Thoughtful prescribing. Careful deprescribing.
A personalized review of your psychiatric medications and, when appropriate, a carefully supervised plan to taper what you no longer need. Delivered by Northwest Healing & Wellness (NWHW), our affiliated psychiatric practice, alongside your IV ketamine or Spravato care at NWKC.
Medication management, and, when you’re ready, deprescribing.
Most patients start with management: a thoughtful review of what you’re taking, how it’s working, and where it could be adjusted. When the time is right, we move to deprescribing, a gradual, medically supervised taper that keeps you stable.
Medication management
A thoughtful, personalized approach to reviewing and optimizing your psychiatric medications. Our providers assess what you’re currently taking, how it’s working, and whether adjustments may improve symptom relief or reduce side effects.
- Comprehensive prescription review
- Symptom tracking and dose adjustment
- Coordination with your other providers
- Pairs well with IV ketamine or Spravato
Deprescribing
A careful, medically supervised process of reducing or discontinuing psychiatric medications when appropriate. We design a gradual plan to minimize withdrawal effects and maintain stability, often with ketamine infusions or Spravato as added support.
- Tapering plan tailored to your medications
- Close monitoring for stability and withdrawal
- Ketamine or Spravato as optional stability support
- Focus on long-term wellbeing, not speed
A program for two kinds of patient.
Some people come in wanting their current regimen to work better. Others come in wanting fewer medications, safely. Both are welcome, and NWHW can move you between the two as your goals evolve.
Symptoms not fully resolved
Your current medications aren't fully relieving symptoms, or they're causing side effects that interfere with daily life.
Starting another treatment
You're beginning ketamine, Spravato, or KAP and want a coordinated plan alongside your existing prescriptions.
Want a careful second look
You'd like a personalized review of your psychiatric medications with long-term stability in mind.
- You feel overmedicated, or aren't sure all current medications are still necessary.
- You've experienced real improvement and want to safely explore reducing medications.
- You're motivated to simplify your regimen under close medical supervision.
- You're using ketamine or Spravato and want to taper an antidepressant or benzodiazepine while staying stable.
Three phases. One steady plan.
Most patients move through these phases over the course of a year. Cadence steps down as you stabilize. The goal is the lightest touch that still keeps you well.
Management
Active titration, frequent check-ins, and close support while we fine-tune your regimen.
- Two 30-minute video visits per month
- After-visit summary reports
- Up to 5 direct messages per month
- 25% off vitamin infusions
Stabilization
You’re responding well. We reduce appointment frequency while keeping a close eye on progress.
- One 30-minute video visit per month
- After-visit summary reports
- Up to 7 direct messages per month
- 25% off vitamin infusions
Maintenance
Long-term, low-touch oversight. Refills stay current and your care remains supported.
- One 30-minute video visit every three months
- After-visit summary reports
- Up to 10 direct messages per month
- 35% off vitamin infusions
A psychiatric practice built around the same patients we already care for.
Northwest Healing & Wellness is an independent psychiatric practice founded by the same clinical team behind NWKC. We started it so ketamine patients could get coordinated psychiatric medication care from people who already understand their treatment, without bouncing between unrelated practices.
We look at how each medication affects your whole health, not just one symptom, and we coordinate directly with your NWKC infusion team so your plan stays clear, connected, and aligned.
Talk to Our Team →NWHW is an independent psychiatric practice. NWKC and NWHW share a building and a vision, billing and licensure are separate.
Your psychiatrist and your infusion team review notes together so changes to your meds account for what ketamine is doing.
Most visits are video. Drop into a Seattle, Bellevue, or Tacoma clinic when you want to be seen in person.
Tapers are gradual and monitored. We don’t take patients off medication faster than the evidence supports.
Ketamine and Spravato can stabilize a taper.
Many deprescribing patients use IV ketamine or Spravato as added stability support while reducing antidepressants, benzodiazepines, or sleep medications. The combination is not for everyone, we’ll talk through fit and timing on your consultation.
During an SSRI taper
Ketamine acts on a different receptor system than most antidepressants, which means we can often help support mood stability while a slow SSRI taper takes place.
Learn about IV Ketamine →When Spravato is a better fit
If you have treatment-resistant depression and want a path that insurance may cover, Spravato through NWHW may serve as your stability layer during deprescribing.
Learn about Spravato →Long-term on maintenance
Many patients settle into a rhythm of one booster infusion every 6–12 weeks alongside Phase 3 maintenance medication management, the lightest touch that holds.
Learn about Maintenance Infusions →Medication management, answered.
Is medication management run by NWKC or NWHW?
Medication management is owned and delivered by Northwest Healing & Wellness (NWHW), an independent psychiatric practice founded by the same clinical team behind NWKC. NWKC remains the IV ketamine clinic. NWHW handles all psychiatric prescribing, including Spravato and traditional psychiatric medications. The practices share the same Seattle, Bellevue, and Tacoma buildings and coordinate care, but billing and licensure are separate.
What does deprescribing actually mean?
Deprescribing is a careful, medically supervised process of reducing or discontinuing psychiatric medications when appropriate. Our providers evaluate your history, current symptoms, and goals to determine if tapering makes sense, and then create a gradual plan designed to minimize withdrawal effects and maintain stability. The focus is always on safety, clarity, and supporting your long-term wellbeing, never speed.
Can I deprescribe while doing ketamine or Spravato?
Yes, this is one of the most common reasons patients come to us. Many people find that ketamine infusions or Spravato provide a stable foundation that makes a slow taper much easier to tolerate. Your psychiatrist at NWHW and your infusion team at NWKC will coordinate directly so changes account for what ketamine is doing.
What does it cost?
NWHW offers three monthly phases: Management at $350/month, Stabilization at $175/month, and Maintenance at $50/month. Medication costs are billed separately through your pharmacy.
Is this covered by insurance?
NWHW is in the process of credentialing with major commercial carriers. The monthly membership pricing above is the cash-pay rate. We will re-quote benefits as each carrier contract is finalized.
Do I have to be a current NWKC patient?
No. NWHW accepts patients independently of ketamine treatment. If you’re already an NWKC patient, the two teams coordinate care directly. If you’re new to both, NWHW will evaluate medication management on its own merits and discuss ketamine or Spravato only if it’s genuinely relevant.
Will you take me off all my medications?
No. Deprescribing is not about getting to zero, it’s about getting to the right regimen for you. For many patients that means staying on most of what they’re taking and adjusting one or two pieces. For others it means a longer taper of medications they no longer need. We don’t take patients off medication faster than the evidence supports.
How are visits delivered?
Most NWHW visits are telehealth by video, available anywhere in Washington State. You can also be seen in person at our Seattle, Bellevue, or Tacoma clinic locations. Direct messaging between visits is included with every phase.
Still have questions?
Talk with our team about medication management, Spravato, ketamine, or deprescribing options.
Let’s review your medications together.
Talk to a Northwest Healing & Wellness provider about medication management, deprescribing, or how a careful psychiatric review could pair with ketamine or Spravato treatment at NWKC.