Clarity. Precision. Expertise. Continuity.
A discreet, physician-led psychiatry service designed for executives, business owners, entrepreneurs, attorneys, physician leaders, and other professionals in positions of substantial responsibility.
Comprehensive Executive Psychiatry Consultation
High-performing professionals face unique cognitive, emotional, and leadership demands that can affect well-being, decision-making, resilience, and sustained performance.
This physician-led service provides comprehensive psychiatric evaluation, individualized treatment planning, and ongoing care tailored to the needs of professionals whose roles require sound judgment, discretion, and consistent performance.
Care is structured around clinical depth, confidentiality, accessibility, and continuity, recognizing the unique pressures associated with executive and leadership positions.
A Distinct Standard of Care
This program reflects a more deliberate model of psychiatric care—defined by time, attention, continuity, and direct physician involvement.
Each consultation is comprehensive and individualized, emphasizing diagnostic clarity, thoughtful clinical decision-making, and practical strategies that support both personal well-being and professional performance.
Care remains exclusively physician-led at every stage.
Who May Benefit
This service is designed for:
- Executives and senior leaders
- Business owners and entrepreneurs
- Attorneys and legal professionals
- Physicians and physician executives
- Healthcare administrators
- Corporate leaders
- Professionals in high-responsibility roles
Common reasons for seeking care include:
- Depression and anxiety
- Complex or treatment-resistant psychiatric conditions
- Executive stress and burnout
- ADHD and executive functioning concerns
- Insomnia and sleep disturbance
- Perfectionism and performance pressure
- Leadership stress and decision fatigue
- Occupational stress
- Relationship and work-life challenges
Why This Program Was Developed
Developed by Dr. Santiago Almanzar, MD, a dual board-certified psychiatrist and fellowship-trained forensic psychiatrist, The Steel Executive™ reflects years of experience caring for individuals with complex psychiatric conditions while serving in physician leadership roles across academic medicine, Veterans Affairs healthcare, emergency psychiatry, correctional psychiatry, and inpatient psychiatry.
His leadership experience has provided firsthand insight into the responsibilities, demands, and pressures associated with high-stakes decision-making and organizational leadership.
This experience informs a thoughtful, evidence-based approach to helping professionals maintain psychological well-being, cognitive performance, and long-term resilience.
Our Comprehensive Approach
Each assessment is designed to understand the complete personal and professional context.
This may include:
- Comprehensive psychiatric and medical history
- Occupational and leadership stressors
- Mood, anxiety, attention, and sleep disorders
- Executive functioning and cognitive performance
- Previous psychiatric treatment and medication response
- Family psychiatric history
- Lifestyle and physical health factors
- Safety assessment when clinically indicated
Each assessment results in a comprehensive diagnostic formulation and individualized treatment plan.
Individualized Treatment
Treatment is collaborative, evidence-informed, and tailored to the unique demands of each profession.
Depending on clinical needs, care may include:
- Diagnostic clarification
- Advanced medication management
- Evidence-based psychotherapy recommendations
- Treatment of mood, anxiety, ADHD, and sleep disorders
- Strategies addressing stress, attention, executive functioning, and sustainable performance
- Lifestyle optimization
- Longitudinal follow-up with ongoing refinement of treatment
Services & Fees
| Service | Duration | Fee |
|---|---|---|
| Comprehensive Executive Psychiatry Consultation | 90 minutes | $900 |
| Executive Follow-Up Consultation | 30–45 minutes | $450 |
| Service | Duration | Fee | Description |
|---|---|---|---|
| Comprehensive Executive Psychiatry Consultation | 90 minutes | $1,200 | Comprehensive psychiatric evaluation, diagnostic formulation, and individualized treatment strategy tailored to the unique demands of professionals in leadership and high-responsibility roles. |
| Executive Follow-Up Consultation | 30–45 minutes | $550 | Ongoing treatment, medication management, performance optimization, and continuity of care. |
Executive patients are offered priority scheduling, with appointments typically available within 48 hours whenever clinically appropriate and scheduling permits.
Superbills are available upon request.
Our Commitment
Your responsibilities demand clarity, sound judgment, and sustained performance.
The Steel Executive™ provides confidential, physician-led psychiatric care designed to support your mental health, professional effectiveness, and long-term well-being through personalized, discreet, and responsive care.