We hop on a brief video or phone chat. You share what’s bringing you here; I share how I work. Together we decide if moving forward feels right.

• We explore your story—medical, psychological, social, and cultural.
  

• We map current symptoms, sources of stress, and sparks of strength.
  

• We outline initial goals (e.g., “sleep through the night,” “feel less stuck at work,” “prepare for ketamine treatment”).
  

• You leave with a preliminary plan and clear next steps.

I synthesize our intake into a written roadmap. It weaves together:

1. Medication Recommendations – evidence‑based options plus what to watch for.
   

2. Therapy Focus – core themes, desired frequency (weekly, bi‑weekly, or an intensive block).
   

3. Lifestyle Targets – bite‑size actions for sleep, nutrition, movement, and breathwork.

Therapy + Medication Management (45 min)
We usually meet weekly or every other week. These sessions weave talk therapy with careful medication check‑ins—tracking progress, fine‑tuning doses, and practicing new skills in real time.

Medication‑Only Check‑In (25 min)
Once things are steady, we can stretch these visits to every 4–12 weeks. We review side effects, make dose tweaks, and order labs when needed—quick, focused, and practical.

• Secure Messaging Portal – brief questions, refill requests, and resource sharing.
  

• Digital Handouts & Trackers – sleep logs, mood apps, breathwork recordings.
  

• Care Coordination – with outside therapists, primary‑care physicians, or other healers (with your consent).

Every 4–6 sessions we pause for a mini‑review:

• Standardized mood or anxiety scales.
  

• Your own “success markers” (e.g., fewer 3 a.m. wake‑ups, better focus at work).
  

• Adjust plan—step down meds, step up therapy intensity, or celebrate wins and pivot to maintenance.