Concierge Psychiatry. No Membership Fee. Ever.
Board-certified psychiatrist Dr. Mark G. Agresti offers direct cell access, 24-hour appointments, and same-day prescription refills — without a membership fee. In Palm Beach and via telehealth statewide.
Direct Cell Access
Text or call Dr. Agresti directly
Appointments in 24 Hours
New patients seen within 24 hours
No Membership Fee
Pay only for the care you receive
Your Doctor, Every Visit
Dr. Agresti's office is in Palm Beach — and every appointment is with him directly. A board-certified psychiatrist and psychotherapist with 30+ years of experience, not a PA or NP handing you a prescription. Most psychiatric practices today staff mid-level providers for the majority of visits. Here, you see the doctor every time.
Concierge Without the Fee
Other concierge practices charge $2,000–$10,000/year just for access. Not here.
Direct Cell Access
Text or call Dr. Agresti directly. No answering service, no nurse-first, no waiting days for a callback.
24-Hour Appointments
New patient and urgent appointments available within 24 hours. Because mental health crises don't keep business hours.
No Membership Fee
Concierge access with zero annual or monthly fees. You pay only for the care you receive.
30+ Years Experience
Board-certified psychiatrist with over three decades of experience treating complex psychiatric conditions.
Text Your Doctor
Send a text to Dr. Agresti directly. Medication questions, prescription refills, urgent concerns — answered same day.
Same-Day Refills
Prescription refills sent same day, no appointment required. Never run out of critical medication again.
ADHD Evaluation & Medication Management
Comprehensive adult ADHD evaluation by a board-certified psychiatrist — not a questionnaire, not a telehealth mill. Dr. Agresti prescribes Adderall, Vyvanse, Ritalin, and non-stimulant alternatives, with same-day refills and direct access for dose adjustments between visits.
- Adderall (IR & XR) — mixed amphetamine salts
- Vyvanse — smooth, long-acting, lower abuse potential
- Ritalin / Concerta / Methylphenidate — multiple formulations
- Non-stimulant options: Strattera, Wellbutrin, Intuniv
- Telehealth available statewide — stimulant prescriptions via video
Need help with addiction or detox?
Call 561-760-4107Opioid & Alcohol Addiction Treatment
Medication-assisted treatment (MAT) reduces opioid overdose deaths by 50% and triples treatment retention. Dr. Agresti — a board-certified psychiatrist and psychotherapist — offers all three FDA-approved MAT options, outpatient, private, and physician-led, with integrated therapy in the same visit.
Suboxone
Buprenorphine/Naloxone
Daily sublingual film. Eliminates cravings and withdrawal while blocking opioids. FDA-approved, most prescribed MAT.
Learn moreSublocade
Extended-Release Buprenorphine
Monthly injection. No daily pills, no diversion risk. Consistent buprenorphine levels for 30 days.
Learn moreVivitrol
Extended-Release Naltrexone
Monthly injection. Non-opioid, non-controlled. Blocks opioid effects. Also FDA-approved for alcohol use disorder.
Learn moreFrom Detox to Long-Term Recovery
Flat-fee outpatient detox + MAT + psychiatry & psychotherapy — a complete continuum, no inpatient stay required.
All Services
Comprehensive psychiatric care across four specialty areas.
Concierge Psychiatry
Direct cell access, 24-hour appointments, no membership fee. Premium psychiatric care without the premium price.
Learn MoreADHD Evaluation & Treatment
Comprehensive ADHD evaluation and medication management for adults. All major medications available.
Learn MoreOutpatient Detox
Detox from opioids, benzos, alcohol, cocaine, and stimulants from the comfort of home. No inpatient stay required.
Learn MoreMedication-Assisted Treatment
Suboxone, Sublocade, and Vivitrol for lasting opioid addiction recovery. Evidence-based, stigma-free care.
Learn MoreKetamine & Spravato
FDA-approved Spravato (esketamine) and ketamine-assisted therapy for treatment-resistant depression and PTSD.
Learn MoreTelehealth Psychiatry
Same concierge care, same direct access — available from anywhere in Florida via secure video.
Learn MorePsychotherapy
CBT, psychodynamic therapy, supportive therapy, and motivational interviewing — integrated with medication management.
Learn MoreComplex Psychopharmacology
Specialized care for treatment-resistant and complex psychiatric conditions. 30+ years of expertise.
Learn MoreMedication Management
Expert psychiatric medication management with same-day refills and direct access to your prescribing psychiatrist.
