Avesta Ketamine and Wellness Bethesda
4833 Rugby Avenue, 400, Bethesda
4.9(91 Google reviews)
Treatment information
Ketamine treatment
Ketamine has been studied for treatment-resistant depression. A 2023 randomized trial compared IV ketamine with ECT in adults with nonpsychotic treatment-resistant major depression; its findings do not apply automatically to psychotic depression, every patient or every route. FDA-approved Spravato is esketamine, a different medication and administration program.
Tell us a little about you. A care coordinator will match you with a ketamine clinic near you.

Montgomery County · Maryland
3 listed clinics in Bethesda. Confirm treatment options and current availability directly with each practice.
Independent directory · confirm services and addresses directly. Educational information, not medical advice.
Request a Free Consultation →Serving Bethesda and nearby communities — we'll help you find the closest available provider.
Bethesda is a vibrant, unincorporated community situated in southern Montgomery County, Maryland. Known for its robust healthcare infrastructure and proximity to the nation's capital, Bethesda serves as a prominent medical hub in central Maryland. Residents exploring advanced psychiatric treatments for specific mental health conditions will find dedicated facilities offering ketamine therapy directly within the community.
Within Bethesda itself, prospective patients have access to multiple specialized clinics. Lumin Health Bethesda | Ketamine & Spravato Therapy is an office in Bethesda; its official website lists Esketamine (Spravato) and ketamine therapy. Additionally, Avesta Ketamine and Wellness Bethesda operates an office in Bethesda, where the official website lists IV ketamine therapy, Spravato (esketamine), and ketamine-assisted psychotherapy.
Having multiple options within the town allows Bethesda residents to compare clinical approaches and therapeutic environments closely. For those interested in expanding their search throughout the central Maryland region, other offices provide similar services. In nearby Howard County, Springs Health LLC is an office in Columbia providing Spravato treatment. Meanwhile, The Mood Center in Annapolis offers IV and IM ketamine therapies alongside Spravato (esketamine).
Patients evaluating these clinical pathways should carefully review each facility's protocols to ensure they align with their psychiatric care plans. For more context on surrounding areas, residents might also explore our related Maryland guides for Rockville, Silver Spring, and Potomac. Researching across different localities helps individuals make informed decisions about their ongoing mental health care.
4833 Rugby Avenue, 400, Bethesda
4.9(91 Google reviews)
Treatment information
4300 Montgomery Avenue, 302, Bethesda
5.0(17 Google reviews)
Calliope Health lists IV ketamine, Spravato, ketamine-assisted psychotherapy on its official website. This office is listed in Bethesda, Maryland.
4825 Bethesda Avenue, Suite 200, Bethesda
5.0(2 Google reviews)
Treatment information
Treatment schedules vary by clinic and treatment type, so plan transportation for each visit. Distances below are straight-line miles from Bethesda.
4.4 miles away · Takoma Park
6930 Carroll Avenue, 1050, Takoma Park
5.0(8 Google reviews)
Sanctuary Holistic Therapy is listed in Takoma Park, Maryland. The listed appointment address is 6930 Carroll Ave 1050, Takoma Park, MD 20912, USA. Confirm the current location with the practice before travelling.
4.6 miles away · Rockville
6000 Executive Boulevard, Unit 603, Rockville
4.7(37 Google reviews)
Freedom Ketamine Treatment Center Rockville lists ketamine therapy on its official website. This office is listed in Rockville, Maryland.
4.6 miles away · Rockville
6000 Executive Boulevard, 101, Rockville
4.8(230 Google reviews)
Bright Horizons Psychiatry Rockville lists Spravato, IM ketamine on its official website. This office is listed in Rockville, Maryland.
4.6 miles away · North Bethesda
6000 Executive Boulevard, 101, North Bethesda
4.2(15 Google reviews)
Amir Etesam | Ketamine & Spravato Therapy in North Bethesda is listed in North Bethesda, Maryland. The listed appointment address is 6000 Executive Blvd 101, North Bethesda, MD 20852, USA. Confirm the current location with the practice before travelling.
