Ketamine clinic near me seattle wa

Ketamine FAQ

Ketamine is a synthetic pharmaceutical compound, classified as a “dissociative anesthetic.” It has been in use for over 50 years. In the last twenty years, ketamine has been increasingly clinically applied at subanesthetic doses as an off-label treatment for various treatment-resistant chronic mental health conditions. Ketamine was identified as having beneficial effects on patients with depression, suicidal ideations, and certain neuropathic pain syndromes. For depression, it has the ability to work quickly, unlike most available antidepressants, which can take weeks or months to have an effect, if at all. Ketamine can alleviate your symptoms and help you feel better faster. When administered in a controlled manner, ketamine is anti-inflammatory and can trigger changes in your brain to regenerate damaged or altered neurons.

Based on current peer reviewed research, up to 70% of all patients can expect significant, fast relief. Some patients experience changes after the first infusion, others are considered ‘late responders’ & may not sense positive changes until the series of infusions is completed. Although, we cannot predict any individual’s results, we will develop a safe & individualized treatment plan and tailor your treatment frequency and dosage to you. We believe this offers your best chance of success and we are committed to trying to help you feel better.

It is important to note that ketamine is considered a treatment for depression, and not a cure. There have been reports of some patients experiencing a complete long-term resolution of their symptoms, but this is not the norm. Most people will need to get periodic booster infusions to maintain the antidepressant effects of ketamine.

Contact our office for an initial phone consult (206-895-6455) to see if you qualify and for more details about the treatment.

Referrals are accepted, but are not required. At KCS, we focus on providing you with a safe, comfortable, and positive experience. Collaborating with your mental health provider is part of this process.

There are a few exclusions. If you have schizophrenia, untreated mania or psychosis, untreated thyroid disease, uncontrolled high blood pressure, some respiratory conditions, a seizure disorder, or if you have had a stroke within a year or a heart attack (MI) within 6 months, please let us know during your initial intake. There are some drugs, both prescribed and recreational, that will reduce the effectiveness of Ketamine. It is important that you completely and honestly fill out the new patient medical intake questionnaire, so we can properly evaluate whether you are medically appropriate for the treatment. NOTE: You should not decrease or stop taking any prescribed medication without first consulting your prescribing physician.
At sub-anesthetic dose is used for treatment, the infusion experience is often characterized by the relaxation of ordinary concerns and usual mindset, all while maintaining conscious awareness. Some people describe it as a meditative or lucid dreaming state.

For most patients that receive a low dose to treat psychiatric and pain conditions, the experience is relaxing, pleasant, and calming. In rare circumstances, the treatments can be disorienting, anxiety-provoking, and unpleasant. This can be solved by lowering the dose or infusion rate. Ketamine can induce feelings of “spaciness,” an increased sensitivity to or altered perceptions of light, color, and sound. These symptoms tend to clear up quickly (20-30 minutes) after the infusion stops. Some people do experience nausea during or following a treatment. More rarely, a patient may experience a transient headache. There may be changes in blood pressure or heart rate, increased salivation, disorientation, and redness or swelling at the IV site. If these types of side effects do occur, they are controlled by adjusting the dosage of ketamine, or with medication (anti-nausea, anti-hypertensive, or anti-anxiety medication). Sensitivities or allergies to any of the medications we use are rare, but we have the appropriate interventions if this happens.

Some people report fatigue or grogginess after infusion, which is one of the reasons we require you to be accompanied by an escort, who can bring you home. Driving is discouraged for 12 hours.

We ask that you do not eat solid food or clear liquids for 2 hours prior to your infusion. Come dressed comfortably in loose clothing so that you may relax. We will place you in a private infusion room in a comfortable recliner, take your vital signs & connect you to our monitors. We will start an IV & begin your infusion. Ketamine for depression is typically administered over a period of 40 minutes. You will remain awake during the treatment and will be able to interact with those around you, listen to music, or just close your eyes and relax. Most people are ready to be discharged within 20-30 minutes after the completion of their infusion. Do not drive or operate heavy equipment for at least 12 hours after the infusion. A normal diet can be resumed.

Research has shown that up to 80% of patients who receive ketamine infusions have experienced a significant relief in their symptoms of depression.

Some patients may feel significantly better within an hour after their first infusion. Everyone is different; some people respond quickly, and for others it is a more gradual response. Most patients who do respond tend to see an improvement after the 4th or 6th infusion. It is important to complete a full series of six infusions to gain the most long-lasting benefits. There are some people that only start to feel the maximum benefit of the ketamine infusions 2 weeks after the end of the induction series (first 6 infusions).

Although, we cannot guarantee that Ketamine will work for you, we will alter the dose and frequency of the infusions to maximize your response (and minimize side effects) and work with you to give you the best experience possible. In some rare cases, of those patients who are very treatment resistant, 8-10 initial low-dose infusions may be required to have a positive response to the medication.

Ketamine has been safely used by anesthesia practitioners for five decades without a high potential for addiction. Just like many other legal medications, ketamine can be abused (“Special K”). At our clinic, ketamine is administered safely by an experienced and licensed anesthesia provider. We start with low doses and increase as needed over the course of your treatment in a safe and monitored environment. There is no evidence to show that low-dose ketamine infusions with adherence to protocols are addictive. Any concerns you have about this can be addressed in your consultation and/or with your referring provider.

Most patients need to come back for “booster” or “maintenence” infusions to continue to feel the positive effects of the ketamine on their mood or behaviours. The frequency of this is individualized and ranges from every month to once a year. Most patients experience “long-term” relief of symptoms and return as they or their mental health provider deem necessary. We will work with you so that you understand how to determine when to come back in for a maintenance infusion.

We begin with a free-20 minute phone consult where we can answer any questions you may have and determine your initial eligibility for the treatment.

Once you are ready to begin the process and you complete the intake paperwork online, we will ask for copies of medical records from your psychiatric provider, reviewing your relevant medical and a psychiatric information. Once we have what we need, we will then schedule you for an office consult,  where we will assess your health history and current status, review any medications, discuss your potential treatment protocol and answer any further questions. When these evaluations are complete, your initial six appointments can be made.

If you have received ketamine infusions in the past or are transferring from another clinic, special arrangements can be made to expedite this process.

We are in network with the following insurance plans at this time: Premera and Lifewise. We will determine your benefits beforehand and bill them directly for you. Pricing may vary and is subject to change based upon reimbursement rates set by the insurance company’s fee schedules. Costs vary based on type of insurance plan, deductibles, and co-insurance.

If you are uninsured or if we are out of network with your insurance, we offer a time of service discount which is paid prior to treatment. In this case, the cost of one infusion at our clinic is $450 and we suggest a series of 6 infusions to begin (for a total of $2700). We then provide a Superbill, which can be submitted to your insurance for reimbursement. We are seeing many companies offer partial reimbursement for ketamine infusion services and the amount varies based upon your individual plan.

Fees are subject to change.

We accept cash, HSA, FSA, all major credit and debit cards, as well as contactless payments. Credit/Debit cards are subject to a 3.5% transaction fee. We can also offer you information on financing through Advance Care Card on their websites:

Please reach out with any additional questions.

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