Psychiatry for people who build and run software — executive function, burnout, anxiety, depression, and insomnia. Careful evaluation, conservative prescribing, late-day telehealth across California. Independent of your employer.
01/ If this is the current sprintPATTERN RECOGNITION
01
Meetings all day. Your actual job starts at 9pm.
02
Every sprint ends. The pace doesn't.
03
You've optimized the stack, the standup, the sleep app — everything except the person running them.
High performers in tech run degraded for a long time before anything looks wrong from the outside. The commits still land. The reviews stay fine. What changes first is the cost — of focus, of sleep, of being reachable to the people you live with. That cost is a clinical signal, and it's worth reading properly.
Nothing here routes through your employer. Not the EAP, not the on-site clinic, not your manager. Independent practice, your record, your business.
02/ What I work on6 PRESENTATIONS
Executive functionADHD, burnout, or both — the differential matters·
Insomniawired at midnight · on-call fragmentation·
Medication reviewsecond opinion · a regimen that fits the job·
The most common question in this cohort is whether years of focus friction are ADHD, burnout, or one wearing the other's clothes. That's a differential, not a quiz — here's how the evaluation answers it.
03/ Built for the schedule3 STEPS
01 · BOOK
Like a 1:1, not a project.
Book through the secure portal in two minutes. Confirmation within 24 hours, directly from me. New patients are typically seen within one to two weeks.
~ 2 min
02 · MEET
Sixty minutes, from wherever you work.
Late-day blocks — Wednesday and Thursday, 3–7 PM Pacific — so the visit doesn't fight your calendar. Full history, real differential, no surprise questionnaires.
60 min
03 · MAINTAIN
A standing thirty-minute follow-up.
Scheduled before we hang up, at the rhythm treatment actually needs — not a refill autopilot. Portal messaging between visits for the small stuff.
ongoing
04/ On stimulants, honestlyCONSERVATIVE BY DESIGN
Some of the people who book this page want a careful ADHD workup. Some want to know why the fourth coffee stopped working. The evaluation treats those as different questions — because they are.
When the diagnosis supports it, stimulants are first-line for ADHD and they work; some patients use them continuously, some workdays only, some through high-demand seasons. But when what's underneath is burnout or sleep debt, a stimulant just masks the bill coming due — and I'll tell you that to your face, with what I'd do instead.
Performance is not a diagnosis.
The prescribing line
05/ Common questions6 ANSWERS
No. F10 is an independent private practice — nothing routes through your employer, the EAP, or an on-site clinic. Your records are protected by HIPAA, and insurance claims don't reach your manager or HR. Sessions are telehealth from wherever you have privacy.
Burnout isn't a prescription-pad problem by itself, and I won't pretend it is. But the insomnia, anxiety, and depression that ride on top of it are treatable — and untangling burnout from ADHD or a mood disorder is exactly what a careful evaluation is for. Sometimes the honest answer is structural: workload, sleep, recovery. You'll hear that plainly, with a plan either way.
Yes. Bright people compensate — with intelligence, deadline adrenaline, and systems layered on systems. School has structure that jobs don't; the pattern often surfaces when the role outgrows the workarounds. A careful evaluation looks at the lifetime pattern, not just the current quarter. What the evaluation involves →
When the diagnosis supports it, yes — and we'll fit the pattern to your life: continuous, workdays only, or seasonal. But performance is not a diagnosis, and I don't prescribe for enhancement. If the workup points to burnout or sleep debt instead, you'll get that answer and a real plan for it.
Clinical hours are Wednesday and Thursday, 3–7 PM Pacific — late-day blocks built for working calendars. Telehealth means zero commute; follow-ups are thirty minutes. Most patients take them like any other meeting, minus the notes doc.
The PPOs most common in tech — Aetna, Cigna, Optum/UnitedHealthcare — are in-network through Alma, along with Carelon, Oscar, Oxford, UMR, Surest, and others. Self-pay is $425 initial / $295 follow-up, HSA/FSA eligible, with superbills for out-of-network reimbursement.
One meeting that's actually about you.
Sixty minutes. No agenda doc, no action items to ignore — a careful evaluation and a plan that fits the job you actually have. Late-day blocks available.