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Our Team

Tiffany Sauls MD

Tiffany Sauls, MD

Director and Founder of Asheville Integrative Psychiatry

Tiffany Sauls MD (she/her) is a board-certified child/adolescent and adult psychiatrist who specializes in integrative treatments for mental health. Originally from Atlanta, GA, she attended undergraduate at Davidson College in Davidson, NC, and medical school at the Medical College of Georgia in Augusta, GA. She completed a residency in Triple Board (Pediatrics, Adult Psychiatry, and Child/Adolescent Psychiatry) at the University of Kentucky in Lexington, KY, and is a Diplomate with the American Board of Integrative Holistic Medicine (ABIHM). Dr. Sauls' research includes the use of wilderness therapy as a treatment modality for at risk adolescents. She has served on a healthcare providers advisory committee for the Children and Nature Network and led a Prescribing Nature program for pediatricians across the United States. She has subsequently worked in both residential and outpatient settings with a continued focus on experiential and nature based therapies. Her path to psychedelic medicine came from an early curiosity about the healing potential of plants and nature. Dr. Sauls has completed training through the Multidisciplinary Association for Psychedelic Studies (MAPS) to provide MDMA assisted therapy to patients with treatment resistant PTSD. She is also trained in the Internal Family Systems (IFS) model of therapy. She is excited to bring psychedelic medicine combined with nature immersion both to the Southeastern United States and to the forefront of psychiatry. ​She lives on the edge of Pisgah National Forest in Asheville with her husband, two children, and a menagerie of pets. She makes beautiful stained glass flowers and plays outdoors when she can.


Erika McClung, PMHNP

Psychiatric Mental Health Nurse Practitioner

Erika McClung (she/her) earned a masters in Mental Health Nursing from The University of North Carolina at Chapel Hill. She is a Mental Health Nurse Practitioner trained in conventional mental health care, who received holistic and integrative mental health physician supervision to begin to bridge the gap between worlds. Prior to becoming a Nurse Practitioner Erika provided patient-centered psychiatric mental health nursing care for over 9 years in inpatient child adolescent psychiatric treatment, summer camps, and community mental health settings caring for marginalized youth using a trauma focused approach. Erika’s interest in holistic health and her relationship with the more than human world led her to a training with The Equine Growth and Learning Association, she became EGALA certified as a mental health practitioner for Equine assisted psychotherapy in 2020.


Stephanie Rice, RN, BSN

Integrative Psychiatry Nurse

Stephanie (she/her) is a registered nurse with over a decade of experience in cardiac critical care. She earned a Bachelor of Science in Nursing from the University of Texas at Arlington and holds a national Critical Care Registered Nurse certification. She is in the final stages of completing a Psychiatric Mental Health Nurse Practitioner graduate degree through Frontier Nursing University to pursue her passion for holistic mental health. She is also obtaining her 200-hr RYT yoga teacher certification to incorporate mind-body integration. Life and work experiences have given her a deeply rooted purpose to support the resilience of those recovering from trauma. She believes the restorative powers of nature and community give vitality to the human mind, body, and spirit. When not at work, you can find her hiking, running, playing guitar, and hanging with her dog, Dolly Farton.

Kaity Horseman, LCSW, LCAS

Clinical Director of Ketamine Services; Therapist

Kaity Horseman (she/her) is a nature-based, experiential therapist who specializes in the treatment of trauma, depression, and anxiety for adults. Kaity received a bachelor’s degree from Georgia College in Outdoor Education with a minor in Business Management and a master’s degree in Social Work from Western Carolina University. Kaity engages with clients through a person-centered, embodied approach. She believes that each individual possesses inherent strengths and inner knowledge about what they need to adapt, survive, and connect. Her approach to therapy engages the limbic system of the brain and brings the whole body into the experience (head, heart, and gut) through a range of methods including: mindfulness, somatic therapy principles, experiential learning, use of metaphors through activity, rituals, or ceremony, attachment sciences, EMDR or Brainspotting, and psychedelic medicine assisted psychotherapy. Kaity resides in Asheville, NC with her husband and two dogs. Together they spend ample time in the mountains exploring and recreating.