Learn MoreConditions We Treat
Dr. Agresti provides expert psychiatric and psychotherapy care for a wide range of mental health conditions.
Anxiety
Generalized anxiety, social anxiety, and anxiety disorders.
Depression
Major depression, dysthymia, and treatment-resistant depression.
Bipolar Disorder
Bipolar I, Bipolar II, and cyclothymia management.
PTSD
Post-traumatic stress disorder treatment and trauma-informed care.
OCD
Obsessive-compulsive disorder with ERP and medication management.
Panic Disorder
Panic attacks, agoraphobia, and panic disorder treatment.
ADHD
Attention deficit hyperactivity disorder evaluation and treatment.
Generalized Anxiety Disorder
Chronic, excessive worry and tension.
Flat-Fee Concierge Outpatient Detox
Detox from opioids, benzodiazepines, alcohol, and stimulants from the comfort of your home — at a transparent flat fee with no surprise billing. No inpatient stay. No disruption to your life. Physician-supervised throughout.
Outpatient Opioid & Fentanyl Detox
Medically supervised outpatient detox from fentanyl, oxycodone, heroin, morphine, and methadone. Comfort medications and MAT options including Suboxone and Sublocade.
- Intense cravings
- Muscle aches and nausea
- Anxiety and insomnia
- Body aches and sweating
Outpatient Xanax & Benzodiazepine Detox
Benzodiazepine withdrawal can be life-threatening. Our physician-supervised tapering protocol — using Xanax, Ativan, Klonopin, and Valium cross-tapers — makes safe detox at home possible.
- Seizure risk without supervision
- Severe anxiety and panic
- Insomnia and tremors
- Risk of psychosis
Outpatient Alcohol Detox
Alcohol withdrawal can be dangerous. Our Librium-based outpatient protocol with frequent check-ins and medical monitoring makes home detox safe. Ongoing treatment with naltrexone, Vivitrol, or Antabuse.
- DTs (delirium tremens) risk
- Seizure risk
- Nausea and tremors
- Anxiety and insomnia
Outpatient Cocaine & Crack Detox
Cocaine withdrawal is primarily psychological. Our outpatient protocol addresses intense cravings, depression, and fatigue with targeted psychiatric support and medication.
- Intense cravings
- Severe depression
- Fatigue and hypersomnia
- Anxiety and agitation
Outpatient Methamphetamine Detox
Methamphetamine withdrawal involves severe depression, psychosis risk, and cognitive impairment. Our psychiatric-managed outpatient care provides mood stabilization and sleep support.
- Psychosis risk
- Severe depression
- Cognitive impairment
- Extreme fatigue
Outpatient Kratom & 7-OH Detox
Outpatient detox from kratom, concentrated 7-hydroxymitragynine (7-OH) tablets, and pseudoindoxyl products. These newer smoke-shop products act at the mu-opioid receptor and produce opioid-type withdrawal — treated with comfort medications and, when needed, buprenorphine.
- Opioid-type withdrawal
- Severe cravings and anxiety
- Muscle aches and insomnia
- GI distress and sweating
Outpatient Prescription Stimulant Detox
Dependence on Adderall, Vyvanse, or Ritalin requires different treatment than illicit stimulants. Our outpatient protocol addresses rebound ADHD symptoms, fatigue, and depression.
- Rebound ADHD symptoms
- Depression and anhedonia
- Extreme fatigue
- Difficulty concentrating
Outpatient 7-OH & Kratom Detox
Kratom and 7-hydroxymitragynine (7-OH) act on opioid receptors and produce real physical dependence. Our outpatient protocol manages withdrawal with comfort medications and psychiatric support.
- Opioid-type withdrawal
- Muscle aches and nausea
- Insomnia and restless legs
- Intense cravings
Same-Day Appointments Available
New patients welcome. Call or book online — Dr. Agresti will see you within 24 hours.
Telehealth Psychiatry — All of Florida
Same concierge care, same direct cell access, available from anywhere in Florida.
