Boutique Psychiatry · San Francisco Bay Area & throughout California

Creating the conditions
where change is possible.

Welcome to Chiral Mind Psychiatry. A calm, clinically grounded practice for adults navigating anxiety, stress, burnout, depression, sleep difficulties, and the demands of a complex life.

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DNP, PMHNP-BC
Board Certified
|
25+ Years
Healthcare Experience
|
Telehealth
Throughout California
Tammie Sims-Russell, DNP, PMHNP-BC
Tammie Sims-Russell
DNP, PMHNP-BC
Psychiatric Mental Health Nurse Practitioner
Thoughtful
Evidence-Based
Whole-Person Care
Compassionate
Precision-Informed
Individualized
Our approach

Modern psychiatry with depth,
intention, and discernment.

“

Psychiatric care should be individualized, clinically thoughtful, and grounded in clear communication. Treatment considers how symptoms intersect with sleep, stress, relationships, physical health, and life experience.

— Tammie Sims-Russell, DNP, PMHNP-BC
01
Careful Assessment

Every evaluation considers the full picture — symptoms, sleep patterns, stress, relationships, medical history, and personal goals — not simply a checklist for diagnosis.

02
Thoughtful Prescribing

Medication management is approached with care and intention. The goal is genuine stability and wellbeing, minimising unnecessary treatment burden wherever possible.

03
Collaborative Partnership

Treatment is a partnership. Patients are encouraged to participate actively in their care, feel informed throughout the process, and pursue a plan that reflects their values and goals.

Clinical services

Thoughtful psychiatry
for sustainable wellbeing.

Chiral Mind Psychiatry provides individualized psychiatric care for adults navigating the full range of emotional, cognitive, and stress-related concerns. All services are delivered with clinical depth and genuine attention.

01
Comprehensive Psychiatric Evaluation

A collaborative assessment of your current concerns, clinical history, sleep patterns, stressors, medications, and treatment goals — designed to clarify what is contributing to distress and create an individualized plan.

02
Medication Management

Ongoing monitoring of symptoms, medication effectiveness, and emotional wellbeing. Appointments may include supportive psychotherapy, mindfulness strategies, and guidance on stress, sleep, and daily functioning.

03
Anxiety & Stress-Related Conditions

Care for adults experiencing anxiety, chronic stress, panic symptoms, emotional overwhelm, perfectionism, work-related burnout, and nervous system exhaustion — with a focus on resilience and sustainable functioning.

04
Depression & Mood Support

Support for depression, low mood, emotional exhaustion, grief-related symptoms, and mood concerns using an evidence-based and individualized approach that helps patients reconnect with steadiness and clarity.

05
Attention, Focus & Executive Functioning

Evaluation and treatment for focus difficulties, mental overload, organization challenges, and executive functioning concerns — with careful assessment of contributing factors including stress, burnout, and sleep.

06
Sleep & Insomnia Support

Assessment and care for insomnia, disrupted sleep, stress-related sleep disturbance, and chronic exhaustion — with treatment that addresses contributing factors and supports long-term sleep quality and emotional regulation.

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Tammie Sims-Russell, DNP, PMHNP-BC
About the Provider

Personalized care
grounded in clarity and compassion.

Tammie Sims-Russell, DNP, PMHNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner with more than 25 years of healthcare experience, including an extensive background in high-acuity intensive care nursing.

Her clinical approach is grounded in careful assessment, thoughtful listening, and a calm, collaborative style that helps patients feel respected and supported. She works with adults experiencing anxiety, depression, stress, burnout, insomnia, emotional overwhelm, life transitions, and attention-related concerns.

Tammie earned her Doctor of Nursing Practice degree from Samuel Merritt University, with doctoral work focused on mindfulness-based stress reduction and emotional wellness.

Credential
DNP, PMHNP-BC
Education
Samuel Merritt University
Experience
25+ Years Healthcare
Speciality
Adult Psychiatry
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Telehealth & in-person

Precision-informed mental wellness
with a human approach.

