Ways We Can Work Together
You don’t need to know which kind of care fits yet.
Start with what feels unresolved.
Whether you’re looking for clarity, ongoing psychiatric care, or
simply a place to begin, we’ll choose the right path together.
“I’m not sure what’s happening.”
Something feels off. You’re exhausted, overwhelmed, anxious, disconnected, or simply not feeling like yourself, but the pieces do not seem to add up. You don’t know if it’s stress, burnout, hormones, anxiety, ADHD, depression, or simply too much life.
The Depth Mirror
The Depth Mirror helps you slow down, recognize the patterns shaping how you’ve been feeling, and get clearer about what may need closer attention.
You’ll leave with a more organized picture of where you are today, and a better sense of where to begin.
Free · 5 minutes
“I’m ready to understand the full picture.”
You already know something needs attention, whether it’s your mood, your sleep, your focus, or a pattern that keeps repeating. You’re ready to understand how the pieces fit together and what thoughtful care could look like from here.
First appointment / Depth Mapping
A comprehensive psychiatric evaluation designed to understand your symptoms, your story, your environment, and the patterns shaping your mental health. You’ll leave with diagnostic clarity, a personalized care plan, and a clear treatment plan for what comes next.
$495 · 90 minutes · Virginia telehealth
If ongoing care is the right fit, we’ll continue together through DepthWorks Care.
“I want ongoing support.”
You don’t want rushed appointments or medication refills without conversation. You want a psychiatric nurse practitioner who understands your life, notices patterns over time, and partners with you in building lasting mental health.
DepthWorks Care
Ongoing integrative psychiatric care that combines thoughtful medication management, when appropriate, lifestyle medicine, narrative-informed psychiatry, hormonal considerations, and reflective care. Every follow-up builds on your story, not just your symptoms.
$225 / 30-min follow-up · $375 / 60-min extended · Virginia telehealth
Available after completing first appointment.
Schedule a Consultation
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.
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.
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.