I want to feel like myself again.
Psychiatric evaluation · Medication · Talk therapy
A real conversation with a physician, a workup that actually looks at you, and a plan that fits your life.
Foundation Medical Group
Mental health. Modern medicine.
Psychiatry, therapy, and advanced treatments. All under one roof.
12,000+ patients across four states
12,000+ patients · 4 states
Find your path
Three ways to start.
Most people arrive with one of these three questions on their mind. Pick the one that sounds like you. We’ll take it from there.
I’ve tried everything.
TMS · Spravato · Ketamine · QEEG
When SSRIs and talk therapy haven’t moved the needle, there are real, evidence-based alternatives. And we offer all of them.
I need to stop.
MAT · Suboxone · Vivitrol
Same-week appointments for opioid and alcohol use. Medication-assisted treatment, no judgement, same roof as the rest of your care.
The Foundation Protocol
One team. One building.
Every step of the way.
Most people cobble mental-health care together from three or four disconnected clinics. We built the opposite. One roof, one chart, and a team that already knows your story by the time you walk in.
- 01
Evaluate
Before anything changes, we listen. Then we measure.
- Psychiatric evaluation
- QEEG brain mapping
- GeneSight testing
- 02
Stabilize
We lay the groundwork the rest of your care will stand on.
- Medication management
- Talk therapy
- Weekly check-ins
- 03
Intervene
When talk and pills aren’t enough, the full toolbox opens.
- TMS therapy
- Spravato
- Ketamine
- MAT
- 04
Maintain
The hardest part of recovery is the part after recovery.
- Telehealth follow-up
- Maintenance care
- Relapse prevention
Advanced Therapies
The newest treatments.
In a spa-like setting.
TMS, Spravato, and ketamine. All FDA-cleared, all covered by most insurance, all delivered under one roof in every FMG clinic.
TMS Therapy
NeuroStar®
Transcranial Magnetic Stimulation is a drug-free, FDA-cleared treatment for depression that uses targeted magnetic pulses to wake up the parts of the brain that mood disorders put to sleep. You sit in a chair, stay awake, and drive yourself home after.
- About 20 minutes per session
- Covered by most major insurance plans
- Roughly 7 in 10 patients respond in treatment-resistant depression
Spravato
esketamine
Spravato (esketamine) is a nasal-spray treatment FDA-approved for depression that hasn't budged on other medications. You take it in our office under direct clinical supervision, and many patients feel a shift within hours or days rather than weeks.
- Two-hour supervised session
- Covered by most major insurance plans
Ketamine Therapy
infusion
IV and IM ketamine therapy for treatment-resistant depression, chronic PTSD, and severe anxiety. Delivered in a calm, monitored clinical setting with dedicated recovery time after each dose.
- 45 to 60 minute infusion
- Self-pay; some plans cover a portion
Which is right for me?
A 3-question starting point
Answer three quick questions and we’ll suggest a reasonable first conversation to have with your FMG physician. It’s a starting point, not a diagnosis.
TMS vs Spravato vs Ketamine, at a glance
| TMS | Spravato | Ketamine | |
|---|---|---|---|
| Session length | About 20 minutes | About 2 hours, supervised | 45 to 60 minutes |
| Frequency | 5×/week for about 6 weeks | 2×/week for about 4 weeks | 2×/week for about 3 weeks |
| Insurance | Covered by most major plans | Covered by most major plans | Mostly self-pay; some partial |
| Best for | Major depression and anxiety | Treatment-resistant depression | Severe depression with PTSD |
Virginia flagship
See the Richmond clinic before you book.
Walk through our Virginia flagship from wherever you're sitting. This is where the full Foundation playbook runs under one roof. Psychiatry, therapy, TMS, Spravato, and medication-assisted recovery, with quiet rooms built for hard days.
- 14 providers under one roof
- Every advanced therapy in-house
- All major insurance accepted
Our clinics
Four states. One standard of care.
Foundation Medical Group runs clinics in Virginia, Utah, Georgia, and Texas. Every site is led by a board-certified Medical Director and staffed by the same playbook that built the Richmond flagship.
Find care near you
We'll show the closest FMG clinic. Your location is used on-device only. Never stored, never sent to servers.
Visit clinic
Virginia
FlagshipRichmond, VA
Vincent Nardone, MD
TMS · Spravato · psychiatry · MAT · brain mapping · full team
Our Richmond flagship is where Foundation Medical Group runs its full playbook. TMS, Spravato, psychiatry, therapy, and medication-assisted recovery under one roof.
