We founded Top Tier Psychiatry on a conviction that the standard of psychiatric care in this country is unacceptable -- and that the solution is not incremental reform but fundamental redesign.
The Premise
Across the United States, the average wait time for an initial psychiatric evaluation exceeds three months. Patients in crisis are told to call back. Clinics overbook, understaff, and treat medication management as a transactional afterthought. The system optimizes for throughput, not outcomes.
We built something different.
Short Wait Times
Access delayed is care denied. Every clinic in our network maintains same-week appointment availability -- not as an aspiration, but as an operational mandate. We achieve this through disciplined capacity planning, intelligent scheduling systems, and a deliberate refusal to overextend our providers beyond the caseloads that allow them to deliver exceptional care. When someone reaches out for help, the answer should never be "we can see you in twelve weeks."
Expertise and Compassion
Clinical excellence without empathy is cold. Empathy without clinical rigor is inadequate. Our network is composed exclusively of board-certified psychiatrists and credentialed psychiatric nurse practitioners who bring both -- providers who possess the diagnostic acumen to get it right and the temperament to make patients feel heard while doing so. We recruit selectively, credential thoroughly, and support our clinicians with the administrative infrastructure that lets them focus entirely on the people sitting across from them.
Personalized Care, Backed by Science
There is no algorithmic shortcut to good psychiatry. Every patient who enters our network receives a comprehensive diagnostic evaluation, an individualized treatment plan, and ongoing medication management calibrated to their specific neurobiology, history, and goals. We integrate pharmacogenomic testing through GeneSight to inform medication selection at the molecular level, and deploy Creyos cognitive assessments to measure treatment response with objective precision -- not just subjective self-report.
The result is a standard of care that treats psychiatry as what it actually is: a sophisticated medical discipline that demands both scientific depth and human attention.
The Network
Top Tier Psychiatry operates a growing network of independently branded psychiatric practices across 7 states. Each clinic is locally embedded -- staffed by providers who live and practice in the communities they serve -- yet connected to the shared operational infrastructure, clinical protocols, and quality standards of the broader organization. It is the rigor of a national platform with the intimacy of a neighborhood practice.
We are not a telehealth mill. We are not a franchise. We are a network of clinicians who believe that psychiatric care should be prompt, personal, and grounded in evidence -- and who have built the organization to prove it.