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Jess Toan LMBT, MA, Wellness & Recovery Coach

Bodywork, Mindful Movement, and Breathwork

Jess Toan (she/her) is a bodyworker, yoga instructor, and ordained ceremony officiant. She has over 15 years of experience in the field of healing arts. With a bachelor's degree in Religious Studies and a graduate degree in Health Arts and Sciences, she offers a holistic and intuitive approach to wellness, healing, and connection. Jess is trained in trauma-informed bodywork and yoga therapy, oncology massage, breathwork, Esalen massage, acupressure, hot stone therapy, and energy work. Nature is her church; her biggest teacher and healer. When she isn't working, she is hiking, mountain biking, or stand up paddle boarding with her husband and daughter.

Spring Wood, LCMHC-A


Spring (she/her) has an MS in Clinical Mental Health Counseling from Western Carolina University and a BS in Environmental, Soil, and Water Science from the University of Arkansas, but values the lessons learned in the school of life perhaps most of all. Prior to beginning a career as a counselor, she worked as a raft guide, a bus driver, a seller of Christmas trees, and an environmental specialist for the US Antarctic program, among other things. Spring believes in the healing power of connection between individuals and to community, acts of creation, time in nature, humor, and exploration of one’s authentic self. When she’s not working, Spring enjoys reading in a hammock, whitewater canoeing, video games, turning wrenches, and laughing deeply with her loved ones.

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Brendan Hughes, MBA

Operations and Marketing Consultant

Brendan (he/him) received an MBA from The University of California San Diego and a BS in Environmental Science from Dickinson College. He has over 12 years of experience in operations, project management, and program design in the mental health, social entrepreneurship, and youth development fields, in addition to serving in the Peace Corps. His passion lies in supporting the transformative healing that psychedelics and plant medicine can unlock, especially when paired with a profound reconnection with nature. He’s honored to contribute to the impactful services that Asheville Integrative Psychiatry provides to the community. In his free time, Brendan enjoys hiking and cuddling with his doggo Zoe, playing tennis, and lots of geeky interests such as Star Trek, Lord of the Rings, Nintendo games, and reading sci-fi and fantasy novels.


Dave MacDonald, LCSW


Dave (he/him) is a Licensed Clinical Social Worker practicing privately in Asheville, North Carolina. He holds a BA Degree in Philosophy, an MSW Degree and a Certificate in Artistic Blacksmithing. His clinical background is grounded in Psychoanalytic Oriented Psychodynamic Psychotherapy with complimentary training in body-oriented models of psychotherapy and trauma processing. He has a strong understanding of addictions and their relationship to trauma and has focused most of his 35+ year career honing his skills to treat Traumatic Stress in adults. His clinical skills include advanced training in EMDR, Internal Family Systems (IFS), Sensorimotor Psychotherapy and HeartMath BioFeedback. In 2019 he began formal training through MAPS to provide MDMA Assisted Psychotherapy for Complex PTSD. He provides Ketamine Assisted Psychotherapy and is in ongoing training (of course) to deepen these skills. Finally, Dave is a mycophile, a synthesizer lover and an Artist Blacksmith. He creates trauma processing music and psychologically themed metal sculpture which speaks of trauma and healing.

Amanda Campbell, MA

Director of Administration and Patient Care

Amanda (she/her) received her associates degree in radiology from Asheville Buncombe Technical Community College, Asheville, North Carolina and has worked as both a radiology technician and medical assistant.  She prioritizes investing time in her family, friends, flowers, and community.  When there is time left in her schedule, she enjoys traveling to new places.


