Ketamine Therapy Clinics in Washington

Most clinics see patients who have not responded well to standard treatments for depression, PTSD, OCD, or anxiety disorders. Some also work with people managing certain chronic pain conditions.

Ketamine therapy is not a guaranteed solution for any of these, and a licensed medical provider needs to evaluate your history before deciding whether it is appropriate for you.

IV ketamine is delivered through an intravenous drip in a clinic setting and is used off-label for conditions like depression and PTSD. Spravato is an FDA-approved nasal spray version of esketamine that is self-administered at the clinic under supervision. The two differ in delivery method, dosing schedules, and how insurance tends to treat them.

The largest concentration is in the Seattle metro, which covers Seattle itself plus Eastside cities like Bellevue, Kirkland, Redmond, and Issaquah. Tacoma, Vancouver, Bellingham, Spokane, and Olympia all have options as well. Spravato in particular extends into smaller cities across both western and eastern Washington.

After a medical intake and screening, you will have a scheduled session in a clinical room where the ketamine is administered. A licensed clinician monitors you throughout. Sessions typically last between 45 minutes and a couple of hours depending on the format, and you will need someone to drive you home afterward.

Insurance coverage for IV ketamine is uncommon because it is used off-label, so most patients pay out of pocket for that format. Spravato is more likely to have some insurance coverage because it is FDA-approved, but whether your specific plan covers it depends on your insurer and your diagnosis. Always call your insurance company and the clinic before assuming coverage.

Washington has more published pricing than many states, so you can often get a sense of costs before calling a clinic. Prices vary based on whether you are getting IV infusions or Spravato, and on how many sessions are included in a starter course. Self-pay is the most common arrangement, particularly for infusion-based treatment.

Start with the treatment format you and your provider have agreed on, since not every clinic offers every type. Then look at clinician credentials, monitoring practices, and what follow-up support they offer. If cost is a factor, the published pricing available for many Washington clinics makes comparison easier.

No. Every listing here is for a clinic that administers ketamine treatment in person at a physical location. At-home or telehealth ketamine services are outside the scope of this directory.

Ketamine-assisted psychotherapy pairs the ketamine session with therapy work, either during or immediately after treatment, with a trained therapist present. Several Washington clinics offer this, particularly in the Seattle metro and a few other Puget Sound cities. If that kind of integrated approach matters to you, ask the clinic directly whether they offer it in-house.

Yes. Ketamine is a Schedule III controlled substance under U.S. federal law and is legal for licensed clinicians to prescribe and administer off-label, including for treatment-resistant depression and other conditions.

Spravato (esketamine), the FDA-approved nasal-spray form, is dispensed only in certified healthcare settings under a federal Risk Evaluation and Mitigation Strategy (REMS) program. That applies in Washington as it does nationwide.

The standards for who may administer treatment are set by state regulators and by the clinicians themselves; you can look up the current licensing board for your state through the Federation of State Medical Boards directory at fsmb.org. This page is informational and not legal or medical advice. Consult a licensed medical provider before starting treatment.