# Salish Ketamine > Bellingham > Generated by All in One SEO Pro v5.0.3, this is an llms-full.txt file, used by LLMs to index the site. ## Pages ### [Home](https://www.salishketamine.com/) **Published:** May 22, 2014 **Author:** ClickMonster **Content:** ## More Hope for Mental Wellness # Ketamine infusions for the treatment of depression, anxiety, PTSD, and chronic pain. [What We Treat](https://www.salishketamine.com/ketamine-therapy/) ## Salish Ketamine Considering innovative treatment for depression, anxiety, or PTSD? Salish Ketamine, a Bellingham, WA clinic, offers ketamine therapy based on promising scientific research. In a safe and controlled setting, Salish Ketamine helps patients explore the potential benefits of this emerging treatment. ### What We Treat With a focus on improving symptoms and enhancing overall well-being, Salish Ketamine provides hope and relief to those who haven’t found success with traditional treatment methods. By harnessing the transformative power of ketamine therapy, Salish Ketamine empowers individuals in Bellingham and beyond to discover new paths towards mental health and recovery. [](https://www.salishketamine.com/ketamine-therapy/depression/)![](https://www.salishketamine.com/wp-content/uploads/icon-teal-depression.png "icon-teal-depression") #### Treatment-Resistant Depression Learn More [](https://www.salishketamine.com/ketamine-therapy/anxiety/)![](https://www.salishketamine.com/wp-content/uploads/icon-teal-anxiety.png "icon-teal-anxiety") #### Generalized Anxiety Disorder Learn More [](https://www.salishketamine.com/ketamine-therapy/post-traumatic-stress-disorder/)![](https://www.salishketamine.com/wp-content/uploads/icon-teal-ptsd.png "icon-teal-ptsd") #### Post Traumatic Stress Disorder Learn More [](https://www.salishketamine.com/ketamine-therapy/chronic-pain/)![](https://www.salishketamine.com/wp-content/uploads/icon-teal-social-support.png "icon-teal-social-support") #### Chronic Pain Learn More [](https://www.salishketamine.com/ketamine-therapy/obsessive-compulsive-disorder/)![](https://www.salishketamine.com/wp-content/uploads/icon-teal-ocd.png "icon-teal-ocd") #### Obsessive Compulsive Syndrome Learn More ### Why Choose Us ![](https://www.salishketamine.com/wp-content/uploads/icon-teal-safe.png) #### Safe Under the supervision of qualified, board-certified healthcare providers in a safe setting, ketamine therapy emerges as a possible answer for people struggling with treatment-resistant depression, anxiety, and other mental health conditions. This therapy has the potential to be a valuable tool within a broader treatment plan by influencing brain chemistry, encouraging the brain’s ability to adapt, and offering fast relief from symptoms. ![](https://www.salishketamine.com/wp-content/uploads/icon-teal-public-health.png) #### Effective Ketamine therapy has shown remarkable effectiveness in rapidly reducing symptoms of treatment-resistant mood disorders like depression and anxiety. This therapy works by quickly targeting symptoms and influencing brain connections, offering a potential breakthrough for people seeking solutions to difficult mental health conditions and chronic pain. ![Salish Ketamine | Bellingham WA](https://www.salishketamine.com/wp-content/uploads/home-img-1.jpg "Salish Ketamine | Bellingham WA") ## Why Choose Us ![](https://www.salishketamine.com/wp-content/uploads/icon-teal-safe.png) ### Safe Under the supervision of qualified healthcare providers in a safe setting, ketamine therapy emerges as a possible answer for people struggling with treatment-resistant depression, anxiety, and other mental health conditions. This therapy has the potential to be a valuable tool within a broader treatment plan by influencing brain chemistry, encouraging the brain’s ability to adapt, and offering fast relief from symptoms. ![](https://www.salishketamine.com/wp-content/uploads/icon-teal-public-health.png) ### Effective Ketamine therapy has shown remarkable effectiveness in rapidly reducing symptoms of treatment-resistant mood disorders like depression and anxiety. This therapy works by quickly targeting symptoms and influencing brain connections, offering a potential breakthrough for people seeking solutions to difficult mental health conditions and chronic pain. ### Is Ketamine Therapy Right for You? Ketamine therapy can be a powerful tool, but it’s not a one-size-fits-all solution. It’s often recommended for those who haven’t found relief with traditional treatments for depression, anxiety, or chronic pain. If you’re interested, request a consultation with us to discuss your medical history and see if ketamine therapy could be a good fit for your unique situation. [Read Our FAQ](https://www.salishketamine.com/faq/) --- ### [Home](https://www.salishketamine.com/) **Published:** May 22, 2014 **Author:** ClickMonster **Content:** ## More Hope for Mental Wellness # Ketamine infusions for the treatment of depression, anxiety, PTSD, and chronic pain. [What We Treat](https://www.salishketamine.com/ketamine-therapy/) ## Salish Ketamine Considering innovative treatment for depression, anxiety, or PTSD? Salish Ketamine, a Bellingham, WA clinic, offers ketamine therapy based on promising scientific research. In a safe and controlled setting, Salish Ketamine helps patients explore the potential benefits of this emerging treatment. ### What We Treat With a focus on improving symptoms and enhancing overall well-being, Salish Ketamine provides hope and relief to those who haven’t found success with traditional treatment methods. By harnessing the transformative power of ketamine therapy, Salish Ketamine empowers individuals in Bellingham and beyond to discover new paths towards mental health and recovery. [](https://www.salishketamine.com/ketamine-therapy/depression/)![](https://www.salishketamine.com/wp-content/uploads/icon-teal-depression.png "icon-teal-depression") #### Treatment-Resistant Depression Learn More [](https://www.salishketamine.com/ketamine-therapy/anxiety/)![](https://www.salishketamine.com/wp-content/uploads/icon-teal-anxiety.png "icon-teal-anxiety") #### Generalized Anxiety Disorder Learn More [](https://www.salishketamine.com/ketamine-therapy/post-traumatic-stress-disorder/)![](https://www.salishketamine.com/wp-content/uploads/icon-teal-ptsd.png "icon-teal-ptsd") #### Post Traumatic Stress Disorder Learn More [](https://www.salishketamine.com/ketamine-therapy/chronic-pain/)![](https://www.salishketamine.com/wp-content/uploads/icon-teal-social-support.png "icon-teal-social-support") #### Chronic Pain Learn More [](https://www.salishketamine.com/ketamine-therapy/obsessive-compulsive-disorder/)![](https://www.salishketamine.com/wp-content/uploads/icon-teal-ocd.png "icon-teal-ocd") #### Obsessive Compulsive Syndrome Learn More ### Why Choose Us ![](https://www.salishketamine.com/wp-content/uploads/icon-teal-safe.png) #### Safe Under the supervision of qualified, board-certified healthcare