Curated + Intentional Psychedelic Medicine and BodyMind Wellness
You Deserve World-class Care.
We provide a bespoke therapeutic experience focused on the brain, body and spirit, provided by clinicians with cutting-edge education and training in modern mental wellness.
Therapy
~ Ketamine-Assisted Therapy + Integration ~
~ EXPANDED Method/Theta Wave Sessions ~
Integrative Psychiatry
~ Comprehensive Psychiatric/Ketamine Assessment
~ Pharmacotherapy + Med Management ~
~ Functional Nutritional Psychiatry + Sleep Disorder Management ~
Ketamine-Assisted Therapy (KAT)
(Gianna + Domonique)
Ketamine-assisted therapy can offer sustainable relief for individuals struggling with depression, anxiety, PTSD, OCD, social anxiety and trauma, including a reduction in symptoms previously unresponsive to SSRIs or traditional talk therapy. On many occasions, we see individuals that have previously tried ketamine therapy (administered in medical environment through an IV infusion or intramuscular injection) who have not experienced sustainable results, who have plateaued or experienced extreme discomfort with injection-only sessions, and/or who prefer a more supportive and comfortable setting.
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. It is during this 24-48 hour window of time —called the neuroplastic window— that working with a therapist trained in integration is extremely helpful in not only navigating your experience, but in making sense of it.
At EXPANDED, the integration goes beyond light discussion. Gianna, your guide, is a Board Certified Behavior Analyst with over 20 years of experience. This means that, in addition to her training in ketamine-assisted therapy and psychedelic harm reduction and integration (PHRI), her primary expertise lies in helping individuals turn insights and illuminations (which are sometimes unclear or esoteric) into clear, actionable and sustainable changes.
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. For more information, please book a complimentary consultation at the link below.
Pricing:
Full psychiatric evaluation + KAT medical consult (60 min): $325
Preparation and Integration Session (60-75 min): $300/session
Medicine session, guidance and support (2-3 hours) : $695*
Microdosing session (helpful of first-timers and the psychedelic-curious, 60-75 min) : $375
NeuroSoma room access (complimentary for ketamine participants) : BioMol red light, Higher Dose heated PEMF mat, 40hz Gamma light, 4-8hz theta wave playlists, organic snacks and beverages, and more
*Medicine not included. Ketamine is quite affordable and can be shipped to your home from one of our compounding pharmacies
EXPANDED Method Session
(Gianna)
For many individuals in need of mental health support, one of two routes are taken to avoid trauma, pain, discomfort or even the act of making small changes : Excess (i.e., trauma looping/ruminative thoughts, overconsumption of food, alcohol, material items or media, etc) and/or Estrangement (i.e., dissociation, isolation, masking, inertia, etc). These nervous system-based 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 continue to reinforce avoidance and rumination, and the cycle continues.
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 by reinforcing neural pathways associated with limiting beliefs and harmful stories.
In EXPANDED Method sessions, Gianna leads bespoke, trauma-informed experiences that alchemize and reconnect the brain and body, which include theta wave (deeply relaxed) states in combination with Internal Family Systems, Acceptance and Commitment Therapy and Eastern psychology practices. Members are given an EXPANDED Method notebook as a take-home tool to follow along in the process, make notes and take space for reflection.
Learn more about the EXPANDED Method here.
EXPANDED Session (60 minutes): $300
Many members choose to do at least one extended EXPANDED session per month at 75, 90 or 120 minutes. If this is of interest, Gianna will discuss ideal length of time after several regular sessions, as everyone “drops in” differently and at their own pace.
EXPANDED Psychiatric Assessment
(Domonique)
Psychiatric consultations can be cost-prohibitive, ranging between $500-$1,000 for an initial session in the DC Metro area. EXPANDED runs differently. In order to remove a common cost barrier to ketamine access, and to use your time investment wisely, we have built a rare and unique comprehensive assessment:
Detailed psychiatric evaluation, evaluating mental, emotional, and physical health factors contributing to psychiatric symptoms
Diagnosis of mental health conditions, if applicable
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
Follow-up (30 minutes) — $175
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 Enhancement
(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
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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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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.
A Regenerative, Matriarchal Business Model for the Collective Good
Gianna is passionate about leveraging her education at Stanford University’s Graduate School of Business, where she studied Social Entrepreneurship. She dreamt of 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.

