One practice, all of California.
Pacific Integrative Psychiatry is fully virtual: psychiatry, therapy, and medical insomnia care for adults across California, and sleep coaching nationwide. Wherever you are, care comes to you by secure video.
Pacific Integrative Psychiatry serves patients throughout California via telehealth — including San Francisco, the Bay Area and Silicon Valley, and Los Angeles. The practice has no physical offices: all psychiatry, therapy, and insomnia care happens by secure video. Sleep coaching and Effortless Sleep™ are available online, nationwide.
Reviewed by Nishi Bhopal, MD. Last reviewed July 2026.
What to expect
We are licensed across California — founded in San Francisco, based today in Marin — which means an adult in Eureka gets the same unhurried, expert care as one in downtown LA. No office also means no commute, no waiting room, and appointments that fit into a working day instead of consuming one.
The pages below speak to the places most of our patients call home. If yours is not listed, that changes nothing: if you are in California, we can care for you.
What we help with
- Chronic insomnia
- Anxiety, depression, and burnout
- Psychiatric medication management
- Medication tapering
- Second opinions
- Addiction psychiatry
- Integrative mental health care
The whole-person model
The same care, anywhere in the state.
Telehealth means your location within California does not matter. Patients in rural and coastal communities receive exactly the same unhurried, expert care as patients in San Francisco or Los Angeles — one team, one plan, built around your whole life.
What we treat
Where our patients are.
Marin County — our home
Where the practice is based today. Insomnia and mental health care for our neighbors in Mill Valley, Sausalito, Tiburon, Ross, San Anselmo, San Rafael, and Novato — by secure video.
Insomnia & integrative psychiatry in Marin CountySan Francisco
Where the practice was founded. Insomnia care and integrative psychiatry for the city’s founders, engineers, physicians, and professionals — by video, from anywhere in SF.
Insomnia & sleep psychiatry in San FranciscoSilicon Valley & the Peninsula
Care for the corridor that never logs off — Palo Alto, Menlo Park, Mountain View, and down to San Jose. Insomnia and mental health care for founders, engineers, and executives, with complete discretion.
Integrative psychiatry & insomnia care in Silicon ValleyThe East Bay
Piedmont, Orinda, Lafayette, Alamo, Danville, and Walnut Creek — care that fits commute-shaped lives, with zero extra drive minutes.
Insomnia & integrative psychiatry in the East BayLos Angeles
The Westside to Pasadena — insomnia and mental health care for the city that works nights, built for irregular hours and complete discretion.
Holistic & integrative psychiatry in Los AngelesOrange County
Newport Beach, Corona del Mar, Laguna Beach, and Irvine — discreet, unhurried care by secure video, without the drive on PCH.
Integrative psychiatry in Orange CountySan Diego
La Jolla, Del Mar, Rancho Santa Fe, and Coronado — root-cause psychiatry and insomnia care for executives, physicians, and scientists.
Holistic psychiatry & insomnia care in San DiegoSanta Barbara & Montecito
Integrative care with real medical depth, delivered with the discretion this coastline expects.
Insomnia & integrative psychiatry in Santa Barbara & MontecitoOutside California? Sleep care is nationwide
Effortless Sleep™ and one-on-one sleep coaching are available online across the United States — the structured, drug-free-first path out of chronic insomnia, wherever you live.
Explore the Effortless Sleep ProgramEverywhere else in California
Sacramento, the Central Valley, the North Coast — if you are in California, every service we offer is available to you by secure video.
How it works
A clear path, from first call to lasting change.
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1
A brief consultation
A 20-minute conversation with our Care Coordinator to understand your situation and recommend the right care pathway. No pressure, no commitment.
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2
In-depth assessment
Detailed intake forms and assessments before your first clinical appointment, so your clinician starts with the full picture.
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3
Your personalized plan
Your Care Team builds one plan around your sleep, mental health, and life — wherever in California you live it.
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4
Ongoing care by video
Follow-ups fit around your schedule, not a drive. The same clinicians, the same continuity, anywhere in the state.
Common questions
Good to know
- No. We are a fully virtual practice. All appointments — psychiatry, therapy, and sleep care — happen by secure video.
- Psychiatry, therapy, and medical care: adults across California via telehealth. Effortless Sleep™ and sleep coaching: available online, nationwide (the Comprehensive tier, which includes medical consultation, is California only).
- Yes. Telehealth means your location within California does not matter. Patients in rural and coastal communities receive exactly the same care as patients in San Francisco or Los Angeles.
Ready to feel like yourself again?
Start with a consultation. We’ll listen, answer your questions, and help you find the right next step.