CONCIERGE PSYCHIATRY for women in midlife
Psychotherapy • Psychiatry • Hormone-Informed Care
One Physician. One Relationship.
Thoughtfully integrated care, with the time and continuity to understand your story.
During perimenopause and menopause, shifting estrogen can influence mood, anxiety, sleep, attention, and memory. This is where brain science, women's mental health, and your history align.
A boutique California telepsychiatry practice specializing in perimenopause and menopause mental health.
Dr. Alexis Anderson
For nearly twenty years, I've helped women navigate some of life's most challenging emotional and psychological transitions. My work is grounded in curiosity, careful listening, and the belief that meaningful psychiatric care begins with understanding.
I know perimenopause personally. I'm 53, raising two teenage daughters, and navigating it myself, including nights of insomnia that taught me firsthand how much a hormonal shift can quietly reshape a life. This experience doesn't just inform my empathy. It shapes how closely I listen.
I value long-term therapeutic relationships and helping women make sense of experiences that often feel confusing, disconnected, or unlike themselves. There is nothing more rewarding than hearing, "I finally understand what's happening," and watching a woman begin to feel like herself again.
I completed residency training in Adult Psychiatry at Yale University and fellowship training in Child and Adolescent Psychiatry at the University of California, San Francisco. Since 2008, I've been in private practice and provide concierge psychiatry for midlife women throughout California, with a focus on the San Francisco Bay Area, as well as Los Angeles, San Diego, and Santa Barbara.
my approach
integrative care
Psychotherapy, thoughtful prescribing of psychiatric medications, and lifestyle strategies are integrated into one ongoing therapeutic relationship — always considered alongside your hormonal picture, in close collaboration with your OB/GYN or menopause specialist. Rather than fragmented care across multiple disconnected specialists, you'll have one physician who understands the whole picture and thoughtfully weaves each aspect of your care together.
This integrated approach allows every decision to be informed by your biology, your history, and your life—not just today's symptoms.
psychotherapy
Every appointment includes psychotherapy. I combine psychodynamic psychotherapy and cognitive behavioral therapy (CBT). Psychodynamic psychotherapy helps women understand how past experiences and unconscious influences shape their emotions, relationships, and self-worth, addressing issues like perfectionism, shame, and life transitions. CBT provides practical tools to challenge negative thought patterns, manage anxiety, depression, ADHD, and stress, and develop healthier coping strategies.
concierge practice
By intentionally limiting the size of my practice, I'm able to provide the kind of care that is increasingly difficult to find in modern medicine: 50-minute appointments, flexible scheduling, direct communication between visits when needed, and the continuity of a long-term therapeutic relationship. Because understanding grows over time, so does our ability to make thoughtful decisions together.
Care is provided through a monthly concierge fee rather than a traditional fee-for-service model.
Frequently Asked Questions
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Menopause psychiatry is an area of clinical focus concerned with emotional, cognitive, and psychiatric symptoms that can arise or change during perimenopause and menopause. Hormone-informed psychiatric care considers reproductive stage and hormonal changes alongside psychiatric history, sleep, medical conditions, medications, relationships, and life circumstances.
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Our first appointment is 50 minutes and begins with understanding. Before we meet, you'll complete a comprehensive questionnaire that allows us to spend less time gathering information and more time understanding your story.
We'll discuss your current concerns, medical and psychiatric history, life circumstances, relationships, sleep, lifestyle, and personal goals. If appropriate, we'll also review prior treatments, laboratory testing, psychiatric medications, and menopause hormone therapy (MHT).
Rather than focusing on a single symptom, our goal is to understand the whole picture and begin developing a personalized plan that reflects your unique needs and priorities.
By the end of our first appointment, we'll discuss whether we're the right fit to work together and outline the next steps if we decide to move forward.
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Concierge menopause psychiatry brings together psychotherapy, psychiatry, and lifestyle strategies in one ongoing therapeutic relationship — always considered alongside your hormonal picture, in close collaboration with your OB/GYN or menopause specialist. Instead of fragmented care across multiple specialists, you'll have one physician who understands how your biology, personal history, hormones, and life circumstances intersect. Every appointment is 50 minutes, allowing time for psychotherapy, thoughtful prescribing, and collaborative decision making. By intentionally limiting the size of my practice, I'm also able to offer flexible scheduling and direct physician access between appointments when needed, providing the continuity that is increasingly difficult to find in modern medical care.
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I prescribe and manage psychiatric medications as part of an ongoing therapeutic relationship. I don't prescribe hormone therapy directly — your hormonal care stays with your OB/GYN or menopause specialist, and I coordinate closely with them so your psychiatric and hormonal care are never considered in isolation.
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My practice is built around an integrated model of care. Every appointment includes psychotherapy, and I do not provide medication management without an ongoing therapeutic relationship.
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The practice is not contracted with insurance plans. Care is provided through a monthly concierge fee rather than a traditional fee-for-service model. Patients may request documentation to submit for potential out-of-network reimbursement, depending on their individual insurance plan.
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This practice is designed for women seeking comprehensive psychiatric care. It is a good fit for women who value time, continuity, and an integrated approach that combines psychotherapy, psychiatry, hormone-informed treatment, and individualized lifestyle strategies. It is not designed for one-time consultations or medication-only visits.
begin the conversation
Choosing a psychiatrist is an important decision. If my approach to care resonates with you, I’d love to hear from you.
Phone: 415-494-9272
Email: office@dralexisanderson.com
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