A structured, clinician-guided approach to relief from depression, anxiety, and treatment-resistant symptoms
At Stillpoint Integrative Psychiatry & Wellness, we offer in-office ketamine treatment for individuals who need a more supported, closely monitored therapeutic setting than at-home options can provide.
This model is designed for patients who benefit from direct clinical presence, real-time observation, and intentional integration support — all within a calm, private medical environment.
Ketamine is not a standalone cure. In our practice, it is used as a precision tool within a broader psychiatric and integrative framework.
What Is In-Office Ketamine Treatment?
In-office ketamine treatment involves receiving ketamine on-site at one of our offices, under the supervision of a licensed psychiatric provider.
This approach allows for:
- Careful dose selection and adjustment
- Clinical monitoring during the session
- Immediate response to side effects or discomfort
- Guided preparation and post-session integration
- A structured, intentional therapeutic setting
We primarily utilize ketamine nasal spray in the office, with protocols tailored to the individual rather than a one-size-fits-all program.
Who Is In-Office Ketamine Best For?
In-office treatment may be a good fit if you:
- Have treatment-resistant depression or anxiety
- Experience significant dissociation, panic, or sensitivity to medications
- Prefer direct clinical supervision during treatment
- Want a contained, distraction-free environment
- Have not responded well to at-home ketamine programs
- Value a slower, more deliberate approach to care
Many patients choose in-office treatment after feeling that remote or high-volume ketamine models were too fast, too automated, or insufficiently supported.
How Our Approach Is Different
We intentionally practice low-volume, clinician-directed ketamine care.
That means:
- No conveyor-belt protocols
- No algorithm-only dosing
- No pressure to dissociate deeply or “chase an experience”
Instead, we focus on:
- Nervous system regulation
- Psychological safety
- Symptom relief that integrates into daily life
- Thoughtful pacing over time
Ketamine works best when the mind and body feel contained rather than overwhelmed.
What a Typical In-Office Session Looks Like
While each plan is individualized, most in-office sessions include:
- Pre-session check-in
Review of symptoms, stressors, sleep, and medication response - Ketamine administration
Delivered in a quiet, private room with clinical monitoring - Observation period
Time to rest as the medication effects settle - Post-session grounding
Gentle re-orientation before leaving the office - Integration planning
Brief guidance on how to support the effects in the days that follow
Sessions are paced conservatively, especially early in treatment.
Conditions We Commonly Treat With Ketamine
In-office ketamine may be considered for:
- Major depressive disorder
- Treatment-resistant depression
- Generalized anxiety and panic
- PTSD and trauma-related symptoms
- Obsessive or ruminative thought patterns
- Emotional numbness or shutdown
A comprehensive psychiatric evaluation is required before starting treatment.
Safety & Medical Oversight
Your safety is central to our approach.
- All treatment is overseen by a licensed psychiatric provider
- Medical and psychiatric history is reviewed in detail
- Dosing is conservative and adjusted over time
- Ongoing monitoring ensures treatment remains appropriate
Ketamine is not suitable for everyone, and we are careful about who we recommend it for.
Our Office Locations
We currently offer in-office ketamine treatment at the following locations:
- Harrisonburg
[Learn more about in-office ketamine in Harrisonburg →] - Lynchburg
[Learn more about in-office ketamine in Lynchburg →]
Each location provides the same clinical standards, calm setting, and personalized care model.
Cost (detailed ketamine therapy pricing information here)
- $350 per session
Is In-Office Ketamine Right for You?
Ketamine can create meaningful shifts — but how it’s delivered matters.
If you’re looking for:
- Thoughtful psychiatric oversight
- A calm, structured environment
- A slower, steadier path to relief
- Care that treats you as a whole person, not a protocol
Then in-office ketamine treatment may be the right next step.
Take the Next Step
To explore whether in-office ketamine treatment is appropriate for you, schedule an initial consultation or select your preferred location below.
👉 Harrisonburg In-Office Ketamine
👉 Lynchburg In-Office Ketamine
