Psychiatrist for Executives | East Texas Psychiatry & Counseling
Discrete psychiatric care for executives and senior leaders — by secure telepsychiatry across Texas or in person at our Tyler clinic.
Board-certified PMHNPs. Most patients seen within a week. 90-minute first appointment. Same provider every visit. Statewide telepsychiatry from our Tyler clinic.
Why This Matters for Executives
Executives face mental health presentations shaped by high demands, decision fatigue, and the structural difficulty of admitting weakness in a role that requires projecting strength. Common presentations include chronic anxiety masked as 'drive,' adult ADHD that has been compensated by intelligence and effort until complexity outran the workarounds, and burnout that has crossed into clinical depression. Our approach: confidential, efficient, and structured around your schedule.
Common Concerns We See
Executives typically come to us for:
Anxiety that won't turn off
Chronic activation that was useful in earlier-career intensity often becomes maladaptive at the executive level. Sleep, focus, and decision quality all suffer. Treatment combines medication, structured therapy, and an honest conversation about what 'productive' looks like at this career stage.
Adult ADHD that's now impairing
ADHD often goes undiagnosed in high-achieving adults because the executive function deficits are masked by intelligence and effort. When responsibility scales beyond what workarounds can absorb — typically in senior roles — the underlying ADHD becomes impairing.
Sleep disruption that affects judgment
Chronic insomnia in executives is rarely 'just sleep' — it usually points to anxiety, depression, ADHD, or alcohol use. Treating sleep without identifying the driver rarely works.
Concerns about discretion and reputation
Psychiatric care is confidential under HIPAA. We don't communicate with your board, your team, your spouse, or anyone else without your specific written consent. Most executives use self-pay to avoid even insurance claims documentation.
How We Work with Executives
Our approach is structured around what executives actually need: confidential, evidence-based care; appointment availability that fits real schedules; and treatment that addresses the specific stressors and presentations common in your context.
Clinical Perspective
A common scenario in our practice: a senior leader in their 40s or 50s who has succeeded for decades through intensity and adaptability, and is now noticing slipping cognitive performance, deteriorating sleep, and an irritability that affects relationships at work and home. The differential includes chronic anxiety, late-diagnosed ADHD, burnout-driven depression, and the cognitive effects of sleep debt. A 90-minute evaluation works through each systematically.
Conditions We Treat for Executives
Our psychiatric services cover the full range of adult mental health conditions, with particular relevance for executives:
Frequently Asked Questions
How do you handle confidentiality for executives?
Psychiatric care is confidential under HIPAA. We don't communicate with your company, board, spouse, or anyone else without your specific written consent. Self-pay visits generate no insurance claims at all — many executives use self-pay specifically for that reason.
Will medication affect my cognitive performance?
Effective psychiatric treatment typically improves cognitive performance, not the reverse. If a specific medication is dulling your function, we adjust dose, switch agents, or reconsider the diagnosis. The goal is restoration of your baseline, not flattening you.
How quickly can you see me?
Most patients are seen within one business week. We schedule executive evaluations to accommodate calendar constraints — telepsychiatry from anywhere in Texas, early-morning or end-of-day appointments where available.
Can my assistant book my appointments?
Yes, with your written authorization. Most executives prefer to handle scheduling themselves for privacy; some delegate to executive assistants. Either works.
Do you write letters for medical leave or executive coaching coordination?
We provide medical documentation when clinically indicated. Coordination with executive coaches is feasible with your written consent; the coach typically receives a summary rather than detailed clinical notes.
What about substance use — alcohol specifically?
Alcohol use in executives is common and often self-medicating for chronic anxiety or sleep disruption. We treat both the underlying condition and the substance use together when both are present. Self-disclosure does not trigger any external reporting.
Authoritative Resources
The following resources are maintained by U.S. government agencies and clinical organizations, independent of our practice:
This page provides general information about psychiatric care for executives at East Texas Psychiatry and Counseling. Care details, costs, and coverage can change. Confirm specifics with our intake team before your first visit.
Psychiatric care that fits your context
Confidential care. Most patients seen within one business week. Same provider every visit.
100 Independence Pl, Suite 307, Tyler, TX 75703
Monday–Friday, 8 AM–5 PM · Statewide telepsychiatry available
