Your Guide to Concierge Psychiatry

Everything You Need to Know Before Your First Appointment

Grounded Psychiatry Approach

  • Holistic psychiatry is an approach to mental health that considers the whole person, not just their symptoms. Our approach looks at your physical, emotional, mental, and spiritual well-being to create a comprehensive wellness plan that doesn’t solely rely on medication.

  • Concierge psychiatry is a high-touch, highly personalized approach to mental health care that goes far beyond the traditional model. Instead of rushed 15-minute med checks and long waits between appointments, concierge care gives you direct access, extended sessions, and a root-cause approach to healing—without relying solely on medications.

    At Grounded Psychiatry, our concierge model is designed for those who want premium, priority-level mental health care that’s truly comprehensive and personalized.

    ✔️ Longer, in-depth appointments—so we have time to get to the root of your symptoms.

    ✔️ Priority scheduling & direct messaging access—because your mental wellness shouldn’t have to wait.

    ✔️ Holistic, root-cause treatment plans—addressing nutrition, nervous system regulation, stress resilience, and more.

    ✔️ Advanced lab testing & precision medicine—tailoring your care based on your unique biochemistry.

    ✔️ A VIP experience—for high-achievers, professionals, and those committed to real, lasting mental wellness.

    Concierge psychiatry lets us focus on true healing rather than just symptom management. If you’re tired of the standard “one-size-fits-all” approach and want a deeper, more effective way to optimize your mental health, concierge care may be the right fit for you.

  • Unlike conventional psychiatry, which typically focuses on symptom management through medication, our approach is to understand and treat the root causes of your mental health issues. We integrate lifestyle changes, nutrition, and stress management techniques in addition to leaning on our traditional psychiatric expertise.


  • Most likely, yes! Many people, including us at Grounded Psychiatry, have personally found relief through holistic psychiatry—healing at the root rather than relying solely on medication. We’ve helped those suffering from anxiety, depression, PTSD, insomnia, brain fog, and much more.

  • The time to see results can vary based on the complexity of your situation and how your body responds to your regimen. Some clients notice improvements within a few weeks, while for others, it may take longer. Know that we’re committed to working with you for the long run if needed — we’re not going anywhere!

Medication Management

  • While we can prescribe medications when necessary, our focus is on minimizing reliance on them through holistic practices.

  • Yes! If you’re looking to taper off your current medication, we can provide guidance and support to do so safely and with minimal side effects.

  • No, we are NOT licensed to prescribe any controlled substances. 

Appointments

  • There’s an Initial Consultation that can take up to two hours, and then Follow-Up Sessions that are 30 to 45 minutes. The first Follow-Up Session is one to two weeks after the Initial Consultation and then every one to three months, depending on your needs. The duration of our time together varies based on the complexity of your issues. 


  • Yes, all our appointments will be virtual. We accept clients who are residents of Washington, Oregon, Montana, Hawaii, Alaska, and Nevada. 

  • Yes, we are happy to work alongside your current healthcare team, including your primary care provider, if you would like! 

  • Your privacy is our top priority. At Grounded Psychiatry, we follow strict HIPAA-compliant guidelines to ensure that all your personal and medical information remains completely confidential. We do not share your information with anyone without your written consent, except in rare cases required by law (such as safety concerns or court orders).

    We also take extra precautions to protect your data, including secure electronic health records, encrypted communication, and private appointment scheduling.

    If you have any specific concerns about confidentiality, feel free to reach out—we’re happy to discuss how we safeguard your privacy.

Supplements

  • Yes, the quality of your supplements matters a lot. Not all supplements are created equal—many over-the-counter brands contain fillers, additives, lower-quality ingredients, or inaccurate dosing. Some even fail third-party testing for purity and potency.

    At Grounded Psychiatry, we recommend high-quality, third-party-tested supplements to ensure you’re getting the right form, dose, and bioavailability for maximum effectiveness. If you’re investing in your health, it’s important to choose supplements that actually work.

    For trusted brands and recommendations, we provide a curated list of professional-grade options through our practice.

  • Medical-grade supplements meet higher standards for purity, potency, and bioavailability than those typically found over the counter. They are rigorously tested and sometimes only available through healthcare providers to ensure you receive the most effective and safe products.

Functional Medicine & Testing

  • Functional medicine testing helps identify the underlying causes of mental health issues by examining various body systems in more detail than the conventional tests you might have gotten from your primary care doctor. 


    It can include tests for nutritional deficiencies, hormone imbalances, gut health, and genetic markers. By analyzing these results, we can create a wellness plan that addresses your specific needs.


  • Absolutely! Recent blood work results can provide initial insights and help avoid unnecessary repeat tests. We can discuss how these results fit into your overall wellness plan.


    Note that even with recent blood work, additional functional medicine testing may still be recommended.


