Ongoing, thoughtful medication care for high-functioning adults (Menlo Park + California telehealth).
Many high-functioning adults wait because they’re still getting through the day. If anxiety, mood, trauma-related stress, or burnout is starting to affect sleep, focus, or relationships, medication management can be a reasonable next step without needing to be in crisis. The goal is steady progress through careful monitoring and adjustment over time.

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 the work feeling less weighed down, more grounded, and supported by steady follow-up instead of quick fixes.
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
Whether you meet me either in person in my Menlo Park office or online from anywhere in California, the goal is the same: reduce the load, improve daily functioning, and build momentum without rushing the work.
The first visit is designed to help us get oriented quickly and thoughtfully. We will review what you have been experiencing, when it started, and what seems to make it better or worse.
We will also talk about sleep, energy, focus, mood patterns, stress load, and any trauma-related symptoms that may be shaping your nervous system.
If you have tried medication before, we will look at what helped, what did not, and what side effects or concerns mattered to you.
By the end of the visit, you should have a clearer understanding of what may be driving your symptoms and what your options are.
If medication is appropriate, we will choose an approach carefully and outline what we are targeting, what to watch for, and what follow-up will look like.
If therapy or other supports are part of your plan, we will coordinate around those as well.
A thoughtful assessment to understand symptoms, patterns, history, and what you want to change.
A clear plan tailored to you. Medication when appropriate, and coordination with therapy when helpful.
Follow-ups are part of the model. Medication management works through careful monitoring and adjustment over time.
If you are not sure whether medication management is the right starting point, a comprehensive psychiatric evaluation can help clarify what is going on and guide next steps.
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.
Psychiatric medication management ongoing psychiatric care focused on medication, when medication makes sense. We start by getting clear on what’s going on, then we choose options thoughtfully and track how things change over time. It’s not a quick prescription visit. The follow-ups are the point, because that’s where we fine-tune and make sure the plan is actually helping.
Follow-up frequency varies. If symptoms are more intense or we’re actively adjusting medication, we may meet weekly at first. As things stabilize, visits are usually less frequent, anywhere from every few weeks to once every two months. We’ll decide together based on what you need and what’s realistic.
There isn’t one timeline. Some people start noticing a difference within a few weeks. For others, it takes longer because we’re balancing effectiveness with side effects and making changes carefully. The goal is steady improvement, not rushing to an answer.
We track the things that actually affect your day-to-day life, like:
You don’t have to track everything perfectly. We just want a clear sense of what’s changing.
We talk about them directly. If something feels off, we don’t ignore it. Depending on what’s happening, we might adjust the dose, change the timing, add supports, or switch medications. The goal is to help you feel better without creating a new problem.
That’s a common reason people come in. We’ll go through what you’ve tried, what helped even a little, what didn’t, and what side effects mattered. Then we’ll clarify what we’re trying to treat now and make a plan from there. You’re not starting from scratch.
I prescribe medication when it’s clinically appropriate and when it fits within an ongoing treatment relationship with follow-up care. This practice is not set up for one-time controlled substance requests or quick prescriptions without continuity. If someone is looking for that kind of visit, I’m probably not the right fit.
Yes. If you live in California, telepsychiatry is an option. A lot of people prefer it because it’s easier to fit into a busy schedule. If you’re local, in-person visits are also available in Menlo Park.
Initial Consultation: $550
A 60–90 minute appointment, record review, and coordination with your therapist or other providers when helpful.
Follow-up Sessions: $275 for 30 minutes or $350 for 45 minutes