Elevating Modern Mental Health + Wellness with Breakthrough, Transformative Care
EXPANDED is dedicated to providing compassionate, inclusive care for women and those assigned female at birth (AFAB), including nonbinary, transgender, and LGBTQIA+ individuals, as well as male allies of female-focused spaces. We strive to create a safe and affirming space where everyone is welcome, respected, and supported in their healing, empowerment and growth.
Welcome to EXPANDED
This practice was founded with one, simple mission: to support, empower and heal women and individuals assigned female at birth (AFAB) through high-quality, integrative mental health and wellness services.
Today, women are struggling more than ever as society continues to expect more, but provide less. Whether you are a parent, professional, partner or all of the above, it is likely that you have experienced the weight of inequitable treatment at work, in healthcare, as a parent or in your relationships. These injustices, ranging from micro aggressions and mild gender bias to crippling emotional or physical abuse, can lead to or exacerbate existing mental health issues like anxiety, PTSD and depression.
You may also feel a sense of spiritual malaise — a sense that “something is missing”, or “I want more for my life, but feel lost and limited”.
At EXPANDED. we are dedicated to supporting clients through every struggle and season of life, whether that be spiritual health and ketamine-assisted therapy, women-centered wellness and perimenopause, or integrative psychiatry and functional nutrition.
EXPANDED was designed through the lens of the female experience to provide a more integrated, holistic and nourishing experience for those who identify with women’s health issues. This means providing high quality, revolutionary treatment in a safe, authentic and comforting space with medical providers who see you, listen to you, and understand you.
While our clinic focuses on women’s mental health and wellness, we also warmly welcome men who are allies and supporters of female-focused spaces, recognizing that men play an essential role in fostering health, equity, and empowerment in the lives of cis-women, trans women, and nonbinary individuals.
- Gianna Biscontini, Founder
Featured on DC News Now, Living Local DMV
Founder and psychedelic therapist Gianna Biscontini shares EXPANDED’s mission, her ethical approach to ketamine-assisted therapy and how she is modernizing DC’s health and wellness offerings.
The EXPANDED Philosophy
Welcome to EXPANDED Women’s Health + Wellness — where therapy feels grounding and connected, and every step of the process is designed with your unique story and path in mind.
We work according to a modern philosophy of medicine and mental health - one that sees you not through a solely diagnostic lens, but as the deep and complex individual you are—a student of your own mind and body.
We believe therapy should feel as good as it is effective. That’s why trust, psychological safety, a little luxury and self-love are the foundation of everything we do. At our city sanctuary, every session is a time for you to feel deeply cared for, truly heard, and gently challenged to grow. You’ll leave with new insights, resources, and tools that feel as practical as they are meaningful, helping you stay inspired and connected between visits.
The EXPANDED philosophy is rooted in a bio-psycho-social-spiritual framework that blends evidence-based science with the natural wisdom of the mind and body. Life’s challenges can feel overwhelming, but avoiding them only keeps us stuck (a phenomena called experiential avoidance), looping in unhealthy thought and behavior patterns. Instead, we support you in walking through those discomforts—at your own pace—by cultivating safety, clarity, and flexibility along the way.
This process is about more than just resolving what feels heavy or hard.
It’s about remembering and returning to a life of peace, clarity and sovereignty.
Hear From Past Patients
“I really appreciated that Gianna has had her own ketamine experiences and education, and that she has trained with experts like Sunny Strasburg and Dick Schwartz. I’ve worked with professionals who have not had their own experiences with ketamine, so it was difficult for them to truly understand where I was coming from and what I was going through, as it felt more medical and transactional. Ketamine paired with her approach was a game changer after years of stalled progress elsewhere.” - F.D.
“This experience was unlike any other I have encountered. I have gone through traditional therapy, coaching, hypnotherapy, yoga teacher training and meditation for 30 plus years and this went beyond that. It helped me find a safe place within myself, hold space for myself and others and uncover this unconscious power within my mind and soul that I didn't know existed. It helped me to let go and to forgive and to open that space up for new and positive opportunities. I am so thankful I was able to experience this.”
-K.F.
“Gianna's EXPANDED method dives deep into the layers of our programming as human beings. This method is a one-of-its-kind in the industry, it's highly effective and potent, and it will most certainly transform individuals from the inside out. Gianna herself is a stand-out woman who is meant to do this work, and she makes everyone feel completely comfortable to open up, share, and co-create in the journey together. I am so blessed to have gone through EXPANDED and would recommend it to anyone! Wildly different, transformative, EXPANSIVE.” -V.L.
“I’ve been to therapy on and off for years, but nothing prepared me for how different EXPANDED would be. From the moment I walked in, I felt like I was stepping into a sanctuary — not a sterile office or clinical space. Every session felt like a personalized retreat for my mind, body, and soul. Gianna holds space in a way I’ve never experienced before — with warmth, curiosity, and this deep presence that made me feel truly seen. What surprised me most was how much we integrated different practices — from nervous system regulation to guided inquiry and even elements of plant medicine philosophy — all rooted in science but delivered with so much heart. It was never just about talking — it was about transformation. For the first time, I learned how to actually move through discomfort instead of numbing it. I left every session with tools I could use on my own and a sense of calm that stayed with me long after. EXPANDED isn’t just therapy — it’s a whole new way of healing.” - C.H.
“The profound effect of Expanded was the process of going inward to discover what it is that I want. I think having a variety of tools and methods to pull from and access was really helpful and well-rounded. It felt like it was multi-functional which was really amazing compared to other models that feel one dimensional in terms of tools and processes. I love Gianna's thoughtful questions and visualizations that help provide such clarity and deeper self-connection.” - A.N.
“I wasn't just talking/unloading baggage or even looking to find ways to grow and solve things myself. There was something so safe and pure and open about this experience that is hard to define. It fundamentally opened things up inside me that I didn't know were there and I am so grateful for the experience.” - D. V.
“The whole process was unbelievable. It dove into my subconscious and let me experience myself and my life through a whole different perspective. I could see and feel things vividly that I didn't even remember I had forgotten. It gave me tools to combat blocks (lack of confidence, insecurity, avoidance) that I am still using. The whole experience felt safe and at the end of each session I learned something new and important to take with me into my life. More importantly it stayed with me and I am still utilizing these tools and learnings daily.” - H.P.
