Adult ADHD specialist | Stanford-trained psychiatrist | Serving Los Altos & the San Francisco Bay Area

Doing well—but not at your best

• Many high-functioning adults are doing well by most standards—but recognize there’s another level available.

• In the increasingly competitive Silicon Valley—whether it’s tech, venture capital, healthcare, or law—there is growing pressure to operate with greater speed, clarity, and output. As expectations rise, even small inefficiencies in focus, execution, or mental load become more noticeable.

• The difference is often subtle: sharper focus, more consistent execution, clearer thinking, and the ability to operate without unnecessary friction.

Who this is for

• This is often the experience of professionals operating in high-demand environments—where small improvements in clarity, efficiency, and consistency can compound over time.

• The goal isn’t to fix something broken, but to refine how performance shows up day-to-day.

What’s driving the gap

• These patterns are rarely about effort or capability.

• In many cases, they reflect how attention, executive function, and cognitive load are being managed beneath the surface.

• Factors such as sleep disruption, chronic stress, or accumulated mental load can play a role. For some individuals, ADHD is also a contributing factor—often in ways that are not immediately obvious.

What we focus on

This is not a one-size-fits-all model—it’s a targeted, clinical approach based on the factors that most directly impact performance, recovery, and long-term sustainability. The goal is to give you that competitive edge:

• Sleep & recovery

  • Optimizing sleep quality, timing, and recovery—often one of the highest-leverage drivers of focus and performance.

  • Using data (wearables, sleep study, etc) to help guide behavioral changes to optimize sleep and recovery

• Physical health & energy

  • Addressing exercise, nutrition, and overall energy regulation as they relate to mental performance.

  • Using data (e.g. CGM, heart rate monitor, VO2 max measurement, DEXA scan, etc) to help guide behavioral change and provide helpful insights

  Cognitive & attentional function

  • Improving how attention, executive function, and mental clarity show up in day-to-day work.

  • Optimizing behavioral strategies for better time management, organization and planning

• Load & stress management

  • Reducing chronic cognitive load and mitigating the effects of sustained stress on performance.

  • Mindfulness meditation practices, breathing exercises & psychotherapy if indicated

• Targeted treatment when indicated

  • In some cases, this includes medication or structured interventions—particularly when ADHD or related conditions are contributing.

Operating at a higher level

• In high-performance environments, small improvements compound.

• The goal is not just to do more—but to operate with greater clarity, consistency, and control in the areas that matter most.

• If ADHD may be contributing, a structured evaluation can help clarify the picture and guide a more targeted approach.

Based in Los Altos, we work with adults throughout the Peninsula and greater Bay Area, including:

Los Altos • Palo Alto • Menlo Park • Mountain View • Sunnyvale • Redwood City • San Francisco