Adult out-of-network psychiatry
Menlo Park + California telehealth
Evaluation and medication management for anxiety, depression, trauma-related stress, and burnout.
When your nervous system feels on alert, even though life looks stable on paper, you do not have to manage it alone.
A lot of high-functioning adults wait because they are still managing life on the surface. They keep working, caring for others, and pushing through, even while feeling tense, reactive, shut down, or constantly on edge. Trauma-related stress does not always look dramatic. It can show up as sleep disruption, irritability, hypervigilance, emotional numbness, or feeling like you cannot fully relax. You do not need to be in crisis to get help. Trauma-informed psychiatric care can be a steady next step when you want clarity and relief without being rushed.
A structured plan that supports steadiness and daily functioning.
When you look fine on the outside, but your system does not feel safe inside.
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 steadier in their body, clearer about their patterns and triggers, and supported by a plan that reduces reactivity over time.
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 how trauma-related stress is showing up, reduce reactivity, and build steadiness over time with a plan that fits your real life.
We start by clarifying what you have been experiencing and how it is affecting sleep, mood, focus, and daily functioning. You do not need to share details you do not feel ready to share.
We focus on patterns, symptoms, and context, and we talk through what support could be most helpful. If medication is appropriate, we discuss options carefully and outline what we are targeting and what follow-up will look like.
If you are in therapy or want to be, we coordinate around that when helpful.
Most of the work happens between visits, in real life. You live your life, notice what activates your system, and bring that information back. Some people notice patterns like sleep getting lighter under stress, feeling more reactive, shutting down, or feeling on edge in situations that should feel normal.
In follow-ups, we review what you noticed, what helped, what did not, and what still feels stuck. Then we adjust the plan in a steady way.
If medication is part of your care, early visits focus on tolerability and real outcomes like sleep and baseline tension. As things stabilize, visits typically spread out.
The goal is not to erase your past. The goal is to reduce the ways trauma-related stress is affecting your day-to-day life now.
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.
It means care that recognizes how trauma can shape the nervous system and the way symptoms show up. The focus is on safety, pacing, and understanding patterns without pushing you to share details you are not ready to share. It is structured care that respects what your system can tolerate.
Yes. PTSD can show up in different ways, including hypervigilance, sleep disruption, reactivity, avoidance, or feeling emotionally shut down. We look at the full picture and build a plan based on what is most present for you now.
Yes. Many high-functioning adults carry trauma-related stress quietly for years. People may look stable on the outside while feeling on edge, numb, reactive, or exhausted internally. If it is affecting sleep, relationships, focus, or steadiness, it is worth addressing.
No. You can share as much or as little detail as you want. We can work with symptoms, patterns, and current functioning without revisiting every detail. The goal is to support steadiness, not to force disclosure.
Medication can help reduce symptoms like hyperarousal, sleep disruption, anxiety, or mood instability when appropriate. It is not meant to erase memory. It is meant to reduce the load on your nervous system so you can function better and make progress in daily life.
Yes. Many people benefit from combining psychiatric care with therapy. If you already have a therapist, Dr. Khan can coordinate care when helpful, with your consent. If you do not, we can discuss what type of therapy might be most supportive.
Yes. If you live in California, telepsychiatry is available. Many people prefer telehealth for privacy and convenience. If you are local, in-person appointments are also available in Menlo Park.
It varies. Some people notice improvements in sleep or baseline tension within a few weeks. For others, it takes longer because we are adjusting care carefully and focusing on sustainable change. The goal is steady progress, not rushing.
No. This is outpatient care. If you are in immediate danger or thinking about harming yourself, call 911 or 988 in the U.S.
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.