Ketamine for Mood and Pain Treatment


We offer comprehensive Ketamine for treatment of mood disturbances, resistant depression and pain in a private safe setting.  Our posh, AAAHC certified facility ensures a comfortable experience in a central location.  Research clearly indicates that Ketamine provides rapid relief from depressive symptoms and a significant reduction in suicidal thoughts in a majority of patients:  “A Consensur Statement on the Use of Ketamine in the Treatment of Mood Disorders”  JAMA Psychiatry. 2017;74(4):399-405. doi:10.1001/jamapsychiatry.2017.0080   Ketamine is on the World Health Organization’s List of Essential Medicines because of its safety and efficacy for anesthesia.  Ketamine has been proven as a safe and effective treatment for depression, and randomized controlled trials have shown rapid improvement in mood as well as reduction in suicidality.  Ketamine therapy may result in longer periods of remission than other medications available to date.  Radnomized doule blind research articles confirm this (Am J Psychiatry 173:8, August 2016) as well as others.                                                                                                                  Adults age 18 and over who suffer from moderate-severe depression and have not had success with traditional treatments for depression are eligible for ketamine treatment.  Our comprehensive evaluation will include a medical history and basic lab results to ensure Ketamine is safe for you.   We have been administering Ketamine for over 20 years without any significant complications.  Ketamine side effects include raising  blood pressure and heart rate; these will  be monitored closely by Dr. Cenedese and our Certified Medical Assistant.  Longer term risks include urinary symptoms, cognitive impairment (with prolonged use), and substance use disorders.  Ketamine therapy has been shown to be effective with substance abuse and other obsessive compulsive disorders as well.                                  Our Board Certified Physician will evaluate your condition to determine if Ketamine therapy is the best choice for you and which form will benefit you most. Ketamine may be administered via infusion, intra-muscular injection, nasal spray or oral lozenge.  Two to three treatments a week for up to four weeks have been shown to be most effective in a majority of patients.    The cost for the service of administering intranasal esketamine in our offices is $590/treatment for insurance carriers out of our network . Please note this cost does NOT include the cost of the drug itself.                                                                                                                                                                                              IV and IM Ketamine: The FDA has not approved the use of IV Ketamine for treatment-resistant depression, which means this is an off-label use of the medication. As such, Ketamine treatment will not be covered by insurance and will cost $590 per infusion. We will provide billing statements for the evaluation and infusions to help you get as much reimbursement as your insurance company will allow.  Typically one session monthy for two two three months results in the best outcomes.  A session with your therapist should be scheduled within 48 hours after a treatment to obtain maximal benefits.                                                                                                                   Intranasal Esketamine cost for the service of administering intranasal esketamine in our facility is $550/treatment for persons who are out of our participating insurance carriers.   Twice weekly ketamine administration for 2 weeks with follow-up treatments as recommended by psychiatrist.  A typical case would be 8-12 treatments over 4-6 weeks.  Please note this cost does NOT include the cost of the drug itself. The only FDA approved formulation of Ketamine is intranasal esketamine, also known as SpravatoTM.   Your insurance may cover the cost of the medication itself.  Once your therapist has applied for and received prior-authorization for the administration we can bill your insurance for the treatment sessions.  Ketamine Lozenges can be prescribed post treatment sessions to improve results.  The Lozenges may be covered by your insurance.                                                                                  Please complete and submit intake form we will send to you to schedule evalation and treatment sessions available on Mondays, Tuesdays and Fridays.