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How can we help?

We are experts in mental health and mental fitness. We provide consultation and evaluation, psychotherapy, medication management,  in-person evidence-based Ketamine Assisted Psychotherapy (KAP) and psychedelic integration work.  We focus on the treatment of mood and anxiety disorders, relationship challenges, work conflicts, trauma,  and some substance use disorders using a harm-reduction model. Our clinical team’s diverse experience, collaboration and decades of clinical work yield unique clinical offerings. 

  • Mental Health Consultation
  • Personalized Psychotherapy
  • Ketamine-assisted Psychotherapy (KAP)
  • Group-KAP
  • Nutritional Psychiatry
  • Medication Management
  • Integration Services
a psychotherapy session is taking place with a caring therapipst listening to a woman who is lying on a couch


Mental health is complex. We listen carefully based on decades of experience and training. We help patients and families find unique personalized solutions.

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Personalized Therapy

Psychotherapy - or talk therapy - is the cornerstone of effective work in mental health. We believe in forming strong, trusting alliances. Our clinicians utilize and are influenced by psychodynamic, Motivational Interviewing, Internal Family Systems (IFS) and coaching models. We provide personalized therapy that is tailored to your unique needs and goals. 

Psychotherapy and Psychiatry consultation room with a large fig tree plant and a leather couch

Medication Management

We have decades of experience prescribing and monitoring psychiatric medications. Our team of board-certified psychiatrists and psychiatric Nurse Practitioners will work with you to  explore treatment options. By knowing the benefits and risks of medications, you are best able to make informed decisions about your care. 

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Nutritional Psychiatry

Brain health and function depend on optimal nutrition. Our founder Drew Ramsey, MD is a pioneer in Nutritional Psychiatry. We offer dietary assessment and food prescriptions along with coaching, meal planning, and hands on skill building in your kitchen. Join our free quarterly digital Nutritional Psychiatry cooking class, the Mental Fitness Kitchen. 

Intergration services and psychotherapy are portrayed as interwoven white ribbons on a gray background

Integration Services

Expanded state experiences, such as those achieved through psychedelic medicines and breathwork, can be profoundly life changing. Non-ordinary states of consciousness can show us our full potential and allow us to access unconscious patterns. With  support, you are able to develop short and long term goals which help you integrate these experiences into your daily life. We offer both pre- and post-journey services. 

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Ketamine-assisted Psychotherapy (KAP)

Currently, Ketamine is the only legal psychedlic medicine. We offer our patients a safe, rapid and effective option to assist in the treatment of depression, trauma, and alcohol use disorder. We only provide KAP to patients who have completed a medical and psychiatric screening with a Spruce clinician and are appropriate per our guidelines. 

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