For a life that asks a great deal of you, care should ask very little in return.
Some lives don't fit neatly into a standing appointment. Your schedule moves without warning, your privacy is not a preference but a necessity, and the ordinary logistics of getting support can feel like one more thing to manage when you already manage everything.
Concierge care is a quieter, more personal way to work together. It is built around your life rather than asking your life to bend around it, with an emphasis on discretion, responsiveness, and continuity, so that the work can go deep even when the world around you keeps moving.
This tier exists for people whose circumstances call for something more tailored: those in the public eye, executives, and anyone whose privacy and time carry a particular weight.
Who this is for
- ✓People whose privacy is essential, not optional, and who need care handled with genuine discretion
- ✓Those with demanding, unpredictable schedules who need responsiveness and prioritized access
- ✓Public figures, executives, and creatives who need a confidential place to be a person rather than a role
- ✓Anyone who wants a bespoke arrangement shaped around their life rather than a standard appointment slot
How the work is arranged
Everything begins with a private conversation — honest and without pressure — about what your life actually requires, what discretion means in your situation, and whether it's the right fit. The arrangement is designed from there, individually, rather than pulled off a shelf.
The clinical heart of the work is the same as any therapy Dr. Manguba offers: personalized and relational, addressing roots and not only symptoms. What concierge adds is a frame built for your reality — greater responsiveness, prioritized access, and a continuity that respects how full, and how exposed, your life can be.
The details of these arrangements are held closely and discussed only in private. What can be said openly is this: the intention is care that feels seamless and protected, so that in session, the only thing you attend to is yourself.
How we begin
A private conversation
We start with a confidential discussion of what you need and what your life demands — no forms-first intake, no assumptions. Just an honest look at whether this is the right fit.
A bespoke arrangement
From there, we shape the particulars together — tailored to your privacy, schedule, and goals. Because it's individual, the details, including fees, are agreed privately.
Care that fits your life
The work proceeds with the responsiveness and continuity this tier is built for, held over secure telehealth anywhere in California, arranged around the realities of your week.
Depth, over time
With logistics quietly handled, we can do the slow, real work — understanding the patterns underneath and building a steadier way through a demanding life.
Good things to know
How do I begin, and how is this arranged?
It begins with a private conversation rather than a booking. Reach out through the contact page and we'll arrange a confidential discussion about fit and what you need. From there, the arrangement is designed individually.
What does concierge care cost?
Because this tier is bespoke, concierge and consultation arrangements are priced individually rather than by a fixed session rate. It's discussed openly and privately, and the general structure is on the Fees page.
How is my confidentiality protected?
Discretion is the foundation of this work. All sessions are held over a secure, confidential telehealth platform, and the specifics of any arrangement are handled privately — never discussed publicly.
Do I need to be in Los Angeles?
No. Dr. Manguba works with clients over secure telehealth across California, so you can work together whether you're in LA, elsewhere in the state, or moving between the two.
Related services
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When you’re ready, a brief consultation is a gentle first step, no pressure, no obligation.
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