Insight

Psychiatry that sees the whole person.

A private psychiatric practice integrating medication management with the six pillars of lifestyle medicine — because true mental wellness goes beyond the prescription pad.

Dr. Nicole Smith, MD MBA — Reno Insight Psychiatry
“Mental health is not a destination, but a practice.”

Insight Psychiatry was founded on a simple but powerful belief: that psychiatric care should be as individual as the person receiving it. In a healthcare system where mental health appointments are often rushed and fragmented, we offer something different.

As a concierge practice, we provide unhurried, relationship-centered care that addresses not just your symptoms, but the lifestyle factors that shape your mental health every single day.

We draw on the evidence-based framework of lifestyle medicine — encompassing stress management, sleep, nutrition, substance use, physical activity, and relationships — to create treatment plans that are comprehensive, compassionate, and built around you.

This is psychiatry as it should be practiced: thoughtful, thorough, and deeply human.

Quick scheduling
Appointments often available same or next day — no weeks-long wait lists.
Direct access to Dr. Smith
Secure messaging and phone calls directly with your physician — not a receptionist or call center.
Therapy woven into every appointment
Therapeutic conversation is built into each visit — not psychiatric care that only focuses on medications.
True privacy
Your records are not stored in a shared local hospital or health system EMR — your information stays private to this practice.

Care without the rush, the waiting room, or the compromise.

Unhurried Appointments at Your Convenience

Same or next day availability, flexible telehealth and in-person options, and scheduling that adapts to you — not the other way around.

Secure Messaging

Send secure messages to your psychiatrist anytime between appointments. While not an emergency line, you’ll always have a direct channel — no call centers, no nurse lines.

Telehealth & In-Person Options

Schedule appointments via telehealth or in-person — whichever works best for your life and preferences.

Truly Personalized Treatment Plans

No cookie-cutter protocols. Every treatment plan is built from scratch around your unique biology, history, and goals.

Limited Patient Panel

By design, we see fewer patients than a standard practice — ensuring every person receives the depth of care they deserve.

What to expect as a new patient

  • 10-minute complimentary discovery call to see if we’re the right fit
  • Comprehensive 90-minute psychiatric evaluation ($400 — counts as first month’s membership if you enroll)
  • Personalized lifestyle medicine assessment across all six pillars
  • Collaborative treatment plan tailored to your goals
  • Ongoing follow-ups every 2–3 months with secure messaging
  • Telehealth or in-person scheduling flexibility
  • Coordination with your existing care team as needed
Request a Discovery Call

Conditions we specialize in

Depression
Anxiety
Trauma
Attention & Concentration
Sleep
Burnout
Substance Use
Obsessions & Compulsions

Insight Psychiatry is designed to serve adults with mild to moderate psychiatric symptoms. We are not equipped to treat individuals requiring acute or intensive psychiatric care. If you are in crisis, please call 988 or go to your nearest emergency room.

Who We Serve

Our practice is designed for people whose lives move fast and whose mental health can't wait. If you recognize yourself here, you're in the right place.

Executives & Business Leaders

High-stakes decisions, constant pressure, and the weight of leading others — we understand what that costs.

Entrepreneurs

Building something from nothing takes everything you have. Your mental health deserves the same investment.

Students & Early-Career Professionals

Navigating high expectations, identity, and performance pressure at a formative moment in life.

Physicians & Healthcare Workers

The people who care for everyone else often struggle to ask for help themselves. This is a safe place to do that.

Meet Dr. Nicole Smith

Dr. Nicole Smith

Dr. Nicole Smith

MBA, MD · Psychiatry

Founding Physician of Reno Insight Psychiatry

Dr. Smith is a psychiatrist and the founding physician of Reno Insight Psychiatry. A graduate of the University of Nevada, Reno psychiatry residency, she built this practice on the belief that exceptional psychiatric care requires both clinical depth and intentional design.

Her MBA gives her a firsthand understanding of the pressures that executives, entrepreneurs, and high-achieving individuals face — the relentless decision-making, the weight of responsibility, the difficulty of asking for help when you are the one others rely on. She brings that understanding into the room with every patient.

Dr. Smith specializes in the mental health of high-performing individuals, physicians, and those navigating the intersection of professional achievement and personal wellbeing — where the stakes are high and the margin for error feels small.

Simple, transparent pricing.

No insurance hassles. No surprise bills. One monthly membership that covers your psychiatric care.

$250
per month
  • Comprehensive psychiatric evaluation
  • Ongoing medication management
  • Lifestyle medicine integration
  • Direct access to your physician
  • Unhurried visits at your convenience
  • Telemedicine and in-person availability
Request a Discovery Call

Membership does not include laboratory work, imaging, or third-party services.

Contact Us

Physician

Dr. Nicole Smith MBA, MD

Phone
(775) 624-4632
Email
nsmith@renoinsight.com

Ready to experience
psychiatry differently?

We are currently accepting new patients. Begin with a complimentary 10-minute discovery call to see if Insight Psychiatry is the right fit for you.