Mental Health

Care that extends beyond appointments.

Integrative psychiatric and psychological care in Byron Bay. Careful assessment, evidence-informed treatment, and clinicians who take the time to understand the whole person in front of them.

If you need help right now.

Karuna is not a crisis service. If you or someone you love is in immediate danger, please call 000, or reach one of the free 24 hour services below. They are staffed by trained counsellors and they are there for exactly this.

Emergency 000 Immediate danger
Lifeline 13 11 14 24 hours, every day
Suicide Call Back Service 1300 659 467 24 hours, every day
Beyond Blue 1300 22 46 36 24 hours, every day
What we treat

Space to breathe, and support for change.

We combine clinical excellence with a full range of therapies, including medicine-assisted therapies, that treat the whole person, not just the diagnosis.

PTSD & Trauma

Rest, ease and trust can be learned again. Structured, trauma-informed treatment for PTSD and complex trauma, moving gently and at your pace.

Depression & Treatment Resistance

Specialised support for persistent and treatment-resistant depression. We address root causes across biological, psychological, existential and relational dimensions to restore vitality and flexibility.

Veterans & First Responders

For those who carried the weight for the rest of us. Trauma-informed psychiatric care for veterans, first responders and frontline workers, from people who understand service.

Anxiety

Anxiety shrinks life a little at a time. We treat generalised anxiety, panic and social anxiety, so the world can open back up.

Burnout & Chronic Stress

When the system has been running on empty too long. Careful assessment, true restoration, and a sustainable way back to the life you actually want.

Life Transitions & Existential Distress

Illness, separation, grief, identity, major change. Skilled support when life reorganises around you, with unhurried care for the questions of meaning that come with it.

Women's Wellbeing

Care for the seasons medicine has long overlooked: perinatal mental health, PMDD, perimenopause and menopause, and the transitions in between.

Couples & Family Therapy

Restoring communication, mutual emotional safety and shared resilience when individual trauma, attachment ruptures, betrayal or chronic distress impacts the relationships that matter most.

Meet Karuna clinicians → Take the next step →

Enquiry & intake

You do not need to know the whole path to take the first step.

Care at Karuna begins with an enquiry and a thorough clinical assessment. Here is what happens, and when.

01

Enquiry

Reach out through our enquiry form, by email, or ask your GP or treating clinician to send a referral letter. Self-enquiries are welcome, and no letter is required to start. Psychiatry can be seen privately without a referral; a GP referral addressed to Dr David Graham is required for psychiatry and psychology Medicare rebates.

Any time
Medicine-assisted only 02

Anchoring Call

If you are enquiring about medicine-assisted therapies, we begin with a short complimentary call: a first conversation to connect, share what we offer and talk through your funding options. A non-clinical conversation; no treatment advice is given, and nothing is decided on the call.

15 minutes · complimentary
03

Triage and intake

We guide you through intake, match you with the right pathway and clinician, and confirm your funding. An assessment covers your history, concerns and goals to shape your care plan.

Medicine-assisted only

An Intake Assessment confirms suitability first.

60 to 90 minutes
04

Begin care

Your first session is booked at a time that suits you. Where it is helpful, we liaise with your existing care team, always with your written consent.

At your pace

Suitability for any treatment at Karuna is determined by a qualified clinician after assessment. Not every pathway is appropriate for every person, and we will tell you plainly if what you are looking for is not something we can offer.

Take the next step →

Before you begin

The questions people ask first.

What happens after I enquire?

A member of our intake team will be in touch and send you two short forms, including a five-minute pre-screener. From there, our intake team will guide you to the right pathway. If you are enquiring about medicine-assisted therapies, we begin with a complimentary Anchoring Call (a non-clinical conversation; no treatment advice is given). Nothing is decided at this stage. It is simply a starting point.

Do I need a GP referral?

It depends on the service. Psychology and our programs need no referral at all, though a GP referral with a Mental Health Treatment Plan unlocks Medicare rebates for psychology. Specialist psychiatry does require a GP referral before the first appointment, and if you are self-referred we will help you obtain one.

Is my information kept private?

Yes. Your information is held securely, handled under Australian privacy law, and shared with other treating practitioners only with your written consent, other than where the law requires otherwise.

Can I enquire on behalf of someone else?

You can. Families, carers, GPs and treating clinicians contact us often. We will explain what we can discuss without the person's consent, and how to bring them into the conversation when they are ready.

What if Karuna is not the right fit?

We will say so, and point you toward services that suit you better. And if a different Karuna service fits, we move you across warmly: your record moves with you and you never restart from the beginning.

Can I see Karuna online?

Yes. Psychiatry, psychology and contemplative therapies are available by secure video anywhere in Australia. You will need a private space, a reliable internet connection and a device with a camera. Sessions run on a secure, privacy-compliant video platform that keeps your information protected. At the start of every session we confirm your location and an emergency contact. Online care is not suitable in an acute crisis. Appointment times are in Australian Eastern Time (AEST/AEDT).

I don't live near Byron Bay. How can I access treatment?

Many of our clients travel from interstate and regional areas. We offer dedicated residential accommodation and amenities, allowing you to step away from daily stressors and fully immerse yourself in treatment, restorative rest, and structured integration. Initial screening and preparation can often be conducted via telehealth prior to your arrival.

Where is the clinic located?

We are located in a peaceful, discreet setting just a 10-minute walk from the heart of Byron Bay and its natural coastline. Our clinic and onsite residential amenities are intentionally designed to offer a calm, restorative environment where you can unwind and focus entirely on your care.

Are these treatments covered by Medicare or private health insurance?

Standard psychiatric consultations, psychology sessions, and medical assessments are eligible for Medicare rebates with a valid GP referral or Mental Health Treatment Plan. Specialised, intensive clinical sessions and extended care pathways can involve private out-of-pocket fees. We provide a clear, itemised fee schedule upfront so you know exactly what to expect before committing to care. Psychology is open to all funders including DVA, WorkCover and victims-of-crime schemes; our team confirms your funding during intake so there are no surprises.

Do I have to stop taking my current psychiatric medications?

Not necessarily. Medication plans are assessed individually during your medical and psychiatric intake. Some treatments can safely run alongside standard antidepressants, while others may require gradual, carefully supervised tapering coordinated directly with your prescribing doctor.

Is there anyone Karuna cannot see?

We see adults 18 and over, and we are not an acute or crisis service. For under-18s or urgent care we will help you find the right service quickly rather than hold you in a queue.

Our clinical framework

The SWIM & FLOAT™ Model.

A clinical framework that helps turn moments of profound insight into lasting change. SWIM & FLOAT rests at the intersection of cognitive science, medicine-assisted therapy, trauma-informed care, shaping the setting around you, and contemplative training.

It provides individuals and clinicians with the architecture to hold, navigate and integrate significant therapeutic experiences into durable psychological and behavioural change.

Explore the model →

Take the next step

You want to start, but don't know how. Just reach out.

Every pathway at Karuna begins with an enquiry and a conversation with our intake team. Tell us what you are looking for, for yourself or for someone you care for, and we will guide you from there.