The full picture of care.

This is psychotherapy first. Where it is clinically appropriate, and only where a person is assessed as a suitable candidate, therapy may be supported by medicine prescribed and monitored within Australian regulatory frameworks.

Screening is thorough. It covers physical health, current and past medications, psychiatric history and risk. Preparation and integration sessions are part of the treatment rather than optional additions, and a treating psychiatrist remains responsible for care throughout. Where these pathways are not the right fit, we will tell you plainly and offer alternatives.

Some services, particularly medicine-assisted therapy, require comprehensive assessment and specific clinical criteria. Not every treatment suits every person.

Some people come for a single day of assessment and treatment. Others stay for a structured week, or return over months as part of longer aftercare. The shape of the program follows the clinical need rather than a fixed timetable.

Whatever the length, the program is built around one care plan, so psychiatry, psychology and daily practice are all working toward the same goals. Progress is reviewed formally, and the plan changes when the evidence in front of us says it should.

Medication tapering at Karuna is offered only as part of a medicine-assisted therapy pathway, where some current medications need to be reduced before treatment can safely begin. Reducing psychiatric medication is a clinical decision made with a psychiatrist, at a pace set by how you respond rather than by a calendar. We plan the schedule together, monitor for withdrawal effects and early signs of relapse, and slow down or pause when that is the safer option.

Psychological support and practical skills are built in alongside the changes in dose, because the months of a taper are when they matter most.

Mindfulness is taught here as a clinical skill, in graded steps, with attention to what each person's nervous system can actually tolerate. Sessions cover attention training, working with difficult states, and self-compassion practice.

Training runs one to one and in small groups, and is adjusted for people who find stillness difficult or activating. Practices are adjusted or paused when they are not helping. The aim is a practice you can keep after you leave, in a form that fits your real life rather than an idealised one.

Significant experiences often need somewhere to be understood. We offer structured preparation beforehand, and integration work afterwards: putting language to what happened, translating insight into changed behaviour, and holding safety while that settles.

Sessions are confidential and clinically grounded, and they are available to people whose experiences happened outside our care as well as inside it. This service is therapeutic support only. It does not include supplying, arranging or advising on anything beyond our own clinical services.

Virtual reality allows graded, controlled exposure and immersive states of calm, with the clinician adjusting intensity in real time. Haptic feedback adds gentle touch, vibration and rhythm, giving the body its own cues for settling and regulation.

Learning portals are guided, interactive environments for practising skills between sessions, and light therapies use carefully timed light to support sleep, mood and daily rhythm. These can be combined, and each is selected for a clinical reason, introduced at a pace you set, and reviewed like any other intervention in your plan.

Groups are facilitated by clinicians, run to a clear structure, and hold explicit agreements about confidentiality and support between sessions. Numbers are kept small so that everyone has room.

Residential retreats bring a small group together over several days of structured therapeutic work, practice and rest, with clinical screening before anyone joins. Group work runs alongside individual treatment rather than replacing it. For many people, being understood by others is what makes the work hold.

Sessions move outdoors, into natural settings, with a clinician alongside you. Mindful attention, gentle movement and time near water, trees and open sky are used to support regulation, rest and reflection.

The work follows natural rhythms: the turning of the seasons, the light across a day, the pace of breath and footsteps. Being held by something larger and slower than ourselves can make it easier to notice what is happening inside. Nature-based sessions are offered alongside your wider care plan, where your clinician considers them suitable.