Mental health care in Wesley Chapel
Ascend Mind and Body offers outpatient mental health care in Wesley Chapel at 27724 Cashford Circle, off SR 54, and by video: therapy, psychiatric evaluation and medication management, child and teen psychiatry, testing and ketamine evaluations. Psychiatric care comes from board-certified psychiatric nurse practitioners (PMHNP-BC), not physicians. Start below to find the right first step.
- Psychiatry, therapy, testing and ketamineAll four happen in the same Cashford Circle suite, under one record.
- Kids, adults and older adultsChild and teen psychiatry for ages 5 to 17, and geriatric psychiatry for adults 60 and older.
- Coverage checked firstPsychiatry is billed to in-network plans. Therapy and ketamine are self-pay, with superbills.
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Request a callback and a patient coordinator will help you choose where to start, check openings and confirm insurance. No cost, no obligation.
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A patient coordinator will reach out within one business day. If you would rather not wait, call (813) 670-3005.
In Wesley Chapel the question is rarely whether help exists nearby. It is which door to walk through first.
Pick therapy if you want to work through what is happening, a psychiatric evaluation if you want medication considered, testing if the question is what is going on at all, and the child or geriatric programs when the patient is under 18 or over 60. At Cashford Circle all of these sit in the same suite, so a wrong first guess costs very little.
Wesley Chapel and the rest of central Pasco have grown quickly, and the medical buildings along SR 54 and SR 56 have filled in to match. Mental health services have not always kept pace. Families here often end up driving into Tampa, or taking whoever has an opening, without being sure the opening is the right kind of care.
Our Wesley Chapel office is the one Ascend Mind and Body location where every mental health service is in the building: psychiatry, therapy, psychological testing and ketamine therapy, plus dedicated programs for children and for older adults. That changes how you can approach the choice. You can start with the most obvious need and add the next piece down the hall rather than across the county.
Nothing on this page diagnoses anything. Think of it as a map. A coordinator and then a clinician confirm where you should start, and changing course later is ordinary.
Where to start in Wesley Chapel, matched to your situation
Find the row closest to your situation. The right-hand column is a sensible first appointment; the coordinator will confirm it, and nothing stops you from adding a second service later.
| What is going on | Age | What you want | Where to start |
|---|---|---|---|
| Stress, worry or sadness you want to understand and work through | Adults 18+ | Talk it through and build skills | Therapist in Wesley Chapel |
| Depression, anxiety, bipolar symptoms or OCD that are disrupting daily life | Adults 18+ | An evaluation and, if appropriate, medication | Psychiatric evaluation and medication management |
| ADHD that is diagnosed but the current plan only half works | Adults | Ongoing ADHD care | ADHD care in Wesley Chapel |
| A child or teen with anxiety, low mood, attention problems or trouble at school | Ages 5 to 17 | An evaluation with a parent or guardian involved | Child and adolescent psychiatry |
| Parents and teenagers who keep having the same fight, or a blended family finding its footing | Families | Sessions together | Family therapy |
| An older parent with new low mood, anxiety, poor sleep or memory worries | Adults 60+ | An evaluation that considers medications and medical history | Geriatric psychiatry in Wesley Chapel |
| Learning, attention or memory questions that need formal measurement | Children, teens and adults | A written report and a feedback session | Psychological testing |
| Relationship strain that both partners want to work on | Couples | Couples sessions | Couples therapy |
| Depression or PTSD that has not improved after standard treatment | Adults 18+ | A specialized evaluation | Ketamine evaluation in Wesley Chapel |
| Thoughts of suicide, or someone is not safe right now | Any age | Immediate help | Call or text 988, or call 911 |
How much care you need: the four levels
Outpatient care, which is everything Ascend Mind and Body offers, fits most people: you keep living your life and come in for scheduled visits. Intensive programs and inpatient units exist for when that is not enough, and a crisis is a different thing again. Knowing the difference helps you ask for the right help the first time.
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1
Outpatient: scheduled visits
Therapy sessions, psychiatric visits, ADHD follow-ups, testing and ketamine treatment at Cashford Circle, with psychiatry and therapy also available by video. This is where most anxiety, depression and attention problems are treated.
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2
Intensive outpatient or partial hospitalization
Group-based programs that run several hours a day on several days a week, while you sleep at home. We do not offer these, but the behavioral health line on your insurance card can list in-network programs in Pasco and north Hillsborough, and we can help with the move back to regular outpatient care afterward.
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3
Inpatient hospital care
For times when someone cannot be kept safe at home or needs medical supervision around the clock. It begins through an emergency department or a crisis evaluation rather than a booked appointment.
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Anxiety and depression treatment in Wesley Chapel
For anxiety and depression, treatment at Ascend Mind and Body is therapy, medication or a mix of the two, chosen by how severe things are, how long they have lasted and what you have tried before. Plans get adjusted along the way rather than set once and left alone.
Starting with therapy
A good fit when symptoms are mild to moderate, there is an identifiable stressor, or you would rather avoid medication if you can. Cognitive behavioral approaches have a long research record for both anxiety and depression, and sessions focus on what is happening in your week, not only on your history.
Adding a psychiatric evaluation
Worth asking about when sleep and appetite have changed, panic is frequent, you have stopped doing things you used to manage, or a past medication helped and the symptoms have returned. Medication is chosen by class, side effects and what else you take, then adjusted.
When depression has not responded
If two or more antidepressant trials have not helped, the psychiatric team can walk you through next options. For some adults that includes an evaluation for ketamine therapy, which is given only at this office. The ketamine used at Ascend is a compounded preparation that is not FDA-approved, it is a Schedule III controlled substance, and individual responses vary.
