Concierge practice
Concierge practice
Concierge practice
Substance use, cognitive strain, and behavioral patterns in high-functioning leaders often rest on deeper relational and identity disturbance. Conventional episodic care cannot reach that layer. This practice does, with discretion and clinical precision.
Substance use, cognitive strain, and behavioral patterns in high-functioning leaders often rest on deeper relational and identity disturbance. Conventional episodic care cannot reach that layer. This practice does, with discretion and clinical precision.
Who this serves
Who this serves
Who this serves
High-Functioning Addiction
High-Functioning Addiction
High-Functioning Addiction
The drinking, the pain medications, the Adderall, the kratom. Identification and longitudinal management of covert substance use, prescription dependence, and behavioral patterns that sustain short-term performance while progressively eroding cognition, judgment, and long-term sustainability. Discreet care, no unnecessary labels, no paper trail beyond what is clinically required.
The drinking, the pain medications, the Adderall, the kratom. Identification and longitudinal management of covert substance use, prescription dependence, and behavioral patterns that sustain short-term performance while progressively eroding cognition, judgment, and long-term sustainability. Discreet care, no unnecessary labels, no paper trail beyond what is clinically required.
Family and Relationships
Family and Relationships
Family and Relationships
When marriage and parenting are under strain. Psychiatric support for the relational and family system challenges that arise at the highest levels of leadership. Coordination with spouses and adult family members when clinically indicated and with explicit consent. Longitudinal care through major transitions — post-exit, retirement, divorce — where psychological continuity is most at risk.
When marriage and parenting are under strain. Psychiatric support for the relational and family system challenges that arise at the highest levels of leadership. Coordination with spouses and adult family members when clinically indicated and with explicit consent. Longitudinal care through major transitions — post-exit, retirement, divorce — where psychological continuity is most at risk.
Performance and Human Excellence
Performance and Human Excellence
Performance and Human Excellence
Clarity, judgment, and composure when the stakes are highest. Comprehensive assessment and continuous longitudinal monitoring to detect and address erosion of executive function, working memory, and decision quality under chronic high-stakes demands. And for the gap that opens between external success and internal experience the clinical work that remains after everything optimizable has been optimized.
Clarity, judgment, and composure when the stakes are highest. Comprehensive assessment and continuous longitudinal monitoring to detect and address erosion of executive function, working memory, and decision quality under chronic high-stakes demands. And for the gap that opens between external success and internal experience the clinical work that remains after everything optimizable has been optimized.
What Care Looks Like
What Care Looks Like
Care begins with a rigorous psychiatric evaluation establishing substance use, cognitive, and relational baselines. It forms the foundation of an ongoing physician relationship — structured as an annual retainer with direct access, longitudinal in nature, and calibrated to each client's situation rather than a fixed schedule.
Care begins with a rigorous psychiatric evaluation establishing substance use, cognitive, and relational baselines. It forms the foundation of an ongoing physician relationship — structured as an annual retainer with direct access, longitudinal in nature, and calibrated to each client's situation rather than a fixed schedule.
Young Adults Note
Young Adults Note
The practice also serves young adults at inflection points: substance use during college or professional training, early adulthood transitions, or family strain that calls for clinical rather than parental intervention. The same focus and discretion apply.
The practice also serves young adults at inflection points: substance use during college or professional training, early adulthood transitions, or family strain that calls for clinical rather than parental intervention. The same focus and discretion apply.
Most common questions
Is this concierge psychiatry?
Yes. This is a capped-panel, retainer-based longitudinal psychiatric practice with direct ongoing access to Dr. Kim. It is built for a small number of high-functioning leaders and their families, where continuity, depth, and discretion matter more than any feature insurance-based, mass-market, or episodic care can offer. Most patients arrive after every conventional option has failed to fit.
Who is this practice for?
