Ketamine Therapy for Depression

286 vetted providers offer ketamine for depression. They are sorted by city below, and every other option is one click away.

Esketamine, sold as Spravato, is FDA-approved for depression that has not responded to treatment. IV ketamine is off-label but has been used in clinics for years when standard medication has not helped. Its stand-out feature is speed. Many people feel lighter within hours or days, while a regular antidepressant can take weeks.

Ketamine therapy means small, controlled doses given under medical supervision. It can be an IV drip, a shot, or Spravato nasal spray. It acts on glutamate, a different brain system from the one most antidepressants target. That is why it sometimes helps when other treatments have not, by breaking up the stuck patterns that keep depression going.

Here, ketamine belongs to the Progressive side of whole-person care. Good clinics do not offer it as a one-time fix. They combine it with therapy and stay in touch with your current prescriber, so the quick relief has support to last.

More depression treatments to compare: TMS (Transcranial Magnetic Stimulation) · EMDR Therapy · Somatic & Body-Based Therapy, or the full list for depression.

Ketamine care for depression: questions people ask

Is ketamine approved for depression?

Esketamine nasal spray (Spravato) is FDA-approved for treatment-resistant depression. IV ketamine is off-label but has years of clinical use for depression that standard medication has not eased. Ask a clinic which form it offers.

How quickly does it work?

Many people feel a change within hours or a few days of their first sessions. A standard antidepressant often takes weeks. Clinics usually start with a set series, then move to less frequent maintenance visits.

Does insurance cover it?

Spravato is covered more and more often for treatment-resistant depression. IV ketamine is often paid out of pocket. Prices and coverage differ from clinic to clinic, so ask when you call.

Who should avoid ketamine?

It does not suit everyone. Good clinics check your blood pressure, certain mental health conditions and any history of substance use before you start. That decision belongs in a consultation with a clinician.

Want to weigh more choices? See every depression option in the US, from traditional to alternative to progressive care, or search the full Live Well Map directory.