What patients are saying
Overall rating
4.93
Average wait time
4.96
Bedside manner
4.91
“Dr. Middleton is amazing!! I booked an appointment with him when my other psychiatrist moved to a different practice and the transition was seamless. I was able to see him super quickly and in our first meeting, he was incredibly friendly, patient, and genuinely caring. He has a true passion for the well being of his patients and does his very best to make sure that they are being taken care of in the most effective way possible. He's a top tier psychiatrist that I would recommend to anyone.”
JPLess than 1 month ago
“Dr. Middleton took his time in listening to me and my needs. He was attentive to what I had to say. Having someone that understands me is the best feeling ever. I'm extremely happy and recommend Dr. Middleton.”
WCLess than 3 months ago
About Dr. Lance Middleton
Focus areas
Academic Stress
Burnout
Men's Mental Health Issues
Anxiety
Depression
Post-Traumatic Stress Disorder (PTSD)
Attention-Deficit / Hyperactivity Disorder (ADHD)
Medication Management
Clientele seen
Young adults (18-24)
Adults (25-64)
Individuals
Treatment approaches
Acceptance and Commitment (ACT)
Psychodynamic
Cognitive Behavioral (CBT)
Existential
Identity
Gender
MaleSexuality
StraightFaith
NonreligiousEthnicity
White
Languages spoken
English
Getting to know Dr. Lance Middleton
I'm originally from rural southern Louisiana. I moved to California to study medicine at Stanford University and stayed in the Bay Area to complete my residency training in adult psychiatry at UCSF. I'm an expert in the management of anxiety, depression, ADHD, and PTSD. Creatives, academics, entrepreneurs, and fellow helping professionals have all benefitted extensively from my services.
What should a new client know about working with you?
I am pleased to offer cutting edge, evidence-based medication management services online. I do not offer longterm benzodiazepine or hypnotic prescriptions due to their significant health risks. I also do not prescribe medications above the maximum dose approved by the FDA. My clinical style is direct, curious, and warm.
What is your typical process for working with clients?
Treatment begins with an intake appointment which is 50 minutes long. We will characterize your present-day symptoms and exhaustively review your medical, psychiatric, and family history. We will arrive at a provisional diagnosis and treatment plan which can include lifestyle management, psychotherapy, and medication strategies to address your symptoms. Follow up appointments are 20 minutes long, focused on brief psychotherapy, lifestyle modification and medication management of your psychiatric symptoms.
Is this doctor in your insurance network?
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In-network insurances
Aetna
BlueCross BlueShield
UnitedHealthcare
Out-of-pocket fees and assistance
Initial session: $500 for 50 minutes
Ongoing session: $375 for 25 minutes
Office location
Dr. Lance Middleton, MD also offers online video visits for patients
Education and background
Practice names
Board certifications
- American Board of Psychiatry and Neurology
- Psychiatry (American Board of Psychiatry and Neurology)
Education and training
- Medical School - Stanford University School Medicine, Doctor of Medicine
Professional memberships
- American Psychiatric Association
- American Psychoanalytic Association
NPI number
1730686841
Patient reviews
All reviews have been submitted by patients after interacting with the practice.
Overall rating
4.93
Wait time
4.96
Bedside manner
4.91
Your trust is our top concern, so providers can't pay to alter or remove reviews. We also don't publish reviews that contain any private patient health information. Learn more here
28 reviews
Most relevant
Dr Middleton has been very accommodating, easy to talk with, and very supportive. I'm glad I've started meeting with him!
Less than 3 months agoCM
Very personable. He listens and provides appropriate feedback. Good psych's like Dr. Middleton are hard to find.
Less than 3 months agoSS
as expected, enjoying the back and forth and attentiveness to my concerns during each session.
Less than 1 month agoEK
Dr. Middleton is very thoughtful and considerate. He has helped me overcome many struggles.
Less than 3 months agoDN
Dr Middleton was thoughtful and helped me a lot with my PTSD. I really appreciated his help.
Less than 6 months agoCD
Dr. Middleton is amazing!! I booked an appointment with him when my other psychiatrist moved to a different practice and the transition was seamless. I was able to see him super quickly and in our first meeting, he was incredibly friendly, patient, and genuinely caring. He has a true passion for the well being of his patients and does his very best to make sure that they are being taken care of in the most effective way possible. He's a top tier psychiatrist that I would recommend to anyone.
Less than 1 month agoJP
Dr. Middleton took his time in listening to me and my needs. He was attentive to what I had to say. Having someone that understands me is the best feeling ever. I'm extremely happy and recommend Dr. Middleton.
Less than 3 months agoWC
Dr Middleton has been helpful and thoughtful in all of our interactions. He's allowing me to pursue treatment at a pace that's right for my needs, which I appreciate.
Less than 3 months agoMD
I enjoy working with Dr. Middleton, he is a patient listener and has genuine concern for the health and well being of his patients.
