Care You Can Trust. Space You Deserve.
About The Serene Sanctuary
Your Private Retreat for Mental Clarity and Calm — Led by Someone Who Gets It
Welcome — I’m Sara Spence, a board-certified Psychiatric Nurse Practitioner with over a decade of experience in mental health, first as a psychiatric nurse and now as a provider. I founded The Serene Sanctuary to create something different: a women-owned telepsychiatry practice designed specifically for women who look like they’re doing just fine — but feel anything but.
If you're juggling a career, family, caregiving, or all of the above…
If you're tired of pretending you're okay when you're anxious, burned out, or just not yourself anymore...
This space was built for you.
At The Serene Sanctuary, I offer private-pay, virtual psychiatric care across Indiana — including Carmel, Fishers, Noblesville, Westfield, and Kokomo. I specialize in personalized mental health support for women who are done holding it all together alone.
My approach goes beyond quick fixes. You’ll get thoughtful medication management paired with lifestyle-focused care — sleep, nutrition, mindfulness, supplements, emotional regulation — all tailored to you. And because I don’t work with insurance, we don’t have to rush, cut corners, or check boxes that don’t apply.
This is your sanctuary: a calming, confidential space where you get to show up as you are, be seen fully, and start healing at your own pace — with guidance from someone who truly understands.
Care That Feels Personal—Because It Is
At The Serene Sanctuary, you’re not just another name on a schedule—and this isn’t just another appointment.
You're showing up for support that actually feels supportive. The kind that respects your time, listens to your story, and works with you to create lasting change.
Here’s how we do it:
🍃 Individualized Treatment
Mental health isn’t one-size-fits-all—and your care shouldn’t be either. We collaborate with you to create a treatment plan that fits your goals, preferences, and lifestyle. This is care done with you, not to you.
🍃 Whole-Person Support
You’re more than a diagnosis. That’s why we look beyond symptoms. Your care may include medication, but also guidance around sleep, routines, nutrition, stress, and what’s actually happening in your day-to-day life.
🍃 Education and Empowerment
You deserve to understand your treatment—not just follow instructions. We talk openly about diagnoses, medication options, supplements, and lifestyle strategies, so you can make confident choices.
🍃 Insurance-Free = Patient-Focused
As a self-pay practice, we stay out of the insurance system so we can focus fully on you. That means longer visits, more personalized attention, and no jumping through hoops to get the care you need.
This is your sanctuary—a place to exhale, untangle your thoughts, and feel like yourself again.
Prioritizing Women's Mental Health:
Who I Help
The Serene Sanctuary is for women who feel like they’re doing everything for everyone—but no one’s really checking in on them.
I specialize in working with women who are:
🍃 Quietly burned out but keep pushing through
🍃 Balancing careers, caregiving, and life’s pressures without a break
🍃 Struggling to focus, sleep, or just slow down
🍃 Living with anxiety, racing thoughts, or constant mental noise
🍃 Wondering, “Is this burnout? Anxiety? ADHD? Why can’t I just feel better?”
You don’t have to untangle it all alone. And you don’t have to settle for rushed care or generic advice.
Start here—with care that’s built for you.
My Approach
You deserve mental health care that honors your reality—not just your symptoms.
At The Serene Sanctuary, we’ll work together to uncover what’s really going on and create a care plan that feels both grounding and do-able.
That may include:
🍃 Thoughtful medication management (when needed)
🍃 Guidance around sleep, stress, nutrition, nervous system support, and emotional resilience
🍃 Education on how your mind and body are connected—and what you can do to feel better
🍃 Ongoing support that actually fits into your life
I bring over a decade of experience as a psychiatric nurse and board-certified PMHNP—but also the insight of a woman who understands the pressure to be “fine” when you’re anything but.
This is real help, without judgment or pretense. Just the kind of support you'd want from someone who really gets it.
What I Can Help With
You don’t need to come in with a diagnosis or the perfect words to describe how you feel. If something just feels off, I’m here to help you figure it out.
