New clients begin with a 90-minute Comprehensive Depth Evaluation. This gives us enough time to understand not only what you are experiencing now, but also the larger pattern your symptoms may belong to.

We review your psychiatric and medical history, previous treatment, medications, sleep, mood and anxiety patterns, family history, functioning, relationships, and relevant cultural or identity factors. When appropriate, structured measures may also be used to improve diagnostic clarity and establish a baseline for treatment.

At the end of the evaluation, we will discuss your initial formulation and decide what type of follow-up care makes the most sense for you.

The 50-minute Integrative Follow-Up is designed for visits that need more space. It may include medication management alongside deeper diagnostic work, psychotherapy-informed interventions, behavioral strategies, sleep or rhythm work, and exploration of recurring identity, relational, or cultural patterns that may be contributing to symptoms.

The 25-minute Focused Medication Follow-Up is best suited for more targeted psychiatric care, such as reviewing medication response, side effects, symptom changes, safety, adherence, and making focused treatment adjustments.

You do not have to decide which visit type is right on your own. After your initial evaluation, we will recommend the format that best matches your clinical needs, and that may change over time as treatment progresses.

DepthWorks Psychiatry blends evidence-based psychiatric evaluation and medication management with culturally grounded narrative work and structured reflective practices. I treat anxiety, depression, mood dysregulation, and stress-related conditions while also addressing the identity strain, family-role pressure, and bicultural stress that often shape symptoms in high-achieving women. Care is collaborative, low-volume, and designed for depth, continuity, and measurable improvement over time.

Narrative Integrative Psychiatry is an approach that integrates:

Comprehensive psychiatric assessment and diagnosis (as appropriate)

Medication management and psychopharmacology when indicated

Narrative-informed psychotherapy techniques to examine identity, roles, and meaning

Structured regulation practices (sleep, stress physiology, and nervous system skills) to support steadiness between sessions

This approach supports both symptom stabilization and the deeper patterns that maintain distress—so treatment is effective, culturally attuned, and sustainable.

Visual Psychiatry (Phototherapy-informed work) uses images—personal photographs, meaningful objects, nature, or symbolic visuals—as structured prompts to support reflection, emotional processing, and identity work within treatment. This is optional, trauma-informed, and integrated within clear clinical boundaries. It can be especially helpful for clients who think visually, feel “word-limited” under stress, or want a different way to access memory, meaning, and transition.

Yes. Medication management is provided by me, Patria Alexander, PMHNP-BC. Prescribing is evidence-based, monitored for safety and response, and integrated into a comprehensive plan that may include psychotherapy, sleep and stress physiology support, and structured practices that improve steadiness over time.

Yes — and this is a meaningful part of how care works here. Evidence-based nutraceutical and botanical support is integrated into treatment from the beginning, not added as an afterthought. Depending on your presentation, this might include targeted nutritional support for mood, adaptogens for the chronically dysregulated nervous system, botanical interventions for hormonal transitions, or sleep-specific support — all grounded in clinical evidence and reviewed carefully alongside any medications you are taking or being considered for.

This approach is rooted in both science and in something older — a deep respect for the understanding that the body has always responded to more than a prescription. We simply now have the research to explain why.

I am a prescriber who practices differently. Rather than isolating medication from the broader story, I use narrative inquiry, the Everyday Gaze, and cultural formulation to understand the depth of what you're carrying before and alongside prescribing. The goal is care that is precise, not just managed.

DepthWorks is a private-pay, out-of-network practice. This allows for longer appointments, privacy, and a depth-oriented approach that is difficult to sustain in insurance-based models.

If you would like to seek out-of-network reimbursement, we can provide a superbill. Reimbursement depends on your plan.

Yes. I offer secure telehealth for clients located in Virginia. If you are located outside Virginia, availability depends on state licensure requirements.