Your time is valuable, and I run the practice from this perspective.  I, too, hate going to a doctor's office and waiting an hour past my appointment time.  I run on time almost always (it is VERY rare that I am more than 5-10 minutes behind), and for this reason I ask that existing patients be on time for appointments and new patients come early.  There is, of course, the occasional emergency, but the primary reason I fall behind is because patients run late.

If you are a new patient, I will do EVERYTHING I CAN to get you seen quickly.  Please understand, though, that I cannot cancel existing appointments solely to fit in a new patient.  We absolutely call new patients whenever there's a cancellation to get you in as soon as possible.  I am very fortunate and just plain blessed to be a busy guy with a busy practice, but there's just one of me!

If you would like to schedule, please call us at 210-490-9850.  If we haven't called back within one business day, call again!  While I think we do a great job at returning calls, we're not perfect.  We absolutely try hard--I take your problems, and customer service, very seriously.

The flip side of that is my missed appointment policy.  If you feel that paying for a missed appointment (see Payment Information for exactly how my financial policies work) is unacceptable, you are better off finding a doctor whose policies suit you. 

There is, sadly, a shortage of psychiatrists.  Right now, I am accepting new patients for the evaluation and treatment of ADHD, and only a very limited number of patients with other diagnoses. The current wait time, as of this update (July 2023),  is about three months--and that's with me working two Saturdays a month.  BUT...new patients do cancel with some frequency.  A lot of folks cancel because they need to get seen sooner, so they go elsewhere.  CALL US AND GET SCHEDULED-- let my staff know what's going on with you, and that you're available on short notice, if you need to be seen more quickly.  You'd be surprised how often slots open up in the schedule last minute (as in, with less than 24 hours notice)! It is not uncommon for us to call folks and offer a same or next day appointment.  We will also call and/or text before your appointment to see if you still need it, so if you get in elsewhere sooner, we understand (But please, cancel the appointment with me, so you don't lose your deposit)!

Busy schedule? Live out of town? Don't like to wear pants? While your first appointment, and periodic follow up appointments, needs to be in person, for many uncomplicated patients we can handle some routine follow up appointments virtually.  I use the Spruce app for video appointments, a secure, encrypted and HIPAA-compliant way of having an appointment as long as you have a smart phone, tablet or camera-equipped computer. For particuarly complex situations, as well as patients on controlled meds, like Adderall I may require in-person appointments, but again, this is a very convenient way for most patients to follow up without having to leave their home or office.   The laws regarding out-of-state appointments are not as clear, so I do restrict video appointments to patients residing in Texas.  Also, if someone requires very close monitoring (needs hospitalization, for example) I will likely instruct them to seek care closer to them.