Traditional psychiatric care often fails busy professionals because it relies on rigid appointment schedules that clash with demanding work lives. According to recent industry analyses, the average patient misses multiple appointments annually due to scheduling conflicts, leading to fragmented care and worsening symptoms. SF Psychiatric addresses this systemic failure by offering a concierge medication management model designed specifically for high-performing individuals in San Francisco, Seattle, and New York City. This approach prioritizes direct access, flexible scheduling, and continuity of care over the traditional visit-based fee structure.
The Problem with Traditional Care
When you have ADHD and seek traditional psychiatric care, you often face a system that is not built for your reality. You miss appointments. You fall off track. Your work and home life suffer because you cannot easily reschedule a 15-minute slot that conflicts with a critical business meeting. That is not a patient problem. It is a system problem.
Traditional models require monthly or quarterly visits, creating administrative friction that leads to gaps in treatment. When you fall off track, the consequences are immediate. Concentration drops, anxiety rises, and professional performance declines. SF Psychiatric was founded to fix this by removing the barriers between you and your provider. We understand the ADHD struggle, which is why we built a platform that responds when you need it, not when the calendar allows.
Furthermore, navigating insurance and pharmacy networks adds another layer of complexity. Many patients report that insurance denials and prior authorizations delay critical medication refills. This delay can last weeks, leaving you without support during a vulnerable time. Our model eliminates this friction by providing direct access to a provider who advocates for you behind the scenes.
How the Concierge Model Works
Concierge psychiatric care provides direct access to your provider, flexible scheduling, unlimited medication visits, and support navigating pharmacy challenges. We accommodate last-minute changes with no penalties. We resolve pharmacy issues promptly. Overall, we reduce the burdens and overwhelm typically experienced in traditional care.
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. You can schedule yourself online, text us directly, or call when an urgent issue arises. This direct line of communication ensures that your care is responsive, not reactive.
All plans include flexibility to cancel, reschedule, and schedule last minute without fees. You also receive unlimited medication management visits, whether online or in-person. This means you can adjust your treatment plan as your life changes, without worrying about copays or visit limits. We also provide indicated prescriptions for 12 months, including timely solutions for shortage problems, ensuring your treatment remains consistent.
Privacy is another critical component of our service. We offer high-level privacy including a discreet physical office that is not labeled as a psychiatric office. This ensures that your health information remains confidential, which is essential for professionals who value discretion. Additionally, we offer genetic testing as indicated to identify the best medications for your DNA, further personalizing your care path.
Plan Comparison and Pricing
Choosing the right plan depends on your current medication status and your need for provider access. SF Psychiatric offers three distinct tiers to meet different professional needs. The Basic Plan is ideal for those who are stable on medications, recently relocated, or needing a new provider. It provides essential support at a lower entry point.
The Enhanced Plan is designed for those who are new to medications, needing meds adjusted, or dealing with an urgent issue like a Prior Authorization (PIP). This tier offers more intensive support for those navigating the complexities of starting or changing treatment. The Premium Plan is for those wanting premium access and support, including same or next day availability and bi-monthly hour-long visits, up to 32 per year.
| Plan Tier | Annual Cost | Best For | Key Features |
|---|---|---|---|
| Basic Plan | $1,999/yr | Stable patients, new to area | Unlimited visits, direct text access |
| Enhanced Plan | $3,999/yr | New meds, urgent adjustments | Priority access, PIP support |
| Premium Plan | $7,999/yr | High-touch, frequent visits | Same/next day availability, 32 visits/yr |
Our pricing is transparent and predictable. SF Psychiatric will keep your medications on track for just $5.47 per day, based on an annual fee of $1,999. This is less than a latte, yet it provides comprehensive psychiatric care. All plans allow FSA and HSA card usage, making it easier to manage healthcare costs. We are rated one of the best mental health services for 2026 in San Francisco by Business Rate, reflecting our commitment to excellence.
