Care that is unhurried.
Intentional by design.
Combining prescription medication, herbal and plant-based medicine, and the deeper work of story and identity —
because you have never been just one thing,
and your care should reflect that.
All sessions are private-pay and conducted via secure telehealth across Virginia.
Private pay
Out-of-network only
Superbills provided
For PPO reimbursement
Telehealth
Across Virginia
Now accepting
New patients
$495
90 minutes
Depth Evaluation
A comprehensive, unhurried evaluation that looks at the full context of your mental health — emotionally, physically, hormonally, and culturally. Not a checklist. A beginning. Before we meet, I have already reviewed your pre-intake forms and measurement scores. The 90 minutes we spend together are built around your whole story, not just the parts that fit a standard intake template.
This is a good fit if you
Are beginning or returning to psychiatric care and want more than a brief intake
Have received care before but are ready for something more precise and culturally attuned
Are considering medication, therapy, or both and want thoughtful, informed guidance
Want a provider who understands that your identity, culture, and responsibilities are clinical context — not background
Are ready to examine how sleep, nutrition, hormones, and life stage influence your mood and mind
What's included
Comprehensive psychiatric evaluation
Five-lens integrative formulation
Narrative & identity mapping
Medication discussion if indicated
Integrative lab orders
Personalized treatment plan
Everyday Gaze Lesson 1 (before your visit)
Referrals as clinically indicated
$395
50 minutes
Integrative Follow-Up
Ongoing, structured care designed to deepen the work — integrating medication management, psychotherapy, and narrative exploration as your life evolves. Structured, yet shaped entirely around you. Every session includes both the clinical and the human. Even when the primary purpose is medication management, your story stays in the room.
This is a good fit if you
Are actively addressing anxiety, depression, trauma, burnout, or hormonally influenced mood shifts
Are taking medication and want thoughtful, integrated oversight — not just a refill
Want to deepen narrative, visual, or identity work over time
Need protected space to examine how past patterns are shaping present decisions
Are a parent, caregiver, or leader seeking steadiness alongside responsibility
What's included
Psychotherapy (narrative-informed)
Medication management & monitoring
Measurement score review
Visual reflection when indicated
Integrative & lifestyle guidance
Treatment plan refinement
$295
25 minutes
Medication Management
This is not a rushed prescription renewal. Even within a shorter session, the full context of who you are and what you are carrying remains present. Focused, attuned psychiatric oversight for a woman whose life does not slow down — and whose care should keep pace with it.
This is a good fit if you
Are established on medication and need structured, attentive follow-up
Are in a maintenance phase and value care that still sees the whole picture
Are sensitive to medication changes and prefer careful, precise adjustments
Want oversight that is never reduced to a refill and a goodbye
What's included
Symptom & medication review
Measurement score check
Dose refinement if indicated
Side effect monitoring
Brief integrative check-in
Treatment plan continuity
Questions you may
be holding.
What makes DepthWorks Psychiatry different from traditional psychiatric practices?
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.
What is Narrative Integrative Psychiatry?
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.
What is Visual Psychiatry?
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.
Is this approach considered “spiritual” or “religious”?
No. DepthWorks Psychiatry is not a religious practice. Care is clinically grounded and culturally respectful. Some clients find meaning in spiritual or faith traditions; others do not. When reflective practices are used (journaling, grounding, values-based reflection), they are offered as optional, client-led tools to support self-awareness and regulation—not as religious rituals.
Do you prescribe medication?
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.
Do you integrate supplements or nutraceuticals into treatment?
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.
What happens during the first session (Intake)?
Your first session is a 90-minute comprehensive evaluation.
We will review:
Current symptoms and goals
Psychiatric and medical history (including medications and prior treatment response)
Sleep, stress load, and relevant medical contributors (including hormonal factors when appropriate)
Family history, identity context, and the roles/responsibilities you’ve been carrying
You will leave with a clear plan and next steps. If desired, we may also include an optional narrative or visual reflection component to clarify themes and treatment priorities.
Do you offer therapy or only medication management?
I offer both. Some clients begin with integrative medication management and structured reflective sessions; others engage in narrative-informed psychotherapy as a primary focus.
DepthWorks is not a quick-prescription practice. Care is individualized, collaborative, and designed for depth, continuity, and measurable improvement.
Do you accept insurance?
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.
Do you see clients virtually?
Yes. I offer secure telehealth for clients located in Virginia. If you are located outside Virginia, availability depends on state licensure requirements.
Is photography required to participate in Visual Psychiatry?
No. Visual work is entirely optional and used only if it supports your treatment goals. Some clients prefer imagery; others work primarily through conversation and structured reflection. Care is always collaborative and paced appropriately.
How do I know if DepthWorks is right for me?
DepthWorks may be a good fit if you:
Are seeking psychiatric care that integrates medication management with depth-oriented reflection
Want care that considers identity, culture, and family systems — not just symptoms
Value privacy, continuity, and longer appointment times
Prefer a collaborative, low-volume practice rather than a quick-prescription model
If this aligns with what you’re looking for, you may begin with a comprehensive evaluation.
The next step
You do not have to
keep carrying this alone.
The consultation is free. It is 15 minutes. It is not a commitment — it is a conversation.
You do not need to have the words yet. You only need to show up.
Free · 15 minutes · No obligation · Telehealth across Virginia
Not ready to schedule yet? That is completely understandable. The right care is worth taking time to choose.
Begin with the Identity Reflection Guide — a free, quiet reflection designed to help you notice how you think, move, and carry responsibility through the world. It takes less than fifteen minutes. It asks nothing of you except attention.