Ketamine Therapy
Expanded States for Deep Healing
What Is Ketamine Therapy?
Ketamine was approved by the FDA as an anesthetic in the 1960s. Hospitals worldwide have used it safely for decades. Today, doctors prescribe ketamine off-label to help treat depression, anxiety, PTSD, and chronic pain.
Research shows ketamine can offer relief when other treatments haven't worked. Many people notice improvements within hours or days, rather than weeks.
How Ketamine Works in Your Brain
Ketamine therapy is different from traditional antidepressants. It works by blocking certain brain signals and helping nerve cells form new connections. In your brain, a chemical called glutamate helps nerve cells communicate. This chemical helps your brain control your mood, memory, and decision-making. However, excessive glutamate can damage brain cells and slow down areas affecting mood, stress, and anxiety. Ketamine works by blocking certain glutamate signals in your brain. This helps protect brain cells and allows them to form new, healthy connections, a process called synaptogenesis. These new connections often help to improve your mood and reduce unwanted symptoms.
What Can Ketamine Do?
- Create space for emotional processing.
- Enhance access to new perspectives.
- Develop awareness of conflicts and challenges.
- Increase motivation for change.
- Lessen defensiveness and fear.
- Help your brain form new neural connections.
- Reduce negative thought patterns.
- Provide quick symptom relief.
- Treat depression, anxiety, trauma and PTSD, chronic pain, and suicidal ideation.
What Makes Ketamine Different?
Rapid Response
Many people feel better quickly, sometimes within hours of treatment. This can provide hope during difficult times.
Research-Backed
Studies support ketamine's use for treatment-resistant depression and other mental health conditions. We stay current with the latest research.
Medically Supervised
All sessions include medical screening, vital sign monitoring, and licensed professionals present throughout your treatment.
Personalized Care
We create treatment plans based on your unique needs. You can choose medical protocols or more holistic, ceremonial approaches.
Your Treatment
Important: Response rates vary by person. Some people experience significant relief. Others see modest improvements. We'll discuss realistic expectations during your consultation.
Oral Sublingual Ketamine
How it works: A ketamine lozenge dissolves under your tongue. The medicine absorbs through the tissue in your mouth.
The experience: Effects begin gradually and last 50-90 minutes. This gentler approach works well if you're new to ketamine or prefer a less intense experience.
Best for:
- First-time ketamine users
- People who prefer gradual onset
- Those wanting a moderate therapeutic experience
May help with:
- Depression (including treatment-resistant depression)
- Anxiety disorders
- PTSD
- Chronic pain conditions
- OCD
- Emotional regulation challenges
- Suicidal thoughts (with immediate medical support)
The Selva Approach
At Selva, we practice a Ceremonial-Therapeutic approach to ketamine therapy, bridging clinical science with sacred ritual to transform a profound ketamine experience into lasting, real-world healing. During preparation, you build a sturdy container for the journey by mapping out psychological traumas while setting fluid, symbolic intentions and preparing the body through mindfulness. Following the experience, integration capitalizes on the brain's heightened neuroplasticity to translate abstract cosmic insights, archetypes, and emotional breakthroughs into practical, daily habits. Ultimately, this blended approach honors the mystical sanctity of the journey while utilizing grounded psychological tools to ensure your transcendent insights successfully reshape how you live, think, and relate in everyday life.
Investment & Pricing
Superbills available depending on clinician.
Preparation & Intention Sessions
$150-$185 per 60-min session
$225-$280 per 90-min session
Oral Sublingual Medicine Sits
$350-$400 for initial sit (approx. 2-hrs)
$300-$350 for follow-up sits (90-mins)
Integration Sessions
$150-$185 per 60-min session
How To Get Started
1. Complimentary Consultation
Talk with one of our experienced facilitators for 10 minutes. We'll discuss your goals, answer questions, and help you understand if ketamine therapy fits your needs.
2. Medical Screening & Treatment Planning
We will refer you to a specialized psychiatric nurse practitioner for a one-hour Telehealth evaluation to ensure ketamine is safe for you. Together, you'll design a personalized treatment plan tailoring the ketamine method, session count, and schedule to your needs.
3. Preparation Session
Before your first medicine session, meet with your facilitator to prepare. You'll discuss what to expect, set intentions, and learn how to work with challenging emotions.
4. Medicine Session
Experience your ketamine session in a safe, comfortable setting:
• Medical monitoring throughout (vital signs tracked)
• Music and calm environment
• Licensed professional present the entire time
• Sessions last approximately 2 hours
5. Integration Session
After each medicine session, meet with your facilitator to process insights, connect your experience to daily life, and build on your progress.
6. Ongoing Support
Regular check-ins with your psychiatric provider ensure medical safety. Your therapy team provides continuous support between sessions as needed.
See if Ketamine Therapy is right for you.
Meet Your Ketamine Therapy Practitioners
Our Commitment to Safety
Every ketamine session at Selva includes:
✓ Complete Medical Screening - We review your health history and current medications
✓ Vital Sign Monitoring - We track your blood pressure, heart rate, and oxygen levels
✓ Licensed Professionals Present - Medical staff stay with you throughout treatment
✓ Personalized Dosing - We adjust doses based on your response and needs
✓ Integration Support - We help you process and apply insights from your experience
✓ Emergency Protocols - We have clear plans for managing any adverse reactions
Understanding the Risks
Like all medical treatments, ketamine therapy has potential risks. It may not be safe for everyone. Your safety comes first - we conduct thorough medical screening before starting treatment.