providers in a safe setting, ketamine therapy emerges as a possible answer for people struggling with treatment-resistant depression, anxiety, and other mental health conditions. This therapy has the potential to be a valuable tool within a broader treatment plan by influencing brain chemistry, encouraging the brain’s ability to adapt, and offering fast relief from symptoms. ![](https://www.salishketamine.com/wp-content/uploads/icon-teal-public-health.png) #### Effective Ketamine therapy has shown remarkable effectiveness in rapidly reducing symptoms of treatment-resistant mood disorders like depression and anxiety. This therapy works by quickly targeting symptoms and influencing brain connections, offering a potential breakthrough for people seeking solutions to difficult mental health conditions and chronic pain. ![Salish Ketamine | Bellingham WA](https://www.salishketamine.com/wp-content/uploads/home-img-1.jpg "Salish Ketamine | Bellingham WA") ## Why Choose Us ![](https://www.salishketamine.com/wp-content/uploads/icon-teal-safe.png) ### Safe Under the supervision of qualified healthcare providers in a safe setting, ketamine therapy emerges as a possible answer for people struggling with treatment-resistant depression, anxiety, and other mental health conditions. This therapy has the potential to be a valuable tool within a broader treatment plan by influencing brain chemistry, encouraging the brain’s ability to adapt, and offering fast relief from symptoms. ![](https://www.salishketamine.com/wp-content/uploads/icon-teal-public-health.png) ### Effective Ketamine therapy has shown remarkable effectiveness in rapidly reducing symptoms of treatment-resistant mood disorders like depression and anxiety. This therapy works by quickly targeting symptoms and influencing brain connections, offering a potential breakthrough for people seeking solutions to difficult mental health conditions and chronic pain. ### Is Ketamine Therapy Right for You? Ketamine therapy can be a powerful tool, but it’s not a one-size-fits-all solution. It’s often recommended for those who haven’t found relief with traditional treatments for depression, anxiety, or chronic pain. If you’re interested, request a consultation with us to discuss your medical history and see if ketamine therapy could be a good fit for your unique situation. [Read Our FAQ](https://www.salishketamine.com/faq/) --- ### [About](https://www.salishketamine.com/about/) **Published:** June 12, 2014 **Author:** ClickMonster **Content:** # Home At Salish Ketamine, we believe in a holistic approach to wellness. We offer innovative ketamine therapy treatments, empowering you to feel your best from the inside out. Our team of experts are board-certified and utilizes ketamine infusions to treat treatment-resistant depression, anxiety, PTSD, chronic pain, and OCD. We prioritize patient comfort and safety, creating a supportive environment for your journey towards mental and emotional well-being. Patients will have their IV’s placed under ultrasound guidance for their comfort and to reduce the number of needle sticks. ![](https://www.salishketamine.com/wp-content/uploads/about-dr-raj-jayarama-salish-ketamine-bellingham-wa.webp "about-dr-raj-jayarama-salish-ketamine-bellingham-wa") ### Dr. Raj Jayarama I’m a board-certified emergency physician with 25 years of experience, currently practicing at St. Joseph Emergency Department and Skagit Valley Hospital, where I’ve served as Medical Director of the Emergency Department for the past six years. I completed my residency training in New Jersey and went on to pursue an ultrasound fellowship in Charlotte, North Carolina. In addition to emergency medicine, I also work in an integrative medicine clinic—an experience I deeply value. I believe in the powerful connection between mind and body, and in the importance of treating both to promote true healing. Now based in Bellingham, Washington, I recharge by exploring the local trails on my mountain bike. Before medicine, I played rugby for 12 years, and I still carry that same spirit of grit, camaraderie, and resilience into everything I do. ![](https://www.salishketamine.com/wp-content/uploads/icon-teal-precision-medicine.png) #### Emergency Medicine Experience As an emergency physician, Dr. Jayamara has extensive experience administering ketamine for procedural sedation, rapid sequence intubation, and acute pain management. This familiarity with ketamine’s pharmacology, dosing, and effects in emergent situations provides a strong foundation for using it safely and effectively in a clinical setting for other indications like treatment-resistant depression or chronic pain. ![](https://www.salishketamine.com/wp-content/uploads/icon-teal-assessment.png) #### Rapid Assessment and Triage Emergency medicine requires quickly assessing patients, triaging cases based on acuity, and initiating appropriate treatment plans. This skill set translates well to evaluating candidates for ketamine therapy, identifying potential contraindications or risk factors, and determining suitable dosing regimens. ![](https://www.salishketamine.com/wp-content/uploads/icon-teal-mental-care.png) #### Managing Acute Adverse Effects Dr. Jayamara’s training has prepared him to promptly recognize and manage potential acute adverse effects associated with ketamine administration, such as emergence reactions, hemodynamic instability, or respiratory depression. His expertise in airway management and resuscitation is invaluable for ensuring patient safety during ketamine infusions or injections. ![](https://www.salishketamine.com/wp-content/uploads/icon-teal-4-medical-consultation.png) #### Multidisciplinary Collaboration The fast-paced emergency department environment necessitates close collaboration between physicians, nurses, pharmacists, and other staff. This experience likely facilitates Dr. Jayamara’s ability to work cohesively with psychotherapists and others involved in delivering comprehensive ketamine-assisted psychotherapy services. --- ### [Ketamine Therapy](https://www.salishketamine.com/ketamine-therapy/) **Published:** June 12, 2014 **Author:** ClickMonster **Content:** # Home ### What is Ketamine Therapy? Ketamine is a safe, effective, and legally approved approach to treating treatment-resistant depression and other mental health conditions. It involves using low doses of ketamine, an anesthetic medication, often delivered through an IV. While the ketamine itself can have rapid mood-boosting effects, the real magic happens with psychotherapy. Therapists work with patients during this window of opportunity to solidify the positive changes triggered by ketamine and develop long-term coping strategies. This collaborative approach between the ketamine provider and therapist is key to unlocking the therapy’s full potential. ![Ketamine Therapy | Salish Ketamine](https://www.salishketamine.com/wp-content/uploads/ketamine-therapy-img-2.jpg "Ketamine Therapy | Salish Ketamine") #### How Salish Ketamine May Help You ![](https://www.salishketamine.com/wp-content/uploads/icon-teal-depression.png) #### Depression IV ketamine has shown rapid and robust antidepressant effects, often providing relief within hours to days after administration. This is particularly beneficial for treatment-resistant depression (TRD), where traditional antidepressants have failed. Ketamine works by modulating the glutamate system, which helps to restore synaptic connections in the brain, potentially leading to improved mood and cognitive function. ![](https://www.salishketamine.com/wp-content/uploads/icon-teal-ptsd.png) #### PTSD For PTSD, ketamine infusion therapy can significantly reduce symptoms such as severe anxiety and depression. ![](https://www.salishketamine.com/wp-content/uploads/icon-teal-ocd.png) #### Obsessive Compulsive Disorder Ketamine has also been found effective in treating OCD, particularly when traditional treatments like serotonin reuptake inhibitors (SRIs) and cognitive-behavioral therapy (CBT) are insufficient. ![](https://www.salishketamine.com/wp-content/uploads/icon-teal-anxiety.png) #### Anxiety Ketamine is effective in treating refractory anxiety, especially in patients who also suffer from treatment-resistant depression. By increasing neural plasticity and growth in the hippocampus and prefrontal cortex, ketamine helps reverse the neuronal damage caused by chronic anxiety, leading to symptom improvement. ![](https://www.salishketamine.com/wp-content/uploads/icon-teal-social-support.png) #### Chronic Pain In addition to its psychiatric benefits, ketamine is a potent analgesic. It can reduce chronic pain by blocking NMDA receptors, which are involved in pain transmission and perception. ![Ketamine Therapy | Salish Ketamine](https://www.salishketamine.com/wp-content/uploads/ketamine-therapy-img-4.jpg "Ketamine Therapy | Salish Ketamine") #### Safety At Salish Ketamine, patient safety is our highest priority. Our comprehensive approach begins with an initial consultation that carefully evaluates each patient’s overall medical condition, existing health issues, and current treatments to ensure the safest and most effective ketamine administration. Our clinic is staffed by highly qualified medical professionals, including board-certified emergency physicians, physician associates, and anesthesiologists. These providers have undergone rigorous training specifically in ketamine administration and possess in-depth knowledge of its pharmacology, potential side effects, and possible complications. Our team’s expertise allows for quick identification and management of any adverse reactions, such as respiratory issues, cardiovascular events, or severe dissociative symptoms. We are equipped with interventions and equipment comparable to those found in emergency departments and operating rooms. In the unlikely event of a serious complication, our staff is prepared to immediately implement advanced life-saving measures, including airway management, administration of antidotes, and other emergency procedures. By choosing Salish Ketamine, patients can feel confident they are receiving care from experienced medical professionals in a setting designed to maximize safety and efficacy throughout their ketamine treatment. ### Short-Term Side Effects Short-term side effects of IV ketamine therapy are generally mild and transient, often resolving within a few hours after the infusion. Common short-term side effects include: 1. **Dissociation:** A feeling of detachment from reality, oneself, or the environment. 2. **Feeling spacey or woozy:** A sense of lightheadedness or dizziness is common. 3. **Visual distortions:** Changes in visual perception, such as seeing colors or patterns. 4. **Difficulty speaking:** Some patients may find it hard to articulate words. 5. **Numbness:** A sensation of numbness in various parts of the body. 6. **Nausea and vomiting:** These gastrointestinal symptoms can occur during or shortly after the infusion. 7. **Increased blood pressure and heart rate:** Cardiovascular changes are common and usually monitored during the infusion. **Following up with your mental health provider after IV ketamine treatment is crucial for several important reasons:** #### Monitoring Progress Your mental health provider can assess the effectiveness of the ketamine treatment by evaluating changes in your symptoms and overall mental state. This allows them to determine if the treatment is working as intended or if adjustments are needed. #### Integrating Insights Ketamine can sometimes lead to profound realizations or emotional experiences. A mental health professional can help you process and integrate these insights into your ongoing treatment plan. #### Optimizing Treatment Based on your response to ketamine, your provider may recommend adjustments to your treatment plan, including the frequency of ketamine sessions, dosage, or complementary therapies. #### Preventing Relapse Regular follow-ups allow your provider to monitor for any signs of relapse and take proactive measures to maintain the benefits of ketamine treatment. #### Assessing Long-Term Effects Continued monitoring helps evaluate the long-term efficacy and safety of ketamine treatment, which is crucial given the limited research on its extended use. #### Supporting Overall Mental Health Follow-up appointments provide an opportunity to address any ongoing mental health concerns and ensure comprehensive care beyond just the ketamine treatment. --- ### [Chronic Pain Treatment](https://www.salishketamine.com/ketamine-therapy/chronic-pain/) **Published:** June 20, 2024 **Author:** ClickMonster **Content:** # Home ### Ketamine for Chronic Pain Ketamine infusion therapy may offer relief for some people with chronic pain who haven’t responded to traditional treatments. Research suggests it may help certain pain conditions, particularly complex regional pain syndrome (CRPS), although evidence for many other chronic pain conditions remains limited. The degree and duration of relief vary, and treatment should be tailored to each patient under medical supervision. ![Ketamine Therapy | Chronic Pain | Salish Ketamine](https://www.salishketamine.com/wp-content/uploads/ketamine-therapy-chronic-pain-img-1.jpg "Ketamine Therapy | Chronic Pain | Salish Ketamine") #### How does ketamine work to help Chronic Pain **Analgesic Properties:** Ketamine is well-known for its analgesic properties and has been used as an anesthetic for decades. It can provide rapid pain relief, which is particularly useful in emergency settings where immediate pain management is required. **Mechanism and Benefits:** Ketamine’s action on NMDA receptors helps in reducing pain by blocking the transmission of pain signals in the brain. This can be beneficial for patients with chronic pain conditions who have not responded to other pain management strategies. **Clinical Applications:** Ketamine is used in various forms, including IV infusions and nasal sprays, to manage chronic pain. Its ability to provide rapid and effective pain relief makes it a valuable tool in the emergency department. --- ### [Contact](https://www.salishketamine.com/contact/) **Published:** June 12, 2014 **Author:** ClickMonster **Content:** # Home ## Contact Use this form for general inquiries about our product and services. "\*" indicates required fields URL This field is for validation purposes and should be left unchanged. Name\* First Last Date of Birth Phone\* Email\* What can we help you with?