top of page
Integrative Psychiatry: Treatments

Integrative Psychiatry with
Tiffany Sauls, MD and
Rosemary Shanahan, 


Too often in western medicine, a patient is seen as separate from their surroundings. However, with an integrative medicine perspective, we see our clients as a whole person within the context of their personal history, family, community, and environment.  With this perspective, we can find ways that best nourish a person's inner healer and awaken their innate capacity for self-healing.  Many clients seek our services as a complement to their current treatment strategies, and we welcome the opportunity to work in parallel with your other providers. Our focus is on the root cause of imbalances in mental and physical health and finding strategies to decrease medication use.

Appointments are available with either Tiffany Sauls, MD or Rosemary Shanahan, PMHNP-BC:

Tiffany Sauls, MD is Western North Carolina's only American Board of Integrative Holistic Medicine (ABIHM) board-certified integrative psychiatrist.  She has over 20 years of experience in child, adolescent, and adult psychiatry in both residential and outpatient settings.  Her focus has been on using the benefits of nature connection, investigating the root causes of illness, and decreasing medication use when possible. She is MAPS (Multidisciplinary Association of Psychedelic Studies) trained in psychedelic therapy and is both the principal investigator and site physician at the nation's first expanded access site using MDMA to treat PTSD.  

Rosemary Shanahan, PMHNP-BC is a board-certified Psychiatric Mental Health Nurse Practitioner with over 30 years of diverse nursing experience with both adolescents and adults. Beyond traditional psychiatric approaches, Rosemary was drawn to integrative psychiatry, seeking alternative methods to help individuals dealing with anxiety, depression, and trauma. She places a strong emphasis on the healing power of nature and connectedness, recognizing these elements as integral components of mental well-being.

Initial assessments include review of records and laboratory studies from prior providers and a comprehensive in-person evaluation.  Appointments are conducted outside when weather permits and may involve a short walk on our trails for interested clients.  We do offer telehealth services as well. Clients can usually be seen within 2 weeks of contacting us.  

Services with Tiffany Sauls, MD

Integrative Psychiatric Assessment

90 minutes                $600

Integrative Psychiatry Follow-up

in office         $300/60min

phone calls   $150/30min

Services with Rosemary Shanahan, PMHNP-BC

Integrative Psychiatric Assessment

90 minutes                $500

Integrative Psychiatry Follow-up

in office         $250/60min

phone calls   $125/30min

bottom of page