Services
I believe every person is unique in biology, history, culture, and values. I tailor care to the individual in front of me, moving carefully and collaboratively so you feel better without unnecessary side effects.
I believe details matter. Small changes in routines, doses, or communication can unlock big improvements in mood, sleep, cognition, and family life.
Treatment Modalities
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Comprehensive evaluation of cognitive and behavioral symptoms, including physical, neurological, and cognitive exams when medically indicated
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Strategies for calmer routines, clearer roles, and safer care at home. Education on Alzheimer’s, Parkinson’s, Lewy Body, and Frontotemporal syndromes.
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Slow, careful titrations with attention to comfort and function. Compounded doses when needed for sensitive patients and older adults. Skilled deprescribing (taking patients off of medication) when a medicine no longer helps.
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Equip caregivers and family members with Dementia Care Skills Training to ensure safety and quality of life for your loved one
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Monitoring and improvement of sleep. Practical plans for nutrition and movement based on real data from your week. Referrals for body composition, VO2 max, RMR, and selected biomarker testing when useful.
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Evidence based approaches drawn from Supportive Therapy, Interpersonal Psychotherapy, Psychodynamic Therapy, CBT, ACT, Problem Solving Therapy, and Interpersonal and Social Rhythm Therapy.
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Targeted over-the-counter options for anxiety, sleep, mood, energy, and focus after reviewing your history, preferences, and labs.
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Evaluation for contributors such as anemia, thyroid imbalance, vitamin D deficiency, and hormone changes. We optimize what is measurable.
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When indicated, pharmacogenetic guidance to reduce trial and error and improve tolerability.
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Skills rooted in mindfulness and Buddhist influenced practices to build observer awareness, reduce reactivity, and cultivate calm and gratitude.
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Second opinions and teamwork with your primary care clinician, neurologist, therapist, or other specialists.
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Culturally attuned care for immigrants, refugees, and families navigating multiple cultures. Attention to language, values, and context.
Diagnoses and Conditions I Treat
*Cognitive changes and dementia related concern
Parkinson’s, Alzheimer’s, Lewy Body, Frontotemporal, and major neurocognitive disorders
Behavioral and psychological symptoms of dementia including anxiety, agitation, insomnia, psychosis, compulsive behavior, and other issues
*Anxiety and depression in older adults
*Caregiver stress and burnout
*Bipolar spectrum conditions in older adults
*Medication side effects and complex polypharmacy questions
Appointments + Fees
All initial intake and follow up appointments are done via Zoom telehealth or in person.
Prior to the initial intake appointment, I offer a preliminary 20 min Zoom appointment to ensure that we are a good fit.
My in-person appointments are done in my office in Palo Alto or at the patient’s home.
Please note that I am unable to accept Medicare or any insurance. I love doing this work because I am passionate about providing the most optimal quality of care for you and your loved ones. This often means, among other things, longer and more thorough appointments, as well as convenient contact in between appointments so that we can problem solve issues that come up in real time.
Thus, I am opted out of Medicare and do not accept insurance, in order to avoid their policies interfering with our work together.
All payments are accepted via credit card or direct bank account transfer (ACH). There is a discount for ACH payments.
*Preliminary Zoom Appointment; 20 min
Fee: $250
This preliminary appointment is for us to discuss your situation and to see if we are a good fit. If you decide to schedule the appointment, this fee will be deducted from your initial intake appointment fee.
Because I am an integrative psychiatrist, I work with patients who are interested in working on multiple aspects of their lives (sleep habits, physical activity, nutrition, coping skills, social skills, etc.) in addition to medications and supplements. I typically do not provide traditional medication management.
*Initial Intake Appointment; 60 min
Fee: $1100
A comprehensive evaluation covering patient’s history, current concerns, all prior trials of medications and supplements, labs, daily routines, and goals. Includes an initial care plan and coordination with family or other clinicians when helpful.
*45 min Follow Up Appointment
Fee: $695-$795
$695 if 1-3 weeks between appointments
$795 if 4-8 weeks between appointments
*25 min Follow Up Appointment
Fee: $495
*Communication in between appointments to assist during medication adjustments
One phone call between appointments is included in the appointment fee; after that, additional phone calls will be $100 per 10 minute increment.
Concierge communication with frequent touchpoints (e.g., unlimited calls, text messages, emails with responses typically in less than an hour) is an additional $250-$450 per appointment, depending on the complexity of the case.
*Lab fees
Specific lab testing is discussed during our sessions and ordered as clinically indicated based on your symptoms and goals.
Basic lab work:
Cost of lab testing — billed to insurance (copay may apply)
Lab Review Fee (done prior to subsequent appointment)— $100
Genomic Testing:
Cost of lab test — billed to insurance (copay may apply)
Genomic Testing Review Fee (done prior to subsequent appointment) — $150
*Services outside of appointments
Services provided outside of appointments (e.g., phone calls with family members or other providers, prior authorizations, letters or forms, transfer of records) that are more than the usual standard of care is billed at the rate of $100 per 10 minute increment.