\*General InformationDepressionAnxietyPost Traumatic Stress DisorderChronic PainObsessive Compulsive Disorder Any additional information?\* Submit Δ --- ### [Anxiety Treatment](https://www.salishketamine.com/ketamine-therapy/anxiety/) **Published:** June 20, 2024 **Author:** ClickMonster **Content:** # Home ### Ketamine for Anxiety Ketamine is also showing promise as a treatment for various anxiety disorders, including social anxiety disorder, generalized anxiety disorder, PTSD, and panic disorder. It can provide rapid relief from anxiety symptoms, often within hours, which is much faster than traditional treatments that may take weeks to become effective. Studies have demonstrated that ketamine can significantly reduce anxiety symptoms, making it a potential option for those who have not found relief with other treatments. ![Ketamine Therapy | Anxiety | Salish Ketamine](https://www.salishketamine.com/wp-content/uploads/ketamine-therapy-anxiety-img-1.jpg "Ketamine Therapy | Anxiety | Salish Ketamine") #### How does ketamine work to help Anxiety **Efficacy in Treatment-Resistant Cases:** Ketamine has shown promise in treating various anxiety disorders, including generalized anxiety disorder (GAD) and social anxiety disorder (SAD), especially in cases where traditional treatments have failed. It can provide rapid relief from anxiety symptoms, often within hours of administration. **Mechanism and Benefits:** By increasing neuroplasticity, ketamine helps the brain form new pathways, which can disrupt harmful thought patterns associated with anxiety. This can lead to a significant reduction in anxiety symptoms and improve overall mental health. **Clinical Studies:** Research has shown that ketamine can be effective in reducing anxiety symptoms in both short-term and long-term scenarios. For example, a study found that ketamine significantly reduced anxiety symptoms in patients with social anxiety disorder compared to a placebo. --- ### [Depression Therapy](https://www.salishketamine.com/ketamine-therapy/depression/) **Published:** June 20, 2024 **Author:** ClickMonster **Content:** # Home ### Ketamine for Depression Ketamine has emerged as a promising treatment for depression, particularly for those who haven’t responded to traditional antidepressants. Unlike conventional medications that can take weeks to show effects, ketamine often provides rapid relief, sometimes within hours or days. Research indicates that about 70% of patients with treatment-resistant depression see improvement with ketamine infusion therapy, and 30-40% may experience complete remission of symptoms. ![Ketamine Therapy | Depression | Salish Ketamine](https://www.salishketamine.com/wp-content/uploads/ketamine-therapy-depression-img-3.jpg "Ketamine Therapy | Depression | Salish Ketamine") ![Ketamine Therapy | Depression | Salish Ketamine](https://www.salishketamine.com/wp-content/uploads/ketamine-therapy-depression-img-2.jpg "Ketamine Therapy | Depression | Salish Ketamine") A significant study comparing ketamine to electroconvulsive therapy (ECT) found that 55% of patients treated with ketamine had at least a 50% reduction in depressive symptoms, compared to 41% for those treated with ECT. Ketamine is particularly effective for reducing suicidal thoughts quickly, making it a valuable option for acute intervention. #### How does ketamine work to help depression **Rapid Onset of Action:** Traditional antidepressants, such as SSRIs, often take several weeks to show effects. In contrast, ketamine has been shown to produce rapid antidepressant effects, often within hours of administration. This can be particularly beneficial in emergency settings where immediate relief is crucial. **Mechanism of Action:** Ketamine works by targeting the NMDA receptors in the brain, which is different from the mechanism of traditional antidepressants that typically target serotonin or norepinephrine pathways. This unique action can help patients who have not responded to other treatments. **Clinical Evidence:** Studies have demonstrated that ketamine can significantly reduce symptoms of severe depression and treatment-resistant depression. For instance, a study found that after just three infusions of ketamine over 11 days, 52% of participants saw their severe depression ease to the point of remission. --- ### [Ketamine Therapy Pricing](https://www.salishketamine.com/ketamine-therapy/ketamine-therapy-pricing/) **Published:** June 28, 2024 **Author:** ClickMonster **Content:** # Home ### Ketamine Infusion for Mental Health - **Ketamine Induction** - **$350** - Ketamine Booster - $350 - Series of 6 ketamine inductions - $2,100 ### Ketamine for Chronic Pain **$600 per ketamine infusion treatment** Each treatment is approximately 2 hours. Most patients will require 5-10 treatments depending on the amount of improvement observed. #### Financial Options - We offer a discount to Veterans, First Responders, and Health Care Workers. Contact us for details. - HSA/FSA accepted We recommend the following finance companies: - [Advance Care](https://advancecarecard.com/) - [Care Credit](https://www.carecredit.com/) ![Ketamine Therapy | Pricing | Salish Ketamine](https://www.salishketamine.com/wp-content/uploads/ketamine-therapy-pricing-img-1.jpg "Ketamine Therapy | Pricing | Salish Ketamine") --- ### [Terms of Service](https://www.salishketamine.com/terms-of-service/) **Published:** March 28, 2025 **Author:** KMedia **Content:** ## Salish Ketamine Terms of Service These Terms of Service govern your use of the website located at <https://www.salishketamine.com/> and any related services provided by Salish Ketamine. By accessing <https://www.salishketamine.com/>, you agree to abide by these Terms of Service and to comply with all applicable laws and regulations. If you do not agree with these Terms of Service, you are prohibited from using or accessing this website or using any other services provided by Salish Ketamine. We, Salish Ketamine, reserve the right to review and amend any of these Terms of Service at our sole discretion. Upon doing so, we will update this page. Any changes to these Terms of Service will take effect immediately from the date of publication. These Terms of Service were last updated on March 13, 2025. ### Limitations of Use By using this website, you warrant on behalf of yourself, your users, and other parties you represent