Your Space for Safe + Transformative Care

Concierge Psychiatric + Mental Wellness Services

Therapy

~ Ketamine-Assisted Therapy @ the City Sanctuary~

~ EXPANDED Method Sessions ~

~ Parent Training + Early Childhood Intervention ~

~ Psychedelic Medicine + Spiritual Health (The EXPANDED Collective) ~

Integrative Psychiatry

~ Comprehensive Psychiatric/Ketamine Assessment ~

~ Pharmacotherapy + Med Management ~

~ Functional Nutritional Psychiatry ~

~ Sleep + Circadian Rhythm Disorder Management ~

Ketamine-Assisted Therapy (KAT)

(Gianna + Domonique)

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)

Four to six preparatory sessions (virtual or in-office) are used to build the best possible therapeutic experience by leveraging science-backed strategies that reduce harm and optimize benefit, such as exploring goals and past traumatic events, setting intentions for medicine sessions, ensuring all questions are answered and otherwise preparing for optimally beneficial ketamine journeys.

Four to six integration sessions (virtual or in-office) are used to process your overall experience, curiously assess details of your specific journeys, and to transition new insights, perspectives and beliefs into real-life changes and healing.

Pricing:

Full psychiatric evaluation and KAT medical consult (60 min): $325

Medicine session, therapy and amenities (2 hours) : $695*

First experience offer — we offer a “meet and greet” with ketamine for patients new to this experience, allowing patients to try KAT at a reduced cost: $500

*Medicine not included. Ketamine is quite affordable at approximately $3-$4 per lozenge and can be shipped to your home from one of our compounding pharmacies

EXPANDED Sessions

(Gianna)

For many individuals with mental health challenges, one of two routes are taken to avoid trauma, pain, discomfort or even the act of making small changes : the Excess Escape (i.e., trauma looping/ruminative thoughts, overconsumption of food, alcohol, material items or media, etc) and/or the Estrangement Escape (i.e., dissociation, isolation, masking, inertia, etc). These escape behaviors function to avoid undesired thoughts, feelings or events in the hope that relief and peace will soon follow naturally. However, this attempt to avoid pain, called experiential avoidance, exacerbates or maintains psychological distress. Individuals inadvertently strengthen neural pathways that can make it more difficult to heal.

We understand that talk therapy doesn’t work for everyone, and that simply talking about anxiety, depression or trauma may at some point result in a plateau, or even create an unnecessary focus on the symptoms you are trying to alleviate.

In EXPANDED Method sessions, I create bespoke, trauma-informed treatment sessions that alchemize and integrate the mind and body, which may include theta wave (deeply relaxing) states, psychedelic medicine or somatic experiencing in combination with Internal Family Systems, Acceptance and Commitment Therapy and Eastern psychology practices.

Learn more about the EXPANDED Method here.

Pricing per session (60-75 minutes): $300

Early Childhood + Caregiver Therapy

(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):

Monthly/bi-monthly sessions w/video reviews and supplemental materials (75 min) - $350

Psychedelic Medicine + Spiritual Health: The EXPANDED Collective

(Gianna)

The EXPANDED Collective is dedicated to destigmatizing and normalizing the therapeutic use of psilocybin (a compound contained in some mushrooms) through psychedelic-psychoeducatio, high-quality, research-informed products, therapeutic support and harm reduction protocols. This service provides individuals the opportunity to work with a psychedelic-assisted therapist who is trauma-informed and certified in psychedelic harm reduction and integration.

This service is beneficial for:

    • High achievers, wellness seekers, and spiritually curious individuals who want transformation that fits into their lives.

    • Those who have tried therapy but felt like something was missing or who desire a deeper, more embodied, and integrated approach.

    • People who value self-inquiry & personal growth, but don’t feel they need open-ended, years-long therapy.

Disclaimer: Through the EXPANDED Collective, we operate under a fully I-81 compliant model in Washington, D.C., ensuring that our approach to psilocybin remains within the legal framework of Initiative 81. This means we prioritize education, harm reduction, and community-based access while adhering to the city's regulations that make entheogenic plants among the lowest law enforcement priorities.

Comprehensive Psychiatric Assessment

(Domonique)

Required for ketamine clearance and other services such as functional nutrition and sleep disorder treatment

In these informative and holistically-focused sessions, you will receive:

  • Detailed psychiatric evaluation, evaluating mental, emotional, and physical health factors contributing to psychiatric symptoms.

  • Diagnosis of mental health conditions based on DSM-5 criteria

  • Assesses cognitive, emotional, and behavioral symptoms

  • Discuss nutritional deficiencies, inflammation, hormonal imbalances, and gut-brain

    interactions

  • Evaluates social, medical, and psychological history

  • Incorporates genetic testing (e.g., pharmacogenomics) to personalize medication and

    supplement recommendations

Pricing per session:

Initial/new patient consult and evaluation, including ketamine clearance (60 minutes) - $325

Medication Management + Pharmacotherapy

(Domonique)

This service integrates the selecting and monitoring of medicine with critical patient education to achieve optimal therapeutic outcomes. These sessions are expertly tailored to meet your current needs and may include:

  • Prescription of psychiatric medications, including antidepressants, mood stabilizers, antipsychotics, anxiolytics, ketamine and other psychotropic drugs

  • Adjustment of dosages based on symptom response and side effects

  • Patient education on medication use, risks, and benefits

  • Monitoring and notes for medication interactions and adverse effects

  • Discussing additional supportive avenues such as functional psychiatric nutrition and circadian management

Pricing per session:

Initial session (45-60 minutes): $325

Follow-up sessions (30 minutes): $175

Functional Nutritional Psychiatry

(Domonique)

According to the Institute of Functional Medicine, the emerging field of nutritional psychiatry acknowledges a positive relationship between diet quality, mood and mental health. Recent research suggests that while nutritional habits, dietary patterns, and diet quality may all effect overall mental wellness, they may also be preventable or modifiable risk factors for mental disorders.

Your functional psychiatry sessions are tailored to your specific needs and may include:

  • Identify and address micronutrient deficiencies that impact mood and cognition (e.g., Vitamin D, B12, Omega-3s, magnesium, zinc)

  • Provides guidance on amino acid therapy for neurotransmitter support (e.g., 5-HTP for serotonin, L-tyrosine for dopamine)

  • Includes Integrative Pharmacology & Supplementation

  • Mind - Body and Lifestyle Psychiatric Interventions (Sleep Optimization, Exercise + Movement Therapy, Breathwork, Meditation)

Pricing per session:

Initial session (45-60 minutes): $325

Follow-up sessions (30 minutes): $175

Sleep + Circadian Rhythm Management

(Domonique)

Circadian rhythms are closely linked to mental health, and managing them can help improve mental health outcomes. Disrupted circadian rhythms can contribute to mental disorders like anxiety, depression, and psychosis, and can also be an early sign of relapse for mental disorders. Psychiatric symptoms may also worsen with poor sleep.

Similar to our functional nutritional psychiatry sessions, each meeting is uniquely designed for your current needs and experiences. Your session may involve:

  • Assessing and manages insomnia, circadian rhythm disruptions, and sleep disorders secondary to psychiatric conditions

  • Learning and practicing cognitive-behavioral strategies for insomnia (CBT-I)

  • Prescription of non-controlled sleep medications as appropriate

Pricing per session:

Initial session (45-60 minutes): $325

Follow-up sessions (30 minutes): $175

FAQs

A Regenerative, Matriarchal Business Model for the Collective Good

I 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.

Questions? Get In Touch.