Support without shame, from someone who gets it.
When drinking, substances, or a reliance on medication starts to take over, it rarely started there. It usually began as a way to cope with anxiety, sleeplessness, stress, or pain. We treat what is underneath, with zero judgment.
Questions first? Call (415) 231-6100
Addiction, or substance use disorder, is a treatable medical condition, not a lack of willpower. We provide board-certified addiction psychiatry in California with an integrative approach focused on recovery, without judgment.
Reviewed by Nishi Bhopal, MD. Last reviewed July 2026.
What to expect
Addiction and dependence are not moral failures. They are often the nervous system reaching for relief the only way it knows how. That is why willpower and shame do not fix them, and why punishing yourself has never worked for long.
Our care is led by a board-certified addiction psychiatrist and grounded in the whole person. We look at the anxiety, mood, trauma, and sleep problems that fuel use, and we treat those alongside the use itself, so change has something solid to stand on.
What we help with
- Alcohol use
- Substance use
- Sleep-aid and benzodiazepine dependence
- Stimulant overuse
- Behavioral addictions
- Recovery and relapse support
“You do not have to hit rock bottom to deserve help, and you do not have to be judged to get it.”
Read patient testimonialsThe whole-person model
We treat the whole person, not just the habit.
Using our THRIVE model, we look across all six domains, Thoughts & Emotions, Healthy Habits & Eating, Rest & Relaxation, Interactions & Social Connection, Values, and Exercise & Environment, to understand what the substance has been doing for you. Then we build a plan that addresses those roots, so recovery is about adding a fuller life, not only removing something.
What we treat
Where we can help.
When coping tips over
The drink, substance, or pill that took the edge off now feels like it is running the show, and stopping on your own has not stuck.
Dependence on medication
Reliance on sleep aids, benzodiazepines, or stimulants, where you want off but withdrawal and the underlying issue feel daunting.
What is underneath
Anxiety, depression, trauma, and insomnia that both drive use and get worse without support. We treat these together.
How it works
A clear path, from first call to lasting change.
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1
Schedule a consultation
A confidential, judgment-free call to understand what you are facing and whether our approach is the right fit for you.
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2
Comprehensive assessment
We take a full history and look at sleep, mood, trauma, medications, and health to understand the whole picture behind the use.
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3
A personalized plan
We build a plan that treats the roots and the use together, combining medication where helpful, therapy, and lifestyle support, including safe tapering when appropriate.
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4
Ongoing support
Recovery has ups and downs. We stay alongside you without judgment, adjusting your plan as life and needs change.
Common questions
Good to know
- No. If something feels off about your relationship with alcohol, a substance, or a medication, that is reason enough. Earlier support is easier support.
- Never. Our care is explicitly shame-free. We see dependence as a whole-person health issue, and we treat you with the same respect and curiosity we bring to any condition.
- Yes. We provide careful, physician-guided tapering for benzodiazepines, sleep aids, and other medications, at a pace designed to minimize withdrawal.
- 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).
Substances and sleep
Many people use something just to sleep.
Alcohol and sleep aids wreck the quality of your rest, which fuels more use. Treating insomnia directly can break that loop, and our sleep specialty care works alongside this support.
Ready to feel like yourself again?
Start with a consultation. We'll listen, answer your questions, and help you find the right next step.