Yes. ADHD often begins in childhood, but many people are not diagnosed until adulthood. Adult ADHD commonly shows up as disorganization, procrastination, time management issues, distractibility, and emotional reactivity.

Stress and anxiety can cause distraction, but ADHD typically reflects a long-term pattern of executive function challenges across multiple areas of life. A careful evaluation helps distinguish ADHD from anxiety-driven rumination, burnout, or sleep-related attention issues.

An evaluation usually includes a detailed symptom review, functional impact, developmental history, screening for other conditions, and discussion of how symptoms present at work, school, and home.

Appropriately prescribed medications are intended to support attention and self-regulation, not change who you are. Some people experience side effects; your provider can adjust dosage or options as needed.

Structure, sleep, coaching, therapy, and practical systems (task lists, reminders, time-blocking, reducing distractions) often make a major difference, especially when combined with a personalized treatment plan.

Everyone experiences stress, but an anxiety disorder involves persistent or excessive worry, physical symptoms, and fear that can interfere with daily life. The symptoms may feel difficult to control and may continue even when there is no immediate threat.

Anxiety can cause physical symptoms such as muscle tension, rapid heartbeat, chest tightness, shortness of breath, sweating, stomach discomfort, headaches, and sleep problems. These symptoms can feel intense even when the cause is emotional stress.

Yes. Many people benefit from psychotherapy, stress-management skills, sleep support, and lifestyle changes. Medication can also be helpful for some individuals, depending on symptom severity and personal preferences.

Anxiety keeps the brain and body in a heightened state of alertness. When the nervous system is focused on possible danger, it can be harder to rest, focus, make decisions, or feel mentally calm.

Consider reaching out if symptoms are persistent, getting worse, disrupting sleep, affecting work or relationships, or causing you to avoid important parts of life. If anxiety feels overwhelming or you are having thoughts of self-harm, seek immediate emergency support.

Depression involves low mood and reduced energy, while bipolar disorder includes depressive episodes plus periods of elevated or irritable mood (mania or hypomania). Identifying hypomanic/manic symptoms is key for accurate diagnosis and treatment.

Hypomania is a milder form of elevated mood and energy that still changes behavior but may not cause severe impairment. Mania is more intense and can include major impairment, risky behavior, or sometimes hospitalization.

Yes. Bipolar disorder can be mistaken for depression, anxiety, ADHD, or other conditions, especially if hypomanic symptoms are not recognized. A thorough history helps clarify diagnosis.

The goal is stability, not emotional numbness. Treatment aims to reduce extreme highs/lows while preserving motivation, creativity, and quality of life. Adjustments can be made if side effects occur.

Sleep disruption, high stress, substance use, major life changes, and inconsistent routines are common triggers. A treatment plan often focuses heavily on sleep and routine protection.

Burnout is a state of emotional and physical exhaustion from prolonged stress, often involving reduced motivation, irritability, sleep issues, and feeling detached or overwhelmed.

Adjustment disorder is a stress response to a significant life change or event that leads to symptoms like anxiety, low mood, or impaired functioning. It often improves with support and coping strategies.

They can overlap. Burnout is often tied closely to chronic stress and recovery depletion, while depression may persist even when stressors lessen and can include deeper loss of interest and hopelessness. A clinical evaluation helps clarify.

Stress reduction planning, boundaries, therapy, sleep improvement, and restoring routine are often key. Medication may be helpful when anxiety, depression, or insomnia is significant.

If symptoms are persistent, worsening, affecting sleep or performance, or leading to withdrawal and avoidance, it’s a good time to seek support. If you’re having thoughts of self-harm, seek emergency help immediately.

You can schedule a consultation by using the Contact form, filling out the quiz details, or contacting us at intake@monarch-concierge.com

Currently, Monarch provides care to those physically in Nevada at the time of appointment. Monarch intends to obtain licensing in neighboring states soon, with goal of being licensed nationally.

Expect to hear back from us in one to two business days.

Depression is a medical condition that typically lasts weeks or longer and affects mood, energy, sleep, appetite, and concentration. Unlike normal sadness, it often interferes with daily functioning and does not reliably improve just with time or willpower.

Consider reaching out if symptoms last two weeks or more, are getting worse, or are affecting work, relationships, sleep, or self-care. If you’re having thoughts of self-harm or suicide, seek immediate help by calling 911 or going to the nearest emergency room.

Common options include psychotherapy (such as CBT or IPT), medication management when appropriate, and lifestyle supports (sleep, movement, routine). Many people do best with a personalized plan that may combine more than one approach.

When properly matched and monitored, antidepressants are intended to reduce symptoms like low mood, anxiety, and fatigue, not change who you are. Some people experience side effects (including emotional blunting). If that happens, dosage adjustments or different medications can often help.

Improvement varies. Some people notice changes in sleep, energy, or focus within a few weeks. Therapy often builds benefits over time, while medications may take several weeks to reach full effect. Regular follow-ups help fine-tune the plan and track progress.

