Adult out-of-network psychiatry
Menlo Park + California telehealth
Evaluation and medication management for anxiety, depression, trauma-related stress, and burnout.
When you’re still functioning, but everything feels heavier than it should, structured psychiatric care can help.
A lot of high-functioning adults wait because they are still showing up. They keep working, taking care of responsibilities, and pushing through, even when motivation is gone or life feels flat. If low mood, numbness, irritability, or burnout is affecting sleep, focus, patience, or relationships, you’re not overreacting. You don’t have to be in crisis to get help. Psychiatric care can be a steady next step when you want clarity and a plan.
A clear plan focused on functioning, not just symptoms.
When you can still perform, but you don’t feel like yourself.
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 more like themselves again, with clearer direction and steady support instead of guesswork.
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 what is driving symptoms, build a practical plan, and adjust thoughtfully based on how you are actually doing in daily life.
We review what you have been experiencing, when it started, and how it is affecting sleep, motivation, focus, and day-to-day functioning. We also look at stress load, life context, medical factors, and what you have already tried.
If medication is appropriate, we discuss options carefully and outline what we are targeting and what follow-up will look like.
Most of the work happens between visits, in real life. You go back to your normal schedule, and we pay attention to what changes. You might notice patterns like motivation dropping under stress, sleep shifting, feeling more irritable, or feeling flat even when things are going well on paper.
In follow-ups, we review what you noticed, what helped, what didn’t, and what still feels heavy. Then we adjust the plan in a steady way.
If medication is part of your plan, early follow-ups are used to dial in dose and tolerability, then visits spread out as things stabilize.
The goal is not to force positivity. The goal is to reduce what is weighing you down so daily life feels more manageable again.
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.
They can look similar. Burnout often centers on exhaustion, cynicism, and reduced capacity from sustained stress. Depression more often includes persistent low mood, numbness, loss of interest, or a sense of heaviness that does not lift with rest. Many people have overlap. A psychiatric evaluation helps clarify patterns and guide the most effective next step.
That is common. We look at the full context, including trauma-related stress patterns and anxiety overlap, and build a plan based on what is most likely driving symptoms now.
Psychiatry focuses on assessment and treatment planning, including medication when it is appropriate, and follow-up over time to monitor progress and make adjustments. The goal is not just symptom reduction. The goal is improved daily functioning and a plan that fits your real life.
If it is affecting sleep, focus, motivation, relationships, or your ability to feel present, it is worth addressing. Many high-functioning adults wait because they are still getting things done. You do not need to be in crisis to get help.
Yes. Depression is not always sadness. It can show up as irritability, flatness, numbness, reduced motivation, or cognitive fog. That is one reason a thoughtful evaluation matters. It helps clarify what is actually driving symptoms.
The goal is not to change who you are. The goal is to reduce the symptoms that are getting in the way, like heaviness, numbness, low motivation, or persistent low mood. If something makes you feel unlike yourself, that matters and we adjust.
It depends on what you are experiencing 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 real progress. The goal is steady improvement that is sustainable.
That is common. We review what you tried, what helped even slightly, what did not, and what side effects mattered. Sometimes a different medication, a different dose strategy, or a different treatment approach is needed. You are not starting from zero.
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 work well together. If you already have a therapist, Dr. Khan can coordinate care when it is helpful, with your consent. If you do not, we can discuss what additional support would be most helpful.
Initial Consultation: $550, which includes a 60–90 minute appointment, record review, and coordination with your therapist or other providers when helpful. Follow-ups are $275 for 30 minutes or $350 for 45 minutes.