New: Taper™ — careful medication tapering, with support for what comes up. Take the 2-minute readiness assessment →
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Three kinds of care, built to work together.

Most people come to me for one of these and end up using two. Here’s what each one involves, and who it’s for.

Signature service

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 rather than a calendar.

For people on long-term medication who are questioning whether it’s still helping.

  • Comprehensive medication and history review
  • Collaborative, individualized taper planning
  • Withdrawal education so nothing blindsides you
  • Therapy and nervous-system support throughout
  • No pressure to stop anything you don’t want to stop
  • In person in Louisville, or telehealth in KY & CO
Taper™ This is now a full program. Plans, pricing and a 2-minute readiness assessment. Explore Taper™ →
Two ways to taper A typical taper drops the dose in four equal steps and reaches zero quickly. A careful taper makes smaller cuts as the dose gets lower, pauses when needed, and takes longer. Dose Time Typical taper Paced to your body
Standard tapers often drop in even steps on a fixed schedule. A careful taper makes smaller cuts as the dose gets lower and pauses whenever your body needs it. An illustration, not a dosing schedule.
Nick Bischoff, APRN, PMHNP-BC
One clinician in the room, start to finish.
Now enrolling in Louisville

Ketamine-assisted psychotherapy

Not an infusion clinic. Structured preparation, guided medicine sessions with me in the room, and dedicated integration work afterward, because the medicine opens the door and the therapy is what walks through it.

  • No needles: an in-office lozenge
  • Preparation before any medicine session
  • Guided, therapist-present medicine sessions
  • Integration work to make the shift stick
  • Prescriber and therapist in one provider

Programs from $1,995, with payment plans. Offered in person through Louisville Ketamine Therapy, my ketamine practice. Limited spots each month.

Visit Louisville Ketamine Therapy
Often paired with either

Mind-body psychotherapy

Depth-oriented therapy that treats your nervous system as part of the picture, not an afterthought to a diagnosis. Traditional psychotherapy, combined with somatic awareness, regulation work and mindfulness.

For the patterns that don’t budge no matter how well you understand them.

  • Somatic and nervous-system regulation
  • Processing what hasn’t been processed
  • Mindfulness and body-based awareness
  • In person in Louisville, or telehealth in KY & CO
Understanding a pattern is a start. Working with the body is often what lets it change.
Free, and for anyone

Not ready to book? Start with a guide.

Both are free, fully cited, and written for anyone — whether or not you ever become a client.

Cover of What I Wish Everyone Knew Before Starting an Antidepressant
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 →
Cover of What I Wish Everyone Knew Before Stopping an Antidepressant
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 →
Not sure which one fits?

The consultation is free.

Fifteen minutes, no cost, no obligation. Tell me what’s going on and we’ll work out where to start.

Call (502) 909‑9995