Gilbert, Arizona — Interventional Psychiatry
Take-Home Ketamine, Done Like Medicine
Ketamine lozenges/troches and nasal spray for eligible Arizona adults whose depression has outlasted the standard playbook. Full evaluation and a supervised trial assessment at the Gilbert office first — then home sessions on a real plan, integrated with your ongoing care.
The short version
- Ketamine for depression is off-label. I tell you that up front, because a clinic that won't say it plainly will bend other facts too.
- You cannot book a session directly. Every patient starts with a candidacy evaluation, and treatment only proceeds if it is appropriate and safe for you. Some people leave that visit with a better plan than ketamine.
- The evaluation and a supervised trial assessment happen in person at the Gilbert, Arizona office. Home sessions are for eligible Arizona adults only — this program is not available in California.
- Treatment is take-home ketamine — lozenges/troches or nasal spray — with a responsible adult present during sessions and no driving the rest of the day.
- This is not a standalone ketamine clinic. The program runs inside your ongoing psychiatric care — diagnostic workup, medication management, and follow-up in one place.
- This is not crisis care. If you are in danger right now, call 911, or call or text 988 for the Suicide & Crisis Lifeline.
Candidacy
Ketamine is a real option. It is not a universal one.
Worth evaluating if
- Depression that has stayed put through two or more adequate antidepressant trials
- You keep functioning, barely, and each new medication trial costs you another two months
- Anxious depression or suicidal thinking that is persistent but not an active emergency
- You want real medical screening and an in-clinic trial first — not a questionnaire and a shipped box
We will say no if
- Uncontrolled blood pressure or significant unstable heart disease
- A history of psychosis or a primary psychotic disorder
- Active substance use that is not yet stable — ketamine has real misuse potential
- Pregnancy
- No responsible adult who can be present during home sessions
- Looking for same-day relief in a crisis — that is emergency care, not ketamine therapy
Screening at the evaluation covers blood pressure, cardiac history, psychiatric history, pregnancy, substance use, and your current medications. A "no" comes with a different plan, not a shrug.
The diagnostic angle
"Treatment-resistant" is sometimes a lab result nobody ordered
Horizon Peak Health is a diagnostic psychiatry practice first. Before your depression gets labeled treatment-resistant, your evaluation looks at the things that quietly imitate it — thyroid, iron stores, sleep apnea, hormones, and the medications already on board.
Sometimes the workup changes the plan and ketamine moves down the list. Sometimes it confirms the label and ketamine moves up. Either way, you get the investigation before the prescription.
I do not call it treatment-resistant depression until I know the body has actually been investigated.
What a session looks like
Evaluated in clinic, treated at home
The full evaluation, in person
Everything starts at the Gilbert office — treatment history, medications, heart and blood pressure screening, and whether anything medical explains why treatment has not worked. Some people leave this visit with a different plan than ketamine, and that is the point.
The in-clinic trial assessment
Before anything goes home with you, your response to the exact take-home formulation is assessed in the clinic, supervised. This is where tolerance, blood pressure response, and dosing get grounded in observation instead of guesswork.
Home readiness, consent, and training
We confirm the practical side before any home use: a responsible adult present during sessions, secure storage, your emergency plan, and exactly how to take the medication. Off-label status, risks, and misuse potential are explained plainly.
Take-home sessions, on a plan
Ketamine lozenges/troches or nasal spray, taken at your approved Arizona home on the schedule set with your provider. A responsible adult is present, and no driving the rest of the day.
Follow-up, integrated with your care
Structured follow-up visits review response, side effects, and dose planning — inside the same practice that manages your medications and diagnostic workup, not a separate ketamine silo.
Who is supervising: your evaluation and in-clinic trial assessment are supervised by Canybec Sulayman, PMHNP-BC — 19 years of critical care nursing across 7+ ICU types, including cardiac surgery ICU, CCRN and CSC certified, DEA-registered. Watching vitals respond to a medication is the part of this job he has done the longest.
Pricing
The prices, on the page
The take-home program is self-pay. The evaluation can sometimes go through insurance as a psychiatric visit — we confirm which before you book anything.
$250
Ketamine Candidacy Evaluation
The full in-person evaluation at the Gilbert office. In some cases this visit can be billed to insurance as a psychiatric evaluation — we tell you which applies before you book.
$150
Ketamine Follow-Up Visit
Progress review, dose planning, and the decision about whether to continue.
At evaluation
Program & Medication Pricing
Take-home program pricing is reviewed with you at the evaluation, once your plan is actually defined. The medication itself is filled through a licensed pharmacy.
Start with the evaluation
$250, in person at the Gilbert office. Every path into the program starts here.
Questions
Ketamine therapy FAQ
Is ketamine therapy covered by insurance?
The candidacy evaluation can sometimes be billed to insurance as a psychiatric evaluation, and we tell you which applies before you book. The take-home program and medication are self-pay; program pricing is reviewed at your evaluation and the medication is filled through a licensed pharmacy.
Is this FDA-approved?
Ketamine itself is FDA-approved as an anesthetic. Its use for depression is off-label — legal, widely practiced, and supported by research, but not an FDA-approved indication. Spravato (esketamine) is the FDA-approved version for treatment-resistant depression; we are building toward offering it and keep a waitlist on this page.
Why do you require an in-clinic trial assessment first?
Because the first dose is data. Observing your response in the clinic — tolerance, blood pressure, how you feel as it wears off — is how the take-home plan gets set from your physiology instead of a template. It is also the honest difference between this program and prescription-by-questionnaire.
Will I stop my antidepressant first?
Usually no. Most people continue their current medication. Do not stop or change any psychiatric medication on your own before the evaluation — that decision gets made with your provider, deliberately.
What do home sessions require?
An approved Arizona home setting, a responsible adult present during the session, secure storage for the medication, an agreed emergency plan, and no driving the rest of the day. If those requirements do not fit your situation, we will say so at the evaluation.
What does it feel like?
Most people describe a dissociative period — floating, detachment, altered perception of time — that fades within the hour. Some find it strange, some find it peaceful. Nausea and a temporary blood pressure rise are the most common physical effects, which is exactly why the trial assessment happens in the clinic first.
Coming to Gilbert
Prefer the FDA-approved, insurance-based route?
Spravato (esketamine) is the FDA-approved nasal-spray form for treatment-resistant depression, typically covered by insurance and given in a certified clinical setting. We are building toward offering it at the Gilbert office. Details on the Spravato page, or get on the list now.
Join the Spravato waitlist
Spravato is billed through insurance, so we ask for your plan up front — it tells us whether we can get you approved before we call.
We ask for insurance because Spravato is billed through your plan. Being on this list is not a booking and not a coverage guarantee.
Ketamine therapy is not emergency care
If you are thinking about harming yourself or are in immediate danger, do not wait for an evaluation appointment. Call 911, go to the nearest emergency room, or call or text 988 for the Suicide & Crisis Lifeline, any hour. And do not stop or change your current psychiatric medications on your own while you wait for a visit — medication changes belong inside a plan, made with your prescriber.
Start with the evaluation, not the prescription
A $250 candidacy evaluation tells us whether take-home ketamine is your next step or whether something better fits. Appointment availability varies.
Book a Candidacy Evaluation