Traditional psychiatric care often forces patients into a rigid cycle of monthly appointments, creating significant friction for busy professionals managing ADHD. According to recent healthcare efficiency reports, nearly 60% of patients with attention deficit disorders discontinue treatment due to scheduling burdens and administrative overhead. This systemic failure leaves high-performing individuals struggling to maintain focus and stability. SF Psychiatric offers a modern alternative through its annual concierge model, which eliminates mandatory monthly visits while ensuring continuous access to essential ADHD medications. (SF PSYCHIATRIC SF Psychiatric)
Understanding the Concierge Model
Concierge psychiatric care provides direct access to your provider, flexible scheduling, unlimited medication visits, and support navigating pharmacy challenges. This model replaces the traditional fee-for-service structure with a patient-centered approach designed for those who cannot afford to wait weeks for a routine refill. The core benefit is the removal of administrative barriers that typically disrupt treatment continuity. (SF PSYCHIATRIC SF Psychiatric)
At SF Psychiatric, the annual plan structure allows patients to focus on their health rather than their calendar. You can schedule yourself online for any need, whether it is a routine check-in or an urgent medication adjustment. This flexibility is critical for individuals whose work demands are unpredictable. The service accommodates last-minute changes with no penalties, ensuring that your care plan adapts to your life, not the other way around. (FAQ SF PSYCHIATRIC)
Concierge plans are designed for busy professionals juggling demanding schedules. These annual plans replace traditional visit-based care with a patient-centered model, reducing scheduling burdens while improving access. The model also supports financial flexibility by allowing FSA and HSA cards for payment, making high-quality care more accessible to those with pre-tax health benefits.
Accessing Stimulants Without Monthly Visits
One of the most significant hurdles for ADHD treatment is the strict regulatory environment surrounding controlled substances. Traditionally, patients must visit a provider every month to renew stimulant prescriptions. SF Psychiatric addresses this by providing indicated prescriptions for 12 months, including timely solutions for shortage problems. This approach ensures that your medication supply is never interrupted due to administrative delays.
We also partner with your pharmacy to solve stimulant shortage issues. Ninety-five percent of patients respond equally well to a stimulant in the same family, unlike many other classes of psych meds. This clinical insight allows for rapid substitution when specific formulations are unavailable, a common issue in the current pharmaceutical landscape. You get psychiatric evaluation, diagnosis, stimulant and non-stimulant management, and referrals to top coaches, therapists and groups, all under one roof.
The problem with traditional psychiatric care is that you miss appointments and fall off track. That is not a patient problem; it is a system problem. SF Psychiatric's annual concierge model is designed to fix that with a flat annual fee and no surprise costs. You have no required monthly appointments but unlimited medication visits in the event your needs change. Fast support is available when something goes wrong, ensuring that your treatment remains effective and uninterrupted.
Comparing Service Tiers
Choosing the right level of care depends on your current medication status and urgency of needs. SF Psychiatric offers three distinct annual tiers to match different patient profiles. The Basic plan is ideal for those who are stable on medications, recently relocated, or needing a new provider. It provides the foundational concierge benefits at the most accessible entry point.
The Starter plan is designed for those who are new to medications, needing meds adjusted, or with an urgent issue like a PIP (Performance Improvement Plan). This tier offers enhanced support for those navigating the complexities of starting treatment or managing workplace pressures. The Premium tier is for those wanting premium access and support, including same or next day availability and weekly psychotherapy. This is the most comprehensive option for individuals requiring intensive, immediate care.
| Service Tier | Annual Cost | Best For | Key Features |
|---|---|---|---|
| Basic | $1,999/yr | Stable patients | Unlimited visits, direct access |
| Starter | $3,999/yr | New/Adjusting meds | Urgent support, med adjustments |
| Premium | $13,999/yr | High-acuity needs | Same-day access, weekly therapy |
Provider Expertise and Credentials
The quality of care at SF Psychiatric is anchored by the expertise of its provider, Liz Moore, PMHNP. She is a UCSF graduate, board-certified, and has been practicing since 2010. Most of the glowing reviews are about her, with busy, high-performing professionals referencing feeling understood and cared for, rapid response times, and experiencing real and lasting benefits from treatments. Her background ensures that patients receive evidence-based care tailored to the specific neurobiology of ADHD.
Genetic testing is available as indicated to identify the best medications for your DNA, with lab processing fees additional. This precision medicine approach helps minimize trial-and-error, allowing for faster stabilization on effective treatments. The provider also offers high-level privacy, including a discreet physical office that is not labeled as a psychiatric office, protecting patient confidentiality in a professional setting.
Telehealth and In-Person Options
Flexibility in how you receive care is essential for modern professionals. SF Psychiatric offers both in-person and remote psychiatric care. 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. 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 provides unparalleled convenience for ongoing management. You can access care when you need it without unnecessary visits. The service is available for residents of CA, NY, and WA states, accommodating those who move between tech hubs like San Francisco, Seattle, and New York City. This multi-state licensure ensures continuity of care regardless of your geographic location within these regions.
Key Takeaways
- No Mandatory Visits: The annual concierge model eliminates the requirement for monthly appointments, allowing unlimited contact as needed.
- Stimulant Access: Patients receive indicated prescriptions for 12 months, with active support for pharmacy shortages and substitutions.
- Provider Credentials: Care is delivered by Liz Moore, PMHNP, a UCSF graduate and board-certified provider with over 15 years of experience.
- Flexible Tiers: Three service levels (Basic, Starter, Premium) cater to different needs, ranging from $1,999 to $13,999 annually.
- Multi-State Care: Services are available in California, New York, and Washington, supporting mobile professionals.
- Privacy Focus: A discreet office location and high-level privacy protocols protect patient identity and confidentiality.
- Insurance Options: Aetna and United plans are accepted, with superbills available for out-of-network providers like Blue Cross.
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. You are most welcome in person if it works for your schedule. We are located by the Powell Street trolly and BART station on Market Street. There is a small waiting room with snacks and chilled beverages for your comfort.
Who will I see and work with at SF Psychiatric?
Liz Moore, PMHNP is our only provider currently welcoming new patients. She is a UCSF graduate, board-certified and has been practicing since 2010. Most of our glowing reviews are about her.
Schedule Your Care
Take control of your mental health with a provider who understands the demands of high-performance careers. Schedule an initial visit online today and experience the difference of responsive, flexible care. Openings are available within one week. For immediate assistance, text or call us at 415-662-TALK or use the form on our Contact Us page. Visit our Optimized Care page to learn more about our approach.