Read more about choosing a therapist in Wesley Chapel, psychiatry in Wesley Chapel, therapy for anxiety and therapy for depression.
The services at a glance
Each summary links to the full page for that service.
Psychiatric care for adults
Evaluation and medication management for depression, anxiety, bipolar disorder, PTSD and OCD. The first visit sets a plan; later visits tune it. If a psychiatric medication already works for you, keeping that prescription going is part of the first conversation. See psychiatry in Wesley Chapel.
Individual therapy
Sessions with a licensed therapist or a registered intern under licensed supervision, for anxiety, depression, trauma, burnout and life changes. For trauma, EMDR therapy with an EMDR-trained therapist is one of the approaches available. More on finding a therapist in Wesley Chapel.
Ongoing ADHD care
Medication management for adults that tracks sleep, appetite, blood pressure and whether the plan is actually helping at work and at home, with controlled-substance rules handled properly. Read about long-term ADHD treatment in Wesley Chapel.
Child and adolescent psychiatry
Psychiatric evaluation and medication management for ages 5 to 17, with parents involved throughout. ADHD, anxiety, mood and school-related concerns are the usual reasons families call. See child psychiatry in Wesley Chapel.
Geriatric psychiatry
Care for adults 60 and older dealing with late-life depression, anxiety, grief, sleep changes or a long medication list, with family welcome when the patient agrees. Details on psychiatric care for older adults.
Testing and evaluation
Psychological, psychoeducational and neuropsychological evaluations with Dr. Richard M. Marshall, Ed.D., Ph.D., for children, teens and adults, ending in a written report and a feedback session. See neuropsychological evaluation or testing for learning and attention.
Family and couples therapy
Family sessions for parent and teen conflict, blended families and co-parenting, and couples sessions for communication, trust and recurring arguments. Both are self-pay. See family therapy and couples counseling.
Ketamine therapy
A specialized treatment for adults whose depression or PTSD has not responded to standard care, given in person at this office after a full evaluation. The ketamine used at Ascend is a compounded preparation that is not FDA-approved, it is a Schedule III controlled substance, and individual responses vary. See ketamine therapy at Cashford Circle.
Cashford Circle office, clinicians and insurance
- Office: 27724 Cashford Circle, Suite 102, Wesley Chapel, FL 33544. Monday to Friday, 9:00 AM to 5:00 PM, with free parking in the office complex lot. Directions and hours: our Wesley Chapel office.
- Providers: Dr. Richard M. Marshall, Ed.D., Ph.D. (psychological testing), Anna Stouffer, PMHNP-BC and Margot Krahn, PMHNP-BC (psychiatric care), and therapists Kaylee Mills Brenneman, LMHC, Diana Frances Smith, RMFTI, Skyler Anderson, RMHCI and Ashley Huston, RMHCI. Who you see, and whether in person or by video, is matched on your first call. Profiles and credentials: meet our clinicians.
- Insurance: Ascend is in network with Aetna, Cigna, UnitedHealthcare, TRICARE, ChampVA and Oscar for psychiatry. Talk therapy is self-pay, with superbills for out-of-network reimbursement. See insurance and self-pay details.
- Areas served: Wesley Chapel, Wiregrass, Seven Oaks, Meadow Pointe, Zephyrhills, Land O' Lakes, Lutz, Dade City, New Tampa and the rest of Pasco County, plus video visits anywhere in Florida.
Choosing and combining care: common questions
Asked most often by Pasco County callers trying to pick a first appointment.
Is it better to start with a therapist or with medication?
It depends on severity and on what you want. Therapy first makes sense for milder symptoms or when you want to understand a pattern. A psychiatric evaluation first makes sense when symptoms are disrupting work, sleep or relationships, or when a medication has helped you before. Our coordinator can suggest a starting point from a short description, and you can add the other later.
What does having every service in one Wesley Chapel office change?
Mostly, it removes the restart. If your therapist thinks a medication evaluation would help, or your psychiatric provider wants testing to clarify a diagnosis, the referral stays inside one practice and one record, and the next appointment is in the same building. You still choose what you want to add.
My teenager is struggling. Should we start with child psychiatry or family therapy?
If the main concern is your teen's own symptoms, such as anxiety, depression or attention problems, start with a child and adolescent psychiatric evaluation, which covers ages 5 to 17. If the main problem is conflict at home, family therapy may be the better first step. Many families end up using both, and a parent or guardian is involved either way.
Who prescribes medication at Ascend Mind and Body in Wesley Chapel?
Board-certified psychiatric mental health nurse practitioners: Anna Stouffer, PMHNP-BC and Margot Krahn, PMHNP-BC. In Florida they evaluate, diagnose and prescribe, including controlled substances when clinically appropriate. They are not physicians. If your situation calls for a physician psychiatrist, we will tell you directly. Evaluation and follow-up are described on our page about psychiatry in Wesley Chapel.
When does a ketamine evaluation make sense compared with other options?
Usually only after depression or PTSD has not improved with at least two adequate trials of standard treatment, typically antidepressants and therapy. It is not a first step, and the evaluation decides whether you are a candidate at all. The ketamine used at Ascend is a compounded preparation that is not FDA-approved, it is a Schedule III controlled substance, and individual responses vary.
What if outpatient care is not enough?
Then the right move is a higher level of care, such as an intensive outpatient program, partial hospitalization or a hospital stay, and we will say so plainly. Your insurer's behavioral health line can list in-network programs. If anyone is in danger right now, call or text 988 or call 911 instead of waiting.
One call to Cashford Circle sorts out where to begin
Request a callback or call either line. A patient coordinator listens, suggests a first appointment, checks your insurance and books it with the right clinician.
In crisis right now? Call or text 988 any time. Scheduled appointments are not an emergency service.