A Safe, Custom and Transformative Approach to Mental Health and Wellness
Services
Ketamine-Assisted Therapy * EXPANDED Therapy * Parent Training/Therapy (ABA) * Integrative Psychiatry * Hormone Replacement Therapy * Microdosing Education
Ketamine-Assisted Therapy (KAT)
(provided by Gianna or Sasha)
Ketamine- assisted therapy can offer rapid relief for individuals struggling with depression, anxiety, PTSD, OCD social anxiety and trauma, including reduction in symptoms previously unresponsive to traditional therapy.
When administered in a safe, supportive environment with a trained therapist, ketamine acts as an accelerant and a medical ally, promoting deeper understanding, psychological flexibility and new perspectives. During virtual and in-office sessions, we help you navigate the experience, ensuring safety, emotional support, and integration of insights for lasting change. This evidence-based approach empowers you to achieve transformational breakthroughs and reclaim your wellbeing.
We work with each patient to design a treatment best-suited to needs based on a variety of factors, including goals, budget, timeframe and psychiatric history.
In-office medicine sessions include restorative wellness and comfort items (i.e., heated PEMF mat, wellness beverages, eye masks, ambient candles, weighted blanket, high quality headphones, etc.), and may also include a variety of preparatory or integration techniques such as breathwork, guided meditation, intention-setting, and forms of therapy such as Acceptance and Commitment Therapy, somatic processing, specific phases of EMDR and/or Emotional Freedom Tapping (EFT)
Virtual or in-office preparatory or integration sessions are used to build the best possible therapeutic experience through 1) preparation sessions that leverage science-backed strategies that reduce harm and optimize benefit, and 2) integration sessions used to process trauma, assess details of your experience, and to transition new insights into real-life changes and healing.
Pricing per session:
Intramuscular injection + therapeutic service (2 hours) : $750
Sublingual lozenge + therapeutic service (2 hours) : $750
EXPANDED Therapy
(provided by Gianna)
We know that traditional methods don’t work for everyone. This service provides women and individuals experiencing women’s mental health issues who are not yet ready for or interested in ketamine, with a deeper, more expansive therapeutic experience.
EXPANDED sessions and treatment plans may include:
Examining your unique story through the lens of your learning history and early events, including an ABC analysis to determine how your environment may be keeping you stuck
Evaluating how your evolutionary biology previously wired your mind and body, and how that wiring affects your behavior and decisions today
Target derailing physical trauma responses in the body with nervous system regulation
Gentle but deep inquiry into trigger events (i.e., gaslighting, workplace trauma, emotional abuse in relationships, etc.) paired with NS regulation and neural rewiring exercises.
Practices and frameworks like Emotional Freedom Tapping (EFT), Acceptance and Commitment Training (ACT), Internal Family Systems (IFS) and/or theta wave sessions (deeply relaxing states)
Somatic experiencing and parts of EMDR to first explore pivotal events and then rewire the brain’s response moving forward
Exploring illuminations (insight) and integrating this new knowledge into real-world actions and behaviors, including critical nervous system regulation to prep the body for change
Building the brain and body’s safety networks, resilience and confidence to approach, instead of avoid, desires, challenges and life in general
Empowered narrative design, environmental analysis and deeply calming strategies to sustainably find peace in the chaotic moments
Pricing per session (60 minutes): $300
Parent/Caregiver Therapy and ABA Training
(provided by Gianna)
According to a 2024 Advisory from the Surgeon General, parents are facing a unique and staggering mental health crisis. This service addresses the urgent need to better support parents and caregivers as they continue to care for their families, themselves and one another.
For parents and caregivers of children with autism or behavioral challenges, this service combines adult therapy and Greg Hanley ‘s ethical, modern “Today’s ABA” approach to early childhood Applied Behavior Analysis. This approach focuses on creating learning environments encouraging happy, relaxed and engaged children in a joyful experience.
Appointments are held virtually (M-Th) or in-person (M-W), and may include Gianna working directly with your child depending on needs and availability.
