Ketamine Therapy

Andala® clinics offer Ketamine therapy sessions to help with various behavioral health issues, such as depression, anxiety, PTSD, and chronic pain. For many individuals, this therapy provides relief that traditional treatments may not be able to deliver. This can enhance their quality of life and allow for better symptom management. Each session is performed on an outpatient basis and usually lasts only a few hours. Patients can receive treatment without significantly interrupting their daily activities. Interested in finding out if ketamine therapy could be beneficial for you? Contact us today at 1-210-783-0582 to set up a free consultation or complete the online form.

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What is Ketamine Therapy?

Ketamine is a substance developed in the 1960s that has been FDA-approved and in widespread clinical use since 1970. Originally, the substance was developed for use as an anesthetic. In the decades of research that followed, researchers began to notice the impact ketamine had on mental health symptoms, as well. In recent years, ketamine has been shown to have a significant positive impact on behavioral health in clinical trials.

Today, ketamine therapy is considered a valuable form of intervention for many patients, including those whose conditions are resistant to traditional therapeutic and medicinal interventions. Ketamine infusion therapy inhibits N-methyl-D-aspartate (NMDA) receptors, which influence multiple areas of brain function. While it is not clear exactly how ketamine works to improve symptoms of psychiatric disorders, one of its primary effects is to block NMDA receptors, which causes a temporary surge in the release of the neurotransmitter glutamate. This has many downstream effects, including triggering the release of “neurotrophic factors” that help increase neuroplasticity. When used alongside other forms of therapy, such as cognitive behavioral therapy, ketamine can treat a number of different mood disorders.

Ketamine Treats Many Mental Health Conditions

The behavioral health team at Andala uses ketamine therapy in a clinical setting to treat a range of mental health conditions. By working closely with our psychiatric care team, you can develop a plan of intervention that works directly for your needs.

Anxiety

A growing body of evidence shows that glutamate, a neurotransmitter, is responsible for mediating the brain’s response to stress and the formation of traumatic memories. One of ketamine’s effects as an ionotropic glutamatergic N-methyl-D-aspartate (NMDA) receptor antagonist is a temporary surge of glutamate in the brain and activation of synaptic plasticity. What does this mean? In short, the ketamine bonds to the NMDA receptor, blocking glutamate from binding to the receptor. This, in turn, causes a surge in glutamate, which enhances the ability of synapses to function and communicate. Some studies have shown that within 1 hour of dosing, patients reported reduced anxiety that persists for up to 7 days.

Post-Traumatic Stress Disorder (PTSD)

Ketamine is also believed to reduce inflammation, a condition that may be linked to depression, a significant component of PTSD. Some patients may experience initial relief from PTSD symptoms within 24 hours of their first treatment.

Treatment-Resistant Depression (TRD)

While originally used as an anesthetic, ketamine has been shown to be an effective therapy for people with treatment-resistant depression. Ketamine infusion therapy, in particular, has been shown to improve symptoms of depression in multiple clinical applications. While ketamine has proven effective in treating depression, esketamine (Spravato) has shown to be equally as effective and is also offered at Andala centers. A form of ketamine administered via intranasal spray, Spravato is FDA-approved and particularly effective at treating depression in people whose condition has not been helped by traditional interventions. When administered in tandem with an oral antidepressant, Spravato has been shown to reduce symptoms of depression and delay relapses significantly.

How Much Does Ketamine Cost?

The cost of ketamine treatment varies depending on which delivery method is used. Andala Health works with most insurance companies to provide the lowest rates. If insurance does not cover the treatment, affordable self-pay rates are available. The average cost of ketamine is:

Insurance $125*

Self-pay $200

Insurance $175*

Self-pay $250

Insurance $28*

Self-pay N/A

Self-pay $600 for a package of 6 treatments

Insurance $275*

Self-pay $350

*Insurance rates are subject to increase based on your individual copay, deductibles, and coinsurance. For accurate insurance coverage of ketamine, please call us at 1-210-783-0582 or fill out the online form below.

How Ketamine Treatment Works

One of the most frustrating things for people diagnosed with behavioral health issues is when their symptoms are resistant to treatment. While psychology, psychiatry, and pharmacology have made significant inroads into the treatment of conditions such as depression and PTSD, sometimes therapies do not benefit certain patients. Ketamine treatment works as a viable alternative for patients whose conditions have been resistant to traditional therapies.

Ketamine differs from oral antidepressants and other medications, which often require weeks to take effect. It acts swiftly by stimulating neurotransmitters such as glutamate and encouraging the formation of new neural connections. These mechanisms help to “re-wire” the brain, leading to quicker symptom relief, especially when other treatments have been ineffective. This distinctive method enables ketamine to address the underlying neurological factors of behavioral health issues, providing hope for individuals with symptoms that resist traditional treatments.

