Welcome to DepthWorks Psychiatry
Where science meets story.
Where medication meets meaning.
An integrative psychiatry practice that helps women heal through creativity, ritual, and narrative.
I help high-functioning women who feel anxious, exhausted, and disconnected
find peace and balance.
How? Together, we combine integrative psychiatry with phototherapy, narrative therapy, and ritualized practices that honor your whole story, not just your symptoms.
Welcome to DepthWorks Psychiatry
Where science meets story.
Where medication meets meaning.
An integrative psychiatry practice that helps women heal through creativity, ritual, and narrative.
I help high-functioning women who feel anxious, exhausted, and disconnected
find peace and balance.
How? Together, we combine integrative psychiatry with phototherapy, narrative therapy, and ritualized practices that honor your whole story, not just your symptoms.
DepthWorks Psychiatry
Specialized Integrative Psychiatry for High-Achieving Caribbean-Rooted Women
If you are the strong one in your family,
the decision-maker, the emotional anchor,
the one everyone callsin a crisis,
but privately feel anxious, exhausted, irritable, or stretched thin…
This practice was built for you.
I work with high-achieving Caribbean-born and Caribbean-rooted women in midlife who are navigating anxiety, depression, hormonal shifts, and burnout while carrying the emotional
weight of others.
Together, we stabilize mood, restore energy, and help you step into matriarchal leadership
without self-sacrifice.
Through evidence-based psychiatric care, measurement-informed treatment, and culturally grounded narrative and creative practices, I honor your whole story, not just your symptoms.
If you are the strong one in your family,
the decision-maker, the emotional anchor, the one everyone calls
in a crisis,
but privately feel anxious, exhausted, irritable, or stretched thin…
This practice was built for you.
I work with high-achieving Caribbean-born and Caribbean-rooted women in midlife who are navigating anxiety, depression, hormonal shifts, and burnout while carrying the emotional
weight of others.
Together, we stabilize mood, restore energy, and help you step into matriarchal leadership without self-sacrifice.
Through evidence-based psychiatric care, measurement-informed treatment, and culturally grounded narrative and creative practices, I honor your whole story, not just your symptoms.
Private Virtual Integrative Psychiatry in Virginia
I believe healing unfolds when science and creativity move in harmony, when thoughtful psychiatric care and psychotherapy are grounded in culture, meaning, and ritual, and when accomplished women who have long carried others
finally feel deeply seen, fully heard, and profoundly safe.
Who I Serve and Areas of Focus
Anxiety, high-capacity depression, panic, layered trauma, seasonal mood shifts, and hormonally influenced transitions, approached with clinical precision and depth.
Mood & Nervous System Stabilization
Anxiety, high-functioning depression, panic, trauma overlays, seasonal shifts, and hormonally influenced mood changes, treated with precision and depth.
High-Achieving Women
in Midlife
Women who have long been the emotional pillar of their families, navigating identity, leadership, migration legacy, burnout, and life transitions.
Integrative Psychiatric Care
Thoughtful medication management combined with narrative work, culturally grounded practices, and photography-informed reflection, honoring both biology and story.
Why I want to help you
My path to psychiatry has been shaped by leadership, service, and personal loss, experiences that taught me something essential:
Healing deepens when strength is no longer a performance, but a place of restoration.
I work with women who have long been the steady one...the caretaker, the decision-maker, the emotional anchor... and who are ready to be supported with the same depth and steadiness they offer others.
My approach integrates precise psychiatric care with narrative reflection, culturally grounded practice, and creative modalities that honor both biology and legacy.
Together, we restore clarity, stabilize mood, and help you lead from wholeness, not depletion.
ABOUT ME
I’m Patria Alexander, PMHNP-BC, an integrative psychiatric nurse practitioner devoted to the mental health. My work honors both science and story. I believe psychiatric care should respect your culture, your legacy, and the responsibilities you carry, not reduce you to a diagnosis.
In our work together, we move beyond symptom management to restore clarity, steadiness, and self-trust, through precise medication management, narrative reflection, and culturally grounded practice.
This is care designed for women who are used to being strong, and are ready to be supported.
Do you…
Appear composed, accomplished, and dependable, yet privately feel restless, depleted, or emotionally stretched thin?