that you will not: - modify, copy, prepare derivative works of, decompile, or reverse engineer any materials and software contained on this website; - remove any copyright or other proprietary notations from any materials and software on this website; - transfer the materials to another person or "mirror" the materials on any other server; - knowingly or negligently use this website or any of its associated services in a way that abuses or disrupts our networks or any other service Salish Ketamine provides; - use this website or its associated services to transmit or publish any harassing, indecent, obscene, fraudulent, or unlawful material; - use this website or its associated services in violation of any applicable laws or regulations; - use this website in conjunction with sending unauthorized advertising or spam; - harvest, collect, or gather user data without the user's consent; or - use this website or its associated services in such a way that may infringe the privacy, intellectual property rights, or other rights of third parties. ### Intellectual Property The intellectual property in the materials contained in this website are owned by or licensed to Salish Ketamine and are protected by applicable copyright and trademark law. We grant our users permission to download one copy of the materials for personal, non-commercial transitory use. This constitutes the grant of a license, not a transfer of title. This license shall automatically terminate if you violate any of these restrictions or the Terms of Service, and may be terminated by Salish Ketamine at any time. ### Liability Our website and the materials on our website are provided on an 'as is' basis. To the extent permitted by law, Salish Ketamine makes no warranties, expressed or implied, and hereby disclaims and negates all other warranties including, without limitation, implied warranties or conditions of merchantability, fitness for a particular purpose, or non-infringement of intellectual property, or other violation of rights. In no event shall Salish Ketamine or its suppliers be liable for any consequential loss suffered or incurred by you or any third party arising from the use or inability to use this website or the materials on this website, even if Salish Ketamine or an authorized representative has been notified, orally or in writing, of the possibility of such damage. In the context of this agreement, "consequential loss" includes any consequential loss, indirect loss, real or anticipated loss of profit, loss of benefit, loss of revenue, loss of business, loss of goodwill, loss of opportunity, loss of savings, loss of reputation, loss of use and/or loss or corruption of data, whether under statute, contract, equity, tort (including negligence), indemnity or otherwise. Because some jurisdictions do not allow limitations on implied warranties, or limitations of liability for consequential or incidental damages, these limitations may not apply to you. ### Accuracy of Materials The materials appearing on our website are not comprehensive and are for general information purposes only. Salish Ketamine does not warrant or make any representations concerning the accuracy, likely results, or reliability of the use of the materials on this website, or otherwise relating to such materials or on any resources linked to this website. ### Links Salish Ketamine has not reviewed all of the sites linked to its website and is not responsible for the contents of any such linked site. The inclusion of any link does not imply endorsement, approval or control by Salish Ketamine of the site. Use of any such linked site is at your own risk and we strongly advise you make your own investigations with respect to the suitability of those sites. ### Right to Terminate We may suspend or terminate your right to use our website and terminate these Terms of Service immediately upon written notice to you for any breach of these Terms of Service. ### Severance Any term of these Terms of Service which is wholly or partially void or unenforceable is severed to the extent that it is void or unenforceable. The validity of the remainder of these Terms of Service is not affected. ### Governing Law These Terms of Service are governed by and construed in accordance with the laws of ID. You irrevocably submit to the exclusive jurisdiction of the courts in that State or location. --- ### [Privacy Policy](https://www.salishketamine.com/privacy-policy/) **Published:** March 28, 2025 **Author:** KMedia **Content:** ## Salish Ketamine Privacy Policy Your privacy is important to us. It is Salish Ketamine’s policy to respect your privacy and comply with any applicable law and regulation regarding any personal information we may collect about you, including across our website, <https://www.salishketamine.com/>, and other sites we own and operate. Personal information is any information about you which can be used to identify you. This includes information about you as a person (such as name, address, and date of birth), your devices, payment details, and even information about how you use a website or online service. In the event our site contains links to third-party sites and services, please be aware that those sites and services have their own privacy policies. After following a link to any third-party content, you should read their posted privacy policy information about how they collect and use personal information. This Privacy Policy does not apply to any of your activities after you leave our site. This policy is effective as of March 28, 2025 Last updated: March 28, 2025 ### Information We Collect Information we collect falls into one of two categories: “voluntarily provided” information and “automatically collected” information. “Voluntarily provided” information refers to any information you knowingly and actively provide us when using or participating in any of our services and promotions. “Automatically collected” information refers to any information automatically sent by your devices in the course of accessing our products and services. ### Security of Your Personal Information When we collect and process personal information, and while we retain this information, we will protect it within commercially acceptable means to prevent loss and theft, as well as unauthorized access, disclosure, copying, use or modification. Although we will do our best to protect the personal information you provide to us, we advise that no method of electronic transmission or storage is 100% secure and no one can guarantee absolute data security. You are responsible for selecting any password and its overall security strength, ensuring the security of your own information within the bounds of our services. For example, ensuring you do not make your personal information publicly available via our platform. #### How Long We Keep Your Personal Information We keep your personal information only for as long as we need to. This time