Ketamine works fast. Integration makes it last.
We pair every ketamine and Spravato dose with real therapy, timed to when the brain is most ready to change.
IV ketamine or Spravato, under supervision
The brain is briefly more changeable
Therapy that has a chance to stick
Repeated across a short series, then tapered as gains hold.
Why the dose alone is not enough
Ketamine and Spravato lift depression in hours, not weeks. But for many people that lift fades within about a week unless something holds it in place. On its own, ketamine can become a series of resets that never quite add up to recovery.
The same biology that lifts mood also makes the brain briefly more changeable. Therapy timed to that opening is what turns a fast result into a lasting one.
The neuroplasticity window
What the science shows, and what it does not yet
We would rather show you the honest split than sell certainty that is not there.
Well established
Replicated in trials and clinical use.
Still emerging
Strong rationale, encouraging early data.
Where we land: the medical effect is proven, and using the window it opens is well reasoned and backed by early results. The size of that added benefit is still being studied. Anyone promising certainty is ahead of the evidence, so we build on therapies that already have their own track record.
What integration includes
A real sequence, not a vibe. Each dose sits inside a structure built to make it count.
Each dose works best when it's part of a plan, not a one-off. That's the whole idea here. We start by making sure this is the right fit for you and getting clear on what you're hoping for.
The dosing itself happens somewhere calm, with a clinician right there the whole time. Then comes the part most clinics skip: in the days right after, while your brain is most open to change, we put in the real therapy work—proven approaches like CBT, EMDR, and DBT—so the shifts you feel have a chance to actually stick.
Along the way we keep track of how you're doing and adjust early if things stall, and as you find your footing, we ease back on the dosing and lean into your own skills, with a plan in place to keep you steady.
The dose opens a window. Everything we build around it is what helps the change last.
Preparation
We confirm the fit, set clear goals, and walk you through what to expect.
Dosing
Given in a calm, monitored setting with a clinician present throughout.
Integration
The part most clinics skip. In the days after each dose, while the brain is most plastic, we use proven therapy, including CBT, behavioral activation, EMDR, and DBT, to encourage new learning and strengthen new connections, so what changes has a chance to stay changed.
Measurement
We track symptoms with standard measures and adjust early if they stall.
Maintenance
We taper dosing as gains hold and shift the weight onto your skills, with a relapse plan.
What this is not
Not a guided journey
A medication with a mechanism, used for a clinical reason. No mysticism.
Not a drive through infusion
The therapy is the point, not an add on bolted to a procedure.
Not an oversold cure
We measure whether it works and tell you the truth either way.
Who this tends to help
Whether it is the right step is a clinical decision we make with you, after an evaluation. Some people are better served by another path, and we will say so.
Questions people actually ask
No. A standalone clinic gives you the dose and the door. We build evidence based therapy around each dose and track whether it is working.
Spravato is covered by most commercial plans and Medicaid when criteria are met, and we stay in network across Ohio and Indiana. We confirm your specific benefits before anything begins.
Established methods matched to your goals: CBT, behavioral activation, exposure work for OCD, EMDR for trauma, and DBT skills. Integration delivers them when they are most likely to stick.
The medication has side effects, including that detachment, brief blood pressure changes, and nausea for some. And while the case for integration is strong, the exact size of its added benefit is still being studied.
Find out if this is the right step
An evaluation tells us whether ketamine or Spravato with integration fits your situation.