Discreet, Membership-Based
Psychiatric Care for
High-Performing Adults
About
Offering private, low-volume psychiatric services designed for individuals who value continuity, access, and expert clinical oversight…without the constraints of the traditional mental health system.
We are a curated clinical partnership, not a high-volume clinic.
Executive Mental Health Support
Executive Mental Health Partnership
Ongoing psychiatric and cognitive performance support for leaders managing sustained pressure, complex decision-making, and high-stakes environments.
Comprehensive Psychiatric Evaluation
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90-120 minute structured interview
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Screening tools
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Personalized treatment blueprint
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Written executive summary
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Follow-up consultation
Services Tailored to You
Services may include
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Burnout mitigation
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Sleep optimization
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Stress regulation strategies
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Medication refinement
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Periodic comprehensive performance reviews
Details will be provided during private consultation.
Proactive, Predictable, Professional
Selective Psychiatry is a small, membership-based practice providing psychiatric care for adults who prefer thoughtful, personalized support in a discreet setting.
Care is structured, proactive, and intentionally limited in volume. Each member receives direct access, predictable communication, and a treatment approach tailored to long-term stability and performance.
Clinical Expertise
Selective Psychiatry is led by a triple board-certified Nurse Practitioner:
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Psychiatric Mental Health
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Family Medicine
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Adult-Gerontology Primary Care
This breadth allows for thoughtful integration of mental health with sleep, metabolic health, hormonal considerations, and other systemic contributors to psychiatric well-being.
Care is grounded in evidence, delivered with discretion, and structured for long-term stability. Common areas of focus include depression, anxiety disorders, trauma-related conditions, obsessive-compulsive disorder (OCD), bipolar disorder, attention-deficit/hyperactivity disorder (ADHD), insomnia, and other adult mental health concerns.
Membership
Selective Psychiatry operates on a direct-pay membership model. Insurance is not accepted. The panel is capped at 20-30 members to preserve access and continuity.
$750/month includes:
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Medication management
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Secure messaging (48-hour response window)
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Quarterly video visit required
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Annual review required
Enhanced Membership
For individuals seeking a higher level of access and personalized support, Selective Psychiatry offers an Enhanced Membership on a limited basis.
This individualized option can include expanded practitioner access, priority scheduling, more frequent check-ins, and additional care coordination tailored to your specific needs and goals.
Because each person's circumstances are unique, Enhanced Membership arrangements are discussed individually and customized accordingly. If you believe this level of service may be beneficial, please inquire during your consultation.
What Membership Includes
Membership is designed for individuals seeking continuity and flexibility:
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Priority scheduling
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Secure asynchronous messaging
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Structured medication management
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Quarterly video review visits
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Annual comprehensive psychiatric review
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Written treatment summaries upon request
Communication expectations are clearly defined. Members receive responses within an agreed-upon window (typically 24–48 hours).
Designed for Busy Professionals
Membership is appropriate for adults who:
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Travel frequently
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Manage demanding schedules
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Prefer secure written communication
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Value privacy
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Seek a consistent prescribing partner
The practice does not treat acute crises or active substance use disorders. It is structured for stable adults seeking continuity and refinement of care.
How It Works
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Submit a private inquiry, including a brief screening questionnaire by clicking on "Am I a Good Fit?"
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Schedule a personal screening with provider.
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Determine mutual fit.
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Secure membership.
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Begin care.
Panel size is intentionally limited. Due to limited panel size, not all inquiries result in membership.
From the Founder…
"I founded Selective Psychiatry with the belief that exceptional mental health care should be personalized, thoughtful, and accessible. My goal is to help each patient achieve greater wellness, resilience, and fulfillment through evidence-based psychiatric care tailored to their unique needs.
I look forward to meeting you and helping you reach your fullest potential.
~ Rinnah MacVittie,
MSN, APRN, PMHNP-BC, FNP-BC, AGNP-C