Psychiatric Alternatives & Wellness Center (PAWC)
Group Practice
3609 Sacramento Street, San Francisco, CA 94118
Let's Connect (415) 237-0377
Reaching out for support can feel like the hardest step. PAWC makes what comes next simple.
We're a privately owned California practice offering therapy, psychiatry, and medication management under one roof, with psychiatrists, psychologists, and therapists who collaborate on your care. Founded in 2011, we've grown into a statewide network of 300+ licensed providers, offering telehealth and in-person appointments and accepting most major insurance plans.
Whatever you're navigating, anxiety, depression, trauma, ADHD, or something else, we'll match you with the right provider. Reach out today.
Our Team
Dr. Vazirian is a compassionate psychiatrist who deeply cares about his patient’s health and well-being. He is a kind and expert listener and works closely with each of his patients to develop a detailed treatment plan just for them. He is an experienced board-certified psychiatrist with deep knowledge and expertise in diagnosing and treating a broad spectrum of mental health and emotional conditions using medications and psychotherapy.
Dr. Vazirian is a compassionate psychiatrist who deeply cares about his patient’s health and well-being. He is a kind and expert listener and works closely with each of his patients to develop a detailed treatment plan just for them. He is an experienced board-certified psychiatrist with deep knowledge and expertise in diagnosing and treating a broad spectrum of mental health and emotional conditions using medications and psychotherapy.
Dr. Thomas G Letourneau, MD, brings kindness and clinical expertise to the treatment of a wide variety of conditions, including depression, anxiety, panic, bipolar disorders, relationship problems, and life transitions. He believes truly caring about his patients and showing them kindness and compassion is the first step in healing. He is an experienced psychopharmacologist who specializes in medication management. He stays on the cutting edge of the most current research and treatment methodologies in order to manage various psychiatric conditions in the most effective way possible.
Dr. Thomas G Letourneau, MD, brings kindness and clinical expertise to the treatment of a wide variety of conditions, including depression, anxiety, panic, bipolar disorders, relationship problems, and life transitions. He believes truly caring about his patients and showing them kindness and compassion is the first step in healing. He is an experienced psychopharmacologist who specializes in medication management. He stays on the cutting edge of the most current research and treatment methodologies in order to manage various psychiatric conditions in the most effective way possible.
Dr. Toch is deeply committed to the care of her patients. She believes in a collaborative, thoughtful, and humanistic approach to treatment, offering more than just a neurobiological perspective on the wide range of mental health, relationship, and unique life circumstances that bring patients to her door. She specializes in the treatment of depression, anxiety, panic, bipolar illness, grief and loss, and difficulties with relationships and life transitions. She has experience with women's mental health issues and also offers the possibility of combining medication with psychotherapy when clinically indicated.
Dr. Toch is deeply committed to the care of her patients. She believes in a collaborative, thoughtful, and humanistic approach to treatment, offering more than just a neurobiological perspective on the wide range of mental health, relationship, and unique life circumstances that bring patients to her door. She specializes in the treatment of depression, anxiety, panic, bipolar illness, grief and loss, and difficulties with relationships and life transitions. She has experience with women's mental health issues and also offers the possibility of combining medication with psychotherapy when clinically indicated.
Dr. Su has a rigorous background in research and clinical psychiatry in many different treatment settings. He has a gentle and empathetic approach towards his patients, and his background gives him a unique perspective in providing evidence-based treatments in a caring environment. He is a compassionate psychiatrist who deeply cares about his patient’s health and well-being. Dr. Su is a kind and expert listener and works closely with each of his patients to develop a detailed treatment plan just for them.
Dr. Su has a rigorous background in research and clinical psychiatry in many different treatment settings. He has a gentle and empathetic approach towards his patients, and his background gives him a unique perspective in providing evidence-based treatments in a caring environment. He is a compassionate psychiatrist who deeply cares about his patient’s health and well-being. Dr. Su is a kind and expert listener and works closely with each of his patients to develop a detailed treatment plan just for them.
