Not your typical psychiatry appointment.
If you’ve spent years on medications that numbed you out more than they helped, or caused side effects that were dismissed, you’re not imagining it — and there’s a better way.
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.
- 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 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.
- 05Your symptoms may be managed, but you feel flat, numb, or not yourself.
I started this practice because I couldn’t keep practicing the other way.
What my clients have to say.
After significantly reducing my Paxil with the goal of coming off it, I can 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.
Through ketamine therapy I’ve unraveled decades of unresolved trauma. In under a year I’m decreasing my antidepressants and experiencing relief I never thought possible. Not masked by medication, not positive-thinking mantras — real, lasting healing.
Nick has helped me return to my true self. Through ketamine-assisted therapy I’m able to better live with my OCD and have learned real coping mechanisms. He is the first person who ever truly listened to me and understood me.
Note: Shared with written client permission. Client experiences are individual and are not a guarantee of results. Nothing on this page is medical advice or establishes a provider–patient relationship.
Three steps. The first one is free.
A real conversation
Tell me what you’re taking, what hasn’t worked and what you want to change. You’ll get my honest read on whether I can help and what I’d look at first. If I’m not the right fit, I’ll tell you who might be.
Comprehensive assessment
Your full history, every medication, and what you want your life to look like. The appointment the system doesn’t make room for.
A plan that works for YOU.
We build it together and adjust as things change. You’ll understand the reasoning behind every change.
I can only see clients in Kentucky and Colorado.
Medical providers, including nurse practitioners, are licensed state by state — so I can only see clients where I hold a license.
You’re a fit if…
- You live in Kentucky or Colorado. In-person care is available in Louisville, with telehealth available statewide in both states.
- You want a slower, more thoughtful approach to psychiatric care — one that looks beyond symptoms and prescriptions to understand the whole person.
- You’re looking to reassess, reduce, or thoughtfully taper psychiatric medication with individualized support.
- You want care that makes room for therapy, nervous-system work, and deeper healing, not just medication management.
- You’re interested in ketamine-assisted psychotherapy, offered in person in Louisville through Louisville Ketamine Therapy.
Somewhere else?
If you found me on Instagram from another state, I’m glad you’re here — I just can’t treat you yet. Both of my guides are free and for anyone, anywhere.
Or tell me your state and I’ll let you know if I add licensure there →
Get the Free GuidesThe consultation is free.
Fifteen minutes, no cost, no obligation. Tell me what’s going on and I’ll tell you honestly whether I can help.