The practice serves leaders, partners, and families dealing with a specific set of clinical syndromes that conventional care is structurally unable to treat: covert and functional substance use that sustains performance until it erodes it, cognitive and executive decline under sustained pressure, relational and family system strain, and identity challenges through major life transitions. If you recognize your situation in this description, it is likely that you have already tried to find help inside the conventional system and discovered that the right care does not exist there.
How confidential is care, and will my company, licensing board, or colleagues ever know?
Extremely confidential. No information leaves the treatment relationship without your explicit written consent. The practice does not bill insurance, does not communicate with employers or licensing boards, and maintains records outside any system that an employer, board, or institutional adversary could access without subpoena. For most patients, this structure is what enables them to address what they have been carrying alone for years.
What makes this different from traditional psychiatric or therapy care?
No other concierge structure combines deep psychotherapy, executive coaching, negotiation and conflict resolution, forensic-grade assessment, addiction subspecialty expertise, and longitudinal continuity in a single clinical relationship. Most patients have already tried a combination of therapies, primary care, executive coaching, or wellness programs and found that each addressed one dimension of the problem while missing the underlying architecture. This practice is built for the patient who has already discovered that architecture matters.
What does ongoing care actually look like?
Care begins with a comprehensive forensic-grade evaluation, including cognitive and relational baseline, substance use mapping, and family system assessment. It then transitions into a continuous retainer relationship with direct access to Dr. Kim, ongoing outcome measurement, medication management when clinically indicated, and family coordination as appropriate. The goal is sustained stabilization and protection of long-term performance and flourishing, not short-term symptom relief. Most patients describe the relationship as the first time they have experienced clinical care that fully aligns with the complexity of their lives.
Do you work with spouses or family members?
Yes, absolutely. Inquiries from spouses, adult family members, and trusted advisors are welcomed and handled with the same absolute discretion as inquiries from patients themselves. When clinically indicated and with the patient's explicit consent, the practice coordinates across the family system to address the relational patterns that quietly determine whether relationships and risk levels remain sustainable. Many patients first reach the practice through someone close to them who recognized what they could not yet name.
Do you work with young adults at elite colleges and professional schools?
Yes. The practice serves young adults at top undergraduate, graduate, and professional programs whose presentations align with the practice's clinical focus, particularly substance use, cognitive performance decline, identity transitions, and family system strain in early adulthood.
Most common questions
Is this concierge psychiatry?
Yes. This is a capped-panel, retainer-based longitudinal psychiatric practice with direct ongoing access to Dr. Kim. It is built for a small number of high-functioning leaders and their families, where continuity, depth, and discretion matter more than any feature insurance-based, mass-market, or episodic care can offer. Most patients arrive after every conventional option has failed to fit.
Who is this practice for?
The practice serves leaders, partners, and families dealing with a specific set of clinical syndromes that conventional care is structurally unable to treat: covert and functional substance use that sustains performance until it erodes it, cognitive and executive decline under sustained pressure, relational and family system strain, and identity challenges through major life transitions. If you recognize your situation in this description, it is likely that you have already tried to find help inside the conventional system and discovered that the right care does not exist there.
How confidential is care, and will my company, licensing board, or colleagues ever know?
Extremely confidential. No information leaves the treatment relationship without your explicit written consent. The practice does not bill insurance, does not communicate with employers or licensing boards, and maintains records outside any system that an employer, board, or institutional adversary could access without subpoena. For most patients, this structure is what enables them to address what they have been carrying alone for years.
What makes this different from traditional psychiatric or therapy care?
No other concierge structure combines deep psychotherapy, executive coaching, negotiation and conflict resolution, forensic-grade assessment, addiction subspecialty expertise, and longitudinal continuity in a single clinical relationship. Most patients have already tried a combination of therapies, primary care, executive coaching, or wellness programs and found that each addressed one dimension of the problem while missing the underlying architecture. This practice is built for the patient who has already discovered that architecture matters.
What does ongoing care actually look like?
