Call (415) 636-9700 Mon–Fri 8a–8p · Sat 9a–5p
Welcome to

Exxceed Wellness

Elevating Excellence.
Therapy for the Highly-Ambitious Individuals with ADHD

Empowering Minds, Transforming Lives At Exxceed Wellness, we are dedicated to empowering minds and transforming lives for individuals of all ages—children, adolescents, and adults. We understand that living with ADHD is a unique journey, filled with both challenges and incredible opportunities. Our mission is to guide and support you on this journey by offering expert resources, personalized strategies, and compassionate care tailored to your specific needs.

Empowering Minds, Transforming Lives At Exxceed Wellness, we are dedicated to empowering minds and transforming lives for individuals of all ages—children, adolescents, and adults. We understand that living with ADHD is a unique journey, filled with both challenges and incredible opportunities.

Our mission is to guide and support you on this journey by offering expert resources, personalized strategies, and compassionate care tailored to your specific needs.
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ADHD Treatment in Hayward, CA | Exxceed Wellness
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Why Choose

Exxceed Wellness?

Same-Day Appointments
We understand the urgency of mental health needs. That’s why we offer same-day appointments to ensure you receive timely support and care. Our ADHD online appointment options make it easy for you to connect with us when you need help the most.
We understand the urgency of mental health needs. That’s why we offer same-day appointments to ensure you receive timely support and care.

Expert Guidance and Personalized Solutions
We utilize the latest ADHD research and holistic wellness practices to develop strategies tailored to your specific goals and lifestyle, ensuring support that is both practical and transformative.

Ongoing Education and Resources
Through our social media and trusted platforms, we share practical insights, educational content, and research-based strategies that empower you to manage ADHD independently. These resources include ADHD online assessments, tips on navigating ADHD online therapy, and mindfulness exercises.
Through our social media and trusted platforms, we share practical insights, educational content, and research-based strategies that empower you to manage ADHD independently. These resources include:

  • Mindfulness exercises
  • Organizational tips
  • Self-guided approaches to thriving with ADHD
Medication Accessibility Support
Considering the national shortage of ADHD stimulant medications, our team personally assists in locating pharmacies where your prescriptions are available. We handle the complexities of this process, providing you with peace of mind and ensuring uninterrupted access to your treatment.

Exxceed Wellness:
Empowering Minds, Transforming Lives in California

At Exxceed Wellness, we specialize in telepsychiatry services that transform mental health care for kids, adolescents, young adults, and adults across California. We understand the unique challenges parents face in raising children with ADHD, as well as the complexities adults encounter in managing ADHD in their personal and professional lives. Our mission is to empower individuals and families with expert guidance, effective tools, and personalized strategies to help them thrive.

With the convenience of telepsychiatry, we bring compassionate care directly to your chosen setting—supporting patients across California with privacy, comfort, and accessibility. For many concerns, including ADHD care, treatment can be delivered fully through telehealth with thoughtful monitoring and follow-up.

Understanding Your Symptoms

When ADHD Isn't the Whole Story

Sometimes what looks like focus problems is actually depression, anxiety, or OCD—conditions that can drain motivation, disrupt sleep, and make concentration feel impossible.

For patients who need a higher level of support, Exxceed Wellness offers in-person advanced treatments for eligible individuals:

Prefer to start from home? Begin with a telehealth evaluation and we’ll guide you to the right next step.

Eligibility is determined during a clinical evaluation. Individual results may vary.

Benefits of an ADHD Assessment | Exxceed Wellness

Telehealth: ADHD Care

Available throughout California

In-Person: TMS + Spravato®

Bay Area locations

Let’s Work Together

Empower yourself to overcome the challenges of ADHD, depression, anxiety, or OCD—and regain control of your life with steadier focus, calmer days, and real support.

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Experience greater focus, calm, and clarity. Our evidence-based approach and personalized techniques help reduce distractions, stabilize mood, and quiet intrusive thoughts—so you can function more fully and thrive.

Build calmer routines and steadier days—one practical step at a time.

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Achieve your goals with joy. Recognizing your unique strengths, we offer personalized coping mechanisms to overcome obstacles and unlock your true potential academically and professionally.

Cultivate emotional balance and healthier relationships. Our compassionate professionals help you manage impulsivity, navigate social situations, and nurture positive connections

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Your journey toward empowerment starts here. Whether you’re navigating focus challenges, mood changes, anxiety, or OCD symptoms, Exxceed Wellness is here to support you with compassionate, evidence-based care.

