Ketamine Therapy FAQs |
Ketamine therapy may be recommended for:
- Adults with moderate to severe depression
- Adults experiencing acute suicidal thoughts
- Some individuals with bipolar disorder or personality disorders
- Post-traumatic stress disorder (PTSD)
- Certain chronic pain conditions such as migraines, CRPS, and other
- Other FDA approved conditions are listed below.
Mood Disorders, Depression, PTSD |
Chronic Pain Conditions: CRPS, Fibromyalgia, neuropathic pain, MS |
Migraine - Single Treatment |
400 |
600 |
650 |
Per session in Loading Series |
Per session in Loading Series |
Per one time session |
1:1 Nurse - 40-60 min infusion Loading series is 11 total in 2 months |
4-5 hour infusion Loading series is 4-5 over 2 weeks |
Single session of 4 hour infusion |
Includes supportive medications |
Includes supportive medications |
Includes supportive medications |
$450 per on-going maintenance session recommended every 4-6 weeks |
$650 per maintenance session recommended every 4-6 weeks |
~ |
Plan for an additional 60 minutes added to infusion times to get your total time in clinic. Driver is required to be able to receive your session.
Financing available through Advanced Care Credit.
>>Excellent Credit may be eligible for 0% financing for 15 calendar months using a monthly payment.
All others may be eligible for a lump sum with a % according to credit scores.
Please see https://advancecarecard.com/for-patients/
Financing available through Advanced Care Credit.
>>Excellent Credit may be eligible for 0% financing for 15 calendar months using a monthly payment.
All others may be eligible for a lump sum with a % according to credit scores.
Please see https://advancecarecard.com/for-patients/
Discounts:
These do NOT stack — CHOOSE ONE ONLY
Current DPC members get $25 off per infusion.
First responders (Firefighters and Police) and Veterans/active military - $50 off each infusion
Mood: If 11 sessions of loading series are paid in full — 12th infusion (first maintenance) is FREE - $450 in savings.
Pain: If 5 sessions are paid in full — 10% off (applies to loading series or maintenance)
Current DPC members get $25 off per infusion.
First responders (Firefighters and Police) and Veterans/active military - $50 off each infusion
Mood: If 11 sessions of loading series are paid in full — 12th infusion (first maintenance) is FREE - $450 in savings.
Pain: If 5 sessions are paid in full — 10% off (applies to loading series or maintenance)
What is Ketamine?
How is Ketamine Administered?
Ketamine is typically given as a series of intravenous (IV) infusions, troches (lozenges) or as a nasal spray. We offer all options at our clinic.
For IV infusions:
What to Expect During Treatment
Potential Side Effects
Common side effects may include:
Rare side effects can include bladder issues or hallucinations. Let your provider know if you experience any concerning effects.
Important Considerations
Follow-Up Care
Your provider will work with you to determine the optimal treatment course and any maintenance infusions needed. Ongoing psychotherapy is often recommended in combination with ketamine.
Ketamine is typically given as a series of intravenous (IV) infusions, troches (lozenges) or as a nasal spray. We offer all options at our clinic.
For IV infusions:
- A typical course for Mood is 5-6 treatments over 1 month followed by 4-5 treatments the second month then monthly as maintenance. Each infusion lasts about 40 minutes. You'll be monitored during and after the infusion with a nurse that is solely assisting in your integration.
- A typical course for Pain is 4-5 treatments over 1-2 weeks followed by a maintenance of usually 1 every 4-6 weeks. Each infusion lasts 4-5 hours. You’ll be monitored during and after the infusion with a nurse 1 to 1 for the first 60 minutes and frequent check ins thereafter.
- Our clinic also offers compounded ketamine nasal spray and troches through Maker’s Pharmacy in Mount Vernon. Injectable is not an option nor is safe for at home use. Your first induction will be at the clinic with one of our trained staff to find the right starting dose and make sure there are no side effects.
What to Expect During Treatment
- You may experience dissociative effects like feeling detached or "floaty"
- Mental health patients may have suppressed thoughts come to light that can then be processed with required psychotherapy
- You'll be awake but may feel drowsy
- Your vital signs will be closely monitored
- Side effects typically resolve soon after the infusion ends
- Side effects will be managed with supportive IV medications such as
- Nausea: Zofran, Phenergan
- Anxiety: versed
- Increase in blood pressure: magnesium and labetalol
- Pain: ketorolac if needed
Potential Side Effects
Common side effects may include:
- Nausea
- Dizziness
- Blurred vision
- Increased blood pressure
- Vivid dreams
- Confusion
Rare side effects can include bladder issues or hallucinations. Let your provider know if you experience any concerning effects.
Important Considerations
- You'll need someone to drive you home after each treatment. There are zero exceptions to this rule. Should there be no ride a cab or Uber will need to be arranged at the cost of the patient.
- Avoid driving or operating machinery for 24 hours after treatment
- Avoid any significant or legal decisions for 24 hours after treatment
- Continue taking your regular medications unless instructed otherwise
- Ketamine can be abused, so it's only given under medical supervision
Follow-Up Care
Your provider will work with you to determine the optimal treatment course and any maintenance infusions needed. Ongoing psychotherapy is often recommended in combination with ketamine.