Dr. Hirchak is an experienced, Board Certified Adult Psychiatrist, who emphasizes psychopharmacology and neurobiology in his treatment. Dr. Hirchak specializes in treating Anxiety, OCD, Depression, and Bipolar Disorder. Dr. Hirchak collaborates closely with our therapists so he can provide treatment with both medication management and psychotherapy when indicated.
Dr. Hirchak is an experienced, Board Certified Adult Psychiatrist, who emphasizes psychopharmacology and neurobiology in his treatment. Dr. Hirchak specializes in treating Anxiety, OCD, Depression, and Bipolar Disorder. Dr. Hirchak collaborates closely with our therapists so he can provide treatment with both medication management and psychotherapy when indicated.
Dr. Khazaeli utilizes both psychological and neurobiological perspectives to address a variety of emotional and mental health issues in a thoughtful, caring and comprehensive manner. She is deeply committed to the care of her patients and embraces a collaborative style that can include working closely with our team of psychologists. Dr. Khazaeli's approach is influenced by her knowledge of psychoanalytic and psychodynamic psychotherapy. She has worked extensively with patients struggling with depression, anxiety, bipolar disorder, relationship difficulties, and life transitions.
Dr. Khazaeli utilizes both psychological and neurobiological perspectives to address a variety of emotional and mental health issues in a thoughtful, caring and comprehensive manner. She is deeply committed to the care of her patients and embraces a collaborative style that can include working closely with our team of psychologists. Dr. Khazaeli's approach is influenced by her knowledge of psychoanalytic and psychodynamic psychotherapy. She has worked extensively with patients struggling with depression, anxiety, bipolar disorder, relationship difficulties, and life transitions.
Dr. Elswick is a Board Certified Adult Psychiatrist who emphasizes personality structure assays, functional biographical analysis, and relational behavior patterns, to tailor an individual treatment plan for medications and psychotherapy. He enjoys helping patients find their way through existential, spiritual, relational, and career problems. He specializes in treating adult ADHD and in reducing the burden of medications wherever possible. Dr. Elswick works closely with our psychologists, so he can provide a collaborative treatment plan to patients.
Dr. Elswick is a Board Certified Adult Psychiatrist who emphasizes personality structure assays, functional biographical analysis, and relational behavior patterns, to tailor an individual treatment plan for medications and psychotherapy. He enjoys helping patients find their way through existential, spiritual, relational, and career problems. He specializes in treating adult ADHD and in reducing the burden of medications wherever possible. Dr. Elswick works closely with our psychologists, so he can provide a collaborative treatment plan to patients.
I enjoy practicing psychiatry from a holistic perspective, considering how biology, core beliefs, relationships and environment may be informing your current experience. I’m passionate about helping clients to feel empowered to create balance, stability, joy and connection in their lives using a combination of pharmacotherapy, psychotherapy and teaching. Initially, I’ll focus on creating a safe space and deeply listening to your story, and once we have gained insight into the factors impacting your experience, together we will come up with a dynamic treatment strategy that aligns with your priorities.
I enjoy practicing psychiatry from a holistic perspective, considering how biology, core beliefs, relationships and environment may be informing your current experience. I’m passionate about helping clients to feel empowered to create balance, stability, joy and connection in their lives using a combination of pharmacotherapy, psychotherapy and teaching. Initially, I’ll focus on creating a safe space and deeply listening to your story, and once we have gained insight into the factors impacting your experience, together we will come up with a dynamic treatment strategy that aligns with your priorities.
I am a board certified psychiatrist who deeply cares about helping people their best lives. I treat adults with a wide variety of mental health conditions and work with individuals formulating the right plan for them. I am passionate about developing strong relationships since I believe this is the cornerstone to effective treatment.
I am a board certified psychiatrist who deeply cares about helping people their best lives. I treat adults with a wide variety of mental health conditions and work with individuals formulating the right plan for them. I am passionate about developing strong relationships since I believe this is the cornerstone to effective treatment.
Haleh Nekoorad-Long, M.D., a certified adult and geriatric psychiatrist has been in practice for more than 26 years. She is board certified in adult and geriatric psychiatry and is a member of the American Medical Association and American Association of Geriatric Psychiatrists.
