Adult out-of-network psychiatry
Menlo Park + California telehealth
Evaluation and medication management for anxiety, depression, trauma-related stress, and burnout.
For high-functioning adults dealing with persistent worry, panic, overthinking, and burnout.
A lot of high-functioning adults wait because they are still performing. They are meeting deadlines, showing up for others, and pushing through, even when their mind will not slow down. If anxiety is affecting sleep, focus, patience, or your ability to feel present, you are not overreacting. You do not need to be in crisis to get help. Psychiatric care can be a steady next step when you want clarity and a plan.
When you look fine on the outside, but your system feels maxed out inside.
A clear plan that reduces the load, not a quick fix.
Dr. Shaista Khan is a board-certified adult psychiatrist with 24+ years of experience, including research at Stanford and years of complex clinical work in the Bay Area.
Many of her patients are high-functioning and responsible, and they come in feeling stretched thin while still trying to hold everything together.
Clients often leave care feeling calmer in their body, clearer in their thinking, and more confident in how to handle anxiety when it shows up.
I believe the first step should feel clear and steady. In a brief 15-minute consultation, we can clarify what you’re experiencing, discuss whether we’re a good fit, and outline thoughtful next steps.
private, flexible care
Appointments are available in-person in Menlo Park and via telepsychiatry anywhere in California. The goal is to understand your anxiety pattern, build a plan that fits your life, and adjust thoughtfully based on real-world results.
We review what you have been experiencing, when it started, and how anxiety is showing up day to day. We also look at sleep, stress load, work and relationship impact, and what you have tried before.
If medication is appropriate, we discuss options carefully and outline what we are targeting and what follow-up will look like.
After the first visit, most of the work happens in real life. You go back to your normal schedule, and we pay attention to what changes. You might notice patterns like anxiety spikes before meetings, sleep getting lighter under stress, or a familiar loop of overthinking.
In follow-ups, we review what you noticed, what helped, what didn’t, and what felt harder than expected. Then we adjust the plan in a steady way.
If medication is part of your plan, early follow-ups are used to dial in the dose, track side effects, and measure real outcomes like sleep, focus, and baseline tension. As things stabilize, visits often spread out.
I work with many patients to help them restore sleep, reduce anticipatory dread, regain emotional regulation, function at work without collapsing, and feel less alone and more like themselves again.
If anxiety is affecting sleep, focus, patience, relationships, or your ability to feel present, it is worth addressing. Many people wait because they are still functioning, but functioning does not mean you are fine. If you feel like you are carrying too much and it is not easing on its own, psychiatric care can be a reasonable next step.
Therapy focuses on insight, coping skills, and changing patterns over time. Psychiatry focuses on assessment and treatment planning, including medication when it is appropriate. Many people benefit from both. The right choice depends on what you are experiencing and what kind of support will move things forward.
That is common. Symptoms overlap. An evaluation can help clarify patterns and guide next steps without guessing.
Yes. High-functioning anxiety often looks like constant overthinking, pressure to perform, difficulty relaxing, and feeling “on” all the time. People may still look successful from the outside, while feeling worn down internally. Treatment focuses on reducing the load and improving day-to-day steadiness.
Yes. Medication is one option, not a requirement. Some people do well with therapy, lifestyle changes, and targeted supports. Others benefit from medication because anxiety is impacting sleep, functioning, or quality of life. We decide together based on your symptoms and goals.
The goal is not to change who you are. The goal is to reduce the symptoms that are getting in the way, like constant worry, panic, or tension. If a medication makes you feel unlike yourself, that matters and we adjust. Treatment should support your clarity and capacity, not dull it.
It depends on the type of anxiety, how long it has been present, and what approach we use. Some people notice changes within a few weeks. For others, it takes longer because we are making careful adjustments and tracking what is actually improving. The goal is steady progress you can maintain.
Yes. Panic can feel sudden and intense, and it often leads people to worry about when it will happen again. We look at what triggers panic, how your body responds, and what treatment approach makes the most sense. The goal is to reduce both the episodes and the fear around them.
Yes. Sleep is often one of the first places anxiety shows up. We look at patterns like difficulty falling asleep, waking up tense, or racing thoughts at night. Treatment often focuses on calming the overall system, because sleep tends to improve when anxiety is better managed.
Yes. If you live in California, telepsychiatry is available. Many high-functioning adults prefer telehealth because it is easier to fit into a demanding schedule. If you are local, in-person visits are also available in Menlo Park.
Yes. Therapy and medication management often complement each other. If you already have a therapist, Dr. Khan can coordinate care when it is helpful, with your consent. If you do not, we can still build a plan and discuss what additional supports may help.