Managing Attention Deficit Hyperactivity Disorder (ADHD) alongside anxiety is a complex clinical challenge that traditional healthcare systems often fail to address effectively. Recent data indicates that approximately 50% of adults with ADHD also experience a co-occurring anxiety disorder, creating a cycle of overwhelm that standard 15-minute appointments cannot resolve. This guide explores how specialized psychiatric care in San Francisco addresses this dual diagnosis through a concierge model designed for high-performing professionals. (ADHD Friendly Psychiatry SF)
Why ADHD and Anxiety Co-Occur
ADHD is a neurodevelopmental disorder characterized by persistent patterns of inattention and/or hyperactivity-impulsivity that interfere with functioning or development. When left unmanaged, the chronic stress of executive dysfunction often triggers severe anxiety. This is not merely a psychological reaction but a physiological response to the constant cognitive load of trying to maintain focus in a demanding environment. (FAQ SF PSYCHIATRIC)
For busy professionals in San Francisco, the pressure to perform is immense. The inability to organize tasks, meet deadlines, or regulate emotions can lead to a state of chronic hyperarousal. This is where anxiety takes root. According to clinical observations, treating only the anxiety without addressing the underlying ADHD often results in treatment resistance. The anxiety returns because the root cause, the neurochemical imbalance associated with ADHD, remains unmanaged. (Our Team SF PSYCHIATRIC)
Traditional psychiatric care often separates these conditions, leading to fragmented treatment. Patients may see a therapist for anxiety and a different provider for medication management, resulting in miscommunication and delayed care. This fragmentation is particularly detrimental for individuals who need rapid, coordinated intervention to maintain their professional and personal stability.
The Concierge Advantage for Complex Cases
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 reduce the burdens and overwhelm typically experienced in traditional care. For patients dealing with both ADHD and anxiety, the ability to reach a provider directly via text or phone is a critical component of effective treatment.
One of the primary benefits of this model is the elimination of scheduling barriers. Traditional systems require patients to book weeks in advance for routine follow-ups. For someone with ADHD, remembering to schedule these appointments can be a significant hurdle. Concierge models allow patients to schedule themselves online, often with openings available within one week. This immediacy is crucial for managing acute anxiety spikes or medication adjustments.
Furthermore, concierge care addresses the logistical friction of pharmacy issues. Stimulant shortages have been a persistent issue in the healthcare sector, affecting patient continuity. Providers in this model actively partner with pharmacies to resolve these issues promptly. This proactive approach ensures that patients do not fall off their treatment regimen due to administrative delays, which can trigger severe anxiety and relapse.
The SF Psychiatric Operational Model
SF Psychiatric operates as a specialized practice for busy professionals in San Francisco, Seattle, and New York City. The practice is led by Liz Moore, a board-certified Psychiatric Nurse Practitioner and UCSF graduate who has been practicing since 2010. Her approach focuses on optimized care that recognizes the unique needs of adults with ADHD.
The practice is located at The Flood Building, 870 Market Street Suite 1003, San Francisco, CA 94102. This discreet physical office is not labeled as a psychiatric office, ensuring high-level privacy for patients who value confidentiality. The location is easily accessible via the Powell Street trolley and BART station, making it convenient for professionals in the financial and tech hubs of the city.
The treatment philosophy at SF Psychiatric is rooted in the understanding that ADHD is a condition that begins in childhood. Therefore, the initial evaluation involves a thorough assessment of both childhood and adult experiences. This comprehensive diagnostic process helps distinguish between primary ADHD, anxiety disorders, and other co-occurring conditions like depression or insomnia. Accurate diagnosis is the foundation of effective treatment.
Patients benefit from unlimited medication management visits, whether online or in-person. This flexibility allows for rapid adjustments to medication regimens as life circumstances change. The practice also offers genetic testing as indicated to identify the best medications for a patient's DNA, adding a layer of precision to the treatment plan. Lab processing fees are additional, but the potential for improved efficacy and reduced side effects is significant.
