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Medication Assisted Psychotherapy

Monarch Mental Health Group opened Australia’s first medication assisted psychotherapy program in November 2023. This innovative program is led by our co-founder and Psychiatrist Dr. Ted Cassidy, along with Senior Clinical Psychologist Monica Schweickle. Our program builds upon the knowledge of Monarch Research Institute and the expertise of Associate Professor Bernadette Fitzgibbon and Professor Paul Fitzgerald.

Benefits of Medication Assisted Psychotherapy

Medication assisted psychotherapy has shown promise in the treatment of chronic depression and post-traumatic stress disorder. Clinical trials have demonstrated that these therapies are safe and effective treatment options for individuals experiencing treatment-resistant depression or post-traumatic stress disorder. Participants may report benefits such as an increased sense of connection to themselves, others, and the world, greater self-compassion, shifts in perspective on long-standing problems, and new insights to resolve their mental health challenges.

Medication Assisted Psychotherapy
Distinguishing Features

Distinguishing Features

It is important to note that medication-assisted psychotherapy is not micro-dosing and is not the same as taking standalone prescription medicine. The program is best thought of as an intensive psychotherapy program, augmented by three medicine sessions and supervised by a multidisciplinary medical and therapist team. These medicine sessions are designed to enhance the effectiveness of therapy, helping individuals process or overcome ingrained beliefs, traumas, and emotional distress, and amplifying their inner resources or wisdom to respond to life’s challenges. Medicine assisted therapy can be a next-step option for those who have not found enough benefit from traditional mental health treatments, such as antidepressants.

Distinguishing Features

How it Works

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Booking Your Assessment

The first step is to obtain a referral from your GP or treating psychiatrist and contact us (link to contact page).

Our program co ordinator will respond to your enquiry, answer any questions you have and explain the program and costs, then book in a screening assessment with a psychologist and prescriber psychiatrist.

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Screening and assessment

Our highest priority is your safety and ensuring our therapeutic program is likely to be an effective option for you. Our screening and assessment service involves a comprehensive psychological interview, medical screening, psychometric questionnaires, and prescriber psychiatrist assessment. We will work closely with your treating team, with your consent. This assessment process is holistic and is a process completed over several weeks, designed to understand your medical, social or psychological background and whether our therapeutic program is likely to be a safe and suitable option for your recovery goals at this time.

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Preparation sessions

Two experienced therapists (insert hyperlink to therapist team page) will support you through this therapeutic program, which is overseen by a prescribing psychiatrist. There are a minimum of three preparation sessions which take place over telehealth before the first medicine dosing session. These focus on building an understanding of what has brought you to treatment, creating the ideal mindset for the medicine experience, including intentions for the session and what to expect, and building a relationship with your therapists.

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Medicine dosing sessions

Our therapeutic program integrates three medicine dosing sessions across a minimum of 12 weeks. Each dosing session occurs on site in our accredited outpatient clinic, in a private room accompanied by your therapist team, with medical and nursing staff on site at all times. Dosing sessions are best thought of as a multi-day experience, it is recommended to keep a light schedule with minimal plans, and time for rest during the days after the dosing session. All dosing sessions occur at our accredited outpatient clinic in Melbourne. Accessibility is important to us, and we welcome clients from rural and regional Australia, interstate and overseas.

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Integration sessions

Your therapists will meet with you for three integration sessions after each dosing session, to support you processing the experience and any insights or realizations. Integration sessions are tailored to you and provide a space to make meaning of the experience and how this might translate to ongoing healing and recovery from trauma or depression. Your therapists and prescriber will work closely with you towards the end of treatment to develop a personalized ongoing integration plan.

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Group Integration Program

Medicine assisted therapy is a unique life experience, and it may be helpful to connect with other people who have been through the same treatment program. Monarch Mental Health Group offer an online support group facilitated by a therapist and a lived experience consumer advisor. The program is open to any individual who is engaged in or has completed a legal medicine assisted therapy program, or clinical trial, and is designed to introduce integration tools and provide a safe space for participants to share their experiences.

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About

Dr Ted Cassidy

Dr Ted Cassidy

Cofounder & Psychiatrist

Dr. Ted Cassidy is a psychiatrist and co-founder of Monarch Mental Health Group in Australia, which provides innovative treatments for depression, PTSD, and anxiety.

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Monarch Mental Health is recognized as Australia's first outpatient clinic offering assisted therapy and is the largest provider of outpatient magnetic stimulation therapy, among other advanced treatments. Previously, from 2004 to 2015, Dr. Cassidy was the co-founder and Chief Psychiatrist of The Hills Clinic Hospital and medical centers, which treated over 10,000 patients during his tenure.

Monica Schweickle

Monica Schweickle

Director of Medicine Assisted Therapy Programs and Clinical Psychologist

Monica is a Senior Clinical Psychologist and a Psychology Board Approved Supervisor with 18 years of experience in a range of mental health settings.