Take the first step towards a more fulfilling life. Schedule an appointment with us today and discover the respect and dignity you deserve on your journey to a brighter future.

Nefretiri Abat | Exxceed Wellness

"Within the depths of my ADHD lies a Hidden Power, unlocking the extraordinary potential. With unwavering determination and a resilient spirit, I embrace the extraordinary journey of nurturing the inner flame, transcending perceived limitations, and defying expectations while inspiring others along the journey of self-discovery and illuminating the path of possibility."

Nefretiri

Psychiatric Mental Health Nurse Practitioner

Who Am I

Nefretiri Abat
J.D., PMHNP-BC, R.N., BSN

I am board-certified Psychiatric Mental Health Nurse Practitioner and licensed in the State of California (95024411) to diagnose psychiatric-mental health conditions, prescribe medications, and provide psychotherapy accordingly.  I received my undergraduate degree (Bachelor of Science in Nursing) and doctoral degree (Juris Doctor) from University of Sto. Tomas and my advanced practice degree (Master of Science in Nursing-Psychiatric Mental Health Nurse Practictioner)  from Walden University.

Since 2004, I have worked extensively in various inpatient acute care environments in Medical as well as Behavioral Psychiatric Inpatient Units covering Adolescents, Acute Adults, Geriatric Med-Psych, and Psychiatric Intensive Care centered on the significantly impacted, underserved population.

Through the years, I have cultivated an exquisite skill set and profound philosophy centered on providing compassionate and empathetic care to a diverse pool of patients grappling with various psychiatric and dual diagnoses, and behavioral health challenges. My passion to help individuals identify the incapacitating beliefs that are hindering them back in life and resolve how to move past them has been influential in forging a path towards an increased sense of power,  mastery and triumph.

I specialize in working with patients who struggle with depression, anxiety, substance use and ADHD. My method is grounded on a harm reduction model, drawing trauma-informed care and a whole person focus when deciding treatment alternatives. The care I render is always client-centered and non-judgmental.

When I'm not working, I'm exhausting all self-help records in the form of audibles, videos, and books that one can imagine, hanging out with my loved ones, creating content for my YouTube Channel, Pinterest, Facebook, Instagram, and of course, LinkedIn. You may ask why? Well, I believe in the power of influence and I never underestimate the influence I have in others. Having the power to inspire, influence or positively impact others in any way is undeniably one of life's most profound blessings. I welcome you. PRONOUNS: SHE / HER

ADHD-San-Francisc-In-network-mental-health | Exxceed Wellness
ADHD-San-Francisc-In-network-mental-health | Exxceed Wellness

Read What our Patients are Saying on Zocdoc!

Frequently Asked Questions (FAQ)

Answers to common questions about psychiatric consultation, TMS therapy, Spravato (esketamine), and treatment-resistant depression at Exxceed Wellness in Hayward, CA. This is general education, not medical advice for your specific situation. If your question isn't answered here, please contact us.

General Psychiatric Care

What conditions does Exxceed Wellness treat?

We provide psychiatric care for depression and treatment-resistant depression, anxiety, OCD, and ADHD. Alongside medication management, we offer two interventional treatments, TMS and Spravato (esketamine), for depression that hasn't responded to standard care.

What happens at a first psychiatric consultation?

Your initial visit is a thorough evaluation. We review your history, current symptoms, past treatments, and goals, then discuss the options that fit your situation and build a treatment plan together. It is a conversation, not a quick screening.

Do you see patients in person or by telehealth?

Both. Our clinic is at 21297 Foothill Blvd, Ste 203, Hayward, CA, where in-office treatments such as TMS and Spravato are provided. We also see patients by secure telehealth across California for services that can be delivered remotely, including consultations and medication management.

Do you provide medication management?

Yes. Starting, adjusting, and monitoring psychiatric medications is a core part of our care - on its own or alongside TMS or Spravato.

Do I need a referral to be seen?

No. You can schedule directly with our practice. A referral from another provider is welcome but not required.

TMS Therapy

What is TMS, and what conditions is it FDA-cleared to treat?

Transcranial magnetic stimulation (TMS) uses focused magnetic pulses to stimulate the brain regions involved in mood regulation. It is non-invasive, medication-free, and done in the office. TMS is FDA-cleared for major depression, OCD, and smoking cessation, and is sometimes used off-label for conditions such as anxiety.

Does TMS hurt, and how many sessions will I need?

Most patients describe TMS as a tapping or knocking sensation on the scalp rather than pain; mild scalp discomfort is the most common side effect. A typical course is five sessions per week for about six weeks (roughly 30 to 36 sessions), followed by an individualized taper.

