top of page





My Approach

I became interested in working with CEOs and their teams after witnessing how stressful and packed the day to day operations (and therefore daily lives) of CEOs and other C-suite executives can be. As a new founder, there are certain stressors that can occur at each level. From finding your initial investors as an early start-up to raising your Series A, B, or C funding and having an acquisition or IPO, there is a great deal of stress and potential burnout that can occur in your personal life which can impact your performance and professional life. As a seasoned CEO or executive, there may be questions around legacy as well as distribution of wealth or even transitioning away from the role of CEO. Regardless of where a CEO is at in his or her career, there are a lot of decisions made on a daily basis which can have consequences not only for their own lives, but for the lives of potentially hundreds to thousands of other people around the world.

Therefore, the mental health and wellness of CEOs and their teams can have a great impact on our society.

Many times, people have told me that they might only see a psychiatrist when they are “having a breakdown.” A lot of this may be due to the potential stigma of seeing a psychiatrist and perhaps feeling as if “something is wrong” or “I’m not capable.” I recommend that people not seek the help of a psychiatrist only when they feel that they are having a crisis, but rather find someone they work well with prior to reaching this point.

Weekly therapy with a qualified and well-trained individual can be supportive as well as provide you with a safe, nonjudgmental space to explore your own motivations and desires as well as work through difficult emotions and challenging times. For some individuals, therapy is a luxury and can be transformative experience allowing people to grow both personally and professionally.

For these reasons, I started my concierge psychiatry practice. One of the barriers for CEOs and other executives is having the time each week to have these sessions. In this practice, I offer extended hours, including weekends, to accommodate my clients’ busy schedules which may involve a lot of travel and working across different time zones. Additionally, and unlike executive coaching, the patient-physician relationship is a legally protected relationship. This means, clients can discuss with me personal aspects of their life that they might not feel comfortable discussing with a spouse, close friend, or coach. Furthermore, I have both a M.D. as well as a Ph.D. which means I am able to analyze the most recent research papers and provide you with an expert opinion on scientific data and work with you to prescribe medications or order laboratory tests if needed.

Finally, I take your privacy seriously. I limit the number of patients in my concierge practice to only a handful of people at one time and ensure fully HIPAA compliant systems with the most up to date cybersecurity policies.

Private, flexible, virtual therapy and medical management delivered via the most secure systems are my key offerings.


I am a physician who is Board Certified by the American Board of Psychiatry and Neurology (ABPN). I treat patients from the age of 18+ and I offer both therapy and psychopharmacological treatment and recommendations for a wide range of symptoms and illnesses including, but not limited to, the following:

  • Addiction

  • Anxiety

  • Adjustment Disorder

  • Bipolar Disorder

  • Binge-eating and other eating disorders

  • Depression

  • Personality Disorders

  • Obsessive Compulsive Disorder (OCD)

  • Psychosis

  • Post Traumatic Stress Disorder (PTSD)

  • Sleep Disorders


Coaching is a self-regulated entity and can offer many benefits to individuals. In fact, I am pursuing an Executive Coach Training Program that is accredited by the International Coaching Federation (ICF) because I have a desire to have the knowledge and the skills that coaches can offer. I also have had my own coaching sessions- so I understand the coaching dynamic and process. However, I do not plan to exclusively offer my services as an executive coach. As a combined M.D. and Ph.D. and board certified physician, I utilize techniques and make recommendations that are evidence based. I also believe that for some people, there may be potential drawbacks to Executive Coaching for CEOs and a main advantage to working with a psychiatrist who has a special interest in CEO mental health is the privileged  doctor-patient relationship.  However, there is no reason you cannot have both a personal psychiatrist as well as an Executive Coach. I find that for most patients, the greatest benefits are seen when you find someone (or a number of people) that will support you and help you grow. Therefore, I invite you to have a free 30 minute session with me to learn more about my services and see whether we could be a good fit for working together. 

Executive Coaching

Originally from Montana, Dr. Antonioli attended Yale University where she graduated with a B.S. in Molecular Biophysics and Biochemistry. Following her graduation, she was accepted into the Medical Scientist Training Program at the University of Colorado School of Medicine and completed both her M.D. and her Ph.D. Her PhD research focused on understanding critical regulators of the human complement system and their role in human illness. After graduating from medical school and graduate school, she attended the University of Texas Southwestern Adult Psychiatry Residency Program where she was a class representative as well as Co-Chief Resident of the Research Track during her final year of residency.

Select honors include The Thomas Jefferson Award for her “great devotion to the humanities and community service” as well as being selected nationally by the American College of Psychiatrists as a Laughlin Fellow in 2023. Dr. Antonioli has additionally completed a medical journalism internship at ABC News and her articles have appeared on Good Morning America and 


Alexandra H. Antonioli, M.D. Ph.D. is a Board Certified Adult Psychiatrist with expertise in both psychopharmacologic medication management as well as psychodynamic psychotherapy and Cognitive Behavioral Therapy (CBT).

Why should I see a psychiatrist that specializes in treating CEOs? 

I am passionate about helping CEOs with their overall mental health because I am intimately familiar with the pressures that CEOs face on a day-to-day basis. I utilize a combination of Cognitive Based Therapy (CBT), psychodynamic psychotherapy, and supportive therapy in addition to medication (if needed) to help manage a range of mood symptoms that can occur while trying to secure funding, grow your company, and before potentially stressful meetings with your Board or investors. Additionally, I enjoy helping CEOs address issues in their relationships with their partners (see my contribution here: The Startup Life). 

Do I treat and see patients other than CEOs?

Yes! While is a concierge practice dedicated to mainly treating CEOs, I am able to see other executives and people who work closely with a CEO or who may struggle with issues working with a CEO. However, I am unable to treat people working at the same company at the same time. That means, if I am currently seeing a CMO, I would not see the CEO or CTO at the same company. Additionally, this concierge practice is a boutique component to my general adult psychiatric practice. I have a special passion for treating women and families suffering from infertility, miscarriage, and infant loss in my general practice.


What is a concierge psychiatry practice?

In a concierge practice, patients pay a retainer fee and we agree on a set number of months (typically 3-4) where we will work together with extended hours and more direct access/channels of communication. This type of practice differs than a general practice where patients have a set rate per session depending on the therapy and type of treatment rendered and there is a patient portal messaging system for communication.

Please contact me at (325) 244-1234 for my current rates and availability.

I utilize a combination of both therapy and medication (as needed) to treat the above conditions. For symptoms such as general stress and burnout, I use weekly therapy as a primary modality of treatment. I enjoy using new technologies like the Oura ring to empower patients to stay on top of their health. As both a MD and PhD researcher, I am constantly reading the newest journal articles so that I can discuss new treatments and integrate new technologies into my therapy sessions with my patients. Please note that at this time, my practice is entirely virtual and I do not prescribe controlled substances virtually. However, I can work with another provider to make recommendations based on your current needs.

Stress Management

Maintaining healthy relationships is essential for overall well-being. My telepsychiatry services aim to help clients build stronger, more fulfilling relationships. I provide personalized treatment plans to help clients navigate challenges and improve communication and intimacy in their relationships.


bottom of page