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Monica is also a mother, yoga teacher, gardening enthusiast and book nerd. Her clinical experience includes working with people who have experienced childhood and adult trauma, especially veterans, current and former serving defence personnel, First Nations peoples, domestic violence survivors, and victims of crime. She has worked within inpatient and outpatient psychiatric hospital settings, in private practice, and prisons. Monica has expertise in the field of substance use, having worked across opiate substitution clinics, community settings and residential rehabilitation services. Monica has been involved in the training, supervision, and well-being of other mental health professionals for the past decade. She provides clinical supervision to health professionals, counsellors and peer workers, provisional, registered, and clinical registrar psychologists, as well as professionals with conditions posed on their registration by AHPRA. Monica believes that the relationship between client and therapist is the heart of effective therapy and that the relationship between supervisee and supervisor is equally as important. She is a warm, insightful therapist whose approach depends on the needs of the person. Her therapeutic style draws on strengths-based approaches, relational and interpersonal psychotherapy, Eye Movement Desensitisation Reprocessing (EMDR), IFS, somatic psychotherapy, mindfulness and non-dual meditation practices. Monica is an Accredited EMDR Practitioner with EMDRAA, an Internal Family Systems (IFS) Level 1 Practitioner. She is a Certified iRest Yoga Nidra teacher and has co-authored research on yoga and mental health. She is also a non-executive committee member of a domestic violence charity in Newcastle.

Assisted Psychotherapy Team

Clara Fritchley

Dr. Clara Fritchley

Clinical Psychologist

Clara is the senior clinical psychologist at The Monarch Clinic.

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Clara holds an honours degree in Psychology and a master's degree in Clinical Psychology, both from Macquarie University. She is in her final years of a PhD at the Matilda Centre, University of Sydney, with her thesis examining people’s experiences of therapy while engaged in the NSW Drug Court Program, using both qualitative and quantitative methodology. Clara is registered with the Australian Health Practitioner Regulation Agency (AHPRA) and is a member of the Australian Clinical Psychology Association (ACPA). She is a registered supervisor with AHPRA and provides supervision to both provisional psychologists and clinical psychology registrars. Clara has a 20-year history of clinical work within the forensic, clinical and substance misuse fields of psychology, working in both public and private facilities. She has worked extensively with children and adults, specialising in the assessment and treatment of complex presentations where a person may have multiple comorbidities and have endured traumatic experiences. For the past 14 years, Clara has worked privately providing psychological therapies to adults experiencing clinical mental health disorders. She has also been providing psychological assessments and reports to the Courts specialising mainly in drug use disorders. For the past two years, she has been consulting with Ngaoara providing psychological interventions and support to Aboriginal children with a history of trauma and limited social support. Clara utilises several clinical interventions in her work, including Dialectical Behaviour Therapy (DBT) and Radically Open Dialectical Behaviour Therapy (RO DBT), Schema Therapy and Cognitive Behaviour Therapy. She is particularly interested in relational psychodynamic approaches to therapy.

Angela Porter

Angela Porter

Registered Psychologist

Angela is a psychologist at The Monarch Clinic and has special interests in counselling, assessing and treating adults.

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Angela graduated with a Bachelor of Psychology (Honours) and a Master of Professional Psychology both from Macquarie University. She is a provisionally registered psychologist with the Psychology Board of Australia and has been counselling, assessing, and treating adults and young adults for 2 years. Angela is passionate about improving her client’s quality of life and is experienced with adults from late adolescence through to the very elderly. Angela is trained in Cognitive Behavioural Therapy (CBT) and Dialectical Behaviour Therapy (DBT) and has experience working with a broad range of clinical presentations, including alcohol and other drugs, depression, anxiety, PTSD/C-PTSD and ADHD.

Hannah Hawkes

Hannah Hawkes

Clinical Psychologist

Hannah is a warm, empathic Clinical Psychologist, Board Approved Supervisor and EMDR Consultant. She is a member of the APS Clinical college, the AAPi and EMDRAA.

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She has worked in a number of public and private settings in the UK and Melbourne, initially as a nurse and advocate and then as a psychologist in both group and individual therapy settings. Hannah is trained and experienced in a number of therapies including ACT, DBT, EMDR and Schema therapy. She uses parts work informed by IFS and ego state therapy. She has had her own solo private practice for nearly 5 years working predominantly with people with PTSD and complex PTSD. Hannah is passionate about working with individuals in a collaborative way. Over the past 18 months she has developed a special interest in psychedelic-assisted therapy and is enjoying absorbing all she can about this approach. She is a volunteer research therapist on a number of clinical trials. Hannah is down to earth and enjoys nature, books, tea and weight lifting!

Antanika Hoberg

Antanika Hoberg

Integration Group Facilitator

Antanika Hoberg is integration aftercare program facilitator who brings a wealth of experience from various facets of understanding of mental health and health systems.

