Conditions Treated

Personalized, evidence-based psychiatric care for adults in Fredericksburg, VA.

We combine ISTDP psychotherapy, medication management, TMS (standard & accelerated), and Spravato (esketamine) to match care to you - not the other way around.

What We Help With

Depression (MDD)

Depression can look like low mood, loss of interest, fatigue, poor sleep, or appetite - just to name a few. We build a plan that can include therapy, medication, TMS, or Spravato when appropriate.

Treatment-Resistant Depression

If two or more medications haven’t helped enough (or side effects got in the way), we offer non-drug and advanced options such as TMS (standard or accelerated) and Spravato.

Obsessive-Compulsive Disorder (OCD)

Intrusive obsessions and disturbing compulsions may override your day-to-day life. Care can include focused psychotherapy, medication, and, when appropriate, TMS protocols can be used for OCD.

Anxiety Disorders

Generalized anxiety, panic, and social anxiety. We target the drivers of anxiety-related difficulties with ISTDP, medication when needed, and non-drug options when appropriate.

Trauma & PTSD

Nightmares, hypervigilance, avoidance, and distress after trauma. We use emotion-focused therapy (ISTDP) and adjunctive treatments to reduce symptoms and restore safety.

Postpartum/Perinatal Depression & Anxiety

Compassionate, evidence-based support for new and expectant parents. We coordinate care that prioritizes safety and efficacy.

Sleep Problems & Insomnia

Trouble falling or staying asleep, or poor quality sleep linked to mood. We address sleep hygiene, underlying factors, and treatment options that improve sleep while treating the root cause.

Not seeing your concern?

We treat many related mood and anxiety conditions. If your needs are better served elsewhere (e.g., medical detox, primary psychotic disorders, acute safety concerns), we’ll help you find the right level of care.

How We Match Treatment to You

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Thorough evaluation: History, goals, prior responses, and safety review.

Clear choices: We explain likely benefits, side-effects, time commitments, and costs.

Deliberate planning: We avoid repeating what hasn’t worked and favor options most likely to help based on your profile.

Coordinated care: Therapy, medication, TMS, and Spravato can be combined when useful.  

  • TMS Therapy (Standard & Accelerated): Medication-free brain stimulation. No anesthesia, drive after sessions.

  • Spravato (Esketamine): In-clinic nasal spray for treatment-resistant depression under medical supervision.

  • Medication Management: Thoughtful prescribing focused on effectiveness and tolerability.

  • Psychotherapy (ISTDP): Emotion-focused, insight-driven therapy that works alone or alongside other treatments.

  • Combination Care: Many people improve fastest when therapies are blended.

Your Evidence Based Options at Redbud

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Free 20-Minute Call

Make sure we’re the right fit and discuss next steps.

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Initial Evaluation

A comprehensive visit to tailor your plan.

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Personalized Plan

We review options and decide together.

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Start Treatment

Therapy, medication, TMS, Spravato, or a combination.


Regular check-ins, adjustments, and support.

Insurance

Conventional TMS, therapy, medication visits, and Spravato are often covered by major plans. Accelerated TMS is typically self-pay.



See our Pricing & Insurance page →

We’ll help determine which treatment is right for you

Clear, evidence-based guides to help you choose the right path at Redbud.

How Spravato Works

A quick guide to Spravato (esketamine): how it works, who qualifies, safety, and what in-clinic sessions look like.

Compare Treatments

Side-by-side look at TMS, accelerated TMS, Spravato, medication, and therapy, benefits, risks, and who each fits best.

Pros & Cons

A clear, side-by-side breakdown of our treatments so you can decide with confidence.

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We keep costs simple so you can focus on getting better.

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Insurance support: We verify your benefits and handle prior authorization.

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Transparent self-pay: Written estimates before you start, no surprises.

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Flexible ways to pay: Simple payment options, third-party financing may be available.

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Spravato note: Out-of-pocket varies by plan; we confirm individually.

Talk to a Clinician

Call us at 540-212-9525 or complete the form below.

Contact Us

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We’ll reach out within one business day.
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We’ll help you explore if TMS, Spravato, medication, or therapy is the next best step.
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Get answers about eligibility, coverage, and cost.
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