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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.


Karis Jones, RN

Karis is a registered nurse with a bachelor's degree in nursing from Western Carolina University. She has over 8 years of experience as a nurse and 15 years in the healthcare field. Her professional healthcare career began as a medic in the United States Air Force. As a nurse, she has experience in inpatient pediatrics, pediatric oncology, and adolescent mental health. During the past two years, she has worked in a residential psychiatric treatment facility for children and adolescents that focuses on trauma-informed care. She is currently studying to become a Psychiatric Mental Health Nurse Practitioner through Eastern Kentucky University's graduate nursing program. As a result of her work and life experiences, Karis has developed a deep appreciation for the resilience of the human heart and mind. She desires to support others in their journey toward healing and transformation, especially through strengthening their connection to our natural world. She has been a resident of Western North Carolina for 14 years and enjoys all the natural beauty the mountains offer.

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.

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.


Mark X Dunn, LCMHC-S


Mark (he/him) received a Bachelor of Arts degree from Loras College, a degree in Substance Abuse counseling from the University of Utah and a master’s degree in Mental Health Counseling from the University of Phoenix. Mark has been in the helping profession for over 30 years. In that time he has had a wide variety of clinical and therapeutic experience including; residential treatment, wilderness therapy, out-patient and in-home counseling. Mark believes that relationships define and inform the path of our lives. We are each singular individuals and that is why each person's journey is unique, and the course of therapy will be paired to your needs. Methodology may include cognitive behavioral therapy, motivational interviewing, attachment, or internal family systems. Mark may engage EMDR and Brain Spotting as techniques to help you work through traumatic situations or stuck points. Mark is also trained to use Ketamine Assisted Psychotherapy as a treatment modality.


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

Office Manager

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

Clinical Intern

Tandy (he/him) has a BA in Psychology from North Carolina State University and is currently pursuing his master’s degree in Clinical Mental Health Counseling at Western Carolina University. Tandy’s graduate studies have focused on psychedelic-assisted therapy and its implication 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 budding therapist, he gravitates towards action-oriented modalities such as Acceptance and Commitment Therapy and Mindfulness-Based Stress Reduction. When he has downtime from graduate school, Tandy enjoys hiking with his wife and three dogs, forging for edible mushrooms (maitakes are his favorite), mountain biking, snowboarding, yoga, and jigsaw puzzles.

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. 


Courtney Rawls

Clinical Intern

Courtney Rawls (they/them), FNP-C, WHNP-BC Courtney Rawls is a Nurse Practitioner with board certification in Family Practice and Women's Health. They are currently enrolled in the Psychiatric Mental Health Post-Graduate Certificate Program at Frontier Nursing University. Courtney centers kindness, mutual respect, and transparency as the cornerstones of their relationships with the people they work with. As a Black, Queer Person-Courtney is passionate about delivering care to others that identify as BIPOC and LGBTQIA+. Courtney understands the harms that racism has inflicted upon our society and actively practices advocacy, trauma-informed care, and anti-racism. They currently provide gender-affirming hormone therapy remotely to people across the United States. They live in Pisgah National Forest.


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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