Tandy Wells, LCMHC-A


Tandy (he/him) holds an MS in Clinical Mental Health Counseling from Western Carolina University and a BA in Psychology from North Carolina State University. As a graduate student, Tandy's studies focused on psychedelic-assisted therapy and its implications for addiction treatment. Tandy believes healing can occur by repairing disconnection with nature, the body, and the present moment. He hopes to help others reestablish these relationships by cultivating mindfulness, self-compassion, and radical acceptance. As a therapist, he gravitates towards action-oriented modalities such as Acceptance and Commitment Therapy and Mindfulness-Based Stress Reduction. During his leisure time, Tandy finds joy in hiking with his wife and three dogs, spending time with his daughter, foraging for edible mushrooms (maitakes are his favorite), mountain biking, snowboarding, yoga, and playing the banjo.

Elizabeth Stafford, LMBT

Massage, Bodywork, Biodynamic Craniosacral Therapy

A graduate of the Western North Carolina School of Massage, Elizabeth combines her training in Neuromuscular Therapy, Therapeutic Relaxation Massage, and Biodynamic Craniosacral Therapy to thoroughly attend to areas of tension, while supporting clients in creating more presence and ease in their bodies. She is especially passionate about supporting people moving through grief, and facilitating a sense of safety and choice in every session. She loves community singing, somatics, and learning how to re-enchant her relationship with the world. 


Rosemary Shanahan, PMHNP-BC

Psychiatric Nurse Practitioner

Rosemary (she/her) is a board-certified Psychiatric Mental Health Nurse Practitioner with over 30 years of diverse nursing experience. Originally from Ohio, she embarked on her nursing journey at St. Mary’s College in Notre Dame, Indiana, earning her nursing degree. As a BSN, Rosemary has worked across various healthcare settings, from pediatric intensive care to palliative care to college health, before revisiting her passion for mental health care. She earned her master’s degree as a Psychiatric Mental Health Nurse Practitioner at St. John Fisher University in Rochester, NY and recently relocated to the Asheville area. Since receiving her nurse practitioner degree, she has gained experience with both adolescents and adults in general psychiatry, substance abuse, and eating disorders. Beyond traditional psychiatric approaches, Rosemary was drawn to integrative psychiatry, seeking alternative methods to help individuals dealing with anxiety, depression, and trauma. This journey led her to complete fellowships in integrative psychiatry and sparked an interest in psychedelic-assisted therapies. Rosemary firmly believes in empowering individuals to become their own best healers, providing them with the necessary tools to access their inner healing selves with compassion and confidence. She places a strong emphasis on the healing power of nature and connectedness, recognizing these elements as integral components of mental well-being. In her free time, Rosemary finds joy in the company of her husband, sons, and their families, alongside their greyhound and two cats. Her favorite activities outside of time with her loved ones are hiking and practicing yoga.

Sandra Dowd, MCMHC, NCC,  LCMHC

Clinical Therapist

Sandra (she/her) has a Bachelors Degree in Child Development at Central Michigan University and a Masters of Clinical Mental Health Counseling from Capella University. Sandra engages in attachment therapy, trauma healing, family systems & parts work, somatic reprocessing, integration through play and subtle shifts. She has over a decade of experience working in nature based settings orienting people back to play and connection with the natural world, using these as a pathway toward symbiosis, resilience through hardship, and attachment to love and belonging. Her outlook is to find wonderment in the simple nuances of life, to notice the interplay of light and shadow, and to explore metaphorical wisdom unlocked by the medicine. She hopes this teaches all of us how we can rest at home in our bodies, be at peace with ourselves while also moving our energy out into the world to create the life we want.


Josh Short, MD

Owner, Integrative Physician, Client Services

Josh (he/him) completed medical school and residency in emergency medicine at the University of Kentucky and has practiced emergency medicine across the country, primarily in rural areas.  He has been a Diplomate with the American Board of Integrative Holistic Medicine (ABIHM) since 2012 and is a site physician for the Expanded Access use of MDMA for PTSD.  Dr. Short maintains an interest in trying to fix problems before they end up in the emergency room by connecting people to nature and their own ability to heal themselves.  

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