Less than 3 months agoKB
Always considerate and thoughtful in each session. Provides care not just through medications, but takes a holistic approach to improve mental health.
Less than 3 months agoJK
Lance was very knowledgeable, thorough and honest in his evaluation. I felt listened to and will return to see him in the future!
Less than 3 months agoLB
For a while, I was having trouble finding a psychiatrist who was attentive and encouraging in getting the help I need until I had a consult with Dr. Middleton! He is extremely articulate in his assessment and reasoning that I hadn’t experienced in the past with other providers. He’s professional and quick to respond to messages as well!
If you’re looking for a new provider who will give you the time and space to fully enunciate your Q/A and guide you with a treatment plan that works for you, then please book him!
Less than 3 months agoLM
I have just started seeing Dr. Middleton and it has been a great experience so far. He takes the time to ask the right questions and listen. And he has a very pragmatic and empathetic approach to care. Thanks for all you do, if you are looking for a psychiatrist would highly recommend him.
April 19, 2026Joshua P.Verified patientVideo visit
Just started with Dr. Middleton and he has been great so far! Looking forward to leveraging more of his tools and pharmacological knowledge.
Less than 3 months agoKC
Dr. Middleton is truly wonderful. I came to him in a really tough time, and he's been deeply involved and concerned about every aspect of my care. He even managed to squeeze me in for an emergency call when I was having a bad reaction to a new medication. He's nice, caring, and even has a great sense of humor. I highly recommend!
Less than 6 months agoAL
My experience with Dr. Middleton has been very positive. I feel he has sought a very comprehensive understanding of my needs as a patient and I feel that he has provided a productive treatment plan. Definitely recommend.
Less than 6 months agoDA
Dr. Middleton is excellent. He is very kind and understanding, which makes it easy to talk through everything. I also appreciate how technically knowledgeable he is about medications. He has a great way of explaining the less tangible details of how they affect the brain and body. He explains everything clearly and helps me manage my care effectively. Highly recommended.
Less than 6 months agoAP
Dr. Middleton is great! He really takes the time to answer all of my questions thoroughly, no matter how small. He’s also really thoughtful in his responses and I feel heard.
Less than 6 months agoHC
My first few visits have been great. Dr. Middleton has taken the time to get to know me and work with me to give me options that can best help me
Less than 6 months agoCB
Dr. Middleton is excellent. He is very knowledgeable, without being arrogant (which is a problem I've run into in the past with other providers). He listens to everything you say and is patient. I'd definitely recommend him to family and friends.
Less than 6 months agoLO
It was very nice to meet Dr. Middleton. He was on time for the appointment, listened intently to the concerns that I had, and asked appropriate questions. This was only my first appointment with him, but he seems to be interested in me as a patient and I look forward to working with him going forward.
Less than 6 months agoTA
I have been seeing Dr. Middleton for a few months now and what stands out to me is his thoughtfulness and kindness. I never have to remind Dr. Middleton about aspects of my history, as he’s able to draw on our past conversations. I also never feel judged because he practices a high standard of professionalism and empathy during our sessions. Dr. Middleton comes with my full endorsement.
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How soon can I make an appointment with Dr. Lance Middleton?
Generally, Dr. Lance Middleton has appointments available on Zocdoc within 1 week. You can see Dr. Middleton's earliest availability on Zocdoc and make an appointment online.
Is Dr. Lance Middleton accepting new patients?
Dr. Lance Middleton generally accepts new patients on Zocdoc. You can see Dr. Middleton's earliest availability on Zocdoc and schedule an appointment online.
Does Dr. Lance Middleton accept my insurance?
Choose your insurance plan to verify if Dr. Middleton is in-network.
Can I make an appointment with Dr. Lance Middleton online?
Yes, you can make an appointment online with Dr. Middleton using Zocdoc. It’s simple, secure, and free.
What practice does Dr. Lance Middleton work with?
Dr. Lance Middleton works with Alma, Headway.
Where is Dr. Lance Middleton's office located?
Dr. Lance Middleton has 2 office locations, including in Markleeville and Sausalito, view full addresses on Dr. Middleton's profile.
Which board certifications does Dr. Lance Middleton have?
Dr. Lance Middleton is certified by American Board of Psychiatry and Neurology and Psychiatry (American Board of Psychiatry and Neurology).
What are common reasons for patients to see Dr. Lance Middleton?
Dr. Lance Middleton frequently sees patients for Attention-Deficit / Hyperactivity Disorder (ADHD), Depression, New Patient Visit, Psychiatry Consultation, and Sleep Problems. You can see other visit reasons for Dr. Lance Middleton on their profile.
What languages does Dr. Lance Middleton speak?
Dr. Lance Middleton speaks English.
How do patients rate Dr. Lance Middleton in reviews?
28 patients have reviewed Dr. Lance Middleton. The overall rating for this doctor is 4.93/5. They have a 4.91/5 rating for bedside manner and a 4.96/5 rating for wait time. You can read individual reviews and ratings on their profile.