Depression
Including the treatment-resistant kind, where several medications have been tried and none has quite fitted.
Full-Scope Care
Psychiatry with room for the whole picture
Diagnosis and medication management, plus the parts most practices skip: sleep, grief, nutrition, movement, and what you inherited. With or without ketamine.
What Makes It Integrative
We work with
We work with
all of it in the room
Most psychiatric appointments have time for a diagnosis and a prescription. Very little else fits.
Integrative here does not mean alternative. It means the ordinary clinical work is done properly, and then we keep going: we spend real time working out which parts are yours, which were handed to you, and which came from the world you have lived in.
- Sleep, and what is actually disturbing it
- Grief that was never given room
- Food, movement, and daily rhythm
- Patterns you did not choose but still carry
What We Treat
Common reasons people come
If what you are carrying is not on this list, ask anyway.
Anxiety
The kind that runs underneath everything, and the kind that arrives in sudden waves.
Trauma
Including what was inherited. You do not have to recount the worst thing that happened to you in order to get good care here.
Burnout
When the work is no longer the problem but you still cannot recover from it on a weekend.
ADHD
Assessment and management, including for people who were never picked up in childhood.
Medication review
Starts, changes, and thoughtful tapers, including coming off something that stopped helping.
How We Decide
We think out loud with you
We tell you what the evidence supports, what is our best judgment, and what nobody actually knows yet. You cannot make a real decision about your own care if the uncertainty is hidden from you.
-
A full evaluation first
Fifty minutes. History, past treatments, and what is happening now.
-
A plan you agree to
Written down before anything starts. Nothing moves faster than you want it to.
-
Measured, then adjusted
We measure whether this is working, and we tell you what we find.
What It Costs
Published openly,
Published openly,
before you ask
Goldenturas is a cash-pay practice; we do not accept insurance. We know that puts it out of reach for some people, and we would rather say so plainly than bury it.
A superbill is available on request.
Many patients submit it to their insurer for out-of-network reimbursement.
Book an evaluation
- Initial evaluation
- $300 · 50 minutes
- Follow-up visit
- $150 · as needed
- Insurance
- Not billed directly · superbills on request
- Payment
- Due at time of service
- Where
- Telehealth, anywhere in California
- Who you see
- Shannon Enochs, DNP, PMHNP-BC
Now accepting new patients
Bring the whole picture.
Bring the whole picture.
We have time for it
One conversation is enough to find out whether this is the right path for you. If it is not, we will say so.
Not for emergencies. If you are in crisis, call or text 988.