Before you begin, the plain answers

An integrative psychiatry practice offering care by telehealth in California, led by a board-certified psychiatric nurse practitioner. We look at the whole picture: what you have tried, what you inherited, and what you are living through now.

Goldenturas is for people ready to move forward from where they stand now. If you have cycled through medications, feel unseen in fifteen-minute appointments, or want a gentler option than an infusion clinic, this may be your path. The evaluation exists partly to answer this question honestly, including when the answer is no.

When you are ready, you can book. The first visit is a full evaluation, and nothing starts before you have a written plan you agree to.

It means a dose intended to keep you present and coherent rather than to produce a psychedelic experience. Most people describe a mild softening rather than a journey. You do not need a sitter, and most people carry on with an ordinary evening afterward. Your exact dose is set individually and adjusted over time.

No. Goldenturas can serve as your complete psychiatric provider with or without ketamine involved. Plenty of people come for thoughtful medication management and whole-person psychiatric care and never start the ketamine program at all.

Usually yes. Ketamine can often be combined with existing psychiatric medications when it is clinically appropriate, and we review your full medication list carefully during the evaluation. You will never be asked to stop something abruptly to qualify.

We use validated rating scales at regular intervals alongside your own account of how life actually feels. Both matter. If the numbers and your experience disagree, we talk about it rather than defaulting to one of them. And if the plan is not working, we say so.

The initial evaluation is $300 and follow-up visits are $150. If ketamine is part of your plan, the medication is billed separately by a compounding pharmacy, not by us. We have no financial interest in what you are prescribed.

We do not bill insurance directly. Goldenturas is a cash-pay practice, and payment is due at the time of service. A superbill can be provided on request, which many patients submit for out-of-network reimbursement. We know this model puts care out of reach for some people, and we would rather say so plainly than pretend otherwise.

Anywhere in California, by telehealth. In-person care is coming soon for those in or near Ventura County, including Camarillo, Thousand Oaks, Oxnard and Ventura.

The first visit is fifty minutes. Follow-ups are long enough to actually talk, rather than a quick check on a prescription.

Shannon Enochs, DNP, PMHNP-BC, at every visit. Not a rotating care team, not an app that checks in by text.