Gray Matters Wellness

Mental Health Care That’s Clear, Compassionate, and Customized.
Built around your story — without the insurance red tape.



What I Offer

I provide psychiatric care and therapy that’s relational, trauma-informed, and tailored to people whose stories don’t fit into a 15-minute visit.Whether you’re navigating:🌿 Trauma recovery🧠 Disordered eating or body image issues⚡ Neurodivergence or burnout🩶 Anxiety, grief, or chronic overwhelmYou’ll get care that’s specialized, human-centered, and priced for real life.

Not sure where to start? I offer a free 30-minute consultation to help you explore your options with no pressure.


To offer deeply personalized, confidential, and flexible care, I’ve chosen not to contract with insurance companies. This allows your care to be:- unrushed
- not dictated by diagnosis codes
- free from third-party limitations
To keep services accessible, I require a $60 booking fee to reserve your session. After that, you may:- pay in full at the time of service
- make monthly payments of $50 or more until your balance is paid
While I don’t bill insurance directly, I provide superbills that you can submit to your insurance provider. I also recommend using MENTAYA to help access your out-of-network benefits.💡 Note: Payment of any remaining balance is still required, even if the therapeutic relationship ends before the full amount is paid.



Who I Help

Gray Matters is a safe space for people navigating life a little differently — whether you’re healing from something heavy, overwhelmed by everything, or just need care that actually fits you.I often work with:Adults recovering from trauma or long-term stressThose dealing with eating struggles or body image distressBurned-out professionals, caregivers, and creativesPeople managing anxiety, depression, or chronic emotional fatigueNeurodivergent individuals looking for flexible, affirming supportIf you’ve ever felt dismissed, misdiagnosed, or like you had to explain yourself too much — you’re not alone here.



How I Work

Getting started is simple — and staying in care shouldn’t feel financially impossible.
Most people pay less than or about the same as a typical specialist co-pay each month — without the insurance headaches.
Here's how it works:
-Book a Free 30-Minute Consultation
Just a low-pressure video call to see if we’re a good fit.
-Schedule Your First Session
A 90-minute intake — with a $60 booking fee to hold your spot.
-Pay Over Time, if Needed
Remaining balance can be paid over time, with a $50/month minimum and prior agreement.
(Comparable to many insurance co-pays, but with more time and flexibility.)
-Skip the Insurance Red Tape
You get care on your terms.
Superbill provided for reimbursement upon request.



Meet Mandy

Meet Your ProviderHi, I’m Mandy Downey — a board-certified psychiatric-mental health nurse practitioner and the founder of Gray Matters Wellness. I specialize in trauma recovery, eating disorders, neurodivergence, and the messy, beautiful work of being human.I created Gray Matters to offer something different from rushed visits and insurance-driven care — a space where your story leads the way, not a billing code.My approach is collaborative, trauma-informed, and deeply individualized. Whether you need medication support, therapy, or both, my goal is to help you feel seen, supported, and in control of your care.Outside of sessions, I’m someone who believes in messy honesty, radical acceptance, and asking better questions.If you’ve felt overlooked, misdiagnosed, or burned out by the system — I built this practice for you.


Ready When You Are

Whether you're ready to book or just exploring your options, I’m here when you’re ready.No insurance hoops. No rushed sessions. Just thoughtful, trauma-informed care — built around your story.