Anxiety and Panic Disorders
Care for generalized anxiety, panic attacks, social anxiety and health-related worry, combining evidence-based therapy with medication when it is helpful.
Accepting new patients, typically within two weeks
Psychiatry that begins
with being heard
Dr. Elena Marsh treats adults living with anxiety, depression, ADHD and trauma. Appointments are unhurried, explanations are plain, and no plan starts until it makes sense to you.
- 75-minute first visit
- Time to tell the whole story
- In person or online
- Secure video across California
- Fully confidential
- HIPAA-protected throughout
Dr. Elena Marsh, MD
Board-certified psychiatrist, 18 years in practice
American Board of Psychiatry and NeurologyAmerican Psychiatric Association18 years in practiceCalifornia Medical AssociationHIPAA-compliant telepsychiatryAnxiety and Depression Association of AmericaSuperbills provided for reimbursementAmerican Board of Psychiatry and NeurologyAmerican Psychiatric Association18 years in practiceCalifornia Medical AssociationHIPAA-compliant telepsychiatryAnxiety and Depression Association of AmericaSuperbills provided for reimbursement
A place to start
What has been hardest lately?
Choose anything that sounds like you. Nothing is sent anywhere and nothing is stored. It simply points you to the part of the practice that fits, and saves you writing it all out later.
Based on what you chose, the most relevant part of the practice is
Everything you selected is carried down to the appointment form at the bottom of this page, so you do not have to explain it twice. You can change or remove any of it before sending.
Services
Areas of care
The practice treats adults aged 18 and over. If your concern is not listed, it is still worth asking, and you will be referred on honestly if someone else is a better fit.
Depression and Mood Disorders
Assessment and treatment of major depression, persistent low mood, seasonal patterns and bipolar spectrum conditions, with close attention to how you respond.
Adult ADHD
Careful diagnostic evaluation for attention and focus difficulties, followed by a treatment plan that fits how you actually work and live.
Trauma and PTSD
A paced, safety-first approach to post-traumatic stress, including trauma-focused therapy and support for sleep, hypervigilance and flashbacks.
Medication Management
Thoughtful prescribing and ongoing review of psychiatric medication, including starting, adjusting, combining or safely tapering off treatment.
Second Opinions
An independent diagnostic review when a current treatment plan has stalled, with a written summary you can share with your existing care team.
About the practice
A calm, private practice built around one idea
Most people arrive after years of short appointments and half-answers. The practice was built to work the other way: fewer patients, longer visits, and enough time to understand a whole life rather than a list of symptoms.
Dr. Marsh trained in psychiatry at Northfield Hospital, taught psychopharmacology at university level, and spent seven years leading an outpatient mood disorders clinic before opening this practice. That background shapes a treatment style that is careful, conservative with medication, and honest about what is and is not known.
- Diagnosis explained in plain language, never in jargon
- Medication offered as an option, never as the default
- Treatment reviewed on a schedule, not left to drift
- Coordination with your therapist or physician on request
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Years in practice
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Patients treated
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Board certified since
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Try it now
Something you can use before we ever meet
Paced breathing is one of the few techniques that works on the body directly, slowing the heart rate within a minute or two. It is not a treatment, and it will not fix what brought you here. But it is genuinely useful in a difficult moment, so it is here for free, no appointment needed.
Four counts each way. Used widely to steady the nervous system before something stressful.
No rounds yet
Ready when you are
4
press start
How it works
What to expect, step by step
Knowing what happens next takes some of the weight out of a first appointment. Hover or tap any step to see where it sits in the arc of care.
Experience
Training and clinical background
2021 to present
Private Practice, San Francisco
Adult outpatient psychiatry with a focus on anxiety, mood disorders and treatment-resistant presentations.
2014 to 2021
Attending Psychiatrist, Bay Harbor Medical Center
Led the outpatient mood disorders clinic and supervised psychiatry residents in diagnostic assessment.
2011 to 2014
Clinical Instructor, University Department of Psychiatry
Taught psychopharmacology and ran a research clinic on early intervention in adult ADHD.
2005 to 2009
Residency in Psychiatry, Northfield Hospital
Completed residency training followed by board certification from the American Board of Psychiatry and Neurology.
Memberships and certification
- American Psychiatric Association
- American Board of Psychiatry and Neurology
- California Medical Association
- Anxiety and Depression Association of America
California medical license in good standing. Licence and certification details are available on request at any appointment.
In their words
What patients say
Shared with permission and published anonymously to protect confidentiality.
For the first time someone explained what was actually going on instead of handing me a prescription and a follow-up date. The difference in six months has been enormous.
1
Patient, age 34
Treated for generalized anxiety
Questions
Common questions before a first visit
If something you need to know is not answered here, send it through the form below and you will get a straight answer.
Yes. Follow-up appointments can be held by secure video for patients located in California. An initial consultation is usually held in person when possible, since a first assessment benefits from meeting face to face.
New patient consultations are typically available within two to three weeks. If your situation is more urgent, note that in your message and the practice will try to accommodate you sooner.
The practice is out of network with all insurers, which keeps appointments unhurried. A detailed superbill is provided after each visit so you can claim reimbursement directly from your insurer.
No. Medication is one option among several and it is always your decision. Many patients are treated with therapy alone, and some come specifically to reduce or stop medication they are already taking.
Everything discussed is confidential and protected under HIPAA. The only exceptions are the narrow situations required by law, such as an immediate risk to your safety or the safety of someone else.
A list of any current medications and doses, relevant past records if you have them, and the questions you most want answered. Nothing else is required.
Contact
Book a consultation
Send a short note about what you are dealing with and the practice will reply within one business day to arrange a first appointment.
- Phone(415) 555-0184
- Emailcare@elenamarshmd.com
- Practice address2140 Bayview Avenue, Suite 300
San Francisco, CA 94123 - Consulting hoursMonday to Thursday: 9:00 AM to 6:00 PMFriday: 9:00 AM to 2:00 PMSaturday and Sunday: Closed
This form is not for emergencies. If you are in immediate danger, call 911, or call or text 988 for the Suicide and Crisis Lifeline.
