Safe, structured preparation and integration with a board-certified psychiatrist — turning profound experiences into lasting change.
A profound experience can open a door — but whether anything lasting comes through it depends on the preparation beforehand and the integration afterward. That is the work I do: helping you make meaning, and translate insight into real change in your life.
I bring a psychiatrist's rigor and a research lineage with MAPS to this work, offered in person at the Presidio in San Francisco and virtually for established patients in California.
Note: integration therapy supports your process before and after experiences; it is provided within the bounds of the law and sound medical practice.

Dr. Raghu Appasani is a board-certified psychiatrist, fellowship-trained in addiction psychiatry and integrative-medicine focused — one of the very few physicians who hold the entire spectrum of mental health in a single, integrated relationship.
No obligation. I keep a small, by-invitation panel of patients.