A concierge psychiatrist offers personalized care to a limited number of clients for better access and continuity. You get longer visits, direct messaging, and faster scheduling. The focus is on proactive, evidence-based care and steady adjustments over time.

Both can be effective. We use secure telepsychiatry for convenience and access, and offer in-person visits as available.

A modern model of personalized mental health care offering enhanced access, longer visits, and direct communication with your psychiatrist

Enjoy more time, flexibility, and a trusted therapeutic relationship—care designed around your life and goals.

Yes. Secure virtual sessions are available for convenience and flexibility.

Psychiatrists are medical doctors who can treat medical conditions, offer psychotherapy, and prescribe medications. Psychologists focus on testing and psychotherapy and typically do not prescribe.

Insomnia involves ongoing difficulty falling asleep, staying asleep, or waking too early, along with daytime impairment such as fatigue, low energy, irritability, or poor concentration.

Chronic insomnia typically lasts three months or longer and occurs multiple nights per week. Even shorter-term insomnia can be worth addressing if it’s affecting daily life.

CBT-I is a structured, evidence-based therapy for insomnia that helps reset sleep patterns by targeting behaviors and thoughts that maintain insomnia. It is often more effective long-term than relying on sleep medications alone.

Not always. Some medications can be helpful short-term or in specific situations, but frequent use may lead to tolerance, dependence, or rebound insomnia. A provider can help determine the safest approach.

Yes. Anxiety, depression, PTSD, pain, medications, sleep apnea, and restless legs can all contribute. A careful evaluation helps identify drivers and the best treatment plan.

Yes. New patients are welcome through Monarch’s concierge membership. Apply online and our team will follow up to schedule.

Adults with depression, anxiety, ADHD, OCD, PTSD, insomnia, bipolar disorder, and related concerns. Treatment plans are tailored to each person.

Yes. Secure telepsychiatry visits are available for Nevada-based patients who prefer remote care.

Membership provides direct access to your physician, priority scheduling, and continuity of care. Pricing and details are available on our Plans & Pricing page.

Same-day or next-day appointments may be available for members, depending on clinical need and schedule.

A concierge psychiatrist offers personalized care to a limited number of clients for better access and continuity. You get longer visits, direct messaging, and faster scheduling. The focus is on proactive, evidence-based care and steady adjustments over time.

Both can be effective. We use secure telepsychiatry for convenience and access, and offer in-person visits as available.

It’s care guided by the best available research, your clinical picture, and your preferences.

Unlike insurance-driven models, concierge care provides same- or next-day availability, extended visits, direct contact with your psychiatrist, and greater privacy.

Membership includes concierge services such as priority scheduling, longer visits, direct messaging, wellness coaching, and care coordination. Some clinical services (e.g., psychiatric evaluations, medication management visits that are billed to insurance, lab testing, and procedures) may be billed separately and are not included in the membership fee.

Ideal for those who value convenience, privacy, continuity, and a strong therapeutic connection.

It allows psychiatrists to focus on meaningful patient relationships, prevention, and truly individualized treatment—free from system constraints.

OCD involves intrusive thoughts and compulsive behaviors performed to reduce anxiety or prevent feared outcomes. It is distressing and time-consuming, not simply a preference for neatness.

Yes. Intrusive thoughts can be disturbing and inconsistent with personal values. The presence of the thought is not the same as wanting to act on it. OCD often centers on fear and uncertainty.

Exposure and Response Prevention (ERP) is a specialized therapy that helps you face triggers while resisting compulsions. Over time, anxiety decreases and the urge to ritualize weakens.

They can. Medication may reduce symptom intensity and support progress in therapy. Your provider can discuss options and monitor response over time.

If obsessions or compulsions are causing distress, taking significant time, disrupting sleep, relationships, work, or leading to avoidance, it’s worth seeking professional support.

A panic attack is a sudden, intense wave of fear or discomfort that peaks quickly and often includes strong physical symptoms such as a racing heart, shortness of breath, dizziness, and chest tightness.

Panic attacks are not typically dangerous, but they can feel like an emergency. If symptoms are new, severe, or you are unsure, seek medical evaluation to rule out medical causes.

Triggers vary and may include stress, certain places or situations, trauma reminders, health worries, caffeine/stimulants, lack of sleep, or sensitivity to physical sensations like a rapid heartbeat.

Grounding and breathing strategies can help. Slowing the breath, focusing on physical sensations (feet on the floor), and reminding yourself that panic peaks and passes can reduce intensity. Treatment can help shorten attacks and reduce recurrence over time.

Reach out if panic attacks are recurring, causing fear of future attacks, disrupting sleep or work, or leading to avoidance. If you experience thoughts of self-harm or are in immediate danger, seek emergency help immediately.

We’re now accepting new patients, and same-day or next-day appointments may be available depending on current openings. To check real-time availability and get started right away, please book here: https://monarch-concierge.com/contact/

Membership fees vary by tier, from basic access to comprehensive and executive levels.

