Concierge Psychiatry Psychiatric Care, Aligned With How You Operate

At a high level of performance, mental health is rarely experienced in obvious or straightforward ways.

It often presents subtly—through changes in focus, shifts in mood, decreased resilience, or a growing sense that something is no longer operating at the level it once did.

Traditional models of psychiatry are not built for this.

Choulet Performance Psychiatry® offers a more refined approach—one that is calibrated to individuals whose lives require sustained clarity, discretion, and consistency under pressure.

Beyond Standard Psychiatric Care

We treat conditions such as anxiety, depression, ADHD, and mood disorders—particularly as they present in high-functioning individuals.

In this context, these are rarely isolated diagnoses.

They often coexist with:

  • Significant cognitive demand

  • High-stakes decision-making

  • Compressed schedules and limited recovery

  • A sustained expectation to perform


As a result, they require a different level of attention—one that considers not only symptom relief, but how you think, respond, and operate in real time.

A More Deliberate Standard

Care is not protocol-driven.

It is carefully constructed—based on how you function, what you require, and the level at which you operate.

This includes:

  • Comprehensive, nuanced psychiatric evaluation

  • Medication strategy when appropriate—applied with precision, not default

  • Ongoing refinement based on performance, not just symptom tracking

  • Integration with therapy, sleep, and lifestyle factors when relevant


The objective is not simply improvement.
It is consistency, clarity, and control over time.

Designed for High-Functioning Individuals

Many of our patients are outwardly successful.

They are leading, building, competing, or performing—often without interruption.

What brings them to care is not a loss of function, but a recognition that:

  • Focus is less reliable than it should be

  • Stress is being carried, rather than managed

  • Recovery is incomplete

  • Internal pressure is increasing, even if performance remains intact


This is where more precise care becomes necessary.

Access Without Friction

Our concierge model is structured to remove the inefficiencies of traditional care.

  • Direct, ongoing access to your psychiatrist

  • Communication that extends beyond scheduled sessions

  • Scheduling that adapts to your availability—not the reverse

  • Continuity across travel, transitions, and changing demands


This allows for care that is responsive, not delayed—and aligned with the pace at which you operate.

An Integrated Perspective

When appropriate, psychiatry is coordinated with therapy, sleep medicine, and lifestyle factors to ensure that care reflects the full picture—not just a single variable. This creates a more stable and reliable foundation for both mental health and performance.

A Different Level of Care

Choulet Performance Psychiatry® is designed for individuals who are not looking for generic solutions.

It is for those who expect their care to be:

  • Thoughtful

  • Precise

  • Aligned with how they live and perform


This allows for care that is responsive, not delayed—and aligned with the pace at which you operate.

Psychiatrists Selected for Precision and Discretion

To learn more about our team of board-certified psychiatrists, including their backgrounds and fees, click below.

BROOK CHOULET, M.D., F.A.P.A.

MICHAEL BOWEN, M.D.

KATHERINE GALLARDO, M.D.

MATTHEW MONTGOMERY, M.D.

Your Path to Performance Optimization

For those seeking a more thoughtful and individualized approach to mental health and performance, we invite you to begin the process.​​​​​​​