Carry your family’s expectations with grace, even as you long
for space to exhale?
Lie awake replaying conversations, questioning whether you are doing enough, as a daughter, mother, partner, or leader, and wondering
when peace will feel effortless?
You may be a high-achieving woman who has long prided herself on composure, strength, and resilience.
And lately, that resilience feels more fragile.
You notice yourself less patient.
More easily irritated.
Quieter with your own needs.
Wondering why rest does not restore you the way it once did.
You know you are capable of steadiness, clarity, and connection.
What you need is not more discipline.
It is a different kind of support.
Care that understands the weight you carry,
culturally, professionally, and within your family.
My work is designed for women like you.
Together,
we will examine what has quietly accumulated beneath your strength,
the expectations, the responsibilities, the unspoken pressure, and design care that restores steadiness without diminishing who you are.
Areas of Focus:
• High-functioning anxiety and nervous system dysregulation
• Recurrent or persistent depression
• Trauma and complex stress patterns
• Panic and sleep disruption
• Hormone-influenced mood shifts and midlife transitions
• Cultural identity strain and migration legacy stress
“I want you to see yourself not only through the lens of responsibility, but through the lens of worth.”
– Patria Alexander, PMHNP-BC
How I Treat
Integrative Psychiatry & Medication Management
Thoughtful, evidence-based medication management tailored to high-capacity women whose nervous systems are carrying too much.
I assess sleep, hormonal shifts, stress load, and medical contributors, not just symptoms, and design care that restores steadiness without dulling your clarity.
Medication may be part of your plan.
It is never the whole plan.
Narrative Therapy
The stories you have carried, about strength, responsibility, and worth, shape how you move through the world.
Together, we examine the narratives that have sustained you and the ones that may now be constraining you. You learn to hold your struggles as chapters, not definitions.
Phototherapy & Visual Psychiatry
Some experiences live beyond language.
Through guided visual reflection and image-making, we explore identity, memory, and transition in ways that feel embodied and precise, helping you see yourself outside the roles you have always occupied.
Ritualized Reflections & Practices
High-achieving women do not need
another task.
I design grounding practices that are sustainable, culturally resonant, and restorative, anchors that steady your nervous system and reconnect you to yourself.
Experience the Work
DepthWorks begins with learning to see yourself differently.
This guided visual reflection introduces the identity reconstruction framework I use in sessions, integrating photography, narrative, and clinical insight.
A quiet first step toward steadiness and self-trust.
Client Reflections
"I couldn’t have been more pleased to work with you and I cannot wait to get our next project going."
"Thanks so much for making all this possible. It's always a pleasure connecting with your positive spirit. I really am super pleased with the work we've done. It was an amazing experience."
"I cannot thank you enough, Patria! This has been much more than expected, and I'll be sure to share my experiences with others about you! I definitely have some work to do, but with your help and resources I'm well on my way. Thank you so much for your support! Absolutely invaluable!! Thank you again!"
"Working with you boosted my morale. I realized that I am so blessed beyond what I give credit for."
Begin Here
If you are ready for psychiatric care that honors both your biology and your story, the next step is a private consultation.
I offer a brief introductory call to understand what has been weighing on you, what you are hoping to restore, and whether this practice is the right fit for your next chapter.
Before scheduling, I encourage you to review the services page to ensure alignment with your needs and investment preferences.
FAQ
What makes DepthWorks Psychiatry different from traditional psychiatric practices?
DepthWorks Psychiatry blends evidence-based psychiatry with narrative therapy and ritualized healing practices. The practice honors the connection between mind, story, and culture. I treat psychiatric symptoms while also exploring the deeper narratives, identities, and ancestral patterns shaping your emotional world. It’s clinical care that also feels soulful and restorative.
What is Narrative Integrative Psychiatry?
Narrative Integrative Psychiatry is a holistic approach that integrates:
Medication management and psychopharmacology (as needed)
Narrative therapy techniques that help you re-author your life story
Ritualized and reflective practices rooted in cultural wisdom and neuroscience
This approach allows you to understand your mental health through both science and story, aligning healing with meaning, identity, and purpose.
What is Visual Psychiatry?
