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.
If you've tried antidepressants and therapy and still don't feel like yourself, you're not alone, and you're not out of options. Ketamine is one of the most well-studied treatments for depression that hasn't responded to other approaches, and many patients notice improvement within hours to days rather than the weeks typical of traditional medications.
When generalized or social anxiety persists despite therapy and medication, it can feel like you've run out of options. Ketamine works differently from traditional treatments, and clinical studies have shown meaningful reductions in anxiety symptoms for patients who hadn't found relief elsewhere.
Trauma can leave the mind stuck in a state of constant alert, even long after the danger has passed. When therapy and medication haven't been enough, ketamine offers a different path. In clinical studies, patients with chronic PTSD experienced significant, rapid reductions in symptoms like intrusive memories, avoidance, and hypervigilance.
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.
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.
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.
No. You'll need a ride after every session — a friend, family member, or rideshare.
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.