We provide interventional psychiatry for treatment-resistant depression (TRD), anxiety, and PTSD

Ketamine Infusion & Spravato Treatment in Bethesda, MD

How we help

We are one of the only psychotherapist-founded ketamine treatment clinics in the country. Psychotherapy and integration are critical to make the most out of the so-called “neuroplastic window” that newer medicines like ketamine are known for.

We provide psychiatric services for the treatment of depression, anxiety, trauma and PTSD. Ketamine is proven to rapidly relieve severe depression or anxiety, and may regenerate synaptic connections between brain cells damaged by stress and depression, according to Yale-led research.

Step 1: Free Consult

Call today for a free consult to discuss the kind of care that is right for you. We offer talk psychotherapy, general psychiatry (medication management), and interventional psychiatry (Spravato), or ketamine infusions. Ketamine-assisted therapy is available after an infusion. We will review which of our services are covered by insurance and which are not.

Step 2: Meet Your Provider

If you’re here for psychiatry or ketamine treatments, you’ll meet with one of our highly-qualified psychiatric nurse practitioners for an assessment. Your provider will guide your treatment and collaborate with you for highly personalized care.

Step 3: Track Weekly Progress

Your therapist or psychiatric clinician will support you as you learn how each week’s “reboot” of your brain is allowing you to feel more like yourself, find meaning, and remember what is truly important to you.

“A breakthrough”

GREGORY

“I was on the merry-go-round of pharma….I tried multiple SSRIs. Nothing helped until I tried ketamine. It made me remember what it’s possible to feel like.”

Relief From Anxiety and Fear

DIANE K.

“…the constant anxiety noise stopped for the first time ever. I can’t tell you how glad I am to have my life back from anxiety and fear. It’s been hard work too. Ketamine is not a miracle. But it’s a powerful tool for healing.”

Laughing Again

MARTIN

“I’d come home and say ‘it’s not working.’ Then my kids would say, ‘Dad, we haven’t heard you laugh like that in a long time.’ Something was changing at a deep level like a window that was opening again for me to look at myself, my problems, with new light.”

How Ketamine Changed Our Lives

If you’ve ever wondered how ketamine actually works, why it’s so different from SSRIs, what happened with MDMA’s FDA rejection, or whether esketamine is truly better than IV ketamine… this is the episode.

WATCH YALE PSYCHIATRY PRESENTATION

The clearest, most detailed explanation of why Ketamine is a gamechanger in psychiatry, and how it may work in the brain.

FAQs(Frequently Asked Questions)

We treat depression (including treatment-resistant depression), anxiety, PTSD, and related mood disorders. Treatment recommendations are based on a comprehensive clinical evaluation to determine what’s most appropriate for you.

IV ketamine is administered through an infusion and is typically paid out of pocket. Spravato is an FDA-approved nasal spray (esketamine) used specifically for treatment-resistant depression and is often covered by insurance when criteria are met. We help you determine which option best fits your clinical needs and circumstances. A list of insurances that we work with are below.

We are in-network for Spravato (esketamine) and psychiatric medication management with Aetna, Cigna, Carefirst, and United (Optum). Contact us so we may check your benefits and let you know what your co-pay costs will be. All Spravato patients will get enrolled in the “Spravato With Me” program which can eliminate or reduce your insurance co-pay. Note that our psychotherapy services are not covered by insurance and is 100% out-of-pocket.

You’ll start with a consultation where we review your symptoms, treatment history, and goals. For Spravato, insurance typically requires documentation that you’ve tried at least two antidepressants without sufficient relief. We will ask you to complete intake forms to collect your medical history and present you with a treatment recommendation.

When administered in a controlled medical setting by trained professionals, ketamine is considered safe and well-tolerated for most patients. Ketamine is on the World Health Organization’s list of essential medicines and is widely administered to the general population in critical, emergency, and surgical settings. Psychiatric doses of ketamine are much smaller than doses for anesthetic hospital use. While not technically classified as an addictive drug for most people and has been studied as a treatment for addiction, ketamine may not be recommended if you have a history of addiction. We conduct a thorough medical and psychiatric screening to ensure it’s appropriate for you and monitor you closely during each session.

For IV ketamine, sessions typically last about 1 hours, plus some preparation and recovery time — read more about what to expect during your first ketamine experience. For Spravato, visits are about 2–2.5 hours and include monitoring after administration, as required by FDA guidelines. We provide a weighted blanket, comfortable chair, and eye mask. Bringing your own soothing music is recommended.

Yes. Most patients remain awake but experience an altered, often introspective state. Many describe transient perceptual distortions as calming or insightful. Our team is present throughout to support your experience and we help you know what to expect.