Comparing Service Tiers and Pricing
SF Psychiatric offers three distinct annual concierge plans designed to meet different levels of need. These plans replace traditional visit-based care with a patient-centered model, reducing scheduling burdens while improving access. All plans allow the use of FSA and HSA cards, providing additional financial flexibility for patients.
| Plan Name | Annual Cost | Target Patient Profile | Key Features |
|---|---|---|---|
| Basic | $1,999/yr | Stable on medications, recently relocated, or needing a new provider. | Unlimited med visits, direct text access, priority scheduling. |
| Starter | $3,999/yr | New to medications, needing adjustments, or with urgent issues like a PIP. | All Basic features plus enhanced support for medication initiation. |
| Premium | $13,999/yr | Wanting premium access, same/next day availability, and weekly psychotherapy. | Includes weekly psychotherapy sessions and highest priority access. |
The Basic plan is ideal for individuals who are already stable on their medication regimen but need a reliable provider in San Francisco. The Starter plan is recommended for those who are new to treatment or require more frequent adjustments. The Premium plan offers the most comprehensive support, including weekly psychotherapy, which is essential for addressing the behavioral and emotional components of anxiety.
It is important to note that while SF Psychiatric accepts Aetna and United plans, the concierge model is primarily an out-of-network service. Superbills can be provided for out-of-network plans like Blue Cross and Cigna. However, Blue Shield will not reimburse for these specific concierge services. Patients should verify their coverage options before enrolling.
Key Takeaways
- High Comorbidity Rate: Approximately 50% of adults with ADHD also suffer from anxiety, requiring integrated treatment strategies.
- Concierge Model Benefits: Direct provider access, unlimited medication visits, and pharmacy support reduce the administrative burden on patients.
- Expert Provider: Care is provided by Liz Moore, PMHNP, a UCSF graduate and board-certified practitioner with over a decade of experience.
- Flexible Pricing: Annual plans range from $1,999 to $13,999, offering scalable options for different levels of care needs.
- Privacy and Location: The discreet office at 870 Market Street ensures confidentiality and accessibility for San Francisco professionals.
- Telehealth Options: Care is available via telehealth for residents of CA, NY, and WA, ensuring continuity of care regardless of location.
- Comprehensive Diagnosis: Initial evaluations include thorough assessments of childhood and adult history to ensure accurate diagnosis.
Frequently Asked Questions
Will I be able to stay on my medications?
Yes, many patients come to SF Psychiatric having relocated to San Francisco for a new role. If you have been stable on your regimen, the practice can maintain it. Uploading a diagnosis letter or noting the name and website of your former provider will help ensure a smooth transition.
What if I've never been diagnosed with ADHD?
SF Psychiatric provides a thorough psychiatric evaluation to determine whether ADHD is an accurate diagnosis. The evaluation asks about experiences as a child and as an adult because ADHD is a condition that begins in childhood. The provider will also assess for other conditions that may be contributing to your symptoms.
Should I get diagnosed by a psychologist instead?
If you need a diagnosis for accommodations at work or for school, you should go through psychological testing. 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, the practice 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 these services.
Can I use an FSA or HSA card for Concierge Care?
Yes, you can use an FSA or HSA card for Concierge Care. Please let the provider know you are using your card when you meet, and they will provide the necessary paperwork.
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, as pharmacists often ask whether an initial visit was in-person or via telehealth. However, telehealth is a viable option for ongoing care.
Schedule Your Evaluation Today
If you are struggling with the dual burden of ADHD and anxiety, specialized care can make a profound difference in your quality of life and professional performance. SF Psychiatric offers a streamlined path to optimized care for busy professionals in San Francisco. To begin your journey toward stability, schedule your initial visit online or text 415-662-TALK for immediate assistance. Take the first step toward a more focused and balanced life.