Share what has been difficult
Begin with what you are experiencing now, the treatments you have tried, and the changes you are hoping for. You do not need to arrive knowing whether ketamine therapy is the answer.
Charlottesville psychiatric care
Ketamine Therapy in Charlottesville
When depression, PTSD, anxiety, or another concern has not eased with the care you have tried, it can be hard to know where to turn next. Midwifing the Mind offers a careful psychiatric conversation about ketamine-assisted psychotherapy and SPRAVATO® care, in partnership with Journey Clinical when appropriate.
A conversation before a conclusion
Explore a next step with care and context.
People often begin looking into ketamine therapy after a long stretch of trying to feel better. You may have taken medications that did not help enough, worked hard in therapy while symptoms remained heavy, or noticed that depression, anxiety, trauma symptoms, or emotional exhaustion still have too much influence over your days. It makes sense to want a clearer path forward.
Ketamine-based treatment is not a simple shortcut, and it is not the right answer for every person. It deserves the same thoughtful assessment as any other psychiatric treatment. At Midwifing the Mind, Lynn Wolf, CNM, PMHNP-BC, begins by listening to what has been happening, what you have tried, what has or has not helped, and what you need from care now.
That assessment can include your symptoms, diagnoses, medication history, physical health, sleep, substance use, trauma history, current support system, and the practical details of your life. If ketamine-assisted psychotherapy or SPRAVATO® may be appropriate, Lynn partners with Journey Clinical to help coordinate care. If another approach makes more sense, you will still leave the conversation with a more grounded next step.
Appointments are available in Charlottesville, with telehealth psychiatric care available for Virginia patients when it fits the clinical plan. The goal is not to chase a treatment trend. It is to find care that is safe, considered, and connected to the life you are living.
Reasons people ask
When usual answers have not felt like enough.
A psychiatric evaluation can help clarify whether a ketamine-based option belongs in your care, or whether another path may be more useful first.
Depression that has stayed heavy
For depression that continues to affect your energy, motivation, hope, work, relationships, or ability to feel like yourself despite previous treatment.
Trauma symptoms that remain disruptive
For PTSD or trauma-related symptoms that are still shaping sleep, focus, emotional safety, or daily life while you work toward more stability.
Questions about treatment-resistant symptoms
For people who have tried more than one approach and want an honest conversation about what may be worth considering next.
A need for coordinated care
For anyone who wants medication decisions, therapy, medical history, and practical support considered together rather than in separate conversations.
What a careful evaluation includes
Your history matters before any recommendation.
A ketamine treatment conversation should begin with the full picture, not only the diagnosis on a chart. Lynn may ask about your current symptoms, how long they have been present, what makes them better or worse, previous medications and therapy, medical conditions, sleep, major life stressors, and the people or routines that help keep you steady.
This is also a place to name your questions plainly. You may be wondering whether you have exhausted other options, whether a particular treatment could fit with your medications, how much support you would need, or what would happen if it did not help as you hoped. There is room for those questions, including the ones that feel difficult to ask.
When a ketamine-based treatment is clinically appropriate, care with Journey Clinical adds a coordinated path for ketamine-assisted psychotherapy or SPRAVATO® treatment. Coordination matters because treatment should not sit apart from the rest of your life or the clinicians who know your history. With your permission, Lynn can communicate with your therapist, primary care clinician, or other members of your care team.
A steady decision process
What exploring ketamine therapy can look like.
Review the whole picture
A careful psychiatric assessment considers symptoms, medications, health history, sleep, safety, previous care, and the support available to you between appointments.
Consider the right options
If a ketamine-based treatment may fit, you can talk through the referral and coordination process with Journey Clinical. If it does not fit, the appointment can still clarify another practical next step.
Keep care connected
Thoughtful follow-up makes space to notice what is changing, discuss concerns, and keep treatment connected with therapy, medical care, and the responsibilities of everyday life.
You deserve treatment decisions that make sense for your health, history, and capacity. A good next step is one you understand and can take with appropriate support around you.
Care with clear expectations
Practical details before you begin.
Charlottesville appointments
In-person psychiatric appointments are available at 501 Faulconer Dr, Suite 2D, Charlottesville, VA 22903.
Virginia telehealth
Telehealth psychiatric care may be available for patients located in Virginia, depending on your needs and the clinical plan.
Insurance and payment
The practice accepts several in-network plans and offers private-pay and membership options. Review insurance and financial options before scheduling.
Care coordination
Ketamine-assisted psychotherapy and SPRAVATO® care are offered with Journey Clinical when appropriate. A psychiatric appointment is the right place to discuss fit, referral, and next steps.
Frequently asked questions
Questions before you schedule.
What is ketamine-assisted psychotherapy?
Ketamine-assisted psychotherapy brings a medication-based treatment and psychotherapy into a coordinated plan. It is not a fit for everyone. A qualified clinician needs to review your symptoms, health history, medications, treatment history, and goals before recommending any next step.
Does Midwifing the Mind provide ketamine treatment?
Midwifing the Mind partners with Journey Clinical for SPRAVATO® and ketamine-assisted psychotherapy when appropriate. An initial conversation can help determine whether a referral or a different care approach makes sense for your situation.
Can ketamine treatment help treatment-resistant depression?
Some people with depression that has not improved with other treatment may be candidates for a ketamine-based option. Candidacy is individual, and a careful evaluation is needed to weigh potential benefits, risks, alternatives, and the support you would need during care.
Will I still need my current therapist or prescriber?
Many people benefit from coordinated care. With your permission, Lynn can consider how a ketamine-based treatment might fit alongside your therapist, primary care clinician, and other members of your care team.
How do I begin?
Start by scheduling a psychiatric appointment. You can share what you have tried, what has been difficult, and what you are hoping will change. If a ketamine-based treatment is not the right next step, the conversation can still help identify another thoughtful option.
Begin with a conversation
A thoughtful next step can start here.
Schedule a psychiatric appointment in Charlottesville or ask how coordinated care may fit your needs.
Schedule an appointment