Private Practice

Concierge Psychiatry.
For select individuals
seeking more.

For select individuals seeking intensive alignment work beyond corporate programs or self-assessment. This is precision psychiatry for those who refuse to choose between performance and wellbeing.

Application Only Limited Availability DC · MD · VA · GA · NY
90 Minute initial assessment — not a 15-minute intake
60–90 Minute ongoing sessions — depth, not volume
15–20 Minutes of access between appointments
10–15 Active clients maximum — intentionally small

What This Is

This is not traditional psychiatry.

This is precision psychiatry for optimization, not crisis management. Most high-achievers don't have broken brains — they have psychological architectures optimized for a version of themselves that no longer fits. We work at the intersection of clinical medicine, neuroscience, and performance.

What you won't find here

✗15-minute medication checks
✗Crisis-only reactive care
✗Assembly-line patient volume
✗Generic treatment protocols

What you will find

A psychiatrist who knows your full psychological architecture
Proactive optimization, not reactive management
Depth of attention reserved for a small number of clients
Integration across past, present, and future — not just symptoms

Helping high-performing professionals shift from fear-driven over-functioning to grounded, reality-based leadership and sustainable self-trust.

What's Included

Comprehensive care.
Not à la carte.

Every engagement includes the full range of services below. No tiers, no upsells, no carve-outs — just the depth this work requires.

01
Comprehensive Evaluation
A 90-minute initial assessment covering psychiatric history, psychological architecture, performance patterns, and alignment across all 13 dimensions.
90-minute deep assessment
02
Ongoing Alignment Sessions
60–90 minute sessions scheduled at a cadence that reflects the depth of the work — not insurance billing cycles or administrative quotas.
60–90 min per session
03
Access Between Appointments
Direct access between sessions for questions, observations, and emerging concerns. Not a ticketing system — a real relationship with your psychiatrist.
Secure direct messaging
04
The Alignment Score
Complete administration of the 45-question proprietary assessment across 13 dimensions, with persona identification and quarterly re-assessment to track progress.
Quarterly reassessment

How It's Different

Depth over volume.
Optimization over management.

Most psychiatric care is built around throughput. This practice is built around transformation. The difference isn't philosophical — it's structural.

Traditional psychiatry
15-minute medication management appointments
Reactive — waits for crisis to intervene
Symptom suppression as the primary goal
High patient volume, low clinician attention
Standardized protocols regardless of individual context
No connection between clinical work and performance
Alignment Psychiatry
60–90 minute sessions with full clinical depth
Proactive — identifies misalignment before breakdown
Sustainable optimization as the primary goal
10–15 clients maximum — intentional and deliberate
Precision approach built around your psychological architecture
Integration of performance, identity, and clinical care

Who This Serves

For those who have already done the easy work.

This practice is not for everyone — by design. It's for individuals who have outgrown what traditional care, coaching, or self-help can offer.

—
High-achieving executives & leaders
Performing at the top while quietly carrying unsustainable weight
—
Physicians & healthcare professionals
Trained to care for others, underserved in their own mental health
—
Attorneys, founders & entrepreneurs
High-pressure, high-identity professions with little room for vulnerability
—
Military officers & veterans
Navigating identity and performance in and beyond service
—
Professionals in identity transition
Successful by every external measure — but no longer aligned internally
—
Those who've tried everything else
Therapy, coaching, self-optimization — and still feel something is missing

"This is not a volume practice. It is a depth practice — and that distinction is non-negotiable."

Availability

A small practice.
By design.

10–15 Active clients maintained at any time — no exceptions to protect depth of care
DC–NY Licensed in DC, Maryland, Virginia, Georgia, and New York
100% Telehealth — available to clients across all licensed states

"Due to the depth of this work, I maintain a small practice — typically 10–15 active clients maximum. Inquiries are reviewed on a rolling basis and matched carefully."

— Dr. Christopher J. Hoffman, MD

When a spot becomes available, priority is given to individuals whose needs and goals are the strongest fit for this model. Submitting an inquiry does not guarantee placement — but it begins the conversation.

Waitlist: Accepting inquiries on a rolling basis
Private Caseload

Join the waitlist

Individual availability is limited and offered by waitlist only. Submit your information and we'll be in touch within 72 hours.

Waitlist placement does not guarantee availability. All submissions are confidential.

✓
You're on the Waitlist

Thank you for reaching out.
We'll be in touch personally within 48 hours.

ALIGNMENT

Clarity creates alignment. Alignment sustains leadership.