Physician-supervised ketamine treatment for treatment-resistant depression and anxiety — in a private, calm room with a clinician by your side, from your first screening through integration.
Complimentary ConsultationKetamine works through a different mechanism than traditional medications, such as SSRIs and SNRIs. For some patients who haven't responded to conventional treatment options, that difference matters — and research suggests effects can begin within hours to days rather than weeks.
For patients who've tried standard antidepressants without lasting relief, and want a treatment approach with a different mechanism of action.
Generalized anxiety and social anxiety that hasn't responded to therapy or first-line medication may also improve with ketamine, though the evidence base here is younger than it is for depression. We'll be candid with you during screening about what the research does and doesn't support.
Ketamine sessions can lower the emotional charge around traumatic memory, which some patients find makes trauma-focused therapy more accessible. We coordinate with your therapist so the work continues between sessions.
That's exactly what the free screening is for. Our clinical team will review your history, current medications, and goals — with zero pressure and full confidentiality.
Ketamine isn't appropriate for everyone. Uncontrolled high blood pressure, a history of psychosis or mania, active substance use disorder, certain cardiac conditions, and pregnancy are all reasons we may recommend a different path. The screening exists to find that out before you've spent anything.
A confidential conversation with our clinical team about your history, medications, and goals to determine whether ketamine therapy is appropriate for you.
A physician evaluation to confirm candidacy, review safety, and design your treatment protocol — typically a series of sessions over several weeks.
Each session takes place in a private room with continuous monitoring by clinical staff. Afterward, we support integration and coordinate with your mental-health provider.
Phone screening
Medical consultation
First session — new patients
Single session
Series of six
Payment: Kloud is a cash-pay practice. We don't accept or bill insurance — which means no prior authorizations, no coverage denials, and no surprise balance six weeks after your session. Every price above includes the physician evaluation, full infusion, continuous monitoring, and supervised recovery — no facility or monitoring fees added at checkout. What's listed above is what you pay.
Screening, dosing, and monitoring led by our medical team.
Vitals tracked by clinical staff with critical-care backgrounds throughout every session.
A quiet, dimmable space designed for comfort, never a shared bay.
We work alongside your therapist or psychiatrist to support lasting results.
Ketamine has been used in medicine since 1970 and is on the WHO's List of Essential Medicines. In a monitored clinical setting, at the low doses used for mood disorders, it has a well-established safety profile. The risks are real but manageable: transient increases in blood pressure and heart rate, nausea, and dissociation during the session. Continuous monitoring by physicians trained in anesthesia is how we manage them.
Intravenous ketamine for depression and anxiety is used off-label — the FDA has approved ketamine as an anesthetic, and has separately approved esketamine (Spravato), a related nasal spray, for treatment-resistant depression. Off-label prescribing is legal, common, and evidence-guided, but we think you should hear it from us rather than read it somewhere else later.
Most adults with treatment-resistant depression, anxiety, PTSD, or chronic pain with a mood component are worth evaluating. Uncontrolled hypertension, a history of psychosis or mania, active substance use disorder, certain cardiac or hepatic conditions, and pregnancy may rule it out. The free screening answers this in about fifteen minutes.
Most patients describe a dream-like, dissociative experience lasting roughly 45–60 minutes, followed by a recovery period before you head home. You'll be in a private room with staff monitoring you throughout. You'll need someone to drive you home after each session.
The standard initial protocol is six sessions over two to three weeks. Patients who respond typically move to maintenance sessions spaced weeks to months apart, based on how they're doing. We reassess after the first series rather than committing you to an open-ended course.
Some patients notice a shift within hours or days of the first session, which is faster than conventional antidepressants. Others need several sessions before anything changes, and some don't respond at all. We can't predict which group you'll be in, and any clinic that tells you otherwise is overselling.
Some medications can blunt ketamine's effect or complicate a session — benzodiazepines and lamotrigine are the two we watch most closely. Bring a complete list to your consultation. Don't stop anything on your own; we'll coordinate with your prescriber.
No. Ketamine works best as part of a broader treatment plan, and we don't provide psychotherapy or ongoing psychiatric management. If you don't currently have a mental-health provider, we'll help you find one.
No. You'll need a ride after every session — a friend, family member, or rideshare. This isn't negotiable, and it's the most common reason a session gets rescheduled.
It happens, and we're prepared for it. A clinician is present or immediately available throughout, the dose can be adjusted or stopped, and we can administer medication to shorten the experience if needed. We'll debrief afterward and change the protocol for next time.
Ketamine has abuse potential at recreational doses and frequencies. The doses used clinically are far lower, sessions are spaced deliberately, nothing goes home with you, and we screen for substance use history before treating. We don't prescribe at-home ketamine.