Elite Concierge Psychiatry & Executive Coaching

Deep, discreet support for families and leaders whose well-being shapes homes, teams, and communities.

Apply for Elite Care

A Different Level of Care

This is not rushed 10-minute visits or one-size-fits-all therapy. I offer a comprehensive, holistic, justice-rooted approach to psychiatry, coaching, and peer support for those carrying significant personal, professional, and community responsibilities.

Why work with Dr. Robles-Ramamurthy

  • Triple board-certified psychiatrist with over 15 years of experience providing integrated medical, psychological, and spiritual care.

  • Trained at Baylor College of Medicine, the University of Pennsylvania, and the Children’s Hospital of Philadelphia

  • Author of 100+ publications and national leader advancing equity in mental health

  • Mexican-American immigrant, mother, and community organizer who understands how culture, migration, and oppression shape mental health—and designs care the honors that truth.

Is Elite Care Right for You?

Best fit for:

  • High-responsibility parents and caregivers who are exhausted by conflict, guilt, or complex emotional needs at home.

  • Prefer to be offered options and education to make your own decisions.

  • Executives, founders, and physicians whose mental health directly impacts their leadership and families.

  • Community and organizational leaders who want support that understands systems, culture, and justice—not just symptoms.

Not a fit if you:

  • Are primarily seeking short-term medication refills and quick symptom checks.

  • Wish to be told what to do.

  • Want basic, insurance-based care without deep exploration.

  • Prefer a large, anonymous clinic experience.

Work with me

What’s Included

Initial Phase

  • Comprehensive psychiatric and psychological evaluation (1-3 sessions).

  • Family and workplace wellness assessment.

  • Review of prior records and coordination of care with existing providers (with consent).

  • Collaborative treatment and support plan integrating psychiatry, therapy, coaching, and spiritual/wellness practices.

Ongoing Care

  • 60-90 minute sessions (frequency tailored to your needs).

  • Direct secure messaging for urgent questions and support during business hours.

  • Optional in-person home or school visits in San Antonio for select families.

  • Coordination with therapists, schools, or organizations when helpful.

  • Integration of spirituality and wellness practices during sessions.

  • Sessions are inclusive of loved ones as you desire.

All work is highly personalized. Together, we design the structure after the initial evaluation.

Investment

Elite psychiatric and coaching services reflect the depth, access, and expertise offered in this level of care. Fees are transparent and discussed openly so that your decisions about treatment are grounded in both your values and your realities

Standard session fees for concierge care begin at $600 per 60-minute session. Longer or specialized sessions, in-person visits, and forensic or organizational work are billed at adjusted rates, which will be clearly reviewed with you before scheduling.​


Next Step: Private Consultation

If you feel called to this level of support, you can request a confidential consultation to explore whether we’re the right fit. This conversation is a chance to share what you’re carrying, ask questions, and understand what elite care could look like for you or your family.

Request a Private Consultation