practice. For additional support, you can also check out their resources page.