Ketamine for depression

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Ketamine is different from traditional anti-depressants

From mild to moderate to severe cases, depression responds fast to low-dose ketamine treatments. Those suffering from suicidal ideation may find these symptoms removed entirely following the first weeks of treatment.

Ketamine is different from traditional antidepressants and can work even if other treatment methods have failed.  This powerful medication can facilitate major changes, quickly. It doesn’t change who you are, only how you feel.

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After their first three weeks of treatment, more than 86% of patients report at least a 50% reduction in symptoms

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An estimated 30.9% of those with Major Depressive Disorder can be defined as having Treatment Resistant Depression

Treatment options for depression

Ketamine

Our foundational program: 6 intravenous infusions administered over 2-3 weeks under careful monitoring by our trained medical staff

Ketamine + Therapy

Work through challenging life issues with Ketamine Assisted Psychotherapy, our most involved program, with a licensed mental health counselor trained in psychedelic therapy

What people think

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Depression research

Effect
Study
Level of evidence
Magnitude of effect
Summary
Depression
Intravenous ketamine administration for treatment-resistant depression (TRD) is generally safe and well-tolerated when administered by trained professionals. An initial case series of 10 subjects with TRD who received six open-label ketamine infusions over 12 days found that, throughout treatment, depressive symptoms were reduced by an average of 85%
Depression
Several studies now provide evidence of ketamine hydrochloride's ability to produce rapid and robust anti-depressant effects in patients with mood and anxiety disorders that were previously resistant to treatment. Despite the relatively small sample sizes, lack of longer-term data on efficacy, and limited data on safety provided by these studies, they have led to increased use of ketamine as an off-label treatment for mood and other psychiatric disorders
Suicidal ideation
Suicide is a public health crisis with limited treatment options. The authors conducted a systematic review and individual participant data meta-analysis examining the effects of a single dose of ketamine on suicidal ideation. They concluded that ketamine rapidly reduced suicidal thoughts within one day and for up to 1 week in depressed patients with suicidal ideation.

What we treat

Ketamine is a proven, reliable, and powerful support to people suffering from depression, anxiety, PTSD, or neuropathic pain.

Whether you're seeking to remove suffering when other medications haven't worked, or you simply want a breakthrough treatment that will remove the blocks preventing you from living your best life, ketamine can work for you.

If current treatments aren’t providing the level of symptom relief you are seeking, ketamine may be the breakthrough that helps optimize your current treatment and achieve the success you seek.

 

What to expect

A safe, carefree, and comfortable setting

Northwest Ketamine Clinics provide a safe, meditative, and supportive medical environment. During every step of the treatment journey, your comfort is our top priority.  Our setting is designed to give you the best ketamine experience possible.  Our staff is skilled and walks with you every step of the way.

 

We support and guide you

We help you create the right intentions and mindset for treatment. We provide coaching before and after treatment to prepare, and then later, to integrate the experience.

We’ll encourage dialogue and responsiveness. If we can help you in any way during treatment—from practicing trauma-informed care to supporting your treatment journey with special accommodations—let’s talk about it.

What’s the right option for you?

Our expert team of experienced practitioners, including nurse practitioners, registered nurses, and psychotherapists, offer three treatment programs to choose from:

Ketamine

Stabilize mood conditions

Ketamine + therapy

Extra support and guidance

Ketamine for pain

Target chronic pain

Have questions?

What are the benefits of ketamine?

Having given over 40,000 infusions, we have the experience to maximize the benefits of this remarkable medication.  At NWKC, an astounding 96% of our patients report noticeable improvement, and over 86% report having their symptoms cut in half or even greater. Many even experience full resolution of their symptoms.

The onset of this relief typically comes within hours or days of treatment. Patients frequently describe improvements in their ability to feel and function more normally, even before other symptoms are resolved.

These effects typically last for several weeks, although some patients report experiencing complete relief of depressed symptoms for extended periods. Our programs include six infusions (for mood) or four infusions (for pain). Maintenance infusions are on an individual schedule but typically involve a single infusion every 6-12 weeks.  After a maintenance schedule is established, most patients maintain positive results long-term.