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She excels at creating supportive, relaxed spaces that facilitate healing and growth. Her expertise is highly valued within The Australian Psychedelic community. In her professional roles, Antanika has served on the Monarch Mental Health Group Consumer Advisory Board since 2023 and is the President of the Australian Psychedelic Society (APS), where she has been a dedicated volunteer since 2018. She is also a student of Health Sciences (Psychology) at Flinders University. Antanika's focus includes integration, drawing from her extensive experience in both therapeutic and recreational settings. Antanika co-leads APS women's groups for peer support and integration and facilitates her own online peer-led integration groups. Additionally, she has worked with community disability and CALD groups and is a co-founding member of the Ethical Psychedelic International Community (EPIC).

Ashley White

Ashley White

Counselling Psychologist

Ashley is a Counselling Psychologist and Board-Approved Supervisor with a special interest in, and experience with, supporting adults who have experienced childhood emotional abuse and neglect.

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He has worked extensively with survivors of trauma in child/youth/family and veteran/first-responder communities. In addition to his clinical work, Ashley is an internationally-accredited Emotion Focused Therapy Supervisor, providing mentorship and training as part of the Australian Institute of Emotion Focused Therapy (AIEFT). He supervises both aspiring and seasoned therapists, promoting relationally-oriented, emotion-focused ways of working in therapy. Ashley is deeply interested in the transdiagnostic origins of particular psychological problems and the potential of psychedelic-assisted therapy to facilitate healing through new ways of meaning-making.

Dr Sonia Zammit

Dr Sonia Zammit

Clinical Psychologist

Dr Sonia Zammit (She/her/hers) is a Clinical Psychologist working with the team as a Psychedelic Assisted Therapist. She also works in private practice, with prior roles in drug and alcohol and mental health settings.

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Accredited at the advanced level in Schema Therapy and trained in EMDR, Sonia has a passion for supporting those working through complex and long term healing from Trauma, Addiction, Anxiety, Mood Difficulties and often complicated interpersonal relationships. Sonia aims to develop a safe place where people can form a stronger sense of hope, confidence, and ability to make their own choices and take action to create change in their lives. Sonia values both evidence based frameworks and the importance of a safe and validating therapy relationship, working collaboratively based on each individual’s needs and resources they bring. Dr Sonia Zammit is a registered clinical supervisor with the Psychology Board of Australia, and enjoys supporting professional development through supervision, coaching, and training for private practitioners and those within behaviour change programs, community health services, and telephone counselling services. Training practitioners in Motivational Interviewing Framework is another interest and sonia is a Member of the Motivational Interviewing Network of Trainers.

Unlock New Paths to Healing: Explore Our Medicine Assisted Psychotherapy Program Today

Unlock New Paths to Healing: Explore Our Medicine Assisted Psychotherapy Program Today

Frequently Asked Questions

Can I attend the program if I do not reside in the same city as the clinic?

Yes, we welcome clients from all over Australia and the world. A core value of Monarch Mental Health Group is the equitable access of mental health services for people from rural and remote regions of Australia, and we have demonstrated track record of delivering mental health services using Telepsychology and Telepsychiatry. The screening, preparation and integration sessions may be completed via Telehealth; however the dosing sessions are always on site and medically supervised. 

Can I drive myself home after the medicine dosing sessions?

No, we recommend avoiding driving for at least five days after dosing sessions. It is a safety requirement that a suitable support person (friend, spouse, family member) accompany you home from the clinic after dosing and be with you until the first integration session the following day. If you are travelling from another region or state, your support person will need to accompany you to your accommodation and stay with you after the dosing session.

What if I need more therapy sessions, or more time between medicine sessions?

Dosing session experiences can be incredibly diverse, and it is difficult to know what will emerge during the session. As such, the prescriber psychiatrist and therapist team will work collaboratively together with you and refine treatment based upon your response to the therapeutic program. Additional therapy sessions are available, in discussion with your therapist team.

What support is available after the therapeutic program?

Integration and recovery from mental health concerns and trauma can be an unfolding, multilayered process. As such, at the end of our program your therapists and prescriber will develop an ongoing integration plan with you. We will communicate to your treating team, with your consent, to provide continuity of care. 

Monarch Mental Health Group offer a group integration program (link) for people who have participated in medicine assisted therapy, whether in clinical trials or in clinical programs, which is facilitated by a therapist and lived experience advisor.

What is the cost of the program?

Medicine assisted therapy at Monarch Mental Health Group means engaging in approximately 36 hours of therapy with two therapists, plus psychiatrist reviews and involvement of a multidisciplinary team including a senior clinical psychologist and nurse. We offer a subsidy for private paying patients to reduce the cost of the therapeutic program. Our program co-ordinator will discuss your situation and funding options.