Depression

KETAMINE THERAPY, PSYCHOTHERAPY & MEDICATION MANAGEMENT FOR TEENS AND ADULTS IN RALEIGH / DURHAM / CHAPEL HILL, NC

EXPERIENCE FREEDOM from DEPRESSION & ANXIETY

Finding peace when your mind feels anything but peaceful

Anxiety
Depression
Depression

Tired of not feeling like yourself?

Have you been suffering with any of the following anxiety symptoms?

  • Racing thoughts that jump from worry to worry

  • Physical tension - tight shoulders, clenched jaw, restless energy

  • Difficulty being present because your mind is always planning or worrying about the next thing

  • Avoiding situations that feel too overwhelming

  • Feeling like you need to be "on" or in control all the time

Have you been suffering with any of the following depression symptoms?

  • A persistent emptiness, even when surrounded by people who care

  • Loss of interest in activities that used to feel enjoyable

  • Feeling exhausted even when you haven't done much

  • Difficulty concentrating or making decisions

  • A sense that you're going through the motions but not really living

YOU’RE NOT ALONE.
You’re struggling.

You deserve to feel like yourself again - there’s another path forward.

Ketamine Therapy, Medication Management, and Psychotherapy

Understanding Depression

Depression often feels like being stuck behind glass—watching life happen around you but unable to fully participate. It's not simply feeling sad; it's a profound sense of disconnection from yourself and the things that once brought meaning to your life.

Depression isn't a character flaw or something you can simply "snap out of." It's a real condition that affects how your brain processes emotions and experiences.

Understanding Anxiety

Anxiety can feel like your mind is constantly preparing for danger, even when you're safe. It's that persistent worry that follows you through your day, making even familiar situations feel overwhelming or uncertain.

Anxiety isn't about being weak or overthinking. It's your nervous system working overtime to protect you, even when protection isn't needed.

Co-occuring mental health illness and treatments

When They Show up Together

Depression and anxiety often travel together, creating a particularly challenging experience. You might feel the heavy, stuck quality of depression alongside the restless, worried energy of anxiety. This combination can feel confusing and exhausting—like being tired and wired at the same time.

This isn't unusual, and it doesn't make your experience more complicated to treat. It just means you need care that understands the full picture of what you're going through.

You're Not Alone in This.

These experiences are more common than you might think, and they respond well to the right kind of support. Understanding what you're experiencing is often the first step toward feeling better.

Your struggles are real, and so is the possibility of healing.

How We Help

Ketamine Therapy

Ketamine-Assisted Therapy

Ketamine therapy for depression and anxiety offers rapid relief by helping your brain form new neural connections. Many clients describe feeling like they can "breathe again" or access parts of themselves that depression and anxiety had made unreachable—often within days rather than months. This isn't about eliminating difficult emotions; it's about reclaiming your capacity to feel, connect, and engage with life.

Medication Management

Traditional Therapy

Sometimes the gentle, steady work of talk therapy is exactly what you need to get relief from depression and anxiety. We offer evidence-based approaches in a warm, supportive environment where you can explore patterns, build coping skills, and create lasting change at your own pace.

Medication Management

When thoughtfully chosen and carefully monitored, medication for depression and anxiety can be a powerful tool for healing. We take time to understand your unique experience and work collaboratively to find what supports your wellness goals.

Ketamine therapy, traditional psychotherapy, and medication management in Chapel Hill & Durham, NC

Your healing journey is uniquely yours, and you don't have to walk it alone.

You Might Benefit From Our Approach If:

  • You feel overwhelmed most days, even by small tasks

  • Your mind races, making it hard to be present with loved ones

  • You want peace but feel stuck on an emotional rollercoaster

  • Traditional treatments haven't provided the relief you need

  • You're ready for care that sees you as a whole person

What Healing Can Look Like

Depression and anxiety don't have to define your story. With the right support, you can:

  • Feel more like yourself again

  • Experience moments of genuine peace and joy

  • Build resilience for life's natural challenges

  • Reconnect with relationships and activities that matter to you

  • Trust in your ability to navigate difficult emotions

Sarah S Tatko, DMSc, PA-C

About Canto Integrative Psychiatry’s Owner & your Medical Provider

Welcome, I’m Sarah.

Welcome to Canto Integrative Psychiatry. If you've found your way here, you're likely looking for something different—mental health care that feels genuine, accessible, and deeply supportive. I’ve created this practice because I believe healing happens best in spaces that feel safe, warm, and authentically human.

Whether you're struggling with depression, anxiety, relationship challenges, or simply feeling stuck in patterns that no longer serve you, we're here to walk alongside you. Our approach combines evidence-based treatments like ketamine-assisted psychotherapy with the kind of compassionate, individualized care that honors your unique story and goals. You won't get lost in phone trees or feel rushed through appointments—instead, you'll find providers who respond promptly, take time to truly understand your experience, and surround you with the area's most trusted professionals when additional support is needed..

Get to know me better