Fifteen minutes and a refill isn’t real mental health care.
If you’ve spent years on medications that numbed you out more than they helped, or caused side effects that were dismissed or overlooked, you’re not imagining it — and you’re not stuck with it. I help clients in Kentucky and Colorado safely reassess and taper psychiatric medications, and go deeper with ketamine-assisted and mind-body psychotherapy.
Free 15-minute call · No obligation · Telehealth in KY & CO
Nick Bischoff, APRN, PMHNP‑BC Psychiatric nurse practitioner · Founder
The mental healthcare system was optimized for productivity. My practice is optimized toward wellbeing.
- 01You get fifteen minutes, every three months, with someone looking at a screen instead of hearing you.
- 02Every visit that doesn’t go well ends the same way — a dose increase, or one more medication added on top.
- 03Nobody asked what was happening in your life. They asked whether the symptom score went down.
- 04When you brought up coming off something, you were told you’d likely be on it for life — and the conversation ended there.
- 05Your symptoms may be managed, but you feel flat, numb, or not yourself.
Medication has a place. Being handed one instead of being heard doesn’t.
Three ways in — all of them start with an actual conversation.
Most people come to me for one of these and end up using two. They’re designed to work together.
Safe, Effective Medication Tapering
A full, unhurried review of everything you’re taking and why — then, if it’s right for you, a gradual taper plan built around your nervous system:
- Comprehensive medication and history review
- Collaborative, individualized taper planning
- Withdrawal education so nothing blindsides you
- Therapy and nervous-system support throughout
Ketamine-Assisted Psychotherapy
Not an infusion clinic. Structured preparation, a guided session with me in the room, and dedicated integration work afterward — because the medicine opens the door and the therapy is what walks through it.
- Preparation sessions before any dosing
- Guided, therapist-present dosing sessions
- Integration work to make the shift stick
- In-person, Louisville office
Mind-Body Psychotherapy
Depth-oriented therapy that treats your nervous system as part of the picture rather than an afterthought — combining traditional psychotherapy with somatic awareness, regulation work, and mindfulness. For the patterns that don’t budge no matter how well you understand them.
What it’s like on the other side of it.
Anxiety was the reason I reached out. I couldn’t feel through my emotions, so they stayed in my body, piling up. After significantly reducing my Paxil with the goal of coming off it, I can process and feel my emotions again — less anxious, enjoying things, caring about things. I feel less numb and more like a person. Others just wanted to medicate me instead of helping me feel through what came up. Learning to feel my emotions in my body was honestly life changing.
Nick has truly saved my life. Through ketamine therapy, I’ve unraveled decades of unresolved trauma and discovered ways of processing it that have altered my life. In under a year, I’m decreasing my use of antidepressants and experiencing a level of relief I honestly never thought possible. Not masked by medication, not treated with positive-thinking mantras — but real, lasting healing.
Over the past two years, Nick has helped me return to my true self. Through therapy and ketamine-assisted therapy, I’m able to better live with my OCD and have learned real coping mechanisms. He is kind, caring, and genuine — and the first person who ever truly listened to me and understood me.
Note: Client experiences are individual and are not a guarantee of results. Testimonials are shared with written client permission and do not constitute medical advice. Nothing on this page establishes a provider–patient relationship.
I started this practice because I couldn’t keep practicing the other way.
I’m Nick Bischoff, a Board-Certified Psychiatric-Mental Health Nurse Practitioner in Louisville. I’ve worked inside the fifteen-minute model, and I watched what it does — to patients who get medicated instead of understood, and to clinicians who know better but don’t have the time to practice differently.
My work starts from a different premise: you are not broken — you are healing from what has happened. That means looking honestly at whether a medication is still beneficial, treating the nervous system rather than just a diagnosis, and making sure you understand every option in front of you before anything changes.
Nothing gets rushed, and nothing happens without you understanding why. That’s the whole practice.
A real conversation
A short, no-pressure call. You tell me what’s going on, I tell you honestly whether I’m the right fit. No charge, no commitment either way.
Comprehensive assessment
Your full history, every medication, and what you actually want your life to look like. This is the appointment the system doesn’t make room for.
A plan you agreed to
We build it together, you understand every piece of it, and we adjust as things change. You’re never handed a plan you didn’t help write.
I can only see clients in Kentucky and Colorado.
If you found me on Instagram from somewhere else, I’m glad you’re here. That being said, medical providers — including nurse practitioners — are licensed state by state, which means I can only see clients in states where I hold a license.
You’re a fit if…
- You live in Kentucky or Colorado. I see clients in person in Louisville, KY, and statewide in both KY and CO via telehealth.
- You’re in or near Louisville and want in-person visits at the Shelbyville Rd. office.
- You want ketamine-assisted psychotherapy — those sessions are in-person in Louisville.
- You’re ready for a slower, more thorough kind of psychiatric care.
Outside Kentucky or Colorado?
I can’t treat you yet — but leave your name. If I add licensure in your state, you’ll be the first to know.
The consultation is free. The conversation is the point.
Fifteen minutes, no cost, no obligation. Tell me what’s going on and I’ll tell you honestly whether I can help.