Visual Psychiatry/Phototherapy is a pioneering branch of my work that uses photography and imagery as reflective tools for emotional healing. Clients are invited to explore personal or symbolic images, ancestral photos, nature, objects, to access memory, identity, and emotional insight.
This method is evidence-informed, trauma-sensitive, and fully integrated within clinical boundaries. It’s especially powerful for clients who process emotion visually or find words limiting.
Is this approach considered “spiritual” or “religious”?
DepthWorks is culturally and spiritually inclusive but not religious. Ritualized reflection practices such as grounding, journaling, or symbolic ceremonies, are used therapeutically, not religiously. They’re designed to foster self-awareness, regulation, and connection in a culturally honoring way. Participation is always optional and client-led.
Do you prescribe medication?
Yes. All medication management is provided by me, a licensed Psychiatric Mental Health Nurse Practitioners (PMHNP). Prescriptions are evidence-based, monitored for safety, and integrated with therapy and lifestyle recommendations.
What happens during the first session (Intake)?
Your first session is a 90-minute evaluation that combines:
A full psychiatric and medical assessment
Exploration of your life story, family systems, and identity themes
Optional reflective or grounding rituals
You’ll leave with a treatment plan, and an optional visual reflection of your healing goals and narrative themes.
Do you offer therapy or only medication management?
I offer both. Some clients come for integrative medication management with reflective sessions; others for narrative psychotherapy. DepthWorks is not a quick-prescription practice, each client relationship is deeply individualized and holistic.
Do you accept insurance?
DepthWorks is an out-of-network, private practice. This allows me to maintain privacy, longer session times, and integrative depth not possible in insurance-based settings. We provide superbills for clients seeking reimbursement from their insurance carrier.
Do you see clients virtually?
Yes. I serve clients across Virginia (in-person and virtual) and virtually throughout the U.S. for diaspora-focused care, where permitted by state licensure.
Is photography required to participate in Visual Psychiatry?
Not at all. Visual work is entirely optional and guided, used only if it supports your comfort and growth. Some clients choose imagery; others prefer words or reflection. Healing is always paced collaboratively.
How do I know if DepthWorks is right for me?
DepthWorks may be right for you if you’re:
Seeking psychiatric care that integrates both medication and meaning
Curious about your family or cultural narratives
Craving a more sacred, reflective, and culturally grounded approach to healing
If this resonates, I invite you to schedule a Free Discovery Call to explore fit.
STAY CONNECTED
Receive Depth Notes, reflections on identity, resilience, mood, and midlife transitions for
high-achieving women.
Occasional, thoughtful correspondence. No noise.
Join Depth Notes Journal
Receive reflections, updates, and healing stories from the journey ahead.
...A Small Pause for Reflection
This is a quiet, guided reflection, nothing to repair, nothing to prove.
A series of thoughtful prompts designed to help you notice how you think, move, and carry responsibility through the world.
You may use it with a journal, in stillness, or through your camera lens.
This reflection is for personal exploration and creative inquiry. It is not therapy or medical advice.
Depth Notes Journal
What Is the Everyday Gaze?
Explore a gentler way of seeing, through the lens of nervous system safety, not self-improvement. No pressure to perform, no need to document. Just simple, mindful noticing. ...more
Adult Mental Health ,Child and Adolescents Mental Health
January 21, 2026•4 min read
Seeing Yourself, Softly
This is a quiet, reflective guide—nothing to fix, nothing to solve. Just simple prompts to help you notice how you think, feel, and move through the world. You can use it with a journal, a cup of coff... ...more
Adult Mental Health
January 12, 2026•2 min read
Your Nervous System Isn’t Broken. It’s Communicating
We live in a culture that rewards composure. So you learn to perform stability while your nervous system stays on high alert. You meet expectations. You carry the load. You keep moving. And your bod... ...more
Adult Mental Health
January 06, 2026•3 min read
Forthcoming Offerings
Parent Leadership & Family Support
Equipping high-capacity women with tools to raise emotionally grounded children while strengthening generational resilience.
Curated Identity Galleries
Thematic visual explorations designed to deepen reflection, legacy awareness, and self-perception.
The Legacy & Leadership Program
A guided experience for mothers seeking to cultivate emotional intelligence, steadiness, and resilience within their families.
