Medication management
Medication management in San Francisco.
Thoughtful, collaborative psychiatric medication care from Earl Johns, a board-certified psychiatric nurse practitioner, with real time to talk through what is and isn’t working. In person in San Francisco or by telehealth across California.
How it works
Your walk to wellness.
01
Reach out
Every journey begins with a single step. Book a free 15-minute call where we’ll explore your goals.
02
Getting to know you
We take time to truly understand you: your story, your strengths, and the challenges you’re facing.
03
Grow together
Through ongoing visits, typically every 2 to 8 weeks, we work toward goals tailored to your needs.
04
Find peace and wellness
Feel grounded, balanced, and at peace, with a plan that supports your wellness.
What to expect
Care that fits your life.
Visits happen online through a secure, HIPAA-compliant platform, with in-person visits in San Francisco by request.
Your first visit
45 to 90 minutes. We listen to your story, your challenges, and your goals, then build an individualized plan that may include therapy, lifestyle strategies, nutrition, and medication when appropriate.
Follow-up visits
25 min
Focused medication visits, best if you already see a therapist
45 min
Medication management plus brief therapy (DBT, CBT, ACT)
60 min
Deeper therapy and mind-body work
Visits range from weekly to every 2 to 3 months, depending on your goals.
Between visits
Questions don’t always wait for your next session. Reach us by phone or email and we’ll respond within 3 business days.
Visit location: Virtual via HIPAA-compliant Zoom, or in person at our San Francisco office upon request.
Who we see
Children and teens (ages 6 to 17)
Adults (ages 18 to 64)
LGBTQIA+ people, including gay, lesbian, bisexual, trans, nonbinary and questioning folks
Neurodivergent people, including ADHD and autism
Trauma survivors and people working through grief or big life transitions
Professionals facing burnout and stress
Allies and families of LGBTQIA+ and neurodivergent people
Official ADHD testing is also available. You’ll need to be in California at the time of each visit.
Insurance
We’re in network with these plans:
Aetna
Anthem Blue Cross California
Carelon Behavioral Health
Cigna
Oxford / Optum
Quest Behavioral Health
United Healthcare / Optum
Paying out of network? We provide superbills for PPO reimbursement. Copays vary by plan, so check your benefits with your insurer.
Not sure where to start?
Book a free 15-minute consult. We’ll talk through what’s going on and help you decide on next steps, with no pressure.
Book a free consult
How we help
Medication care, done with you.
We start low, go slow and adjust together, and we look at sleep, labs, lifestyle and therapy alongside medication, not instead of them.
Book a free consult
1
Medication management for depression, anxiety, bipolar disorder, PTSD and sleep.
2
Adult ADHD treatment, plus care for kids and teens.
3
A careful review of your current medications, supplements and past trials.
4
Lab work and GeneSight genetic testing to help guide choices.
5
25-minute medication visits, or 45 and 60-minute visits with therapy built in.
6
Follow-ups from weekly to every 2 to 3 months, depending on your goals.
7
In person near Union Square or by telehealth anywhere in California.
Just like the way waves break.
You’re not broken. You’re not alone.
And this isn’t the end of your story, just a new chapter. Our care is rooted in science, shaped by lived experience, and delivered with humanity.
Book a free consult