We offer in person or virtual sessions that are 50 minutes. Hours are Tues-Thurs 9am-4pm. It is advisable to schedule appointments in advance in order to have a greater selection of appointment times. Appointment times are available on a first come-first served basis.

If you need to cancel your appointment, we ask that you do so 24 hours in advance of the scheduled time. Cancellations made with less than 24 hours notice will be charged for that time, as is outlined in our Disclosures.

We do not accept insurance but are able to provide a superbill that you may submit to insurance for possible reimbursement. Our rate is $165 for a 50 min session.

In some cases, there are non profits that can help with the cost of therapy. Learn More >

Ketamine is a legal, safe and effective medicine used to treat a variety of mental health conditions, including depression, anxiety and PTSD. Ketamine has rapidly-acting antidepressant and mood-enhancing effects, which can begin to take effect within 1-2 hrs. after treatment and last for up to 2 weeks. Combined with therapy, this can have an even longer lasting effect.

It works by blocking the brain’s NMDA receptors as well as by stimulating AMPA receptors, which are thought to help form new synaptic connections and boost neural circuits that regulate stress and mood. Ketamine has also been shown to enhance overall neuroplasticity for lasting symptom improvement.

Ketamine can be administered in a variety of ways, including IV infusion, intramuscular injection, via nasal spray and using sublingual lozenges. We use the sublingual lozenge form. In this form, the effects of ketamine, which most patients find pleasant, last for approximately 45-60 minutes. The ketamine is by prescription through a separate online provider or a local doctor.

A typical ketamine dosing session is 2 hours and can take place either in-person or remotely via telehealth. We usually schedule an integration session (50 min) 24-48 hours later. We can utilize EMDR or IFS during this integration session to produce an even greater therapeutic effect.

The research shows at-home, sublingual ketamine telehealth is a safe and effective treatment for moderate to severe anxiety and depression. Read the findings from a large, prospective, open-label effectiveness trial:
https://www.sciencedirect.com/science/article/pii/S0165032722007625?via%3Dihub

Our brains have a natural way to recover from stressful and challenging experiences. This process involves communication between the amygdala (the alarm signal for stressful events), the hippocampus (which assists with learning, including memories about safety and danger), and the prefrontal cortex (which analyzes and controls behavior and emotion). Sometimes if an experience is too overwhelming at the time, it may not be processed without help. If you feel activated when a similar experience happens in the present, most likely the past experience was not fully processed.

EMDR therapy does not require talking in detail about the distressing issue or completing homework between sessions. EMDR therapy, rather than focusing on changing the emotions, thoughts, or behaviors resulting from the distressing issue, allows the brain to resume its natural healing process.

EMDR is changing the way the experience is stored, and when the brain changes the way it’s stored, you feel differently about it.

Ongoing research supports positive clinical outcomes showing EMDR therapy as a helpful treatment for disorders such as anxiety, depression, OCD, chronic pain, addictions, and other distressing life experiences (Maxfield, 2019). EMDR therapy has even been superior to Prozac in trauma treatment (Van der Kolk et al., 2007). Shapiro and Forrest (2016) share that more than 7 million people have been treated successfully by 110,000 therapists in 130 countries since 2016.

A USA Today article by Alia Dastagir reports that Prince Harry speaks openly about being in therapy and benefitting from EMDR therapy. Prince Harry is quoted saying “One of the biggest lessons that I’ve ever learned in life is you’ve sometimes got to go back and to deal with really uncomfortable situations and be able to process it in order to be able to heal.”

The USA Today article also highlights EMDRIA Board President Wendy Byrd, LPC, LMFT who explains EMDR therapy and how it helps: “Byrd encourages anyone with a painful memory to consider EMDR. [She says] “People feel like sometimes what happened to them isn’t big enough. They should just be able to get over it. … And that just breaks my heart because I know that they can feel better and that they do deserve to feel better,” she said. “I just wish that people knew that they could come in, we could figure out some of the things that are happening that are causing them pain and that it would be not that long of a journey before they could get some relief.”

The American Psychiatric Association, the American Psychological Association, the International Society for Traumatic Stress Studies, the National Alliance on Mental Illness, the Substance Abuse and Mental Health Services Administration, the U.K. National Institute for Health and Care Excellence, the U.S. Dept. of Veterans Affairs/Dept. of Defense, The Cochrane Database of Systematic Reviews, and the World Health Organization among many other national and international organizations recognize EMDR therapy as an effective treatment.

IFS consists of working with the Self and Parts. The Self is the innate presence within each person that is pure essence of who they are. It is inherently good and whole, and cannot be broken or corrupted.

Meanwhile, parts have their own beliefs, thoughts, and feelings. When a part feels threatened and doesn’t trust the Self, they act out to try and protect the system.

Examples of parts include the inner critic or inner child, and they may hold painful feelings like anger and shame.

The goal of IFS is to help clients access Self so that they can heal wounded parts and bring their minds into balance. IFS is an evidence-based practice used to treat a range of mental health disorders including anxiety, depression, PTSD, substance abuse, and eating disorders.

Here is an introduction by Dr. Richard Schwartz, the founder of IFS. https://www.youtube.com/watch?v=DdZZ7sTX840&t=122s

IFS therapy does not make any effort to change a client’s thoughts or teach skills to do so. Instead, IFS focuses on understanding where the thought is coming from in order to access the parts that have distressing thoughts. In healing those parts, those thoughts naturally change. This causes a cascade effect in which emotions and behaviors are also changed.