Before you start
What I Wish Everyone Knew Before Starting an Antidepressant
What these medications actually do, the side effects left out of the conversation, and the questions worth asking first.
Get the starting guide →
Kentucky & Colorado clients
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, you’re not imagining it — and you’re not stuck with it.
Free 15-minute call · No obligation · Telehealth in KY & CO
Nick Bischoff, APRN, PMHNP‑BC Psychiatric nurse practitioner · Founder
30–50 minFollow-up visits — not fifteen
StatewideTelehealth anywhere in KY & CO
Informed consentBuilt into every decision
Taper supportExpert tapering with therapeutic support
Why this practice exists
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.
Nick Bischoff, APRN, PMHNP‑BC
Free, and for anyone
Two guides I give away.
The informed consent conversation I give every new patient, written down. No cost, no card, and you don’t have to be a client — or even live in Kentucky or Colorado.
If you’re already on one
What I Wish Everyone Knew Before Stopping an Antidepressant
Dependence, withdrawal, why standard tapers fail, and what a careful one actually looks like.
Get the stopping guide →
What I offer
Three ways in.
Safe, Effective Medication Tapering
An unhurried review of what you’re taking and why — then a taper plan built around your nervous system, with support the whole way down.
Ketamine-Assisted Psychotherapy
Not an infusion clinic. Preparation, a guided session with me in the room, and integration work afterward.
Mind-Body Psychotherapy
Depth therapy that treats your nervous system as part of the picture, not an afterthought to a diagnosis.
From my clients
What it’s like on the other side of it.
AnonymousClient
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.
Tapering an antidepressant
Monica OwensClient
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.
Ketamine-assisted psychotherapy
Rachel A.Client
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.
Two years of care
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.
Getting started
Three steps. The first one is free.
1
Free · 15 minutes
A real conversation
You tell me what’s going on. I tell you honestly whether I’m the right fit. No charge, no commitment.
2
Full intake
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.
3
Ongoing
A plan that works for YOU.
We build it together and adjust as things change. You’re never handed a plan you didn’t help create.
Book Your Free Consultation
Or call (502) 909‑9995
Before you book
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.
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 Guides
Take the first step
The 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.