Haleh Nekoorad-Long, M.D., a certified adult and geriatric psychiatrist has been in practice for more than 26 years. She is board certified in adult and geriatric psychiatry and is a member of the American Medical Association and American Association of Geriatric Psychiatrists.
Dr. Tyler understands that a treatment plan will only be successful if time is taken to understand each individual patient’s wants and needs. She will listen to her patients and involve each patient in the decision-making process of establishing their care.
Dr. Tyler understands that a treatment plan will only be successful if time is taken to understand each individual patient’s wants and needs. She will listen to her patients and involve each patient in the decision-making process of establishing their care.
Ela Donis, MD is a board-certified adult psychiatrist that has been in practice for over 10 years. Dr. Donis is competent in performing thorough psychiatric assessments, differential diagnosis, prognostic assessments, genetic testing and interpretation and medication management. Other colleagues and patients have described her as knowledgeable and compassionate. Her areas of interest are PTSD, trauma associated disorders,mood disorders, and anxiety disorders.
Ela Donis, MD is a board-certified adult psychiatrist that has been in practice for over 10 years. Dr. Donis is competent in performing thorough psychiatric assessments, differential diagnosis, prognostic assessments, genetic testing and interpretation and medication management. Other colleagues and patients have described her as knowledgeable and compassionate. Her areas of interest are PTSD, trauma associated disorders,mood disorders, and anxiety disorders.
Dr. Sorta grew up in Seattle, WA and completed his undergraduate and medical degrees at the University of Washington. He also completed his psychiatry residency training at the University of Washington. He is experienced in treating a full array of mental health conditions including depression, anxiety, PTSD and other trauma and stress-related conditions, ADHD, OCD, and insomnia. He has worked in a variety of treatment settings but is most passionate about forming longitudinal and collaborative relationships with patients in the outpatient setting.
Dr. Sorta grew up in Seattle, WA and completed his undergraduate and medical degrees at the University of Washington. He also completed his psychiatry residency training at the University of Washington. He is experienced in treating a full array of mental health conditions including depression, anxiety, PTSD and other trauma and stress-related conditions, ADHD, OCD, and insomnia. He has worked in a variety of treatment settings but is most passionate about forming longitudinal and collaborative relationships with patients in the outpatient setting.
Dr. Estrada takes a comprehensive approach toward treating mental illness, utilizing medication, lifestyle changes, spirituality, and psychotherapy. She applies evidence-based medicine to her practice and is detail-oriented and thorough in gathering information for an accurate diagnosis. She cares about helping her patients experience life to the fullest and treats a majority of mental health conditions.
Dr. Estrada takes a comprehensive approach toward treating mental illness, utilizing medication, lifestyle changes, spirituality, and psychotherapy. She applies evidence-based medicine to her practice and is detail-oriented and thorough in gathering information for an accurate diagnosis. She cares about helping her patients experience life to the fullest and treats a majority of mental health conditions.
Dr. Dominguez is a board-certified adult psychiatrist practicing in the outpatient setting. She takes a comprehensive, holistic approach to determine an individualized treatment plan for each patient. Although she specializes in medication management, her approach to improving mental health is multi-faceted and may include combining medication and psychotherapy, along with making lifestyle changes to improve your overall well-being.
Dr. Dominguez is a board-certified adult psychiatrist practicing in the outpatient setting. She takes a comprehensive, holistic approach to determine an individualized treatment plan for each patient. Although she specializes in medication management, her approach to improving mental health is multi-faceted and may include combining medication and psychotherapy, along with making lifestyle changes to improve your overall well-being.
Dr. Wong graduated with highest honors from UC Berkeley, where he was named valedictorian of the Cell and Developmental Biology emphasis. After earning his medical degree from the UC San Diego School of Medicine on a merit scholarship, he pursued subspecialty training in psychiatry at Loma Linda University, where he ranked in the 99th percentile nationwide on the annual in-training exam.
Dr. Wong graduated with highest honors from UC Berkeley, where he was named valedictorian of the Cell and Developmental Biology emphasis. After earning his medical degree from the UC San Diego School of Medicine on a merit scholarship, he pursued subspecialty training in psychiatry at Loma Linda University, where he ranked in the 99th percentile nationwide on the annual in-training exam.