Psychology Session
Ketamine Treatment

Ketamine comes in several forms.

The only one that the FDA has approved as a medication for depression is a nasal spray called esketamine (Spravato). Patients receive esketamine at our office, and will need to be monitored for 2 hours.

For treatment-resistant depression, patients usually get the nasal spray twice a week for 1 to 4 weeks; then once a week for weeks 5 to 9; and then once every week or 2 after that.

We are proud to be the first Spravato Treatment center in Wake County. 

Intramuscular Ketamine is given by injection into the upper arm. This option also requires 2 hour in office monitoring. Insurance companies do not cover this method of administration but more rapid relief. Typical treatment plans consist of 6 sessions.


Intravenous IV Ketamine is administered into your blood stream. Usually done 8 treatments initially. Then the doctor will decide to taper or stop treatments based on your results. Insurance companies do not cover this method of administration. Infusions typically last 45 to 60 minutes.