Why does ketamine treatment have to be intravenous?

IV ketamine is the gold standard, and nothing has been proven to work as well as the intravenous route. Chances of success with IV ketamine are higher than with any other route.

Although ketamine can be administered orally, intranasally, and intramuscularly—research has found that these aren't as effective as intravenous. With these methods, much of the drug is reduced by the liver before it can reach the brain and take effect.

With protocols that have been developed over years of meticulous research based on thousands of patient experiences, IV ketamine is by far the preferred method of administration to achieve maximum benefit from treatment.  

Because IV ketamine is almost 100% available to the brain, we are able to give lower doses to achieve the same result as higher doses given via other routes, exposing you to the lowest possible effective dose, and fewer potential side effects than other methods.

What are the risks?

When administered by skilled hands, ketamine is an extremely safe medication. Short-term side effects may include small increases in blood pressure, nausea and vomiting, dizziness, and visual misperceptions. These can typically be resolved with medication during the treatment session. 

Research over a span of over 20 years has not shown any significant long-term side effects from repeated ketamine infusions, even from higher doses used in Complex Regional Pain Syndromes (CRPS) and with other pain conditions. 

What medical conditions would prevent me from qualifying for ketamine treatment?

Medically, very few people fail to qualify for ketamine treatment. Some conditions, such as uncontrolled high blood pressure and congestive heart failure, may require tight medical control before treatment begins.

Patients on a class of medication known as MAOIs should use caution or avoid ketamine. Due to a lack of research, we cannot offer treatment at this time for people with a history of psychosis.

Do you accept insurance?

We are out of network with insurance carriers but we are happy to check your out-of-network benefits and provide a rough estimate of any reimbursement you could qualify for.  

We proudly offer Care Credit with low monthly payments including 6 months same as cash/ deferred interest for those who qualify.

See our Insurance page for more details.

Do I need to stop taking medications before beginning treatment?

No, our medical staff will review your medications with you prior to treatment and advise you, but it is very uncommon for any changes to be suggested prior to starting ketamine.

Do I need a referral?

We strive to remove barriers and make the process of starting your ketamine treatment simple and painless. At Northwest Ketamine Clinics, we only require an upfront referral for patients under 18 years of age.

When you are ready to begin treatment, the next step is to schedule a 30-minute intake call with our nurse practitioner.  During this phone call, the nurse practitioner will review your health history and confirm that you are a good candidate.  At this time, we only treat "treatment-resistant" conditions, so, while referral is not necessary a previous diagnosis is required.  Make an appointment to talk with one of our experienced nurse practitioners for more information.

Can I pay as I go?

We offer finance programs including 6 months same as cash/ deferred interest programs as well as longer-term financing with affordable monthly payment plans through our lending partners Care Credit and United Medical Credit.  Payment is required prior to beginning treatment but balances for unused sessions may be refunded if treatment is discontinued for any reason. 

Is therapy important during ketamine treatment?

While ketamine is a powerful medication on its own, we recommend engaging in at least one therapy or psychedelic integration session during your treatment.  This allows you to make sense of the ketamine experience and gain a deeper understanding of the process of psychedelic healing. 

At NWKC we have many options available including a robust Ketamine Assisted Psychotherapy (KAP) program, individual integration sessions with experienced therapists, and low-cost group integration sessions.  Virtual options are also available.  Our internal data shows that, even though ketamine infusions without therapy or integration sessions are extremely effective, outcomes are even greater when therapy is added.  

We believe in your ability to choose the best treatment for you.  We seek to guide you and help you with that choice, rather than push you into a program that may not work for your needs or your life.  Our intake team and nurse practitioners can provide education and help guide you to the program that fits your needs best, then prescribe a treatment plan for you.  Regardless of the path you choose, our standard ketamine treatment, our full Ketamine Assisted Psychotherapy program, or some level in between, your chances of a successful outcome are excellent.

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