Possible Side Effects
During treatment, you may experience:
- Temporary dissociative feelings (feeling disconnected from your body)
- Nausea or dizziness
- Mild increases in blood pressure or heart rate
- Unusual sensations or perceptions
These effects are closely monitored and typically end shortly after treatment.
Who Should Not Use Ketamine Therapy
Ketamine may not be safe if you have:
- Uncontrolled high blood pressure
- Serious heart conditions
- History of psychosis or certain psychiatric conditions
- Active substance use disorders
- Pregnancy or breastfeeding status
Important Medical Disclaimer
The content on this website is for informational purposes only. It should not be considered medical advice. Ketamine therapy involves off-label use of an FDA-approved medication. Results vary by individual.
Treatment may not be appropriate for everyone. Potential risks exist. Always consult with qualified healthcare providers about treatment options for your specific situation.
If you are experiencing a medical or mental health emergency, call 911 or go to your nearest emergency room immediately.
Learn About Other Services
You'll be in a safe, comfortable setting. A medical professional will be present throughout. The ketamine will be administered based on your treatment plan. You may experience altered perceptions or feelings. After effects wear off, you'll have time to process the experience.
Yes. Ketamine is FDA-approved as an anesthetic. Licensed healthcare providers can legally prescribe it off-label for mental health treatment. This practice is common and accepted in medicine.
Medical ketamine therapy includes:
Carefully controlled doses Medical supervision and monitoring Professional screening for safety Integration with psychotherapy Focus on therapeutic benefits
This clinical approach maximizes benefits while minimizing risks.
You'll be in a safe, comfortable setting. A medical professional will be present throughout. The ketamine will be administered based on your treatment plan. You may experience altered perceptions or feelings. After effects wear off, you'll have time to process the experience.
As is standard across the industry, most KAP clinics-including Selva-do not currently bill insurance directly. This is due to the complexity of combining medical, therapeutic, and psychedelic support services, which often fall outside the scope of traditional insurance coverage.
That said, Selva offers superbills for your medical and ceremonial sits. Each clinician involved in your journey-psychiatric provider, therapist, or psychedelic integration facilitator-will provide a detailed superbill that includes CPT codes, session details, and diagnosis codes (when appropriate). You can submit these to your insurance provider for out-of-network reimbursement.
Most of our clients find that once they've met their deductible, they're able to get a significant portion of their journey reimbursed, making KAP a more financially accessible experience. During the intake process, we'll also provide the codes we plan to use so you can speak with your insurance ahead of time and understand your benefits.
The ranges reflect the customization of your treatment plan, based on the clinical support you choose to include.
For example, if you opt for a more ceremonial experience with enhanced support (such as somatic work, spiritual guidance, or extended integration), that will be reflected in your plan.
We work with you during your consultation and intake to curate a package that fits your goals, preferences, and budget, and we provide a clear breakdown of costs before you commit. You’ll always know what’s included-and we’re here to adjust the plan as needed along the way.
A combination series blends elements of both medical and ceremonial models to give you a fully personalized healing experience. This means you’ll receive your ketamine from our licensed psychiatric provider (NP), while also working with a skilled facilitator for preparation, integration, and-if desired-emotional support during your medicine sessions.
In a combination sit, you can choose to have just the NP present for the medicine session, or both the NP and your facilitator holding space together, depending on your goals and preferences. Some clients prefer to receive the medicine clinically and connect with their facilitator only before and after; others feel most supported with both present during the session itself.
We’ll work with you to co-create the structure that feels safest, most aligned, and most effective for your healing.
It depends on the medication. Some psychiatric medications-particularly SSRIs, SNRIs, benzodiazepines, mood stabilizers, and antipsychotics-can interact with ketamine or reduce its effectiveness. During your initial medical screening, our psychiatric provider will review your current medications in detail and determine whether it's safe to proceed, or if any adjustments need to be made prior to treatment.
In many cases, clients are able to move forward safely with guidance from their prescriber and our team. We always prioritize your physical and emotional safety, and we collaborate closely with you to ensure your treatment plan is both effective and supportive of your overall mental health.
Ketamine therapy pricing varies widely depending on the setting, level of care, and what's included. In many clinical or psychiatric-only settings, a single ketamine session can range from $400 to $800, often without therapeutic preparation or integration. Some full-service clinics charge $4,000-$6,000 for 6-session series, while concierge or luxury experiences can exceed $10,000+.
At Selva, our pricing reflects a holistic, trauma-informed, and personalized approach, blending medical safety, emotional support, and ceremonial care. Each package is designed to include everything you need-medical clearance, medicine sessions, prep and integration support-so you're not left piecing it together on your own. We also offer flexible payment plans and superbills to support accessibility.
Yes, Selva offers both in-office and at-home ketamine sessions depending on your treatment plan and preferences. Oral ketamine sessions can often be facilitated at home with proper medical clearance and virtual or in-person support.
We'll help assess what setting is best for your goals, comfort, and clinical needs during your consultation and intake process.
Ketamine doesn't work for everyone. If you don't experience relief after several sessions, we'll discuss other treatment options. Your mental health matters, and we're committed to finding approaches that help.
No. You should not drive on the day of treatment. Please arrange for someone to take you home or plan to use a ride service.
When used in a medical setting with appropriate dosing, serious long-term side effects are rare. We monitor your health throughout treatment. Long-term recreational use can cause problems, but medical use is different.
Learn More About Ketamine Research
Want to read the science behind ketamine therapy? These resources provide evidence-based information:
Yale University - How Ketamine Affects Depression
National Library of Medicine - Sublingual Ketamine Safety Study
Neuroscience News - Ketamine and Suicidal Thoughts
National Library of Medicine - 50 Years of Ketamine Use
