Psychiatry, Medication Management & Ketamine Infusions

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Anna Richards

Our Psychiatric Nurse Practitioner

Anna Richards
Certified Registered Nurse Practitioner
Psychiatric Mental Health Practitioner
Board Certified
Office Location: Bethesda
Out of Network: Yes
Fee: $250 for evaluation 
(No additional eval fee if we recommend our ketamine assisted therapy program).

Understanding Psychiatric Medication

Psychiatric medication refers to prescription drugs that help manage symptoms associated with various mental health conditions. These medications work by targeting specific neurotransmitters or brain chemicals to regulate mood, behavior, and cognition. They can alleviate symptoms, enhance functioning, and improve overall quality of life for individuals experiencing psychiatric challenges.

Medication Management in our Psychiatric and Ketamine Assisted Therapy Program.

Our psychiatric nurse practitioners practice with a patient-focused philosophy. We understand that each individual’s experience with medication is unique, and we prioritize collaborative decision-making to ensure the best possible outcomes.

Medication management involves a thorough assessment of symptoms, medical history, lifestyle factors, and treatment goals to tailor a personalized medication regimen.

Balancing Symptom Reduction and Side Effects

We recognize the importance of striking a balance between symptom reduction and managing potential side effects. Our approach emphasizes ongoing monitoring and adjustment to optimize medication efficacy while minimizing adverse effects. We believe in proactive communication and encourage open dialogue between patients and providers to address any concerns or challenges that may arise during treatment.

You can actually get in touch with your psychiatrist

The biggest complaint we hear is that someone can’t get in touch with their psychiatrist. We do not believe in hastily prescribing medications without thorough evaluation or providing refills indefinitely without follow-up. Instead, we view medication management as a dynamic process that requires active collaboration and periodic reassessment. We are committed to working together with our patients to fine-tune their medication regimen and support their journey toward mental wellness.

Your Role as a Collaborator

We invite you to be an active participant in your psychiatric care  Calliope Health. Your insights, preferences, and feedback are invaluable in guiding our decision-making process. Together, we will explore the potential benefits and risks of psychiatric medication, identify personalized strategies for symptom management, and work towards achieving your treatment goals. Our goal is to empower you to reclaim control over your mental health and lead a fulfilling life.

Ready to Get Started?

Frequently Asked Questions About Anxiety Counseling

Frequently Asked Questions

In response to the COVID-19 pandemic and forced shutdown of many businesses, we began offering online counseling sessions to new and existing clients in order to better serve the community.

We plan on continuing to offer online sessions even after businesses start to reopen, but clients will have be given the option of meeting with their counselor face-to-face or through online virtual sessions. They will even be able to alternate between face-to-face and online sessions for their convenience.

Keith Miller & Associates Counseling does not accept insurance, however many of our clients submit their own claims for “out-of-network” reimbursement and often receive 40-60% of the expense.

All counselors fees are $180-$400 for 50 or 60  minute sessions.
Psychiatry: $250 for evaluation $200-$300 for follow-up visits.

We have two offices.

One is located in Washinton, D.C. near DuPont Circle.

Our second office, Calliope Health, is located in downtown Bethesda.

Washington, D.C. Office
1320 19th Street, NW
Suite 200
Washington, DC 20036
Bethesda Office
4300 Montgomery Avenue
Suite 302
Bethesda, MD 20814

Ketamine has shown promising results in alleviating symptoms of depression, anxiety, and post-traumatic stress disorder (PTSD) through its unique mechanism of action on the brain. According to a study published in Biological Psychiatry by Aan Het Rot et al. (2012), ketamine rapidly increases the release of glutamate in the prefrontal cortex, leading to the activation of signaling pathways that promote brain plasticity and the formation of new neural connections. This neuroplasticity is thought to underlie the antidepressant effects of ketamine, as demonstrated in research by Zanos et al. (2016) published in Nature. Furthermore, ketamine’s impact on neurotransmitter systems, including serotonin and dopamine, may contribute to its anxiolytic effects, as discussed in a study by Kroczka et al. (2019) published in the European Journal of Pharmacology. Additionally, ketamine’s ability to disrupt fear memories and enhance fear extinction may aid in the treatment of PTSD, as suggested by research conducted by Feder et al. (2014) published in Neuropsychopharmacology. Overall, ketamine’s multifaceted pharmacological actions offer promising avenues for the treatment of depression, anxiety, and PTSD, providing hope for individuals struggling with these mental health conditions.

Learn more about our Bethesda ketamine infusion center, Calliope Health

We Also Provide Counseling For:

  • Marriage and Relationship Issues
  • Premarital Counseling with Bethesda Counseling
  • Drug Treatment with Bethesda Counseling
  • Anger Management
  • Depression
  • Mind-Body Counseling

Our fees are between $200-$400 for 50 minutes, depending on your counselor. We do not accept insurance, meaning we are not "in-network" with any health plans.
However, many of our clients submit claims to their out-of-network health insurance and receive 40-60% reimbursement.