At-Home Ketamine Treatment in Oregon & Washington

Medically Reviewed By:

Medical Director:Dr. Samuel “Joe” Cross-Sarvis DNP, FNP-C, PMHNP-BCPsychiatric Mental Health Nurse Practitioner

What We Offer

A fast-acting, provider-supervised medication option for depression that hasn't responded to other treatments.

If you’ve tried antidepressant after antidepressant without relief, at-home ketamine treatment may be the next step in your medication plan. Prescribed and monitored by our psychiatric providers, it’s a clinically supervised option for adults with treatment-resistant depression, anxiety, and mood disorders, administered from the comfort of home.

Accessible Support

What Is At-Home Ketamine Treatment?

At-home ketamine treatment uses low, medically supervised doses of ketamine — typically in a sublingual (dissolve-under-the-tongue) form — to target depression symptoms through a different pathway than traditional antidepressants. Where SSRIs and SNRIs can take four to six weeks to show any effect, ketamine often begins working within hours to days for eligible patients.

This isn’t a self-directed or unsupervised treatment. Every dose, dosage adjustment, and follow-up is managed by a licensed psychiatric provider as part of your broader medication plan.

Get Help With Recovery Costs

Accepting Most Major Commercial Insurance Plans & are Available for New Patient Evaluations

What To Expect

Is At-Home Ketamine Treatment Right for You?

You may be a candidate if you experience:

  • Depression that hasn’t improved with two or more medication trials
  • Persistent low mood, hopelessness, or loss of interest despite treatment
  • Anxiety or mood symptoms that interfere with daily functioning
  • A need for faster symptom relief than standard antidepressants provide

Ketamine treatment isn’t appropriate for everyone. Certain medical and psychiatric histories require a different approach, which is why every patient starts with a full psychiatric evaluation before any prescribing decision is made.

 

How Our At-Home Ketamine Program Works

  1. Psychiatric evaluation. We review your diagnosis, treatment history, and current medications to confirm ketamine is a safe, appropriate fit.
  2. Prescribing and dosing plan. If cleared, your provider prescribes a starting dose and walks you through exactly how and when to take it.
  3. Supervised at-home dosing. You take your dose at home following a structured safety protocol, with vital sign checks and a required support person present during sessions.
  4. Follow-up and adjustment. Your provider monitors your response and adjusts your dosing schedule, working ketamine into your broader medication management plan alongside any other prescriptions.

Our Areas of Reach

Where We Serve

At Synchronous Mental Health, we proudly serve individuals across Oregon, Washington, California, and Florida. Our mission is to empower you to thrive by addressing your mental health needs with utmost care and professionalism.

What To Expect

Supervised, Not Solo

Every patient in our ketamine program is monitored by a psychiatric provider throughout treatment, not just at intake. We track response, side effects, and safety at every dosing interval, and we’re available between sessions if anything feels off. This is medication management, applied to a newer tool, with the same clinical oversight you’d expect from any prescription.

Our Process

How To Get Started

1. Book Online

Choose a time that works for you

2. Complete Your Evaluation

Meet with a licensed provider from home

3. Start Feeling Better

Get a personalized treatment plan and ongoing support

Testimonials

Stories of Growth, Strength and Discovery

Synchronous Mental Health has completely transformed how I care for myself. My therapist helped me reconnect with myself in ways I never expected.

Emily H

Synchronous Mental Health has completely transformed how I care for myself. My therapist helped me reconnect with myself in ways I never expected.

Emily H
Burnout vs. Depression: How to Tell the Difference—and Why It Matters

How often will I need appointments?

Follow-up frequency depends on your treatment plan, medication, and how you're responding, your provider will recommend a schedule and adjust it as needed.

What if a medication isn't working for me?

That's a normal part of the process. We'll reassess and adjust your treatment plan together, which may mean a dosage change, a different medication, or additional evaluation.

Do you prescribe controlled substances, like stimulant medication for ADHD?

In many cases, yes, subject to state and federal telehealth prescribing regulations, which we'll walk you through if they apply to your treatment plan.

Do I need to be located in one of your four states for every appointment?

Yes, you'll need to be physically located in Oregon, Washington, California, or Florida at the time of each telehealth appointment, consistent with state licensing requirements.

Empowering your mental health

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