Yes, the Practice accepts many major health insurance plans and will bill for covered clinical services. Membership Fees are separate and will not be submitted to insurance. For out-of-network reimbursement, the Practice can provide documentation you may submit; reimbursement is not guaranteed.

Yes. Insurance can still cover prescriptions, lab work, and imaging.

No. The membership fee covers services beyond typical insurance coverage. Membership fees may be eligible for FSA/HSA/HRA reimbursement. Confirm with your plan administrator.

Yes. Fees may be reimbursable through HSA, FSA, MSA, or HRA accounts—check with your plan administrator.

Possibly. It may qualify as a deductible medical expense; confirm with your tax advisor.

Membership fees are due at onboarding and are billed quarterly unless option for a discounted annual plan. Membership are non-cancellable and non-refundable.

PTSD is a condition that can develop after trauma and may include intrusive memories, avoidance, changes in mood, and feeling constantly on edge. Symptoms can persist even after the danger has passed.

Not necessarily. Many evidence-based approaches focus on safety and stabilization first. Treatment should move at a pace that feels manageable and respectful of your boundaries.

Yes. PTSD can affect sleep, appetite, muscle tension, startle response, heart rate, and overall stress levels. Hypervigilance and chronic stress can feel physically exhausting.

Evidence-based options often include trauma-focused therapy (such as EMDR or trauma-focused CBT approaches), skills for nervous system regulation, and medication support when appropriate.

Consider seeking help if symptoms last more than a month, disrupt sleep or relationships, cause avoidance, or interfere with daily functioning. If you are in immediate danger or having thoughts of self-harm, seek emergency support.

Start with Education & Guides for a foundation. Explore NAMI Resources for classes and peer support. Review Patient Support Links if cost is a concern. For emergencies call 911 or 988.

Third-party programs that may reduce costs, like PAN Foundation, NeedyMeds, or manufacturer assistance. Eligibility varies; confirm details with each program.

Free education and support through local affiliates and national programs, including classes, groups, and youth resources.

No. Educational and support links complement—not replace—care from a licensed clinician.

No. External links are independent. Review each site’s privacy policy before sharing information and avoid sending PHI unless secure.

Call 702-760-7125, email info@monarch-concierge.com, or Start Your Journey to check availability.

For emergencies, call 911 or 988.

Monarch is not an emergency service. If you are in immediate danger or a medical/psychiatric emergency, call 911 or go to the nearest emergency department. You can also call or text 988 for immediate behavioral health support.

Schizophrenia is a mental health condition that can affect perception, thinking, and functioning. Symptoms may include hallucinations, delusions, disorganized thinking, reduced motivation, and cognitive changes.

No. Schizophrenia is not the same as dissociative identity disorder. Schizophrenia involves psychosis-related symptoms such as hallucinations and delusions, along with changes in functioning.

Yes. Treatment commonly includes medication management, ongoing follow-up, therapy and skills support, and stabilization of sleep and routine. Many people experience significant improvement with consistent care.

Stress, sleep disruption, stopping medication without guidance, and substance use (especially cannabis or stimulants) can increase relapse risk. Early warning signs and consistent follow-up help prevent escalation.

Urgent evaluation is appropriate if someone is experiencing new or severe hallucinations, delusions, confusion, inability to care for themselves, or is at risk of harming themselves or others. If there is immediate danger, call 911 or go to the nearest emergency room.

It is a medical condition involving ongoing substance use despite negative consequences. It may include cravings, tolerance, withdrawal, and difficulty cutting back even when someone wants to.

No. Earlier support often leads to better outcomes. If substance use is affecting sleep, mood, relationships, work, or health, it’s appropriate to seek help.

Yes. Anxiety, depression, trauma-related symptoms, ADHD, and chronic stress commonly overlap with substance use. Treating these contributors can reduce relapse risk.

Withdrawal can be dangerous with alcohol and certain substances. If you are concerned about withdrawal, seek medical guidance rather than stopping abruptly on your own.

Treatment may include therapy, recovery supports, medication options when appropriate, addressing co-occurring mental health symptoms, and referrals for higher-level care if needed.

Memberships include direct physician access, priority scheduling, longer visits, coordinated follow-up, and outcome tracking with 30/60/90-day reviews. See Plans & Pricing for details.

No referral is required. Apply online, complete intake, and—if approved—schedule your first visit.

Both. Telehealth is available statewide in Nevada, and in-person visits are offered at our [TK] location.

Monarch is not an emergency service. If you are in immediate danger, call 911 or go to the nearest emergency department. You can also call or text 988.

Begin with a complimentary practice consultation to determine fit, then select the membership plan that aligns with your needs.

Memberships are non-cancellable and non-refundable. All plans renew automatically on their scheduled renewal date unless written notice of cancellation is provided at least 30 days prior to the renewal.

Monarch does accept some insurance directly. Upon request, we can provide documentation for possible out-of-network reimbursement. Cash pay is accepted if allowed.