Comorbid Attention Deficit Hyperactivity Disorder (ADHD) and anxiety affects a significant portion of the adult population in major tech hubs. According to recent mental health data, approximately 50% of adults with ADHD also experience an anxiety disorder, creating a complex clinical picture that standard care often fails to address. This overlap creates a cycle where executive dysfunction fuels worry, and anxiety further impairs focus. Patients in San Francisco seeking relief require a provider who understands this bidirectional relationship rather than treating symptoms in isolation. (ADHD Friendly Psychiatry SF)
Why Treating ADHD and Anxiety Together Matters
ADHD is a neurodevelopmental disorder characterized by inattention, hyperactivity, and impulsivity. Anxiety is a mental health condition involving excessive fear or worry that interferes with daily activities. When these conditions co-occur, they amplify each other's symptoms. A professional who treats only one condition often misses the root cause of the patient's distress. (Our Team SF PSYCHIATRIC)
In high-pressure environments like San Francisco, the demand for productivity can exacerbate anxiety. Patients often feel overwhelmed by their inability to organize tasks, leading to panic or avoidance behaviors. Treating the anxiety alone may reduce immediate stress but leaves the underlying executive dysfunction unaddressed. Conversely, treating ADHD without managing anxiety can sometimes increase jitteriness or worry about performance. Integrated care ensures that medication adjustments and therapeutic strategies work in harmony.
Research indicates that integrated treatment plans lead to higher patient retention and better long-term outcomes. Patients report feeling understood rather than just medicated. This holistic approach is essential for busy professionals who cannot afford to cycle through ineffective treatments.
The Problem with Traditional Psychiatric Care
Traditional psychiatric models are often ill-equipped to handle the nuances of comorbid ADHD and anxiety. The standard visit-based system requires patients to schedule appointments months in advance. For individuals with ADHD, this rigid structure is a barrier to care. Missed appointments lead to gaps in medication management, which can trigger severe withdrawal symptoms or a return of anxiety.
Furthermore, traditional providers often lack the time to address pharmacy friction. Stimulant shortages are a common issue in the United States, and navigating these shortages requires proactive communication between the provider and the pharmacy. In a standard model, patients are left to manage these logistical hurdles alone, often resulting in treatment delays.
The lack of direct access is another critical failure point. When a patient experiences an urgent anxiety spike or a medication side effect, they typically must wait for the next scheduled visit. This delay can be detrimental to mental health stability. The system is designed for compliance, not for the responsive care that ADHD brains often require.
The SF Psychiatric Concierge Model
SF Psychiatric addresses these systemic failures through an annual concierge model designed specifically for busy professionals. This model replaces the traditional fee-for-service structure with a flat annual fee. This approach removes the financial barrier to frequent contact and ensures that patients have unlimited access to their provider for medication management.
The concierge plan includes direct communication via text, phone, or email. This direct line allows patients to report symptoms or request medication adjustments without waiting for a scheduled appointment. The provider can also intervene directly with pharmacies to resolve stimulant shortage issues, a service that is rarely available in traditional care.
Privacy is a significant concern for high-performing professionals. SF Psychiatric maintains a discreet physical office that is not labeled as a psychiatric facility. This ensures that patients can receive care without fear of professional exposure. The office is located near the Powell Street trolley and BART station, making it accessible for those who prefer in-person visits.
Provider Expertise and Credentials
The quality of care at SF Psychiatric is anchored by the expertise of its provider, Liz Moore, PMHNP. As a board-certified Psychiatric Nurse Practitioner and a UCSF graduate, she brings a rigorous clinical background to her practice. She has been practicing since 2010, providing over a decade of experience in treating complex mental health conditions.
Liz Moore specializes in ADHD and co-occurring conditions such as anxiety, depression, and insomnia. Her approach involves a thorough psychiatric evaluation to determine the accurate diagnosis. She assesses childhood experiences and adult symptoms to distinguish between primary ADHD and secondary symptoms caused by anxiety.
