MindGuyMD · Conditions treated

What MindGuyMD commonly treats.

Concerns that show up most often in adult concierge psychiatric care, each addressed with private visits, longer appointments, and direct access to the prescribing physician.

Common concerns in adult care

The adult psychiatric conditions MindGuyMD is set up for.

Each row below is a starting point, not a diagnostic checklist. If one of these sounds like you, the next step is the intake, Dr. Vinuela reads every note personally, and only then does a care plan begin.

Clinical
Adult ADHD evaluation & medication titration
Structured adult ADHD evaluation followed by individualized discussion of non-controlled options when appropriate. Visits track focus, sleep, and impulse control across weeks, not minutes, with any plan adjusted to the individual rather than by an insurer after the fact.
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Clinical & coaching
Anxiety disorders (generalized, social, panic)
Persistent worry, social-evaluative fear, and the recurring physiological surges of panic, each with its own pattern and its own window for treatment. Care combines medication management with structured skills so the calmer baseline holds between sessions, not just in them.
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Clinical
Depressive disorders & persistent low mood
Major depressive episodes, persistent depressive disorder, and the quieter low-grade withdrawal that often goes unspoken in high-functioning adults. Treatment pairs medication management with the structure of longer, unhurried visits so the underlying pattern gets read carefully, not rushed.
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Clinical
Mood disorders / bipolar-spectrum
Bipolar II, cyclothymic patterns, and mood lability that doesn't fit a single label. Care starts with a careful longitudinal read of the cycles before any mood stabilizer is touched, and follows the trajectory month over month rather than visit over visit.
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Clinical
OCD (obsessive-compulsive disorder)
Intrusive thoughts and the rituals, visible or internal, that briefly quiet them. Treatment pairs indicated pharmacotherapy with the longer-visit structure that OCD work actually needs: enough time to map the loop, not just rename it.
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Clinical
PTSD & trauma-related symptoms
Re-experiencing, avoidance, hyperarousal, and the sleep disruption that often travels with trauma. Visits move at the pace the nervous system can hold, with medication management and supportive structure, and clear handoff to trauma-focused therapy when indicated.
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Clinical
Insomnia & sleep disruption
Trouble falling asleep, staying asleep, or waking restored. Care looks at circadian drift, anxiety-driven sleep loss, and medication side-effects before considering a sleep aid, and revisits the plan regularly instead of renewing it on autopilot.
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Clinical & coaching
Stress, burnout, and adjustment reactions
Years of high-output work gradually replacing drive with detachment, or a life transition that knocked the baseline sideways. Visits focus on the recovery phase, sleep regulation, decision fatigue, and rebuilding a sustainable baseline rather than another optimization pass on top of an exhausted system.
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Clinical & coaching
Performance anxiety & high-stakes nerves
Stage-style nerves that show up in presentations, negotiations, athletic performance, or any high-visibility moment. Treatment combines short-term medication planning with practical rehearsal frameworks so the next high-stakes moment is workable, not white-knuckled.
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Clinical & coaching
Stress-driven substance use
Drinking, stimulants, or sedative patterns that quietly expanded across a hard season. Care begins with an honest read of harm and trajectory, never a punitive one, then chooses between clinical reduction work and coaching-supported change, whichever fits the stage the pattern is actually in. Active detox is out of scope; stabilization elsewhere comes first.
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MindGuyMD

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Same-day or same-week appointments may be available depending on scheduling and clinical fit. Submitting an intake is a request, not a confirmed appointment.

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