What to Expect During Ketamine Treatment

Before the treatment, a monitoring device will be affixed to your arm, and your blood pressure, heart rate, and blood oxygen saturation will be measured throughout the treatment. Ketamine can be administered in different ways. When delivered via an intramuscular (IM) injection, it is inserted in a single injection quickly and relatively painlessly into the shoulder. Patients typically remain awake and relaxed for their ketamine treatment, while others may feel somewhat groggy and decide to take a nap.

Depending on your side effects and how well your symptoms respond to treatment, the dose may be adjusted at later visits after a discussion between you and your provider. During your treatment, you may also receive as-needed medications to treat side effects, such as anti-nausea medications or a mild sedative for anxiety. As low as 25% of patients experience temporary mild anxiety. After the injection, you will be observed for approximately 2 hours to ensure the acute effects of the ketamine have dissipated and you are safe for discharge from the facility.

The number of treatments needed will vary from patient to patient. Research has shown that patients are best served with two weekly treatments for 3 weeks as an initial series. Some patients experience results by the end of week two, others by week three, and some take up to 4 weeks. We will closely monitor your symptoms over your initial 3-week series. If, after 3 weeks, the treatment has not been helpful, your provider will discuss other treatment options with you. Patients need at least 3 weeks of twice-weekly treatments to determine if ketamine will be beneficial for them, but some patients may need four weeks.

Ketamine Side Effects

All administration of ketamine at Andala clinics involves close monitoring by a medical professional. While safe, some side effects can occur with ketamine, including:

Most patients will have transiently elevated blood pressure during treatment. Andala patients are closely monitored and treated for any potential side effects. We prioritize our patients’ comfort and well-being and ensure that they’re in good hands when receiving ketamine treatment at our clinics.

Ketamine Treatment Insurance Coverage

Insurance companies typically do not cover ketamine treatment, unlike Spravato, which is often covered but may vary from state to state. Before beginning a ketamine treatment plan, check with your insurance company about whether your treatment is covered. To learn more about insurance coverage for ketamine and whether or not your plan covers treatment, contact our Patient Services team by completing the Get Started form.

Ketamine vs. Spravato (Esketamine Nasal Spray)

There are a few significant differences between ketamine and Spravato. Spravato, or esketamine nasal spray, is self-administered by a patient via intranasal spray under the supervision of a medical care team. Ketamine is administered by a medical professional directly into the arm. Spravato is also FDA-approved as a therapy for treatment-resistant depression. While FDA-approved only as an anesthetic, ketamine is widely used as an alternative intervention for patients with a range of mental health issues.

Frequently Asked Questions

How long is ketamine infusion therapy effective for?

Similar to Spravato treatments, ketamine therapy typically lasts three weeks for the initial onboarding phase. Patients receive treatments twice weekly, and symptoms are closely tracked. If patients respond after the initial series, a second 3-week weekly treatment phase may help maximize benefits and reduce the risk of relapse.

People who respond to ketamine may receive regular maintenance treatments after their initial series. These maintenance injections will vary from person to person; generally, maintenance treatments are administered once or twice a month. Some people may find that their symptoms are manageable without ongoing ketamine after their initial sessions.

Is ketamine infusion therapy safe?

Yes. Ketamine therapy performed under medical supervision at Andala clinics is safe for patients. As with any medical procedure, there are some risk factors involved. Patients receiving ketamine therapy may experience a temporary increase in blood pressure. Patients may also experience some dizziness, fatigue or grogginess after treatment.

It is required that patients receiving ketamine be accompanied by someone who can drive them home after treatment. Patients should avoid driving, heavy machinery, hazardous activities or important decision-making until the day after their appointment.

Will I be asleep during treatment?

While some people may experience grogginess afterward, the treatment is not designed to make you sleep; most patients remain awake. Patients can engage with those around them or just relax if they prefer. Taking a brief nap as needed is fine; however, it’s best to be well-rested before the appointment. There is anecdotal evidence that treatments are less beneficial for patients when they are sleep-deprived before a session.

Is ketamine FDA-approved for mental health?

Ketamine is FDA-approved for use as an anesthetic only. It is not yet approved by the FDA for mental health; however, eskatamine, a form of ketamine, is FDA-approved for the treatment of treatment-resistant depression. This form of ketamine is administered via an intranasal spray.

While ketamine is not approved by the FDA for mental health, there are decades of clinical evidence that it has a positive impact on people with mental health conditions. All ketamine therapy performed at Andala clinics is done with medical supervision and is safe for patients.

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