FDA Approved for:
Mental health
Chronic Pain
- Treatment resistant depression
- Severe anxiety
- PTSD
- OCD
- Bipolar
- SI
- Post Partum Depression (not breastfeeding)
Chronic Pain
- Fibromyalgia
- Migraines
- CRPS
- MS
- Neuropathic pain
Contraindications
CAN NOT PROVIDE KETAMINE IF YOU HAVE THE FOLLOWING CONDITIONS:
Schizophrenia
Pregnancy —> there are certain circumstances that will be allowed with strict consultation with your OB/GYN.
Schizophrenia
Pregnancy —> there are certain circumstances that will be allowed with strict consultation with your OB/GYN.
How do I begin Ketamine therapy
Step 1:
We begin with a FREE screening phone call with our Nurse.
For mental health: a referral form is needed from your counselor or mental health provider if you are not an existing patient of our practice.
For chronic pain conditions a referral form is needed from your pain specialist if you are not an existing patient of our practice.
For both >> a letter of recommendation can be provided to give your counselor or pain specialist to get pre-approval and a referral.
Step 2:
We would then schedule a consult with one of our experienced providers to see if you are a good candidate for therapy or have any medical or mental health reasons ketamine therapy should not be used. During this consult a rapid in office drug test will be completed as well as a pregnancy test if female and within reproductive capability on a monthly basis or at the discretions of the care team.
We only bill Medicare B original so all other patients will have a consult fee which will be 50% off for current members. For those with insurance a superbill will be provided for this consult at no charge.
Labs will be drawn for kidney and liver function if outside labs have not been completed within the last 6 months. Prior labs may be provided to the provider at the time of the consult. An in office EKG may be needed for certain patients. All of these services are available as an add on option to the consult fee. Labs may be billed to insurance at patients request.
CONSULT FEE: $180 (includes rapid drug screening and pregnancy screening where applicable) - 45- 60 min consult
EKG add-on: $25
Lab add-on: $15
Step 3: determine financing or payment
Financing available through Advanced Care Credit (link is above) if approved a card will be mailed to you.
See above for discounts
Ketamine is NOT a covered service through insurance. There will be no Superbill provided beyond a templated monthly option. You may attempt to get reimbursement. It may reimburse nothing and it may be a small % of our charges. We will not communicate with your insurance company for any reason. We will not send records to your insurance. Should they which records you may personally request.
Loading Series total FEES (estimate):
Consider getting financing for the ENTIRE loading series. This financing option can also be used at other medical facilities for medical needs. If you do NOT have a counselor one is available at additional cost (generally $150/hr if they do not take your insurance) and that should be calculated into your financing lump sum. .Otherwise you may pay per session as above.
Loading series only:
Mental Health Loading Series estimate is between $2000-4400
Chronic Pain infusions Loading Series is between $1800-3000
We begin with a FREE screening phone call with our Nurse.
For mental health: a referral form is needed from your counselor or mental health provider if you are not an existing patient of our practice.
For chronic pain conditions a referral form is needed from your pain specialist if you are not an existing patient of our practice.
For both >> a letter of recommendation can be provided to give your counselor or pain specialist to get pre-approval and a referral.
Step 2:
We would then schedule a consult with one of our experienced providers to see if you are a good candidate for therapy or have any medical or mental health reasons ketamine therapy should not be used. During this consult a rapid in office drug test will be completed as well as a pregnancy test if female and within reproductive capability on a monthly basis or at the discretions of the care team.
We only bill Medicare B original so all other patients will have a consult fee which will be 50% off for current members. For those with insurance a superbill will be provided for this consult at no charge.
Labs will be drawn for kidney and liver function if outside labs have not been completed within the last 6 months. Prior labs may be provided to the provider at the time of the consult. An in office EKG may be needed for certain patients. All of these services are available as an add on option to the consult fee. Labs may be billed to insurance at patients request.
CONSULT FEE: $180 (includes rapid drug screening and pregnancy screening where applicable) - 45- 60 min consult
EKG add-on: $25
Lab add-on: $15
Step 3: determine financing or payment
Financing available through Advanced Care Credit (link is above) if approved a card will be mailed to you.
See above for discounts
Ketamine is NOT a covered service through insurance. There will be no Superbill provided beyond a templated monthly option. You may attempt to get reimbursement. It may reimburse nothing and it may be a small % of our charges. We will not communicate with your insurance company for any reason. We will not send records to your insurance. Should they which records you may personally request.
Loading Series total FEES (estimate):
Consider getting financing for the ENTIRE loading series. This financing option can also be used at other medical facilities for medical needs. If you do NOT have a counselor one is available at additional cost (generally $150/hr if they do not take your insurance) and that should be calculated into your financing lump sum. .Otherwise you may pay per session as above.
Loading series only:
Mental Health Loading Series estimate is between $2000-4400
Chronic Pain infusions Loading Series is between $1800-3000
Ketamine Counselor Options:
Under construction . .. .
Alison Winegardner
|
