When the usual things
haven’t worked.

It is used for depression and anxiety that haven't responded well to the usual approaches. It is not a first-line treatment, and it is not a replacement for therapy, psychiatric care, or the medications that are working for you.

No, and I want to be direct about that. Uncontrolled high blood pressure, certain cardiovascular conditions, active psychosis, some substance use histories, and pregnancy are among the reasons someone may not be a candidate. Screening exists to catch that. A practice that says yes to everyone is not screening.

I cannot promise that, and I would be suspicious of anyone who does. Some people respond meaningfully, some respond partially, and some do not respond at all. What I can promise is careful screening, honest expectations, real preparation and integration, and a physician who tells you when something is not working rather than selling you another package.

Usually not, but it depends on what you are taking. Some medications interact and some blunt the effect. We review your full list during screening and I coordinate with your prescriber rather than working around them. Never stop a psychiatric medication on your own.

This is a direct-pay practice, and ketamine care is generally not covered by insurance. For members, it is coordinated inside the relationship I already have with you, which means I know your history, your labs, and your medications before we start. You do not have to be a member to be screened.

The medicine is related. The context is not. Most infusion clinics see you for the session and little else. Here it sits inside a continuing physician relationship, alongside your primary care and everything else we are working on, with preparation and integration built in rather than sold separately, and the medicine comes as troches you take yourself rather than an IV in a clinic chair.