Available in the
San Francisco Bay Area
and throughout California.
San Francisco Bay Area
Throughout California via Telehealth
Secure Telehealth Appointments

HIPAA-compliant video appointments available for adults throughout California — offering the same quality of care as an in-person visit with the flexibility of attending from home or work.

Select In-Person Appointments

In-person appointments are available in San Francisco for patients who prefer or clinically benefit from face-to-face care. This hybrid model supports a personal, grounded treatment experience.

Flexible Scheduling

Appointments are scheduled through PracticeQ. New patient evaluations and follow-up appointments are available with scheduling designed to minimise wait times for established patients.

Insurance & Payment

Chiral Mind Psychiatry is currently credentialed with Anthem and Cigna through Headway and Alma. Private pay options are also available. Please contact the practice to discuss your specific coverage and payment options.

Anthem
Cigna
Headway
Alma
Private Pay
Common questions

No jargon.
Just straight answers.

If your question isn't here, please reach out directly. We are happy to speak with you before you schedule your first appointment.


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What should I expect at my first appointment?
Your initial appointment is a comprehensive psychiatric evaluation lasting approximately 60–90 minutes. We will discuss your current concerns, symptoms, medical and psychiatric history, sleep patterns, lifestyle factors, and treatment goals. The purpose is not simply to assign a diagnosis, but to understand what may be contributing to your distress and create an individualized treatment plan that is clinically appropriate and aligned with your needs.
Do you prescribe medication at the first visit?
Medication recommendations are made carefully and thoughtfully after a comprehensive assessment. In some cases, medication may be appropriate at the initial visit. In others, additional evaluation or a period of monitoring may be recommended first. Every decision is made with consideration for your specific clinical picture, health history, and goals.
Do you accept insurance?
Chiral Mind Psychiatry is currently credentialed with Anthem and Cigna through Headway and Alma. Additional insurance participation may expand over time. Private pay options are also available. Please contact the practice to confirm your specific coverage before scheduling.
Are telehealth appointments available?
Yes. Secure telehealth appointments are available for adults throughout California. Select in-person appointments are also available in San Francisco. The practice offers a hybrid model designed to provide flexibility while supporting a personal and connected treatment experience.
How often will I need to be seen?
Appointment frequency depends on your clinical needs, treatment phase, and stability. Early in treatment, more frequent visits are common. As symptoms stabilise and treatment goals are met, appointments may become less frequent. Scheduling is discussed collaboratively based on your needs and progress.
What if I need to cancel or reschedule?
Please contact the practice as soon as possible if you need to cancel or reschedule. Cancellation policies and notice requirements will be outlined in your intake paperwork. We understand that unexpected circumstances arise and aim to work with patients as reasonably as possible.
Get in touch

Ready to take the first step?

You do not have to navigate this alone.

Seeking support for your mental health can feel vulnerable, especially if you are used to carrying everything on your own. Chiral Mind Psychiatry offers a calm, respectful clinical environment where you can speak openly and participate actively in your care.

Complete all intake paperwork through PracticeQ prior to your appointment so the visit can focus entirely on your concerns and treatment goals.

Phone
650-660-5724
Email
[email protected]
Location
San Francisco Bay Area
Available throughout California
Hours
By appointment
Please schedule via PracticeQ
New & Returning Patients
Schedule a Consultation

New patient appointments begin with a comprehensive psychiatric evaluation. Returning patients may schedule follow-up or medication management appointments directly through the patient portal.

Secure scheduling via PracticeQ  ·  HIPAA-compliant  ·  San Francisco Bay Area & throughout California
Begin your journey

Thoughtful psychiatry for
sustainable wellbeing.

Whether you are seeking clarity, relief, stability, or a more sustainable way of moving through life — Chiral Mind Psychiatry is here to support you with care that is clinically grounded, deeply individualized, and genuinely compassionate.

Schedule a Consultation Call 650-660-5724