When you’re finally ready for true change.
Complicated histories, psychiatric and medical
I am Dr. Mario Benitez-Lopez, a board-certified adult psychiatrist in San Francisco, and I provide the psychotherapy myself as well as the prescribing. That combination matters most when the picture is complicated: a diagnosis that never quite fit, a regimen that has grown across several prescribers, or a psychiatric problem tangled up with a medical one. I am a physician as well as a psychiatrist, so I can read the medical picture rather than working around it, and I can talk to the clinicians already treating you. I see individuals and couples, in English or Spanish.
Explore how I can help- A diagnosis that never quite fit, or a medication that stopped helping
- Psychiatric symptoms alongside a medical condition that shapes how they should be treated
- A medication regimen that has grown across several prescribers
I did my adult psychiatry residency at the University of Washington, with distinctions in Psychotherapy, Psychopharmacology and Collaborative Care. Before that I took a master’s at Stanford in Clinical Research and Epidemiology, and earned my MD with honors at the Universidad Autónoma de Baja California – which is where I learned to practice medicine in Spanish.
I am board-certified in adult psychiatry by the American Board of Psychiatry and Neurology.
What a first appointment actually covers
I keep a small panel, so appointments can be long enough to do the work. The initial evaluation is eighty-five minutes; after that, a combined psychotherapy and medication appointment is fifty-five minutes. That first evaluation goes through the whole medication list, what was tried and what happened, and the medical conditions that bear on the psychiatric picture. You should leave with a formulation – an account of what I think is going on and why – and recommendations that go past a prescription. Where it is realistic I plan treatment toward the point where you no longer need regular appointments, and where it is not I will tell you early.
- Eighty-five-minute initial evaluation, then fifty-five-minute appointments
- One physician responsible for both the medication and the therapy
- Treatment planned toward an ending where that is realistic, and ongoing care where it is not
Medication and therapy, in the same hour
I prescribe and I provide the psychotherapy myself, so both halves of a treatment plan are worked out in the same appointment.
Appointments & feesWhere to start
FOR CLINICIANS
Referring a patient
I take referrals from therapists whose clients need medication managed by someone who understands the therapy, and from medical providers whose patients have a psychiatric problem tangled up with a medical one. The patient stays yours – I write back with what I found and what I would recommend, and I am reachable if the plan needs to change.

Fewer medications, fewer visits, and skills you can keep using.
Ready to start the conversation?
Request a callBy appointment · Cash-pay, superbill provided · Scheduled care, not crisis care