Referrals

Ketamine Therapy, TMS, and KAP for Referring Clinicians

Every Tool. One Practice. We integrate medication management, psychotherapy, ketamine, and transcranial magnetic stimulation within one practice.

At Washington Interventional Psychiatry (WIP), we work closely with psychiatrists, therapists, and medical providers who are seeking advanced treatment options for patients with difficult-to-treat mood and anxiety disorders.  Our team specializes in interventional psychiatry, including ketamine therapy, ketamine assisted psychotherapy, transcranial magnetic stimulation (TMS), and accelerated TMS protocols for patients who have not responded adequately to traditional treatments.

We view our role as collaborative and consultative. Patients referred to WIP continue to work with their primary psychiatrist or therapist while receiving specialized interventional care at our clinic.  This approach allows patients to benefit from rapid-acting treatments such as ketamine therapy and TMS, while maintaining continuity with the clinicians who know them best.

We partner with clinicians across Washington, DC, Maryland, and Northern Virginia to support patients who have not fully responded to standard treatment.

Please complete the form below to refer a patient.
Our team will contact the patient directly, obtain the appropriate release of information, schedule an evaluation with one of our psychiatrists, and follow up with you after the initial consultation.

If you would like to discuss a case before making a referral, please see the options below.

Clinician Information

Name of referring clinician(Required)

Patient Information

Name of patient being referred(Required)
Would you like to have a brief consult with one of our psychiatrists?

Psychiatrist-Led Interventional Care

At Washington Interventional Psychiatry, we provide interventional psychiatry within a comprehensive clinical framework.

We do not focus on a single treatment.
We help determine what the patient needs next.

When to Refer:

1.  Depression not improving

  • Multiple medication trials
  • Partial or inconsistent response
  • Intolerance to medications

Evaluation for TMS or ketamine

2.  Acute worsening or suicidality

  • Rapid decline
  • Safety concerns

Ketamine preferred for rapid effect
These cases are prioritized operationally.

3.  PTSD or trauma-related conditions

  • Persistent symptoms
  • Therapy feels “stuck”
  • Limited progress despite insight

→ Consider:

  • Ketamine
  • Ketamine-Assisted Psychotherapy (KAP)
  • Stellate Ganglion Block (SGB)

3.  Anxiety that feels physiologic

  • Hypervigilance
  • Persistent autonomic activation
  • “Body-driven” anxiety despite cognitive understanding

SGB evaluation

4.  Medication challenges

  • Side effects limiting treatment
  • Difficulty tolerating even low doses
  • Lack of response despite multiple trials

→ Referral for treatment planning and next-step guidance

5.  Patients asking about ketamine or TMS

→ Appropriate for consultation, even if treatment is not started.  Can initially be psychoeducational.

What Happens After Referral:

Every patient receives a psychiatric consultation- focused on interventional modalities.

From there, we may:

  • initiate interventional treatment
  • recommend an alternative approach
  • suggest medication adjustments (in coordination with you)
  • or defer intervention

How We Work With You:

We adapt to your preference:

1.  Consultation

  • We evaluate and provide interventional psychoeducation and recommendations
  • Patient returns to you for ongoing care

2.  Collaborative Care

  • We provide interventional treatment
  • You continue medication management
  • We communicate at key decision points

3.  Transfer of Care (When Appropriate)

  • We may take on ongoing psychiatric management
  • Based on your preference and psychiatrist availability
  • Patients can transition back to you at any time

After Treatment:

We do not simply complete a protocol.

We reassess:

  • response
  • durability
  • next steps

After interventional care—including ketamine, TMS, KAP, and SGB—you will receive:

  • updates at key decision points
  • recommendations moving forward

What Makes WIP Different:

  • Psychiatrist-led care (not procedure-driven)
  • Multiple treatment options in one setting
  • Emphasis on ongoing clinical decision-making
  • Focus on what to do next, not just what was done

Simple Referral: Rule

If you’re thinking:

  • “We’ve tried several medications…”
  • “Side effects are limiting treatment…”
  • “I’m not sure which approach makes sense…”
  • “There’s some response, but it’s not holding…”

Refer. We’ll help determine next steps.

Ketamine-Assisted Psychotherapy (KAP)

At WIP, ketamine-assisted psychotherapy (KAP) is delivered within a structured, psychiatry-led medical setting.

We work in collaboration with treating therapists, who remain central to the therapeutic process. Our role is to provide:

• Psychiatric evaluation
• Dosing strategy
• In-office ketamine administration
• Medical monitoring

Therapists continue to provide:

• Preparation
• Integration
• Ongoing psychotherapy

KAP is not a standalone treatment. It is used to support and deepen ongoing therapy.

In our experience, patients may demonstrate:

• Reduced rigidity around distressing or traumatic material
• Greater emotional access and tolerance
• Increased ability to engage in therapeutic work

Our goal is to facilitate meaningful therapeutic progress while maintaining continuity with the existing treatment relationship.

Collaboration with Referring Clinicians

We prioritize clear communication and coordination:

• Summary following initial evaluation
• Updates during treatment when clinically relevant
• Clear plan for ongoing management

Most patients continue working with their existing psychiatrist, nurse practitioner, and/or therapist.

When clinically appropriate or preferred, ongoing psychiatric care can also be provided within WIP to support continuity.

We aim to support the work already underway, with clear communication and defined roles throughout treatment.

For patients undergoing ketamine-assisted psychotherapy (KAP), we can coordinate directly with treating therapists or include them in the therapeutic process.

How to Refer a Patient:

Send patients the following link to schedule a free interventional consultation:

https://app.nexhealth.com/appt/WashingtonInterventionalPsychiatry

To refer a patient yourself, please complete the form (above).

If you would like to discuss whether WIP may be a good fit for your patients, or are interested in collaborating as a therapist in ketamine-assisted psychotherapy (KAP), you are welcome to connect directly with:

nreddy@washinterpsych.com
craczynski@washinterpsych.com