Pia Arrendell, LMFT

Trauma, Couples & Ketamine-Assisted Psychotherapist

Healing is more than understanding what happened—it is helping the brain and nervous system create new patterns that support lasting change.

Pia Arrendell, LMFT - Asheville Ketamine Therapy

Since 2009, Pia has specialized in helping individuals and couples heal from trauma, betrayal, attachment wounds, PTSD, and relationship distress.  As an EMDR Trauma Certified Therapist with advanced training in attachment-focused therapy, sex therapy, and relational healing, she is passionate about helping people move beyond survival and reconnect with themselves and the people they love.

Many come to therapy knowing what they want to change but feeling unable to do so. They want to let go of the past, rebuild trust after betrayal, or respond differently in their relationships. Yet when old wounds are activated, their nervous system often falls back into familiar patterns of fear, shame, anxiety, withdrawal, or conflict. For individuals, this work helps create new experiences of self-connection, allowing healthier patterns to replace those shaped by trauma and chronic stress. Therapy is about helping those new experiences become more than insight—it is about helping them become the brain and body’s new way of responding.

Ketamine-Assisted Psychotherapy helps support that process. Ketamine creates a temporary window in which the brain becomes more open to change, allowing clients to step outside long-standing emotional patterns and experience new ways of thinking, feeling, and relating. When combined with skilled psychotherapy, these experiences can become integrated into daily life, helping clients create meaningful and lasting change.

Pia has a special passion for working with individuals and couples recovering from betrayal trauma or chronic relationship conflict. She has found that ketamine, combined with attachment-focused therapy and EMDR, can help individuals process painful experiences with greater flexibility and help couples become less reactive, more emotionally present, and better able to reconnect with one another. Many couples already know they want to love each other better—they simply struggle to access those abilities when conflict activates old protective patterns. Her goal is to help partners create new emotional experiences that foster trust, intimacy, and lasting connection. Every treatment plan is individualized because healing is never one-size-fits-all.

Whether working with an individual or a couple, Pia’s mission is to help clients move beyond simply understanding change—to truly experiencing it, creating lives and relationships marked by greater resilience, connection, and hope.