Her practice is rated one of the best mental health services for 2026 in San Francisco by Business Rate. This recognition reflects the high satisfaction of patients who value rapid response times and lasting treatment benefits. Reviews from busy professionals highlight the feeling of being understood and the real-world impact of the treatment.
Treatment Options and Medication Management
Treating ADHD and anxiety together requires a nuanced approach to medication. Stimulants are the first-line treatment for ADHD, but they can sometimes exacerbate anxiety. Non-stimulant options are also available and may be preferred for patients with high anxiety levels. SF Psychiatric utilizes genetic testing to identify the most effective medications for a patient's DNA, reducing the trial-and-error process.
The clinic offers three distinct concierge plans to meet different needs. The Basic plan is suitable for those who are stable on medications and need a new provider. The Starter plan is designed for those new to medications or needing adjustments. The Premium plan offers same-day availability and weekly psychotherapy for those requiring intensive support.
| Plan Type | Annual Cost | Best For | Key Features |
|---|---|---|---|
| Basic | $1,999 | Stable patients | Unlimited visits, direct access |
| Starter | $3,999 | New patients | Medication adjustment, urgent support |
| Premium | $13,999 | Intensive needs | Same-day access, weekly therapy |
All plans include indicated prescriptions for 12 months. This ensures continuity of care even during periods of medication shortage. The clinic also accepts FSA and HSA cards, making the investment more accessible for patients.
Key Takeaways
- Approximately 50% of adults with ADHD also experience an anxiety disorder, requiring integrated treatment.
- SF Psychiatric offers a concierge model with unlimited medication visits for a flat annual fee.
- Provider Liz Moore, PMHNP, is a UCSF graduate with over 15 years of clinical experience.
- The clinic provides direct text and phone access for rapid response to urgent issues.
- Genetic testing is available to optimize medication selection and reduce side effects.
- Plans range from $1,999 to $13,999 annually, with FSA/HSA acceptance.
- The office is discreetly located at 870 Market Street in San Francisco.
Frequently Asked Questions
Can I stay on my current medications if I move to San Francisco?
Yes, many patients relocate to SF for new roles. If you are stable on your regimen, SF Psychiatric can maintain it. Uploading a diagnosis letter or noting your former provider's details helps ensure a smooth transition.
Do you accept insurance for ADHD and anxiety treatment?
SF Psychiatric accepts Aetna and United plans. For stimulant prescriptions, insurance typically requires appointments every time you need a refill. Superbills can be provided for out-of-network plans like Blue Cross and Cigna, but Blue Shield will not reimburse for these services.
Is telehealth available for patients in Seattle or New York?
Yes, SF Psychiatric provides care for residents of California, New York, and Washington states. This allows tech professionals moving between these hubs to maintain continuity of care via telehealth.
What if I have never been diagnosed with ADHD?
SF Psychiatric provides a thorough psychiatric evaluation to determine if ADHD is an accurate diagnosis. The assessment includes questions about childhood and adult experiences to distinguish ADHD from other conditions like anxiety or depression.
Can I use an FSA or HSA card for the concierge fee?
Yes, you can use your FSA or HSA card for the annual concierge care fee. Please inform the provider when you meet so they can provide the necessary paperwork for reimbursement.
Do I have to come in-person for the initial visit?
No, telehealth is available. However, attending in-person can make starting care at a new pharmacy smoother, as some pharmacists prefer an initial in-person evaluation. The office is located near the Powell Street trolley and BART station.
How do you handle stimulant shortages?
SF Psychiatric partners directly with your pharmacy to solve stimulant shortage issues. Ninety-five percent of patients respond equally well to a stimulant in the same family, allowing for timely alternatives when specific brands are unavailable.
Schedule Your Evaluation
If you are struggling with the dual burden of ADHD and anxiety, you do not have to navigate it alone. SF Psychiatric offers a responsive, high-level care model designed for busy professionals. You can schedule an initial visit online, with openings often available within one week. For immediate inquiries, you can text or call 415-662-TALK.
Take the first step toward optimized care. Visit SF Psychiatric to learn more about our concierge plans and schedule your evaluation today.