
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.

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.
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.
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.
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.
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.
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.
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.

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