period may depend on what we are using your information for, in accordance with this privacy policy. For example, if you have provided us with personal information such as an email address when contacting us about a specific enquiry, we may retain this information for the duration of your enquiry remaining open as well as for our own records so we may effectively address similar enquiries in future. If your personal information is no longer required for this purpose, we will delete it or make it anonymous by removing all details that identify you. However, if necessary, we may retain your personal information for our compliance with a legal, accounting, or reporting obligation or for archiving purposes in the public interest, scientific, or historical research purposes or statistical purposes. ### Children’s Privacy We do not aim any of our products or services directly at children under the age of 13 and we do not knowingly collect personal information about children under 13. ### Your Rights and Controlling Your Personal Information **Your choice:** By providing personal information to us, you understand we will collect, hold, use, and disclose your personal information in accordance with this privacy policy. You do not have to provide personal information to us, however, if you do not, it may affect your use of our website or the products and/or services offered on or through it. **Information from third parties:** If we receive personal information about you from a third party, we will protect it as set out in this privacy policy. If you are a third party providing personal information about somebody else, you represent and warrant that you have such person’s consent to provide the personal information to us. **Marketing permission:** If you have previously agreed to us using your personal information for direct marketing purposes, you may change your mind at any time by contacting us using the details below. **Access:** You may request details of the personal information that we hold about you. **Correction:** If you believe that any information we hold about you is inaccurate, out of date, incomplete, irrelevant, or misleading, please contact us using the details provided in this privacy policy. We will take reasonable steps to correct any information found to be inaccurate, incomplete, misleading, or out of date. **Non-discrimination:** We will not discriminate against you for exercising any of your rights over your personal information. Unless your personal information is required to provide you with a particular service or offer (for example providing user support), we will not deny you goods or services and/or charge you different prices or rates for goods or services, including through granting discounts or other benefits, or imposing penalties, or provide you with a different level or quality of goods or services. **Notification of data breaches:** We will comply with laws applicable to us in respect of any data breach. **Complaints:** If you believe that we have breached a relevant data protection law and wish to make a complaint, please contact us using the details below and provide us with full details of the alleged breach. We will promptly investigate your complaint and respond to you, in writing, setting out the outcome of our investigation and the steps we will take to deal with your complaint. You also have the right to contact a regulatory body or data protection authority in relation to your complaint. **Unsubscribe:** To unsubscribe from our email database or opt-out of communications (including marketing communications), please contact us using the details provided in this privacy policy, or opt-out using the opt-out facilities provided in the communication. We may need to request specific information from you to help us confirm your identity. ### Business Transfers If we or our assets are acquired, or in the unlikely event that we go out of business or enter bankruptcy, we would include data, including your personal information, among the assets transferred to any parties who acquire us. You acknowledge that such transfers may occur, and that any parties who acquire us may, to the extent permitted by applicable law, continue to use your personal information according to this policy, which they will be required to assume as it is the basis for any ownership or use rights we have over such information. ### Limits of Our Policy Our website may link to external sites that are not operated by us. Please be aware that we have no control over the content and policies of those sites, and cannot accept responsibility or liability for their respective privacy practices. ### Changes to This Policy At our discretion, we may change our privacy policy to reflect updates to our business processes, current acceptable practices, or legislative or regulatory changes. If we decide to change this privacy policy, we will post the changes here at the same link by which you are accessing this privacy policy. If required by law, we will get your permission or give you the opportunity to opt in to or opt out of, as applicable, any new uses of your personal information. ### Contact Us For any questions or concerns regarding your privacy, you may contact us using the following details: Nate Stephens https://www.salishketamine.com/contact/ --- ### [Patient Referral](https://www.salishketamine.com/referral/) **Published:** July 18, 2024 **Author:** ClickMonster **Content:** # Home Thank you for considering a partnership with us to improve patient outcomes and alleviate the suffering of our friends and neighbors. Collaboration is essential in helping our patients achieve their goals. Here are some key points to guide our journey together: **Patient Selection**: - Appropriate patient selection is crucial. Ketamine can benefit individuals with treatment-resistant depression, bipolar depression, suicidal ideation, OCD, PTSD, substance use disorders, severe anxiety, and anorexia. However, a diagnosis alone does not automatically make someone a good candidate. - A thorough evaluation is necessary to determine if a patient is suitable. Salish Ketamine will perform a comprehensive physical examination, order relevant lab tests including ECG, blood work, and review the patient’s medical records. **Preparing for Treatment**: - Patients should be prepared for potential dissociative and psychedelic effects, especially at higher doses. These may include out-of-body experiences, dream-like visions, a sense of dissolution, and reliving personal memories. The intensity and nature of these experiences can vary between infusions. **Intention-Setting**: - Intention-setting is a powerful tool to enhance the effectiveness of ketamine therapy. It involves establishing clear objectives or goals for what patients hope to achieve through their treatment. **Benefits of Intention-Setting**: - **Focus**: Helps patients create a mental blueprint for their session. - **Effectiveness**: Aligns the client’s mindset with desired outcomes, enhancing therapy effectiveness. - **Neuroplasticity**: Optimizes the neuroplastic window to direct brain adaptability towards specific goals. - **Agency**: Fosters a sense of agency by actively involving clients in their healing process. **Therapist’s Role**: - Therapists play a crucial role in guiding patients through the intention-setting process and preparing them for the ketamine experience. **Collaboration**: - Collaboration between healthcare providers, therapists, and patients is essential for successful outcomes in ketamine therapy. By emphasizing proper preparation, intention-setting, and collaboration, our approach to ketamine therapy provides a strong foundation for helping patients achieve meaningful therapeutic benefits and improve their quality of life. "\*" indicates required fields ### Patient Information Name\* First Last Date of Birth Gender Male Female Other Phone\* Email Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code ### Referring From Referring Psychiatrist or Physician Practice Name Referring Phone Referring Email ### Therapy What condition is patient is seeking therapy for?DepressionAnxietyPTSDChronic PainOCD How did you hear about us? Submit Δ --- ### [FAQ](https://www.salishketamine.com/faq/) **Published:** June 28, 2024 **Author:** ClickMonster **Content:** # Home #### [How Ketamine can help you](#664e94f49ee5c1ca6) Ketamine works through a unique mechanism compared to traditional antidepressants. It primarily targets the N-methyl-D-aspartate (NMDA) receptors in the brain, which are part of the glutamatergic system. By blocking these receptors, ketamine increases the levels of glutamate, a crucial neurotransmitter. This increase in glutamate activates another set of receptors called AMPA receptors, leading to the release of molecules that promote synaptogenesis, the formation of new neural connections. **Rapid Antidepressant Effects** One of the most significant advantages of ketamine is its rapid onset of action. Unlike conventional antidepressants, which may take weeks to show effects, ketamine can produce noticeable improvements in mood within hours to days. This rapid effect is particularly beneficial for individuals with severe depression or suicidal ideation. **Treatment-Resistant Depression** Ketamine has shown remarkable efficacy in patients with TRD, who have not responded to at least two other antidepressant treatments. Studies have demonstrated that a significant proportion of these patients experience a rapid reduction in depressive symptoms following ketamine treatment. **Other Mental Health Conditions** Beyond depression, ketamine has been found effective in treating other mental health conditions, including: - Anxiety Disorders: Ketamine can reduce symptoms of anxiety and has been used in patients with generalized anxiety disorder and social anxiety disorder. - Post-Traumatic Stress Disorder (PTSD): Ketamine has shown promise in reducing PTSD symptoms, including intrusive thoughts and hyperarousal. - Obsessive-Compulsive Disorder (OCD): Some studies suggest that ketamine can help alleviate symptoms of OCD, although more research is needed. - Chronic Pain Management: Ketamine also has applications in managing chronic pain. It appears to reduce inflammation and improve communication between specific brain regions involved in pain perception. This makes it a valuable option for patients with chronic pain conditions that have not responded to other treatments. **Administration and Treatment Protocol:** **Comprehensive Treatment Plan** Experts emphasize that ketamine should be part of a comprehensive treatment plan that includes psychotherapy and other medications. Combining ketamine with cognitive behavioral therapy (CBT) or other forms of psychotherapy can help sustain the benefits and promote long-term recovery. In summary, ketamine offers a rapid and effective treatment option for individuals with treatment-resistant depression and other mental health conditions. Its unique mechanism of action and ability to promote synaptogenesis make it a valuable tool in the mental health treatment arsenal. However, it should be administered under strict medical supervision as part of a broader, individualized treatment. #### [What to Expect at Your Initial Consultation for Ketamine Therapy](#c2ee465224ae350a4) **Reasonable expectations** At Salish Ketamine, we view ketamine therapy as a valuable tool in your therapist’s toolbox, designed to help you overcome obstacles in your treatment journey. Ketamine can often facilitate the opening of doors and windows in your mind, helping to remove stumbling blocks that may have impeded your progress in the past. It’s important to understand that ketamine is a treatment, not a cure. While not everyone will experience the same benefits from ketamine infusion therapy, we are encouraged that 60 to 70 percent of our patients do see significant improvements. Our goal is to work alongside your mental health provider to tailor this treatment to your unique needs, supporting you in achieving your personal goals and enhancing your overall well-being. **Medical History and Evaluation** During your initial consultation for ketamine therapy, you will undergo a comprehensive medical history evaluation and consultation with a qualified healthcare provider. We will review the results of your labs together. This step is crucial to ensure your safety and tailor the treatment plan to your specific needs. You will be asked to disclose any pre-existing medical conditions, medications, and previous mental health treatments. This information helps the healthcare provider assess potential risks and side effects associated with ketamine infusion therapy. - Review of your medical history - Listening. You have been on a journey and reaching out for help. You should be applauded for taking the next step. I’ve found most Physicians talk when they should be listening. Our goal at Salish Ketamine is to help you live better. In order to do that we need to hear what you want and need. With that information we’ll work together, in collaboration with your mental health provider, to help you achieve your goals. - Review medications - Review your lab work - Physical exam **Mental Health Assessment** A mental health assessment will also be conducted to evaluate your current symptoms and treatment goals. This assessment helps in determining the appropriate dose and timing of your ketamine infusions. Open and honest communication during this phase is essential to develop an effective treatment plan. Before, after, and during your ketamine therapy we’ll send you self-administered diagnostic tools to monitor your progress. This can include the PHQ-9, Mood Score, GAD-7, and other progress tools. You can complete them on your phone through our clinic app. #### [What to Expect During Ketamine Infusions](#28a16928ed28f60ba) **Preparation and Setup** On the day