This service is ideal for :
those whose children are currently on a waitlist for ABA therapy
those struggling with the stresses of parenting or behavioral challenges
those needing support in navigating the process of diagnosis, education and therapy for their child
Pricing per session (time depending upon needs):
75 minutes - $450
60 minutes - $350
Integrative Psychiatry
(provided by Sasha)
We believe in looking beyond symptoms to understand your complete story. Our integrative psychiatric care combines evidence-based medicine with holistic wellness approaches, honoring both modern science and time-tested healing wisdom.
Your integrative psychiatry journey begins with a comprehensive evaluation that explores not just your mental health concerns, but your entire wellbeing – from sleep patterns and nutritional needs to social support systems and daily stressors. We understand that mental health is complex and interconnected, influenced by biological, social, and systemic factors that deserve thorough attention and understanding.
Sasha takes time to truly listen, creating collaborative treatment plans that may include:
Thoughtful, evidence-based medication management and monitoring
Research-supported supplement recommendations
Sleep optimization strategies
Nutritional guidance and support
Stress management techniques
Lifestyle modifications that honor your unique needs and circumstances
We move beyond the traditional "med check" model to provide care that acknowledges you as a whole person. Each follow-up visit provides dedicated time to thoroughly review your progress, adjust your treatment plan, and ensure you're receiving the comprehensive support you need to thrive.
Whether you're seeking support for anxiety, depression, ADHD, perinatal/postpartum concerns, trauma, bipolar, hormonal concerns, or other mental health challenges, our integrative approach provides you with more options, more time, and more understanding on your path to wellness.
Pricing per session:
New Evaluation w/ NP (75 mins): $450
Follow up w/ NP (30 mins): $200
Hormone Replacement Therapy: Coming March 2025
(provided by Sasha)
At EXPANDED, we understand that hormonal health is fundamental to your overall wellbeing. Our comprehensive approach to hormone replacement therapy (HRT) combines medical expertise with individualized care, supporting you through every stage of your hormonal journey.
We provide thoughtful, evidence-based hormone therapy for perimenopause, menopause, and other hormonal concerns. Our approach begins with thorough hormone level testing and a detailed review of your symptoms, health history, and personal goals. Your customized treatment plan is carefully monitored and adjusted to optimize your results while prioritizing your safety and comfort.
Our hormone therapy services include:
Comprehensive hormone level evaluation
Personalized HRT treatment plans
Regular monitoring and optimization
Integration with mental health support when beneficial
Education about lifestyle factors that support hormonal health
Ongoing support for symptom management
Whether you're experiencing mood changes, sleep disruption, hot flashes, or other hormonal symptoms, our goal is to help you feel empowered and balanced, supporting both your physical and emotional wellbeing.
Pricing per session (60 minutes) : $400
Microdosing: Harm Reduction + Integration
(provided by Gianna)
For those who already have a relationship with other psychedelic medicines, we provide microdosing information, therapeutic resources, psychoeducation, harm reduction, integration and more. This may be helpful for those specifically focused on anxiety and stress reduction, performance, creativity, and clarity at work, in relationships and at home.
To learn more about this service, please book an EXPANDED Therapy session.
Disclaimer: Medicine/product is not provided. Psychedelic substances, including plant medicines that may have been decriminalized in certain areas, such as Washington, DC, are currently illegal at the federal level. With the exception of KAT, we do not offer psychedelic sessions at EXPANDED. If you are interested in participating in a psychedelic research study, please click here for more information, and/or go to www.clinicaltrials.gov to see if there is an appropriate trial enrolling near you.
FAQs
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EXPANDED is considered “out of network” with all insurance providers. However, you will receive superbills to submit to your insurance provider for all eligible visits. We cannot guarantee reimbursement for all services, as this decision is determined by your insurance carrier.
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Absolutely. EXPANDED warmly welcomes all individuals assigned female at birth (AFAB), including transgender, nonbinary, and gender non-conforming people. Our practice is designed to be a safe, affirming space that honors your identity while addressing your specific health needs and experiences.
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Yes. While our practice specializes in women's mental health and wellness, we welcome men who are seeking our services and who respect our female-focused environment. Men can play an important role in supporting and advancing women's health, and we're committed to providing excellent care to all our patients.