Serving 27+ cities statewide
Jacksonville
Telehealth Psychiatry
Miami
Telehealth Psychiatry
Tampa
Telehealth Psychiatry
Orlando
Telehealth Psychiatry
St. Petersburg
Telehealth Psychiatry
Fort Lauderdale
Telehealth Psychiatry
Port St. Lucie
Telehealth Psychiatry
Cape Coral
Telehealth Psychiatry
Tallahassee
Telehealth Psychiatry
Boca Raton
Telehealth Psychiatry
Naples
Telehealth Psychiatry
Sarasota
Telehealth Psychiatry
Gainesville
Telehealth Psychiatry
The Villages
Telehealth Psychiatry
Hialeah
Telehealth Psychiatry
Pembroke Pines
Telehealth Psychiatry
Jupiter
Telehealth Psychiatry
Palm Beach Gardens
Telehealth Psychiatry
North Palm Beach
Telehealth Psychiatry
Tequesta
Telehealth Psychiatry
Hobe Sound
Telehealth Psychiatry
Stuart
Telehealth Psychiatry
Delray Beach
Telehealth Psychiatry
West Palm Beach
Telehealth Psychiatry
Boynton Beach
Telehealth Psychiatry
Lake Worth Beach
Telehealth Psychiatry
Wellington
Telehealth Psychiatry
Don't see your city? Dr. Agresti serves patients throughout Florida via telehealth.
Learn About Telehealth →Patient Experiences
Concierge care means real relationships and real outcomes. Here is what patients say.
"Dr. Agresti's direct cell access is unlike anything I've experienced with a psychiatrist. I texted him on a Sunday when I was struggling, and he responded within the hour."
J.M.
Anxiety & Depression
"After years of treatment-resistant depression, Dr. Agresti finally found the right combination. His knowledge of psychopharmacology is exceptional."
R.T.
Treatment-Resistant Depression
"I went through outpatient detox from opioids with Dr. Agresti's supervision. I was able to stay home with my family and detox safely. I cannot recommend him enough."
A.K.
Outpatient Opioid Detox
Patient initials used to protect privacy per HIPAA guidelines.
Frequently Asked Questions
About concierge psychiatry, pricing, telehealth, and how care works.
Concierge psychiatry is a model where you have direct, personal access to your psychiatrist — no gatekeepers, no answering services. With Dr. Agresti, you get his personal cell phone number, can text him directly, and receive appointments within 24 hours. Unlike traditional concierge medicine, there is no annual membership fee.
No. Absolutely no membership fee, retainer, or annual fee. You pay only for the care you receive. Dr. Agresti offers the access and personalization of concierge psychiatry without the premium membership cost.
Dr. Agresti is an out-of-network provider. Many patients receive partial reimbursement through their PPO insurance plans by submitting a superbill. We are happy to provide documentation for insurance reimbursement. We do not bill insurance directly.
New patient and urgent appointments are typically available within 24 hours. Same-day appointments are often possible for urgent situations. Dr. Agresti prioritizes prompt access because delays in psychiatric care have real consequences.
Yes. Dr. Agresti offers telehealth appointments to patients anywhere in Florida. The same concierge care, the same direct cell access, and the same 24-hour availability — delivered via secure video from wherever you are in the state.
Yes, Dr. Agresti is a licensed Florida physician and board-certified psychiatrist who can prescribe all psychiatric medications, including controlled substances, within the bounds of current DEA and Florida regulations. Telehealth prescribing follows all applicable state and federal guidelines.
Yes. Dr. Agresti specializes in medically supervised outpatient detox from opioids (including fentanyl), benzodiazepines (including Xanax), alcohol, cocaine, and stimulants. Many patients detox safely from home with proper medical management — avoiding the cost and disruption of inpatient programs.
Spravato (esketamine) is an FDA-approved nasal spray for treatment-resistant depression and major depressive disorder with suicidal ideation. It's a breakthrough treatment for patients who have not responded to traditional antidepressants. Dr. Agresti can evaluate whether Spravato is appropriate for your situation.
Absolutely. Dr. Agresti provides comprehensive ADHD evaluation and medication management for adults. This includes stimulant medications (Adderall, Vyvanse, Ritalin) and non-stimulant alternatives (Strattera, Wellbutrin, Intuniv). ADHD evaluations include clinical interview, rating scales, and review of any prior testing.
All three are used for opioid use disorder. Suboxone is a daily sublingual film containing buprenorphine + naloxone. Sublocade is a monthly injectable buprenorphine — no daily pills, no diversion risk. Vivitrol is a monthly injectable naltrexone that blocks opioid effects and reduces cravings; it requires being opioid-free for 7–10 days first. Dr. Agresti will help determine which is best for your situation.
Ready to Take the First Step?
Appointments available within 24 hours. Direct cell access. No membership fee.