Find Online Therapists Offering Ketamine-Assisted Therapy

Ketamine-assisted therapy is a treatment model that combines ketamine treatment with therapeutic support. The therapy may include preparation before ketamine treatment, support around the treatment process, and integration afterward to help you understand and apply what comes up.

Depending on the provider, ketamine-assisted therapy may involve a medical prescriber, a therapist, or a coordinated care team. Some providers focus on therapy and integration, while others may also provide medical evaluation or prescribe ketamine when clinically appropriate.

Not always. “Ketamine therapy” often refers to treatment with ketamine itself, while “ketamine-assisted therapy” usually emphasizes the combination of ketamine treatment with psychotherapy, preparation, and integration support.

The exact meaning can vary by provider. Some programs are primarily medical. Others are therapy-centered. Before beginning care, ask what the provider offers, who manages the medication, how therapy is included, and what kind of follow-up support is available.

Ketamine-assisted therapy may be considered for adults who have ongoing symptoms such as depression, trauma-related distress, anxiety, emotional rigidity, or patterns that have not improved enough with other forms of care. It may be especially relevant for people who want both medical oversight and therapeutic support around the treatment process.

A provider should evaluate your history, symptoms, medical risks, current medications, and treatment goals before determining whether ketamine-assisted therapy is appropriate. It is not a one-size-fits-all treatment.

Ketamine-assisted therapy may not be appropriate for people with certain medical, psychiatric, or safety concerns. This can include some cardiovascular conditions, uncontrolled high blood pressure, active psychosis, mania, certain substance use concerns, pregnancy-related considerations, or situations where at-home treatment would not be safe.

The right decision depends on your full clinical picture. A licensed provider should screen carefully, explain risks and alternatives, and recommend a different type of care if ketamine-assisted therapy is not a safe fit.

Telehealth ketamine-assisted therapy may include online intake, preparation sessions, medical screening, treatment planning, ketamine dosing support depending on the provider’s model, and integration sessions afterward. The provider should explain which parts of care happen online, whether any in-person care is required, and who is responsible for medical oversight.

If your treatment model includes at-home ketamine use, your provider should give clear instructions about safety, setting, support, timing, monitoring, and aftercare. You should also know who to contact if you have side effects, feel emotionally overwhelmed, or need urgent help.

No. Some providers offer therapy, preparation, and integration but do not prescribe ketamine. Others are licensed medical providers who may evaluate, prescribe, and monitor ketamine treatment when appropriate. Some programs use a team-based model where a medical provider manages the medication and a therapist provides preparation and integration.

Review each provider’s profile carefully and ask what services they offer before scheduling.

Ketamine is FDA approved as an anesthetic medication, but ketamine used for psychiatric treatment is generally considered off-label. Esketamine, sold under the brand name Spravato, is a related medication that has FDA approval for certain forms of depression, but it has specific administration and monitoring requirements and is not the same as ordinary at-home ketamine-assisted therapy.

Because treatment models differ, ask the provider what medication they use, whether the use is on-label or off-label, what monitoring is required, and what risks or alternatives you should consider.

Ketamine-assisted therapy can involve meaningful risks and should only be used with appropriate screening, informed consent, monitoring, and follow-up. Possible risks may include sedation, dissociation, dizziness, nausea, anxiety, changes in blood pressure or heart rate, emotional distress, misuse, and other side effects.

At-home or telehealth-supported models require extra attention to safety planning because a provider may not be physically present. Your provider should explain how they reduce risk, what support is required, and when you should seek urgent or emergency care.

Some people explore ketamine-assisted therapy after depression has not improved enough with other treatments. However, results vary, and ketamine-assisted therapy is not guaranteed to help everyone. It should be considered as part of a broader treatment plan that may include therapy, medication management, lifestyle support, crisis planning, or other forms of care.

A provider can help you understand whether your symptoms, history, and treatment goals make ketamine-assisted therapy worth considering.

Integration therapy is the process of reflecting on and applying what comes up during ketamine treatment. It may involve talking through emotions, memories, insights, body sensations, beliefs, relationship patterns, or goals that feel more noticeable after a session.

Integration can help turn a temporary experience into practical change. It may include identifying next steps, building coping skills, strengthening self-compassion, changing patterns, or reconnecting with values and supports.

Possibly. Many people use ketamine-assisted therapy alongside existing mental health care, but coordination matters. Your ketamine-assisted therapy provider may ask for permission to communicate with your therapist, psychiatrist, primary care provider, or other healthcare professionals.

This can help reduce risk, avoid conflicting treatment plans, and make sure your care is connected rather than fragmented.

Online ketamine-assisted therapy may not be the right fit if you are in immediate crisis, at risk of harming yourself or someone else, medically unstable, experiencing active mania or psychosis, dealing with unsafe substance use, or in an environment where treatment cannot be done safely.

It may also not be the best starting point if you need diagnostic clarity, a higher level of care, in-person monitoring, or urgent psychiatric support. In those situations, individual therapy, medication management, psychological testing and evaluations, intensive outpatient care, emergency services, or another treatment setting may be more appropriate.