The concierge experience
A Different Kind of Psychiatric Care
Private, physician-directed, and built around depth, not volume.
What this practice is built on
A different premise, entirely.
Most psychiatric care is designed around the constraints of the system — rushed appointments, fragmented providers, and treatment that addresses symptoms without addressing you. This practice is built on a different premise entirely.
Here, care is thoughtful, unhurried, and guided by a single board-certified psychiatrist who personally provides both psychotherapy and medication management. That integration matters: it means your treatment is never siloed, never handed off, and never shaped by what an insurance company will reimburse. It is shaped entirely by what you need.
What makes it different
Five commitments
Unhurried appointments
Sessions are protected and never rushed. There is always enough time to understand what you are experiencing and how best to move forward.
Direct physician access
Between appointments, you have direct access to Dr. Mirsky for questions or medication-related concerns.
Conflict: JM says access is to him and office staffIntegrated care
Psychotherapy and medication management are provided by the same physician, within the same relationship. Nothing falls through the cracks.
A small, focused practice
The caseload is intentionally limited so that care remains consistent, responsive, and deeply individualized.
No insurance constraints
Operating outside of insurance-driven systems means appointments are private, confidential, and centered entirely on your wellbeing.
See what the first step looks like.
Services & investment
A partnership, not a transaction
Meaningful, lasting progress. Not quick fixes.
Treatment here is built on careful listening, clinical precision, and a shared understanding of your goals. Whether you are navigating anxiety, depression, ADHD, a major life transition, or something harder to name — the focus is on meaningful, lasting progress. Not quick fixes.
Ready to take the first step?
Personal, expert, and genuinely invested in your progress.
If you are looking for psychiatric care that is personal, expert, and genuinely invested in your progress, you are in the right place.