Visit this clinic
Utah
American Fork, UT
Paul Frandsen, MD
Psychiatry · MAT · Suboxone · Vivitrol · telehealth
American Fork is our Utah home base, paired with Foundation Wellness next door for integrated addiction recovery and mental health care.
Visit this clinic
Georgia
Decatur, GA
William Epps, MD
Psychiatry · MAT · Suboxone · Sublocade · brain mapping
Our Decatur office brings medication-assisted recovery and psychiatric care to metro Atlanta with same-day new-patient appointments.
Visit this clinic
Texas
Dallas, TX
Justin Thompson, MD
Psychiatry · MAT · Suboxone · Vivitrol · brain mapping
From our North Dallas office on LBJ Freeway, the Texas team treats addiction, anxiety, and depression with the same playbook used at our Virginia flagship.
Visit this clinicInsurance & coverage
Verify your coverage
in 30 seconds.
Pick your plan and your state. We accept every major insurer across all four FMG clinics, including Medicare and Medicaid.
- Medicare
- Medicaid
- Aetna
- Cigna
- Anthem
- Blue Cross Blue Shield
- UnitedHealthcare
- Humana
- TRICARE
- Optum Behavioral Health
Don’t see your plan? Call (800) 983-1974. We work with most insurers, and we can verify your coverage in one phone call.
Meet the physicians
Real MDs. Real faces.
Real accountability.
Every clinic is led by a board-certified medical director who treats patients on the floor. Not a brand name on a website.
MD Board Certified FMG Medical DirectorDr. Vincent Nardone
Medical Director · Virginia
Dr. Nardone leads the Virginia flagship and oversees medical strategy across every FMG location. He has been treating depression, anxiety, and opioid use disorder in the Richmond area for more than a decade.
Read Dr. Vincent’s bio
MD Board Certified FMG Medical DirectorDr. Paul Frandsen
Medical Director · Utah
Dr. Frandsen leads the Utah clinic in American Fork, where he has built a practice around medication-assisted recovery and integrated mental-health care.
Read Dr. Paul’s bio
MD Board Certified FMG Medical DirectorDr. William Epps
Medical Director · Georgia
Dr. Epps runs the Decatur office, treating metro Atlanta patients for opioid use disorder, alcohol dependence, and co-occurring mental-health conditions.
Read Dr. William’s bio
Patient stories
How real patients found
their way back.
These are the moments that don’t fit on a brochure. The call you almost didn’t make. The first session that worked. The morning you woke up feeling like yourself.
- Tuesday · 2:14 pm
She called the main line. A nurse answered in twenty-two seconds. Five minutes later, she had an appointment for Wednesday morning.
- Wednesday · 9:00 am
Dr. Nardone met her at the Richmond clinic. They talked for ninety minutes. That’s longer than her last three psychiatry visits combined. Before she left, she had a written plan: Spravato, twice a week, starting Monday.
- The following Monday
Her first Spravato session. Two hours in the office, supervised. She drove home in the afternoon and made dinner.
- Six weeks later
Sarah told us this was the first time in three years she’d looked forward to a Tuesday morning.
Sarah is a composite drawn from more than fifty real patient journeys. Names, ages, and identifying details are changed. The timeline is real.
- TMS Therapy
After two years on antidepressants that left him flat, Marcus thought “medication-resistant” meant “untreatable.”
“By session twelve I was making coffee in the morning without dreading the day. By session twenty-four I was running again. TMS gave me back something I didn’t think I’d get back.”
Six months later: still off SSRIs, still running.
- Spravato
Eight years of treatment-resistant depression, three previous clinics. “Sometimes I feel like I’m just collecting medication trials,” she told us at intake.
“The first Spravato session, I cried in the recovery room. But it was the first cry that felt like relief instead of weight. By the third week, my husband said I sounded like myself for the first time since 2018.”
Continues maintenance Spravato every other week.
- MAT · Suboxone
Three relapses, two failed detoxes, a job he was about to lose. He almost didn’t make the call.
“What surprised me was that nobody made me feel like a problem. They asked what I needed, gave me the medication, and made the next appointment before I left. That was eighteen months ago.”
Eighteen months in recovery. Still works the same job. Calls his sponsor weekly.
All patient stories on this page are composites drawn from real journeys, with names and details changed for privacy. We never display actual patient information without explicit written consent.
Ready when you are
Ready to take
the first step?
Call, book online, or walk in. We’ll take it from there.
Same-day appointments All major insurance