
Conditions Treated
Specialized diagnosis and treatment of psychiatric conditions including but not limited to:
- Depressive Disorders
- Bipolar Disorders
- Anxiety Disorders
- Eating Disorders
- Substance Use Disorders and Addictions
- Traumatic Brain Injury
- Attention Deficit Hyperactivity Disorder
- Post-Traumatic Stress Disorder

Process
Diagnostic evaluation and regular follow-up appointments with a Sports Psychiatrist.
Using a thorough psychiatric interview process, an individualized diagnosis and treatment plan is created for you, with special attention given to nutrition, physical activity, and lifestyle. Laboratory and other diagnostic tests may be ordered.
Treatment modalities include medication management and basic psychotherapy, delivered from the initial consultation and over subsequent follow-ups.

Areas Served
Available for patients in California and Nevada, in person and virtually.
Coming Soon
An additional tier providing more comprehensive services using a Functional and Integrative Medicine approach.
Frequently Asked Questions
What kind of athletes do you treat, and do I have to be a professional or amateur athlete to benefit from ESMH services?
The word athlete can be defined broadly. It includes athletes in non-traditional sports such as dancers, parkour and military or tactical athletes; and the performing arts such as stunt performers, drummers, physical actors and artists.
I treat athletes and coaches at all levels and stages of their careers, from early to retired.
But individuals who are athletic, fitness-oriented, and holistic in their strategy to mental health, may find value in my approach and are welcome in the ESMH space.
However, I also have a separate practice for non-athletes at rhianaroquemd.com.
Do you treat children?
I only treat patients who are 18 years and older.
Do you specialize in certain sports?
Having spent many years in dance and combat sports (grappling, boxing, kickboxing), I have additional understanding of the challenges athletes face in these fields.
How much do services cost?
Initial appointments are $1400 for 90 to 120 minutes, while follow-ups are generally $600 for 45 to 60 minutes. Discounts and pre-paid follow-up packages are offered on a time-limited and case-by-case basis.
Do you take insurance?
At this time, I do not take insurance. However I can give you a Superbill which you can take to your insurance company for potential reimbursement, if they allow out-of-network providers. The clinic is not responsible for ensuring reimbursement.
How are fees paid?
All fees are to be paid at the time of the appointment through credit card.
What is your cancellation policy?
Cancellations must be made at least 48 hours in advance. Otherwise a 33% late cancellation fee applies, or higher for no-shows.
Do you treat patients outside of California and Nevada?
In accordance with my medical licenses and state laws, the patient must be located in either California or Nevada at the time of the appointment.
Would you like to know more?

Expert Psychiatric Services tailored for athletes and those with active lifestyles, serving California and Nevada.
NEWS
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