Concierge psychiatry is a model of psychiatric care in which patients pay directly for a higher level of access and service, bypassing the limitations of insurance-based practice. But unlike some concierge medicine models, the version at this practice requires no membership fee.
What Makes Concierge Psychiatry Different
In standard psychiatric care, a psychiatrist may see 30+ patients per day in 15-minute appointments, scheduled weeks or months out. The model is volume-driven, and the result is fragmented, impersonal care.
Concierge psychiatry inverts this. A smaller panel of patients receives:
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Direct cell phone access — text or call your psychiatrist directly
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Same-day appointments — available for urgent needs within 24 hours
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Same-day prescription refills — no waiting for callbacks or portal messages
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30+ minute appointments — time to actually discuss your situation
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Consistent physician — always the same doctor who knows your history
Our Model: No Annual Fee
Some concierge practices charge $1,500–$5,000 per year for access. This practice does not. Dr. Agresti’s concierge model charges only for visits — the direct cell access, same-day availability, and extended appointment time are part of every patient relationship, not a premium add-on.
Who Benefits Most
Concierge psychiatry is particularly valuable for:
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Busy professionals who cannot wait weeks for an appointment when a medication isn’t working
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Complex cases requiring frequent medication adjustments
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Patients who have been failed by volume-based practices where no one has time to listen
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Executive and VIP patients who require absolute discretion
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Anyone who has experienced the frustration of 15-minute appointments and 3-month waits
The Bottom Line
If you’ve ever wanted to text your doctor a question and get a real answer — not a portal message routing you to a nurse — concierge psychiatry might be the right model for you.
Schedule a consultation to discuss whether this is the right fit.