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We offer both in-person appointments at our Washington, DC office and convenient telehealth services via Simple Practice, a secure HIPAA-compliant platform. We currently serve patients throughout DC, Maryland, and Virginia. Availability for in-person visits varies; please contact us to discuss options that best suit your needs.
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Ketamine Assisted Therapy (KAT) (also known as Ketamine Assisted Psychotherapy/KAP) is an evidence-based form of psychedelic-assisted therapy that combines ketamine treatment with professional therapeutic support to create opportunities for powerful breakthroughs in healing. This innovative approach has shown significant potential in treating various mental health conditions, including depression, anxiety, OCD, PTSD, and substance use. During KAT, ketamine is used thoughtfully as a catalyst for therapeutic transformation, always in conjunction with skilled professional support and guidance.
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EXPANDED takes a comprehensive, therapeutically-informed approach that goes beyond symptom management. While traditional infusion clinics focus primarily on medication administration in a clinical setting, we view the ketamine experience as an opportunity for meaningful transformation. Our approach emphasizes thorough preparation and integration, creating a supportive environment for deep healing work. We combine medical expertise with professional therapeutic support to help you achieve lasting positive change, not just temporary symptom relief.
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Yes - while under medical supervision by a provider/doctor or nurse practitioner, and while working with a trained therapist, ketamine is not only extremely safe, but has been shown to positively address social anxiety, depression and other mental health challenges. Please visit the research page and blog for additional information.
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Our approach prioritizes your safety and therapeutic growth through comprehensive, professionally guided care. Unlike mail-order services that may offer minimal oversight and support, EXPANDED provides thorough preparation, professional monitoring during in-office treatment, and meaningful integration support. We believe that ketamine-assisted therapy requires careful medical supervision and skilled guidance to be both safe and truly transformative. Our structured program ensures you receive appropriate dosing and professional support throughout your healing journey, rather than managing powerful experiences alone at home.
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The EXPANDED Method is ideal for individuals seeking a research-based, trauma-informed approach to healing and reclaiming their wellbeing. Grounded in neuroscience, behavioral science and somatic practices, this approach integrates consciousness-expanding techniques for a deeper, more effective and integrative approach to therapy.
This method may be right for you if you:
• Struggle with recurring patterns or behaviors that limit your progress.
• Are navigating major life transitions or seeking clarity in one or more areas of life.
• Want to shift old beliefs or heal past trauma through modern, evidence-based strategies that promote deeper exploration, self-awareness and insight.
• Are open to exploring emerging therapeutic modalities, including expanded states of consciousness.
• Seek a trauma-informed, scientifically grounded framework for treating anxiety, depression or if you experience strong rigid thinking patterns.
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Examples of topics include but are not limited to: anxiety, depression, shame, grief, patience, peace, leadership, creativity, gratitude, mood shifts, resilience, nervous system regulation, pervasive negativity, anger, hopelessness, overconsumption, avoidance, or life shifts as in your career or relationships. In general, this work moves more deeply into your life experiences, trauma, beliefs and blockages to expansion and mental health.
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EXPANDED is absolutely active and was designed to move forward in small, achievable and actionable steps over the course of 3-4 months. That being said, we begin wherever you are each and every session. Difficult emotional content does arise, and there is no hurry. If a session is particularly challenging, we will spend time releasing those emotions and tending to self-care to preserve your wellbeing. The aim is to take noticeable steps each session, so you leave feeling a greater sense of peace or lightness, with new insights or ideas, or other beneficial outcomes. Ketamine is very likely to accelerate this process.
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While we highly recommend a commitment of 3-4 months, especially if pairing your therapy with ketamine, you are able to stop or start therapy at any time. Your experience is yours, and we believe that each patient knows what is right and beneficial for them.
A Regenerative, Matriarchal Business Model for the Collective Good
We wanted to create a business model that honored the spirit of this work by positively contributing to the collective. It made sense to build EXPANDED using a matriarchal, regenerative business model, so that individuals investing in their own healing and betterment would naturally contribute to someone in need.
A percentage of net profits are used for pro bono therapy sessions or are reinvested into local, vetted organizations to support individual, family or community mental health.