of your infusion, you will be guided to a comfortable room where a small IV will be inserted into your hand or arm. You will be monitored throughout the session to ensure your safety. The infusion typically lasts around 40 minutes, although it may be longer for pain disorders. **Sensations During Infusion** During the infusion, you may experience various sensations such as euphoria, floating, heightened perceptions, and a sense of dissociation. These effects usually begin to manifest halfway through the infusion and subside 10-15 minutes after the session ends. Most patients find the experience relaxing and describe it as “spiritual” or “pleasurable.” **Post-Infusion** After the infusion, you will be monitored for a short period to ensure there are no adverse effects. You may feel groggy or tired, so it is recommended to arrange for transportation home. The mood effects of the infusion can be noticed as soon as one hour afterward, but typically they are more pronounced 4-24 hours post-infusion. #### [Music for Ketamine Therapy](#23bffafc6ba014b04) **Importance of Music** Music plays a significant role in enhancing the therapeutic effects of ketamine therapy. It helps create a soothing and supportive environment, making the experience more comfortable and effective. The right selection of music can act as a “hidden therapist,” guiding you through the session and evoking positive emotions. **Recommended Music Types** Ambient and Classical Music: These genres are highly recommended due to their soft, slower beats and calming melodies. They help ease racing thoughts and allow you to focus on the therapeutic experience. Nature Sounds: Incorporating sounds of nature, such as ocean waves, rain, or rustling leaves, can contribute to a peaceful atmosphere and promote relaxation. Instrumental Music: Music without lyrics is generally preferred as it avoids potential distractions and helps maintain a calm state of mind. **Creating Your Playlist** When creating your playlist, consider the following tips: - Choose songs with a slow tempo, soothing beats, and mellow sound. - Avoid music with lyrics or words that could trigger negative feelings or memories. - Experiment with various genres to find what resonates best with you. - Ensure the playlist length matches the duration of your ketamine session, typically around one hour. **Expert Recommendations** Nate Stephens: Jammy Jams. Found on Spotify and Pandora. Instrumental music set to current and older songs you’ll know. Prior to your infusion plan your music. Find something soothing. Bill Richards: Utilizes supportive, unfolding, and forward-moving music, often featuring a solo voice, orchestra, or maternal voice. Mendel Kaelen: Recommends music that resonates with your emotional state and evokes a sense of journey during the session. Spotify Playlist: Some curated playlists include “KAP Rose,” “KAP Hug,” and “KAP Love,” which are designed specifically for ketamine therapy. By following these guidelines and recommendations, you can enhance the therapeutic outcomes of your ketamine therapy sessions, making them deeply healing and relaxing experiences. #### [How do I get home after a Ketamine infusion?](#327595bb1eee450cd) After a ketamine infusion, it is required that you do not drive yourself home due to the potential side effects of the treatment, which can include dizziness, drowsiness, and impaired judgment. Here are the recommended options for getting home safely: 1. Friend or Family Member: It is best to have a friend or family member drive you home after your infusion. This ensures that you have someone you trust to help you if you experience any lingering side effects. 2. Taxi or Ride-Sharing Service: If a friend or family member is not available, you can use a taxi or ride-sharing service like Uber or Lyft. However, some clinics may require you to stay for a longer observation period if you choose this option. 3. Public Transportation: While it is generally not recommended to drive yourself to the clinic, you can use public transportation to get to the clinic and then arrange for someone to pick you up afterward. It is important to plan ahead and ensure you have reliable transportation arranged before your ketamine infusion appointment to prioritize your safety and comply with the clinic’s guidelines. --- ### [Post Traumatic Stress Disorder](https://www.salishketamine.com/ketamine-therapy/post-traumatic-stress-disorder/) **Published:** June 20, 2024 **Author:** ClickMonster **Content:** # Home ### Ketamine for PTSD For PTSD, ketamine has been found to produce significant reductions in symptoms within 24 hours of infusion, with effects lasting up to two weeks. Multiple studies have shown that ketamine is more effective than a placebo in reducing PTSD symptoms. One study reported that 67% of patients receiving ketamine achieved at least a 30% reduction in symptoms after two weeks, compared to 20% with placebo. ![Ketamine Therapy | PTSD | Salish Ketamine](https://www.salishketamine.com/wp-content/uploads/ketamine-therapy-ptsd-img-1.jpg "Ketamine Therapy | PTSD | Salish Ketamine") #### How does ketamine work to help PTSD **Rapid Symptom Relief:** Ketamine has been found to quickly reduce the severity of PTSD symptoms, which is crucial for patients experiencing acute distress. This rapid action can be lifesaving in emergency situations. **Mechanism of Action:** Like its effects on depression and anxiety, ketamine’s action on NMDA receptors and its ability to enhance neuroplasticity are believed to help alleviate PTSD symptoms. It can also reduce inflammation and anxiety, which are often associated with PTSD. **Clinical Evidence:** Studies have shown that repeated ketamine infusions can significantly reduce PTSD symptoms and maintain these improvements over several weeks. For instance, a study conducted by Mount Sinai found that repeated IV ketamine infusions significantly reduced symptom severity in individuals with chronic PTSD. --- ### [Obsessive Compulsive Disorder](https://www.salishketamine.com/ketamine-therapy/obsessive-compulsive-disorder/) **Published:** June 27, 2024 **Author:** ClickMonster **Content:** # Home ### Ketamine for Obsessive Compulsive Disorder (OCD) Studies have shown that ketamine can provide rapid relief from OCD symptoms. For example, a clinical trial found that patients experienced significant reductions in obsessive-compulsive symptoms within hours of a ketamine infusion, with effects lasting up to a week in some cases. Another study reported a 49.7% decline in OCD scores within the first hour following intravenous ketamine administration. ![Ketamine Therapy | Obsessive Compulsive Disorder | Salish Ketamine](https://www.salishketamine.com/wp-content/uploads/ketamine-therapy-ocd-img-1.jpg "Ketamine Therapy | Obsessive Compulsive Disorder | Salish Ketamine") --- ### [For Patients](https://www.salishketamine.com/for-patients/) **Published:** June 19, 2024 **Author:** ClickMonster ---