How long does a single TMS session take?

Active treatment can run from about 3 minutes with newer theta-burst (iTBS / Express) protocols to roughly 20 to 40 minutes for standard protocols. With check-in and setup, plan for a short in-office visit each time.

What is the difference between Deep TMS, standard rTMS, and iTBS?

Standard rTMS uses a figure-8 coil to target a focused area. Deep TMS uses a different (H-coil) design that reaches deeper brain structures and is FDA-cleared specifically for OCD. iTBS, or theta-burst, is a faster stimulation pattern that delivers treatment in just a few minutes. We match the protocol to your diagnosis and coverage.

Does insurance cover TMS in California?

TMS is often covered by California commercial plans for treatment-resistant depression, typically when there is a documented history of antidepressants that did not work. Plans generally require prior authorization, and we manage that process for you.

What happens after I finish my TMS course?

Many people maintain their improvement after completing a course of TMS. For others, occasional maintenance sessions or a relapse-prevention plan help protect the gains. We talk through what makes sense based on how you respond.

Spravato & Ketamine

Do you offer ketamine therapy?

We offer Spravato (esketamine), an FDA-approved nasal-spray form of ketamine for treatment-resistant depression, given under monitoring in our clinic. We do not provide IV, intramuscular, or compounded oral ketamine. If you are researching ketamine for depression, Spravato is the ketamine-class treatment available here.

Is Spravato the same as ketamine?

Spravato is esketamine, the S-enantiomer of ketamine. It is FDA-approved specifically for treatment-resistant depression and is given as a nasal spray in a certified setting. This differs from racemic IV ketamine, which is used off-label for depression.

How does a Spravato session work, and how long does it take?

You self-administer the nasal spray in our office under supervision, then stay for monitoring. Because of how Spravato can affect you, you are observed for at least two hours after each dose, so plan for roughly two to two and a half hours per visit.

Can I drive after a Spravato session?

No. You cannot drive for the rest of the day after each Spravato session, so you will need to arrange a ride home.

How many Spravato sessions will I need?

The induction phase is typically twice a week for about four weeks. After that, sessions are spaced out into an individualized maintenance schedule based on your response.

Is Spravato covered by insurance?

Spravato is often covered for treatment-resistant depression with prior authorization. We help manage the prior-authorization process and verify your benefits before treatment begins.

Treatment-Resistant Depression

What is treatment-resistant depression?

Treatment-resistant depression generally means depression that has not improved after at least two different antidepressants taken at an adequate dose for an adequate length of time (often 6 to 8 weeks each). Only a clinician can determine this, so the best next step is an evaluation rather than self-diagnosis.

Spravato or TMS: which is right for me?

There is no one-size-fits-all answer. The right choice depends on your treatment history, lifestyle, side-effect tolerance, insurance coverage, and clinical judgment. In some cases the two can be sequenced or combined under clinical supervision. We help you weigh the options during a consultation.

What should I do if my depression starts coming back after treatment?

A returning symptom is a signal, not a setback to face alone. Reaching out early, when sleep, energy, or mood first start to slip, gives us the most options, from adjusting your plan to considering maintenance treatment. Contact us promptly if you notice warning signs.

Anxiety, OCD & ADHD

Can you help with anxiety?

Yes. We treat anxiety with evidence-based options, including medication such as SSRIs, SNRIs, or buspirone and structured therapy approaches. TMS is not FDA-cleared for generalized anxiety, though it is sometimes considered off-label; we discuss what fits your situation.

Do you treat OCD?

Yes. OCD care can include medication and Deep TMS, which is FDA-cleared specifically for OCD. We determine the right approach based on your symptoms and history.

Do you offer ADHD assessment and treatment?

Yes. We provide comprehensive adult ADHD evaluations using a clinical interview, validated rating scales, and history, in our Hayward office or by California telehealth, along with treatment and medication management when appropriate.

Fees, Insurance & Getting Started

Do you accept insurance?

We work with a range of insurance providers, and interventional treatments like TMS and Spravato are often covered for treatment-resistant depression with prior authorization. Coverage varies by plan, so we verify your benefits before your appointment.

What if I do not have insurance?

We offer flexible self-pay options and will discuss costs upfront so you can make an informed decision about your care.

How do I get started?

You can book directly through our contact page or call (415) 636-9700 (Mon-Fri 8a-8p, Sat 9a-5p). We help you choose the right first appointment and verify any insurance benefits before you come in.

Still have a question? Contact us or call (415) 636-9700.