Limited spots available • 3 openings remaining

Thoughtful, discreet psychiatric care for high-achieving professionals in Seattle and Bellevue. Deliberately limited panel. Direct provider access. Depth over volume.
Memberships begin at $750/month
HIPAA Compliant
Fully certified & encrypted
No Insurance Billing
Complete clinical privacy
Board Certified
PMHNP-BC · Vanderbilt-trained
Panel of 40
Deliberately limited. Never rushed.
PROFESSIONAL AFFILIATIONS
Every element of this practice is designed around depth, not volume. Members receive a level of access, attention, and clinical precision that traditional models cannot offer.
Diagnosis and medication management calibrated to executive function and sustained performance.
Secure, direct communication for medication adjustments, clinical questions, and time-sensitive concerns between visits.
A small, selective practice ensures meaningful clinical relationships, consistent availability, and care that is never rushed.
Thoughtful pharmacotherapy for ADHD, anxiety, mood concerns, and executive burnout — with complete confidentiality.

A retainer-based psychiatry practice operates on a monthly membership fee rather than billing per visit or through insurance. You pay a consistent monthly rate for ongoing access to your provider — not just for scheduled appointments, but for the relationship itself.
In traditional psychiatry, providers are incentivized to see as many patients as possible to maximize billing. Appointments are rushed. Follow-ups are delayed. Communication between visits is minimal or nonexistent.
A retainer model removes that pressure entirely. Your provider's income is not tied to volume — it's tied to depth. This allows for longer appointments, direct messaging access, and a panel size small enough to ensure you're never just another chart.
Responsiveness matters. When you're managing high-stakes decisions, travel schedules, or performance demands, waiting weeks for a medication adjustment isn't acceptable. A retainer model ensures your provider is accessible when you need them.
Continuity is clinical. High performers don't have time to re-explain their history every visit or start over with a new provider every year. A retainer model supports long-term relationships where your provider knows your patterns, your goals, and your context.
Privacy is protected. No insurance billing means no diagnostic codes sent to third parties, no claims history, and no risk of disclosure. Your care remains entirely confidential.
Quality over quantity. A deliberately limited panel means your provider isn't stretched thin. Appointments aren't rushed. Follow-up isn't delayed. The care you receive is calibrated to your needs, not constrained by a billing model designed for volume.
"A retainer model isn't about convenience — it's about creating the conditions for precision. When a provider isn't managing hundreds of patients, they can manage you well."
The standard model was designed for throughput. Ours was designed for you.
"You wouldn't accept a 15-minute meeting with your attorney or financial advisor.
Your psychiatric care should command the same standard."
The difference isn't just philosophical. It's practical, immediate, and measurable. Here's what happens when you need support on a random Tuesday.
You notice increased anxiety. Your next appointment is in 3 weeks.
You push through, but your focus is compromised. No one to consult.
Leave a voicemail. Told to expect a call back in 24-48 hours.
Unsure if you should adjust medication. Can't get guidance.
Decide to wait it out. Hope it improves on its own.
Anxiety about tomorrow's performance. Still no provider response.
You already prioritize performance optimization across multiple domains.
Executive Coaching
$500–$2,000 /mo
Personal Training
$400–$1,200 /mo
Nutritionist
$300–$600 /mo
Concierge Primary Care
$200–$600 /mo
Cognitive performance is the foundation of everything else you optimize.
Psychiatric care belongs in this category of essential investment.
The Focus Atelier operates as a private membership practice designed for high-achieving professionals seeking thoughtful, discreet psychiatric care.
MEMBERSHIP INCLUDES
Memberships begin at $750 per month.
Due to the limited panel size, prospective members complete a brief application before enrollment.
Panel limited to a small number of active members to ensure depth of care and meaningful provider relationships.
A straightforward monthly membership designed for professionals who value clarity and direct access.
Initial consultation
60–90 minutes
Follow-up appointments
30–45 minutes monthly
Between-visit access
Direct messaging
Monthly investment
Beginning at $750
Membership operates on a month-to-month basis with 30-day notice. No long-term contracts. No cancellation fees. The panel is deliberately limited to ensure depth of care.
THE EXPERIENCE
Every interaction is intentional. From the first consultation through ongoing care, the membership experience is built to respect your time, protect your privacy, and optimize your performance.
A comprehensive, unhurried evaluation designed to understand your full clinical picture, professional demands, and personal goals.
A care plan built around your cognitive needs, schedule, and performance objectives — not a standardized protocol.
Regular sessions and between-visit access ensure your treatment evolves as your life and responsibilities shift.
Traditional psychiatry operates on volume — providers see 30-50 patients per day in 15-minute slots. This model prioritizes depth. With a deliberately limited panel, you receive unhurried appointments, direct messaging access, and a provider who knows your patterns and goals. The focus is on precision treatment calibrated to executive performance, not protocol-driven prescribing.
Additional questions about membership, enrollment, or clinical approach can be addressed during the application consultation.
No long-term contracts. No cancellation fees. Membership continues as long as it serves you.
FLEXIBLE TERMS
30-day notice to pause or cancel
NO LOCK-IN
No contracts or cancellation fees
CONTINUITY MATTERS
90-day commitment encouraged for optimal results
This model works because members choose to stay, not because they're required to.
Outcomes and relationships matter more than contracts.

“When high performers are properly supported, they do not simply function — they lead, create, and thrive.”
LAUREN RENEE BROWN, PMHNP-BC
The Focus Atelier is a selective practice offering concierge psychiatry and executive advisory for high-performing professionals who cannot afford cognitive compromise.
Due to limited capacity, all prospective clients complete a brief application to ensure alignment before scheduling an initial consultation.
Applications are reviewed personally. If approved, you will receive an invitation to schedule.