Care begins with a comprehensive forensic-grade evaluation, including cognitive and relational baseline, substance use mapping, and family system assessment. It then transitions into a continuous retainer relationship with direct access to Dr. Kim, ongoing outcome measurement, medication management when clinically indicated, and family coordination as appropriate. The goal is sustained stabilization and protection of long-term performance and flourishing, not short-term symptom relief. Most patients describe the relationship as the first time they have experienced clinical care that fully aligns with the complexity of their lives.
Do you work with spouses or family members?
Yes, absolutely. Inquiries from spouses, adult family members, and trusted advisors are welcomed and handled with the same absolute discretion as inquiries from patients themselves. When clinically indicated and with the patient's explicit consent, the practice coordinates across the family system to address the relational patterns that quietly determine whether relationships and risk levels remain sustainable. Many patients first reach the practice through someone close to them who recognized what they could not yet name.
Do you work with young adults at elite colleges and professional schools?
Yes. The practice serves young adults at top undergraduate, graduate, and professional programs whose presentations align with the practice's clinical focus, particularly substance use, cognitive performance decline, identity transitions, and family system strain in early adulthood.
Most common questions
Is this concierge psychiatry?
Yes. This is a capped-panel, retainer-based longitudinal psychiatric practice with direct ongoing access to Dr. Kim. It is built for a small number of high-functioning leaders and their families, where continuity, depth, and discretion matter more than any feature insurance-based, mass-market, or episodic care can offer. Most patients arrive after every conventional option has failed to fit.
Who is this practice for?
The practice serves leaders, partners, and families dealing with a specific set of clinical syndromes that conventional care is structurally unable to treat: covert and functional substance use that sustains performance until it erodes it, cognitive and executive decline under sustained pressure, relational and family system strain, and identity challenges through major life transitions. If you recognize your situation in this description, it is likely that you have already tried to find help inside the conventional system and discovered that the right care does not exist there.
How confidential is care, and will my company, licensing board, or colleagues ever know?
Extremely confidential. No information leaves the treatment relationship without your explicit written consent. The practice does not bill insurance, does not communicate with employers or licensing boards, and maintains records outside any system that an employer, board, or institutional adversary could access without subpoena. For most patients, this structure is what enables them to address what they have been carrying alone for years.
What makes this different from traditional psychiatric or therapy care?
No other concierge structure combines deep psychotherapy, executive coaching, negotiation and conflict resolution, forensic-grade assessment, addiction subspecialty expertise, and longitudinal continuity in a single clinical relationship. Most patients have already tried a combination of therapies, primary care, executive coaching, or wellness programs and found that each addressed one dimension of the problem while missing the underlying architecture. This practice is built for the patient who has already discovered that architecture matters.
What does ongoing care actually look like?
Care begins with a comprehensive forensic-grade evaluation, including cognitive and relational baseline, substance use mapping, and family system assessment. It then transitions into a continuous retainer relationship with direct access to Dr. Kim, ongoing outcome measurement, medication management when clinically indicated, and family coordination as appropriate. The goal is sustained stabilization and protection of long-term performance and flourishing, not short-term symptom relief. Most patients describe the relationship as the first time they have experienced clinical care that fully aligns with the complexity of their lives.
Do you work with spouses or family members?
Yes, absolutely. Inquiries from spouses, adult family members, and trusted advisors are welcomed and handled with the same absolute discretion as inquiries from patients themselves. When clinically indicated and with the patient's explicit consent, the practice coordinates across the family system to address the relational patterns that quietly determine whether relationships and risk levels remain sustainable. Many patients first reach the practice through someone close to them who recognized what they could not yet name.
Do you work with young adults at elite colleges and professional schools?
Yes. The practice serves young adults at top undergraduate, graduate, and professional programs whose presentations align with the practice's clinical focus, particularly substance use, cognitive performance decline, identity transitions, and family system strain in early adulthood.