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At Home Ketamine Therapy

TrueNorth Psychiatric offers carefully supervised at-home sublingual ketamine therapy for eligible patients experiencing treatment-resistant depression, trauma-related symptoms, anxiety, chronic suicidal thinking, and other complex psychiatric concerns on a case-by-case basis.

Ketamine therapy is approached thoughtfully and conservatively, with emphasis on patient safety, appropriate medical and psychiatric screening, education, and ongoing clinical oversight. This program is designed for patients who are psychiatrically and medically appropriate for at-home treatment and able to safely self-administer medication within a supportive home environment.

Unlike many large-scale ketamine platforms, care through TrueNorth Psychiatric is individualized and integrated into a broader psychiatric treatment plan rather than treated as a standalone service. Patients receive direct oversight, education, follow-up guidance, and continuity of care throughout the treatment process.

Who may be a candidate

At-home ketamine therapy may be considered for carefully selected patients experiencing treatment-resistant depression, trauma-related symptoms, chronic anxiety, persistent suicidal thinking, or other complex psychiatric concerns when traditional treatment approaches have not provided adequate relief.

Because ketamine is not appropriate for every patient, treatment begins with a comprehensive psychiatric evaluation and careful review of medical history, psychiatric history, medications, safety considerations, and overall treatment goals. Recommendations are individualized and based on clinical appropriateness rather than a one-size-fits-all approach.

Patients participating in at-home ketamine therapy should have a safe, supportive home environment and be willing to follow treatment, monitoring, and safety recommendations closely.

What treatment looks like

Ketamine treatment through TrueNorth Psychiatric is designed to be integrated into a broader psychiatric treatment plan rather than approached as a standalone service. Patients receive psychiatric oversight, education, follow-up guidance, and ongoing support throughout the treatment process.

Treatment typically includes an initial psychiatric evaluation, medication review, discussion of risks and benefits, preparation guidance, and ongoing follow-up appointments to monitor response, safety, and symptom improvement over time. Sessions are completed at home using medication prescribed through a compounding pharmacy when clinically appropriate.

Treatment plans are individualized based on symptom severity, treatment response, medical history, and overall clinical needs.

Medication Options

At-home ketamine treatment typically utilizes compounded sublingual ketamine troches prescribed through a licensed compounding pharmacy when clinically appropriate. Medication plans are individualized and based on each patient’s symptoms, prior treatment history, tolerability, and overall treatment goals.

Dosing schedules and treatment frequency vary depending on clinical response and safety considerations. Some patients may benefit from a structured treatment series followed by maintenance treatment, while others may require adjustments over time.

Medication recommendations are made conservatively and thoughtfully, with emphasis on safety, careful monitoring, and individualized care.

Safety & Monitoring

Patient safety is a central part of ketamine treatment at TrueNorth Psychiatric. Prior to starting treatment, patients undergo psychiatric and medical screening to help determine whether ketamine therapy is clinically appropriate and reasonably safe based on their history and current symptoms.

Patients receive detailed education regarding treatment expectations, preparation, monitoring, medication interactions, and safety precautions. Individuals are advised not to drive or engage in safety-sensitive activities following ketamine administration sessions.

Ongoing follow-up appointments allow for monitoring of symptom response, side effects, tolerability, emotional processing, and overall functioning throughout treatment. Recommendations may be adjusted over time based on clinical response and patient needs.

Ketamine prescribed through compounding pharmacies is considered an off-label treatment and is not currently FDA-approved for the treatment of most psychiatric conditions.

Pricing & Refill Information

Treatment costs vary depending on medication formulation, dosing needs, treatment frequency, follow-up requirements, and compounding pharmacy pricing. Patients will receive clear discussion of anticipated costs prior to beginning treatment.

Compounded ketamine medications are typically paid for out-of-pocket and are not consistently covered by insurance plans. Follow-up appointments and refill timing are individualized based on treatment response, safety monitoring, and clinical appropriateness.

Because ketamine therapy requires ongoing psychiatric oversight and monitoring, refill requests are reviewed carefully and are not automatically guaranteed. Treatment recommendations may evolve over time based on patient response, tolerability, and overall clinical needs.

Safety Disclaimer

Ketamine is not appropriate for every patient and is not considered a first-line treatment for most psychiatric conditions. Recommendations are made only after careful psychiatric and medical evaluation. Ketamine prescribed through compounding pharmacies is considered an off-label treatment and is not currently FDA-approved for the treatment of psychiatric disorders.

FAQ

Frequently asked questions

Is ketamine therapy appropriate for everyone?

No. Ketamine treatment is not considered appropriate for every patient or every psychiatric condition. Recommendations are made only after careful psychiatric and medical evaluation.

Is at-home ketamine therapy legal?

Yes. Ketamine is an FDA-approved medication for anesthesia and may legally be prescribed off-label by licensed medical providers when clinically appropriate.

Will ketamine replace my current psychiatric treatment?

Not necessarily. Ketamine therapy is often integrated into a broader treatment plan that may also include psychiatric medication management, psychotherapy, lifestyle interventions, and other supportive treatments.

How quickly do patients notice improvement?

Response varies significantly from person to person. Some patients report improvement relatively quickly, while others experience more gradual change over time.

Will I continue follow-up care during treatment?

Yes. Ongoing monitoring and follow-up appointments are important components of treatment to support safety, effectiveness, and individualized care.

Medication Options

Sublingual Troches (TRO-keez)
(7–14 weeks’ supply)

Each troche is individually dosed for your treatment plan. The duration of each fill depends on the frequency and dose prescribed.

Ketamine Only

Sublingual troches

Includes full provider education, guidance, and ongoing access for questions between visits.

$400

Ketamine + Oxytocin

Sublingual troches compounded with oxytocin to enhance mood, relaxation, and connection.*

Includes full provider education, guidance, and ongoing access for questions between visits.

*Ketamine + Oxytocin is only available in select markets due to pharmacy licensing - check with the office for availibilty
$500

Refill Timeline

  • Each ketamine troche fill typically lasts 7 to 14 weeks, depending on your individualized dosing schedule
  • Refills require a follow-up clinic visit to ensure safety and continued benefit

What's Included

  • Medication dispensing and coordination through licensed compounding pharmacy
  • Education on safe administration, dosing, and response tracking
  • Access to Becky Blackwell, PHMNP for ketamine-related questions during the dosing period
  • Integration of therapy or medication management visits (billed separately via insurance)

Safety & Support

  • Medication is prescribed only after comprehensive evaluation and clinical clearance
  • Patients must follow individualized dosing and safety guidelines
  • Support is available for dose adjustments, questions, and ongoing care coordination

Notes

  • Visits for assessment, follow-up, and integration are billed through insurance (or our self-pay pricing) and not included in the medication pricing
  • TrueNorth may adjust pricing in response to pharmacy costs or compounding changes
  • Payment is due at time of medication order
  • Contact the office for cash only packages including visits + medication
  • We partner with Denefits to offer payment plans for any of our packages – contact the office for more information

Informational Media

Experiencing a mental health crisis?

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