Medication Access and Shortages
Stimulant medications are tightly regulated, and national supply shortages have made refills unpredictable for a lot of patients. None of that is your fault. However, a few habits can make your own access far more reliable. Medications like Adderall, Vyvanse, Concerta, and Ritalin are Schedule II controlled substances. That classification means stricter prescribing rules, no automatic refills, limits on early fills, and recurring shortages that can leave a specific dose or brand out of stock at your usual pharmacy with no warning.
When a fill falls through, the instinct is to call around to other pharmacies or ask another provider to help. Understandable, but this is exactly the pattern that pharmacies and insurers flag as a red flag for diversion. This can lead to delays, denied fills, or a harder time getting care anywhere. We 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. We use this data to find immediate alternatives when your first choice is unavailable.
To protect your access, we recommend one provider for every controlled substance. Every state runs a Prescription Drug Monitoring Program (PDMP) that logs controlled substance fills across providers. Multiple prescribers writing for the same medication class is one of the fastest ways to trigger a review or an outright refusal to fill. We also advise filling everything at the same pharmacy. Pharmacists build a full picture of your regimen, which lets them catch interactions and vouch for you when supply is tight.
Additionally, we require an in-person visit at the start of care, and roughly annually after that. This is standard practice for controlled substance management and is required outright under DEA telehealth rules for most stimulant prescriptions. Keeping this visit current is what allows your provider to keep prescribing without interruption. Our downtown San Francisco office is dedicated to these initial evaluations and annual visits, ensuring you remain compliant and cared for.
Key Takeaways
- SF Psychiatric offers concierge ADHD care starting at $1,999 per year, providing unlimited medication management visits.
- The model is designed for busy professionals in San Francisco, Seattle, and New York City, offering both in-person and telehealth options.
- Patients have direct access to their provider via text, phone, or email, eliminating the need for rigid appointment scheduling.
- We actively manage stimulant shortages by leveraging the fact that 95% of patients respond equally well to stimulants in the same family.
- Our team includes board-certified providers like Liz Moore, PMHNP, a UCSF graduate with expertise in psychiatric nurse practitioner care.
- All plans include flexible scheduling, allowing you to cancel or reschedule last minute without fees.
- We prioritize privacy with a discreet physical office that is not labeled as a psychiatric practice.
Frequently Asked Questions
What conditions does SF Psychiatric treat?
We treat ADHD and co-occurring conditions like anxiety, depression, and insomnia. Our comprehensive approach ensures that all aspects of your mental health are addressed simultaneously.
How do I schedule an initial visit?
You can schedule an initial visit online through our website. Openings are typically available within one week, allowing for rapid access to care.
Is telehealth available for all patients?
Yes, we offer remote psychiatric care via telehealth for patients in Seattle and New York City. However, an initial in-person visit is required for controlled substance prescriptions under DEA regulations.
What is the cost of the Basic Plan?
The Basic Plan costs $1,999 per year. This fee covers unlimited medication management visits, direct provider access, and support with pharmacy and insurance issues.
Do you accept insurance?
Our concierge model operates on a flat annual fee. However, you can use FSA and HSA cards to pay for the service. We also help navigate insurance friction for specific issues like Prior Authorizations.
How do you handle medication shortages?
We partner directly with your pharmacy to find solutions. If your specific medication is out of stock, we can often switch you to a different strength or formulation of the same drug family, which is effective for 95% of patients.
What is genetic testing and is it included?
Genetic testing is offered as indicated to identify the best medications for your DNA. Lab processing fees are additional, but the testing helps personalize your treatment plan for better outcomes.
Schedule Your Care
Stop letting scheduling conflicts and system failures dictate your mental health. Take control of your ADHD management with SF Psychiatric. Our team is ready to provide the responsive, high-level care you deserve. Contact us today to learn more about our plans or explore our ADHD resources to understand how we can help. Review our concierge options and read our medication access guide to get started. Ensure your continuity of care by scheduling your initial evaluation now.