Arizona Telepsychiatry for Adult ADHD & Anxiety

You're not broken. Something's just blocking your performance.

We help adults across Arizona remove the specific barriers keeping them from functioning at their potential. Focused evaluation and medication management for ADHD, performance anxiety, and social anxiety. Pick a time on our online calendar, or request one and we'll reach out within 1-2 business days. No months-long waits, and no insurance battles: we don't take insurance.

  • Weeks, Not Months
  • Data, Not Guesswork
  • Video Anywhere in Arizona
  • Honest About What We Treat
DNP

Board-Certified Psychiatric Nurse Practitioner

Robert Beukema, DNP, PMHNP-BC. Diagnoses, prescribes, and sets your dose by your rating-scale scores.

Meet Robert

$250 Initial Evaluation

Then $125 per follow-up visit. HSA/FSA cards accepted; superbills on request.

Phoenix-Based Telepsychiatry

Evening & weekend appointments when available

Weekly Titration Support Included

No-charge check-ins while your provider finds your dose

what we treat

Focused expertise in three core conditions

Specialized psychiatric care for capable adults blocked by attention, anxiety, and performance barriers.

Adult ADHD

You know what you need to do. Starting it, staying with it, and finishing it are the problems.

Performance Anxiety

You're prepared and capable. Then the stakes rise, and something hijacks your performance.

Social Anxiety

You have things to contribute. But something makes every interaction feel like a test you might fail.

We can also address mild depression or insomnia, but only when it's secondary to ADHD or anxiety.

How do we treat these? View our approach

HOW THIS WORKS

What Makes This Different

What We Actually Treat

You need focused expertise, not a provider treating everything poorly. We specialize in ADHD, performance anxiety, and social anxiety. These are conditions where medication removes barriers to functioning. This practice was built on more than a decade inside Arizona's psychiatric system. Your provider knows when you need trauma therapy, eating disorder treatment, or mood expertise instead, and if you do, you'll hear it directly.

Conditions we don't treat
  • PTSD (requires trauma-focused therapy)
  • OCD (needs exposure and response prevention)
  • Eating Disorders (needs specialized programs)
  • Personality Disorders (needs DBT or long-term therapy)
  • Moderate-to-Severe Depression (needs more intensive treatment)
  • Bipolar Disorder (requires mood stabilization expertise)
  • Psychosis or Schizophrenia Spectrum Disorders (needs a dedicated psychiatric team)
  • Addiction or Substance Use Disorders (needs substance use treatment programs)
6 Validated Outcome Scales

Evidence-Based Dosing

Dose changes are driven by your symptom scores, not by a feeling that your medication is "wearing off." We use validated rating scales to track whether treatment works. If your scores improve, you've found your dose. If they plateau despite adequate trials, your provider tries something different. Data drives decisions, not guesswork.

ASRS
ADHD symptoms
BFIS
Life functioning
SPIN
Social anxiety
LSAS
Social anxiety (performance and social situations)
PHQ-9
Depression
ISI
Sleep quality

Weekly Titration Support

Typical psychiatry: prescribe, schedule for a month out, hope it works. The Solana Approach: weekly check-ins at no charge during titration. They're brief phone calls, and if a stimulant or other controlled medication needs a dose change, that part happens by video. Either way, your provider adjusts in real time based on your response, catches side effects before they're deal-breakers, and optimizes your dose in weeks, not months.

Typical Psychiatry

Week 1 Prescribe medication
Week 2 Waiting...
Week 3 Waiting...
Week 4 First follow-up
VS

Solana Approach

Week 1 Prescribe + Check-in
Week 2 Adjust + Check-in
Week 3 Optimize + Check-in
Week 4 Fine-tune + Check-in
No charge for weekly check-ins during titration. Most people reach stable maintenance within two to three months.
0 24 48 72 ASRS symptom score (lower = fewer symptoms) Dose step 1 2 3 4 5 0 4 8 12 16 Weeks on treatment Score improving: dose steps up Score stopped improving: dose holds Enough 0 24 48 72 ASRS symptom score (lower = fewer symptoms) Dose step 1 2 3 4 5 0 4 8 12 16 Weeks on treatment 1 2 3
  • Your score
  • Dose step
1 Score improving: dose steps up 2 Score stopped improving: dose holds 3 Enough

Illustrative example. Not real patient data.

The Enough Principle

The same rating scales find your minimum effective dose, the lowest amount that removes your barrier to functioning. When your scores say enough, that's your dose.

Ready to Get Started?

Two ways to start: a full evaluation, or a free call first.

Most Common

Start Treatment

$250 for your first visit

Never been diagnosed? That's what this visit is for. You don't need psychological testing first.

  • Psychiatric evaluation, including diagnosis
  • Review medical and treatment history
  • Establish baseline symptom measures
  • Determine if medication is appropriate
  • Create personalized treatment plan
  • Begin medication if clinically indicated

If we can't help, you don't pay for the visit.

Follow-up visits are $125, monthly if you're on a stimulant or other controlled medication.

Schedule Initial Evaluation
No commitment

Not Sure Yet?

Free to start
  • Brief discussion of your symptoms
  • Confirm we treat what you're dealing with
  • Answer questions about our approach
  • Clarify if you need specialized care instead
  • No pressure. Just clarity.
Book Free Consultation

It's a short request form. We'll reach out within 1-2 business days to set up your 15-minute call.

Rather pick your exact time? Book it yourself on our online calendar

If we're a good match, you'll know quickly. If you need specialized care beyond medication management for ADHD and anxiety, your provider will tell you directly and help you find the right care.