Welcome to My Practice

I am a board certified child, adolescent and adult psychiatrist.  I  received my B.A. from Wesleyan University, my M.D. from the Mount Sinai School of Medicine, and did my adult psychiatry residency and child and adolescent fellowship at the University of California, San Francisco.  I am a clinical professor of Psychiatry at UCSF, and am affiliated with SFCP, the San Francisco Center for Psychoanalysis.  I practice in San Francisco.

My practice is open to people of all ages, with a focus on wellness and the achievement of personal goals. Treatment is always tailored to the whole person. I primarily use psychotherapy and psychoanalysis to treat people who have mood, anxiety and attention difficulties.  I think deeply about medical disorders that might contribute to emotional difficulties, and can prescribe psychiatric medications if and when we both agree that they seem like they might play a useful role in addressing your suffering.  Some people come to me when they feel they have been over-prescribed psychiatric medications and are seeking assistance with deprescribing.  Others simply want to know when and if they can end a course of psychiatric medication treatment.  Through close monitoring and the robust use of psychotherapy as a primary intervention, we can work towards getting to the root of the problem with fewer or no psychiatric medicines, or simply the confidence that any psychiatric medicines being used are appropriate.  Whatever the way, I seek to provide treatments that are thoughtful, precise and collaborative.  


Scheduling an Appointment, Billing and Insurance

If you're interested in a consultation, please call me and leave a  message with some times that we can briefly talk on the phone.  We can  then discuss what brings you or your child to treatment and how I might  be able to help you.  We can then arrange an in-person consultation  where I can offer an opinion about your situation and provide  recommendations for a treatment plan.  Sometimes a consultation leads to  a working relationship, and other times it serves as a point of contact  where new ideas come to light.  We will mutually agree upon any  treatment options before proceeding.  I am also happy to refer you to  another provider if we are not an appropriate fit. We can discuss my fee during our call.  I have standard rates and some limited options for sliding scale openings.

Payment for medical services is due at the time of each appointment,  unless otherwise discussed.  I provide a invoice that can be submitted  for insurance purposes at the end of each month.  Patients pay me  directly, as I am not contracted with any insurance companies.  However,  if you have a PPO, you will likely have "out-of-network" benefits which  means that visits will be reimbursed.  I recommend that you call your  insurer or look on their website to determine your mental health  reimbursement.  You can then learn how many outpatient visits you have  per year, and how your insurance plan will reimburse the fee.


I provide organizational consultation to  medical clinics, hospitals, businesses, artists, families, NGO's, schools and government agencies to design meaningful systems that promote mental wellness and create lasting change.

I am a pediatric psychiatry consultant on Alameda County Behavioral Health Care Service's Primary Care Psychiatry Consultation Program. As a member of the PCPCP Team, I teach pediatric physicians, providers, and therapists how to provide integrated mental health care to mild to moderate pediatric patients. 



Setting Up an Appointment

My office is at the Parnassus Heights Medical Center, adjacent to the UCSF Parnassus Campus.  I have different kinds of availability depending on the day, and will do my best to accommodate your preferences for time and date.

Madeleine Lansky, M.D.

350 Parnassus Avenue, Suite 601, San Francisco, CA 94117, US

(415) 820-3242


By Appointment Only