The Alternative to Traditional Outpatient Treatment
Integrative Mental Health and Psychedelic Medicine in the Heart of Asheville, North Carolina
At Widening Circles, we are driven by a passion to reimagine mental health care and set a new standard for healing. Located in the serene Appalachian mountains of Asheville, NC, our practice offers a continuum of integrative services designed to meet individuals where they are—whether they are seeking immersive, group-based care or focused, individualized treatment.
Our Heartwood Intensive Outpatient Program (IOP) is the only CARF-accredited mental health IOP of its kind in the region. This program redefines the traditional IOP model through a deeply integrative, evidence-based approach that blends clinical excellence with experiential and nature-informed therapies.
In addition to Heartwood IOP, we offer individual intramuscular Ketamine-Assisted Psychotherapy (IM KAP) and Spravato® (esketamine) treatment, both available outside of the IOP. These services provide powerful, research-supported options for individuals seeking relief from depression, trauma, and other mental health challenges, with the flexibility of engaging in care at a pace and level of intensity that aligns with their needs.
Across all of our offerings, we integrate traditional psychotherapy with innovative modalities, creating a supportive and relational environment for meaningful, sustained healing. Inspired by the ripple effect of transformation, Widening Circles is more than a program—it is a living system of care rooted in connection, curiosity, and possibility.
By offering a collaborative blend of integrative and psychedelic-assisted treatments, we provide individuals with a grounded, hopeful alternative to conventional approaches—supporting not only symptom relief, but deeper coherence, resilience, and growth.
Intensive Outpatient Program
The Heartwood Intensive Outpatient Program (IOP) is the only CARF-accredited mental health program of its kind—uniquely blending integrative treatment modalities and making them accessible through insurance-covered care. Based in the serene Appalachian mountains of Western North Carolina, Heartwood blends traditional therapeutic practices with innovative and integrative modalities to support sustainable mental health recovery.
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Therapies
Licensed psychotherapists offer individual sessions to delve deeper into personal trauma narratives, explore underlying issues, and develop coping strategies. Therapists collaborate with the multidisciplinary team to ensure a holistic approach.
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Ketamine-Assisted Psychotherapy (KAP)
Ketamine-Assisted Psychotherapy (KAP) is an innovative treatment combining the fast-acting effects of ketamine with the deep healing potential of psychotherapy.
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SPRAVATO®
SPRAVATO® is the only FDA-approved nasal spray for adults with treatment-resistant depression that can be taken with or without an oral antidepressant.

Modalities Included in Our IOP Program
Insurance Providers
We are accredited and recognized by the Council on Accreditation of Rehabilitation Facilities (CARF) for our Heartwood IOP, allowing us to accept major insurance and make this program more accessible to more individuals. We also accept insurance for SPRAVATO®.
Why Widening Circles?
We are a space for those who seek healing. We strive to widen the circles of possibility and hope.


The Alternative to Traditional Mental Health Care
For individuals seeking hope, healing and alternatives to traditional mental health care, Widening Circles is unlike any other mental health care program. We have created a recovery space that is at the center of a movement to provide empowering innovative, integrative evidence based mental health care tailored to each patient’s goals, needs and lifestyle.


Our Mission
Driven by Personal Experiences to Revolutionize Mental Health Care.

Founded on compassion and innovation, our practice integrates a wide range of evidence based modalities to address the intricate connections between body and mind. We aim to dismantle stigma and empower individuals through personalized, holistic treatment. Our multidisciplinary team fosters a supportive environment where every patient is known by name, valued for their unique journey, and guided towards lasting healing and empowerment.
- Comprehensive Clinical Assessment
- Experienced Counselors
- Many Major Insurance Plans Accepted
- Personalized & Flexible Treatments
What’s Your Next Step
Provide Your Information
Complete the form on our Contact Page to tell us more about yourself, your background and your goals
Phone Call
A team member will reach out to schedule an inquiry call to discuss your goals and determine the best path for you. If we’re not the right fit, we’ll provide referral options.
Establish Care
You will meet with one of our practitioners for a clinical assessment and an individualized treatment plan. You can then begin your road to sustainable recovery.