psychotherapy+ Ketamine STUDIO

Integrative Psychotherapy
that rebuilds what stress & survival have worn down.
Your nervous system speaks long before you do. It reveals the exhaustion, the emotional distance, and the cost of holding everything together. Our work begins by honoring what your body has been carrying, carefully and intentionally, without judgment.
We offer a modern, relational approach rooted in neuroscience and emotional safety. For high-functioning, overwhelmed individuals seeking real change rather than coping, this is a space to reset, reconnect, and move toward a life that feels like yours again.

Who This Space Was Made for
This space was made for those who have adapted well — and at a cost. For those managing more than they can name emotionally, relationally, or in their body, and who sense the work must move beneath coping.
Founded by Samantha Tramuta, LCSW, LAC, Higher Ground blends attachment-based therapy, complex trauma work, and mind-body neuroscience to help you move from survival into connection.
OVERFUNCTIONING + BURNED OUT
Emotion has been managed, minimized, or avoided.
burnout | anxiety | intrusive thoughts | perfectionism | emotional shutdown
COUPLES IN DISCONNECTION
Care remains, but connection has been replaced by conflict or avoidance.
conflict loops | betrayal repair | intimacy loss | feeling like roommates
FAMILIES UNDER STRAIN
Everything keeps moving, but no one is aligned.
neurodivergence | young adult issues | post-treatment transitions | crisis and relapse cycles

Ketamine-Assisted Psychotherapy
Biologically informed, clinically guided ketamine work for trauma, addiction, and entrenched patterns.
Preparation | Guided Sessions | Integration
Intensives & Custom Pathways
Highly tailored, time-limited work designed for meaningful change in a condensed timeframe.
Individual | Couples | Family
CONCIERGE CARE & CLINICAL CONSULTING
High-touch clinical guidance when complexity, privacy, or urgency matters.
Extended Access | Care Coordination | Crisis Support

Expert Offerings
Clinical areas where we bring depth, structure, and specialized expertise.
TRAUMA + NERVOUS SYSTEM HEALING
Focused work for when coping has become constant, and connection feels out of reach.
chronic stress | emotional shutdown | anger or irritability | avoidance | overfunctioning | EMDR | ART
RELATIONSHIPS + FAMILY WORK
Repair and reconnection in relationships when conflict, distance, or avoidance have taken hold.
couples therapy | marriage counseling | betrayal repair | infidelity | intimacy difficulties | codependency
FAMILY THERAPY + CRISIS CONSULTING
Therapy that brings structure, clarity, and direction during family conflict or periods of acute stress.
family systems | high-conflict dynamics | separation or divorce | crisis stabilization | parent alignment
YOUNG ADULT THERAPY + LAUNCH SUPPORT
Support for stalled independence, identity strain, or self-destructive coping during transition.
executive functioning | career direction | confidence-building | failure to launch | substance use | risk-taking
OCD + ANXIETY SPECIALTY CARE
Gold-standard, evidence-based treatment for OCD and related intrusive, compulsive, and anxiety-driven patterns.
ERP therapy | OCD | panic | rumination | uncertainty tolerance | intrusive thoughts | ADHD | autism
ADDICTION + TREATMENT TRANSITIONS
Expert care for substance use and compulsive patterns, grounded in real-world experience.
substance use | recovery | relapse prevention | compulsive behaviors | interventions | treatment transitions

TEAM
Our team is small by design. Our clinicians bring together cutting-edge training, years of experience, and a grounded, relational approach to transformation.

Samantha Tramuta, LCSW
Sam works with people who are excellent at everything except slowing down long enough to feel anything — over-functioning, hard-living, holding it together but falling apart. She specializes in complex trauma, psychedelic therapy, relationships and attachment, and addiction. For the people who are ready to stop running and actually go there.

Allegra Longo, LCSW
Allegra works with people who got through something — a crisis, a loss, a relationship that hollowed them out, a behavior that stopped making sense. She specializes in EMDR intensives, trauma, women's wellness and body image. For the people who are ready for what comes next.

Raymond Demers, LCSW
Ray works with clients, families, and couples who need someone to move the needle in moments that can't wait. Neurodivergence, complex diagnoses, post-treatment chaos, high-conflict dynamics — he specializes in creative and blended interventions, family therapy and concierge crisis consultation.

William Culpepper, LMFT
Will works with the people whose minds won't give them a moment's peace — intrusive thoughts, loops, anxiety that thinking harder has never touched. He specializes in ERP, OCD and psychedelic integration for the overthinker who needs to shift the fear of uncertainty, not just manage it better.

Ashley Guerrera, MAATC, LPC, ATR
Ashley works with people who have run out of words. And with people who never had them to begin with. She uses Accelerated Resolution Therapy (ART), creative art therapy, somatic trauma processing, and depth-oriented clinical work to reach what talk therapy alone has never quite touched.

Expertise That Goes Deeper
Our team brings specialized training in psychedelic therapy, OCD/ERP, complex trauma, attachment science, and neurodivergent care. We don't just treat symptoms, we address the patterns beneath them.
Intentional, Elevated Care
Every session, intensive, and retreat is built with precision and warmth. From the spaces we create to the pace we hold, everything helps you slow down, go deeper, and reconnect.
Nervous System Reset
We use nervous-system science and psychedelic medicine to help clients move from survival mode to connection. Real healing happens when the body feels safe enough to transform.
Therapeutic Intensives at Higher Ground
Intimate, clinically led therapeutic immersions designed for deep reset and renewal. These half-day, ketamine-supported experiences offer structured transformation within the quiet luxury of curated environments.

Mid-Year Reset
Sunday, June 14
A half-day ketamine-assisted reset designed to quiet internal noise, restore focus, and support integration as the nervous system stabilizes.

Direction & Presence
Sunday, July 12
A precise, half-day immersion supporting emotional presence, clarity of direction, and grounded integration within a calm clinical setting.