Deprescribing

  • Deprescribing means to slowly taper off medications in a controlled and guided manner to minimize withdrawal symptoms and side effects.

  • First, we review your current medications. Next, we identify any inappropriate, unnecessary, or harmful medications. Then, we create your personalized deprescribing plan. Finally, we follow up at regular intervals to make sure you feel safe and comfortable throughout this process!

  • Everyone is different. Slower is usually better. Some cases can take a few weeks and others many months. It sometimes depends on how long you have been taking that particular medication.

  • Symptoms can include brain zaps (feels like a brief electric jolt to your brain), fatigue, constipation, insomnia, dizziness, irritability, and gastrointestinal issues. It’s important to do this process with a practitioner so you know what’s “expected” and what’s a cause for concern and so you can create a foundation to minimize these withdrawal symptoms. 

Insurance & Payment

  • Please click here to view our rates for different types of sessions.

  • We are an out-of-network practice and do not bill insurance directly. However, we can provide you with a detailed invoice (superbill) to submit to your insurance for potential reimbursement, depending on your plan.

  • Payment plans are available for the Elite 6-Month Concierge Psychiatry Program upon request.

Psychedelic Medicine 

  • We are excited to see where the research is heading! Recent studies look very promising. Psychedelics appear to be quite healing and liberating for many individuals. Australia has already legalized psychedelics for medicinal use.

  • Not yet! But you can apply to participate in a study with Johns Hopkins at the Center for Psychedelic and Consciousness Research. 

Helpful supplement and testing resources 

Supplements we recommend to generally support good mental health:

VITAMIN D3 WITH k2

OMEGA 3S

MAGNESIUm

Methylated B Complex


Medical-grade supplement sources:

Functional lab test providers:

Mental Health Lab Testing:
A Personalized Approach to Wellness

Getting the right lab tests is essential to uncovering the root causes of mental health.

Ready to start feeling better?

Our concierge mental health services are highly selective. Submit your application, and if approved, we’ll invite you to the next step.

Need help NOW?

If you are experiencing an urgent mental health issue right now…

Here is a curated list of my favorite resources for immediate mental health support.

  • 988 Suicide and Crisis Lifeline
    Just text or call 988. Trained counselors provide free and confidential emotional support and crisis counseling to people in suicidal crisis or emotional distress and connect them to resources. These services are available 24 hours a day, seven days a week, across the United States.

  • A warmline is a free, confidential support line where you can talk to someone who truly understands—because they’ve been there too. Unlike crisis hotlines, warmlines are for when you just need to talk, process emotions, or get support before things feel overwhelming.

    If you’re feeling stressed, anxious, or just need someone to listen, a warmline can be a great way to find comfort and connection.

    You can find a list of warmlines across the U.S. here:


    NAMI Warmline Directory
    Mental Health America Warmline List
    Find a Warmline Near You

    You're never alone—support is just a call away.

  • 7 Cups

    7 Cups connects you to caring listeners for free emotional support.

  • The JED Foundation
    Nonprofit that protects emotional health and prevents suicide for our nation’s teens and young adults

  • National Alliance on Mental Illness
    Support, advocacy, and education for those whose lives are affected by mental illness

  • National Sleep Foundation
    Sleep education and advocacy to improve health and well-being

  • Free DIY Therapy Resources
    Worksheets, courses, and guides to help process emotions, reduce anxiety, and more

  • FirstAidStressTool.com

    The First Aid Stress Tool (FAST) can be used to help relieve symptoms associated with many different kinds of stress and often offers immediate relief.

  • Client Love

    “Jessica, You have always been so kind and understanding! Today, you have surpassed that kindness towards me. Not only with your compassion, but with your great extent of medical knowledge. Putting the two together have truly given me hope! Thank you for truly caring!”

  • Client Love

    I cannot recommend Jessica Kettell highly enough. From my very first appointment, she created a safe, understanding, and compassionate space where I felt truly heard. Her expertise, patience, and thoughtful approach have made a profound difference in my mental health journey. One of the most impactful aspects of my care with Jessica was her guidance in safely transitioning off antidepressants after five years. She provided clear, step-by-step support throughout the process, ensuring I felt confident and well-supported every step of the way. Her extensive knowledge of vitamins and supplements also played a key role in my treatment, offering natural and effective alternatives to support my overall well-being.

  • Client Love

    “You are the best mental health provider I’ve ever had. And I’ve had A LOT of providers. Thank you for being patient with me and guiding me in the right direction. You have changed my life!”

  • Client Love

    “I’ve been struggling with pain from my traumatic past for decades. Thank you for listening to me, believing me, caring about me, and helping me along my healing journey. In 30 years, I haven’t had anyone, let alone a mental health provider, care about me and my wellbeing more than you! Thank you!”