Free Consultation

Schedule a free consultation with us. This can be done virtually or in-person. The consultation consists of a conversation about the conditions you are interested in treating with ketamine and your medical history to determine if ketamine infusion therapy is likely to be safe and effective for you. We will also give you an overview of our treatment process and answer any specific questions you have about ketamine therapy.

Orientation

Before your first ketamine treatment, we want you to have the opportunity to meet our clinical staff, tour our clinic, and ask any questions about ketamine therapy. We will give you a welcome packet, confirm that you have completed all consents and disclosures, and perform a baseline symptom assessment. Orientation can be completed on the first day of treatment.

Initiation Phase

Ketamine therapy begins with a series of six ketamine infusions administered over approximately three weeks. In the initiation phase, patients usually receive two treatments a week. This first series of ketamine treatments delivered in rapid succession is vital to break pathologic nerve communication pathways that cause depression, anxiety, PTSD, acute and chronic pain, substance dependence and other related conditions. Numerous clinical studies have shown that 70-80% of patients who suffer from treatment resistant depression and various chronic pain and substance dependence conditions experience significant and meaningful benefit at the completion of these six ketamine treatments. We select a starting dose for your treatment based on evidence from clinical studies, the conditions we are treating, and your personal medical history. We may increase or decrease the dose during the initiation phase to optimize the effectiveness of treatment while minimizing unwanted side effects. After your sixth ketamine treatment, you will complete the same symptom assessment. Then, you will meet again with us to go over your results and plan your transition into the maintenance phase.

Maintenance Phase

If you achieve meaningful relief of your symptoms of depression, anxiety, PTSD, acute and chronic pain, substance dependence or other related conditions, during the initiation phase of ketamine therapy, you will likely want to receive periodic maintenance or booster infusions. We recommend that you taper the frequency of ketamine infusion treatments according to the following schedule:

We recommend that you monitor your symptoms closely so that you can receive follow- up treatments before they become unmanageable. Additionally, we will send you symptom surveys and check in with you periodically to help guide your treatments.

Other Ketamine Treatment Routes

During the maintenance phase, you may choose to switch from intravenous infusions of ketamine to lower cost options such as intramuscular injections or sublingual (under the tongue) absorption. The clinical data supporting these ketamine administration methods is limited. However, in clinical practice they are safe and seem to be as effective or almost as effective as intravenous infusions.

Follow-up visits

You will meet with the physician at least twice during the initiation phase and every six months thereafter to evaluate your treatment’s effectiveness and determine if any changes are needed to your care plan. You may request an additional follow-up visit at any time.