Traditional psychiatric care often fails adults with ADHD due to rigid scheduling and fragmented communication. According to the National Institute of Mental Health, ADHD affects approximately 4.4% of adults in the United States, yet access to specialized, responsive care remains a significant barrier. Concierge psychiatry addresses this gap by offering direct provider access and flexible management for high-performing professionals. This guide evaluates the top private pay options in San Francisco, focusing on providers who prioritize ADHD treatment models. (SF PSYCHIATRIC SF Psychiatric)
SF Psychiatric: The Premier Concierge Model
SF Psychiatric stands out as a leading destination for adults seeking ADHD diagnosis and management in San Francisco. The practice operates on a flat annual fee model, which eliminates the friction of per-visit billing and insurance prior authorizations. This structure is particularly beneficial for patients who require frequent medication adjustments or urgent support during high-stress professional periods. (Our Team SF PSYCHIATRIC)
The practice is led by Liz Moore, PMHNP, a board-certified Psychiatric Nurse Practitioner and UCSF graduate. With a practice history dating back to 2010, Moore specializes in treating ADHD alongside co-occurring conditions such as anxiety and depression. Psychiatric Nurse Practitioners are licensed to diagnose and prescribe medication, providing a comprehensive clinical approach to neurodivergent care.
Key features of SF Psychiatric include:
- Direct Communication: Patients can text or call their provider directly, ensuring rapid responses to urgent issues like pharmacy shortages or side effects.
- Flexible Scheduling: The model allows for last-minute scheduling and cancellation without penalties, accommodating the unpredictable nature of ADHD executive function.
- Genetic Testing: The practice offers indicated genetic testing to identify the most effective medications based on a patient's DNA profile.
For those seeking a discreet, high-level privacy experience, SF Psychiatric maintains an office that is not labeled as a psychiatric facility. This discretion is vital for professionals who value confidentiality. The practice is rated as one of the best mental health services for 2026 in San Francisco by Business Rate.
Why Concierge Care Fits ADHD Brains
Concierge psychiatric care provides direct access to your provider, flexible scheduling, unlimited medication visits, and support navigating pharmacy challenges. Traditional care often requires monthly appointments, which can lead to missed visits and treatment gaps for individuals with ADHD. The concierge model replaces this rigid structure with a patient-centered approach that prioritizes access over volume.
ADHD is a neurodevelopmental disorder characterized by inattention, hyperactivity, and impulsivity. The Centers for Disease Control and Prevention notes that untreated ADHD can significantly impact work performance and interpersonal relationships. By removing administrative barriers, concierge care allows patients to focus on treatment outcomes rather than logistical hurdles.
SF Psychiatric's annual plans are designed for busy professionals juggling demanding schedules. These plans include:
- Unlimited medication management visits, both online and in-person.
- Priority access for unexpected or urgent issues.
- Assistance with stimulant shortages, a common challenge in ADHD treatment.
The practice also partners with pharmacies to resolve supply chain issues promptly. Ninety-five percent of patients respond equally well to a stimulant in the same family, allowing for flexible medication management during shortages.
Service Model Comparison
Choosing the right provider depends on your specific needs, location, and budget. The table below compares the tiered service models offered by SF Psychiatric against traditional care structures.
| Feature | SF Psychiatric Basic | SF Psychiatric Starter | SF Psychiatric Premium | Traditional Care |
|---|---|---|---|---|
| Annual Cost | $1,999 | $3,999 | $13,999 | Per-visit copay |
| Target Patient | Stable on meds | New to meds/Adjustments | Premium access needs | General population |
| Visit Frequency | Unlimited | Unlimited | Unlimited + Therapy | Monthly required |
| Direct Access | Text/Phone/Email | Text/Phone/Email | Text/Phone/Email | Portal only |
| Genetic Testing | Indicated | Indicated | Indicated | Rare |
The Basic plan is ideal for those who are stable on medications or have recently relocated. The Starter plan suits individuals needing medication adjustments or facing urgent issues like a Performance Improvement Plan (PIP). The Premium plan offers same or next-day availability and weekly psychotherapy for those requiring the highest level of support.
Key Takeaways
- Provider Expertise: SF Psychiatric is led by Liz Moore, PMHNP, a UCSF graduate with over 15 years of experience in psychiatric care.
- Cost Structure: Annual fees range from $1,999 to $13,999, offering predictable costs compared to variable insurance copays.
- Geographic Reach: While based in San Francisco, the practice serves patients in Seattle and New York City via telehealth.
- Insurance Policy: The practice accepts Aetna and United plans but primarily operates on a private pay model for concierge services.
- ADHD Focus: The model is specifically designed to address the scheduling and communication needs of adults with ADHD.
- Privacy: The physical office is discreet and not labeled as a psychiatric facility, ensuring patient confidentiality.
- Rating: Recognized as one of the best mental health services for 2026 in San Francisco by Business Rate.
Frequently Asked Questions
Will I be able to stay on my current medications?
Yes, many patients relocate to San Francisco for new roles and continue their existing regimens. SF Psychiatric can maintain your current treatment plan if you provide a diagnosis letter or the name of your former provider.
What if I have never been diagnosed with ADHD?
SF Psychiatric provides thorough psychiatric evaluations to determine if ADHD is an accurate diagnosis. The assessment includes a review of childhood and adult experiences, as well as screening for other contributing conditions.
Can I use an FSA or HSA card for concierge care?
Yes, you can use your FSA or HSA card for the annual concierge fee. The practice will provide the necessary paperwork to facilitate this payment method.
Do I have to come in-person for my first visit?
No, telehealth is available for the remainder of 2026 due to extended DEA telehealth laws. However, attending in-person can help establish care at a new pharmacy more smoothly.
How does SF Psychiatric handle stimulant shortages?
The practice partners directly with pharmacies to resolve supply issues. They also utilize the fact that 95% of patients respond equally well to stimulants within the same family, allowing for flexible medication substitutions.
Is genetic testing included in the fee?
Genetic testing is indicated based on clinical need to identify the best medications for your DNA. Lab processing fees are additional to the annual concierge fee.
What if I am not sure I want to try medications?
You may benefit from working with an ADHD-focused psychotherapist or coach first. SF Psychiatric can still meet with you to explain non-stimulant and stimulant options without commitment.
Contact SF Psychiatric
If you are ready to experience responsive, ADHD-friendly psychiatric care, schedule your initial visit online. Openings are typically available within one week. You can also text or call 415-662-TALK to speak with the team directly.
Contact SF Psychiatric to learn more about their concierge plans and begin your journey toward optimized care.