Pacific Phoenix Psychiatry & TMS

Pacific Phoenix Psychiatry & TMS offers IM ketamine and Spravato at its Steilacoom-Lakewood, Washington location for adults with major depressive disorder and PTSD. Intramuscular ketamine is administered as a single injection into the arm by an RN, with an MD present throughout for monitoring and check-ins.

Sessions last roughly 60 to 120 minutes with continuous vitals monitoring, and most patients begin with two sessions per week for three weeks before moving to maintenance. Ketamine acts on NMDA receptors to promote neuroplasticity, often easing symptoms more rapidly than traditional treatments.

Led by Elia Gonzalez-Rodriguez, MD, the practice also provides Spravato, TMS, medication management, and military and veteran services. Patients plan to rest for the day, cannot drive for 24 hours, and must be signed out by another adult.