Some of the things I most commonly support women with include:
🌿 Feeling low, unmotivated, or emotionally numb (depression, PMDD, postpartum mood changes)
🌿 Constant worry, overthinking, or spiraling thoughts (anxiety, panic, OCD)
🌿 Big emotions that feel hard to manage—or that hit out of nowhere
🌿 Exhaustion that sleep doesn’t fix (burnout, chronic stress, ADHD-related fatigue)
🌿 Trouble sleeping or relaxing, no matter how tired you are
🌿 Navigating emotional changes around your cycle, pregnancy, or postpartum
🌿 Past experiences or trauma that still affect your day-to-day life
🌿 Feeling stuck in survival mode—and not knowing how to come up for air
This is a space to sort through what’s going on, without judgment, pressure, or labels.
If it’s weighing on you, we can talk about it.
How It Works
Book a free 15-minute consult to make sure we’re a good fit
Start with a 75-minute evaluation to explore your story, symptoms, and care options
Continue with personalized follow-ups—combining medication, lifestyle support, and emotional care at your pace
Your healing doesn’t have to look like anyone else’s. This is your sanctuary to feel seen, supported, and cared for—on your terms.
Investment in Your Mental Wellness
At The Serene Sanctuary, every session is thoughtfully designed to support you—not just your symptoms. All appointments are held virtually, making it easier to prioritize your mental health from wherever you feel most at ease.
We are a private-pay practice and do not accept insurance, but superbills can be provided for possible out-of-network reimbursement.
🌿 Lifestyle & Mental Wellness Coaching
Included in 50-minute follow-ups or scheduled as standalone sessions.
This is for women looking to go deeper with nervous system regulation, mindful routines, sleep optimization, nutrition education, supplement guidance, and emotional self-care.
This is more than just treatment.
It’s your mental wellness sanctuary—designed around your real life.
🌿 Initial Psychiatric Evaluation
75 minutes | $295
A comprehensive and compassionate evaluation to understand your full story—mental, emotional, and physical. Together, we’ll explore what’s working, what’s not, and create a personalized plan that fits your life. May include medication, supplements, and lifestyle strategies.
🌿 Follow-Up Appointments
25 minutes | $150
For medication management, brief check-ins, or focused support.
50 minutes | $200
Ideal for clients wanting a deeper dive—whether that’s med management, therapy-style support, or holistic coaching on stress, sleep, nutrition, and emotional regulation.
Only 3 Steps to Start Your Journey
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Step 1: Choose how you'd like to book
Option 1: Schedule a free 15-minute consult.
a) Call to book 317-279-5045
b) Schedule 15 min call online (see link below)
Option 2: Book an initial evaluation
Schedule initial evaluation online
You’ll get instant confirmation and a secure portal login for forms in your email.
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Step 2: Meet Virtually for your deep-dive evaluation
Join from your phone or laptop via a private link. (you will receive this link along with appointment reminders via email/text)
We’ll do a thorough psychiatric assessment and build a personalized plan together—this may include medication management, therapy strategies, lifestyle guidance, and (optional) advanced lab panels and pharmacy-grade supplement recommendations when appropriate.
Prescriptions and labs are sent directly; your results and notes live in your secure portal.
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Step 3: Follow-up care that keeps momentum
We’ll review progress, fine-tune meds, and target specific symptoms.
Secure messaging makes it easy to ask questions between visits, and your plan evolves as you do—so you can feel better, faster, and stay that way
…so you can focus on living, not just coping.
About our Services
Private Pay Only
The Serene Sanctuary is a private-pay practice. We intentionally choose not to accept insurance so we can spend more time with each client, offer truly personalized care, and stay free from the limitations insurance often places on treatment. You’ll never feel rushed or boxed in here—your care is designed for you, not dictated by billing codes.
Superbills are available if you’d like to seek out-of-network reimbursement.
Client Age Spectrum
We work exclusively with adults, ages 18 to 65, because our virtual care model is best suited for the unique needs of this population. This focused approach allows us to provide high-quality, specialized support for women navigating the pressures of adult life, whether that includes career demands, parenting, caregiving, or all of the above.
No Benzodiazepines Policy
We do not prescribe benzodiazepines (such as Xanax, Klonopin, Ativan, or Valium). This is a thoughtful decision based on both safety and long-term wellness. These medications can be habit-forming, and telehealth alone isn’t the right setting for managing them responsibly.
Instead, we’ll work together to explore safer, sustainable options that support your mental health with clarity and care.