Board-certified Psychiatric Mental Health Nurse Practitioner with a Doctorate of Nursing Practice from the University of San Diego Hahn School of Nursing, Bryan Amaro, DNP-PMHNP co-founded SD Wellness Group at 3930 Fourth Avenue Suite 300 in Hillcrest in 2022. The practice runs in-office SPRAVATO (esketamine) treatment and transcranial magnetic stimulation alongside standard outpatient psychiatry, putting it in the same interventional psychiatry tier as Dr. Kai MacDonald. Amaro spent six years as an ICU nurse in San Diego before completing his DNP, and his sub-specialty focus is addiction medicine and substance-use recovery for young adults. He co-founded Healthy U Behavioral Health in 2018, a separate adolescent and adult substance-use treatment center, before launching the Hillcrest outpatient practice. The SD Wellness Group team handles co-occurring eating disorder and OCD presentations through internal therapists, with overflow specialty referrals routed to Eating Disorder & OCD Therapy San Diego. The highest-complexity workflow on site is full SPRAVATO induction for treatment-resistant depression, a REMS-monitored in-office esketamine protocol requiring two-hour observation alongside ongoing medication management.