Widening Circles

Widening Circles in Asheville, North Carolina is an integrative mental health and psychedelic medicine practice offering Spravato (esketamine) and Ketamine-Assisted Psychotherapy for treatment-resistant depression. Spravato is administered in accordance with the FDA's REMS program within a therapeutic container that includes preparation, support, and integration.

Unlike clinics that offer Spravato as a purely medical procedure, Widening Circles provides it in a small, supportive group setting with a trauma-informed, non-pathologizing approach, emphasizing reflection and meaning-making after the medicine experience.

Sessions run about two and a half to three hours under licensed clinical supervision. The practice also offers IM Ketamine-Assisted Psychotherapy, an intensive outpatient program, psychiatry, psychotherapy, group therapy, and neuroregulation, with transportation required after Spravato sessions.