4.8 miles away · Rockville
6237 Executive Boulevard, Rockville
3.1(105 Google reviews)
Medpsych Health Services Rockville lists Spravato on its official website. This office is listed in Rockville, Maryland.
5.4 miles away · Rockville
1801 Rockville Pike, suite 110, Rockville
WIP Psychiatry Ketamine/TMS - Rockville is listed in Rockville, Maryland. The listed appointment address is 1801 Rockville Pike suite 110, Rockville, MD 20852, USA. Confirm the current location with the practice before travelling.
Spravato (esketamine) is uniquely FDA-approved to treat specific adult depression indications, such as treatment-resistant depression. Because it is an FDA-approved medication, many health insurance plans provide coverage for it. However, patients must navigate a structured prior authorization process, as coverage varies significantly among different insurers and policy tiers. Securing approval often requires documented evidence of previous treatment histories and specific psychiatric diagnoses.
In contrast to Spravato, standard ketamine administered via intravenous (IV), intramuscular (IM), or sublingual routes is prescribed off-label for psychiatric conditions. Because these applications lack specific FDA approval for depression, health insurance policies generally do not cover them, leaving patients responsible for self-pay costs. Prospective patients should request a detailed written estimate from their Bethesda clinic that clearly outlines medication fees, monitoring costs, and clinical consultation charges.
When budgeting for therapy, patients must also factor in potential travel and lodging costs required for repeated visits during the intensive initial treatment phase. Furthermore, individuals should be aware that the FDA warns patients and health care providers about potential risks associated with compounded ketamine products, particularly emphasizing the dangers of utilizing unapproved or poorly regulated formulations.
Accessing clinical ketamine therapy requires a comprehensive plan assessment, followed by repeated visits and structured follow-up evaluations. The administration of Spravato mandates a certified medical setting where patients remain under observation for at least two hours post-administration. Patients are restricted from driving until the next day after a restful sleep; therefore, they must arrange for a responsible adult to provide transportation. Local logistical factors, such as winter snow and ice, severe storms, Marylandpolis traffic and rural travel distances may affect travel to appointments, making reliable transportation planning essential.
Telehealth can serve as a valuable tool for initial consultations and subsequent therapeutic assessments, but it does not establish home treatment availability. Spravato is strictly regulated and is never administered at home. While some medical professionals may prescribe off-label compounded ketamine formulations for home use, these products are not FDA-approved for psychiatric care. The FDA strongly warns against the risks of unsupervised use without direct, on-site clinical monitoring.
If you or someone you know is in distress, please seek help immediately. The 988 Suicide & Crisis Lifeline is accessible by calling or texting 988, 24 hours a day. In the event of a medical emergency, call 911 right away.
Clinics in Bethesda offer a variety of options. Some facilities provide FDA-approved Spravato (esketamine) nasal spray for specific adult depression indications. Other clinics also offer off-label treatments, including IV infusions, intramuscular injections, and ketamine-assisted psychotherapy. Patients should consult directly with local providers to determine appropriate care pathways.
Yes, strict travel restrictions apply. Following Spravato administration, patients cannot drive or operate heavy machinery until the next day after they have had a restful sleep. A responsible adult must be available to drive the patient home from the clinic after the two-hour observation period concludes.
No, ketamine is not FDA-approved to treat PTSD, OCD, or chronic pain. The only FDA-approved psychiatric indication is for Spravato (esketamine) in treating specific adult depression conditions. All other applications of ketamine for mental health conditions are considered off-label and should be thoroughly discussed with a doctor.
A typical Spravato treatment session requires the patient to remain at the certified healthcare facility for at least two hours. This mandatory observation period allows medical staff to monitor for potential side effects, such as sedation or dissociation, ensuring the patient is safe before discharge to their designated driver.
Generally, health insurance does not cover IV ketamine therapy because it is an off-label treatment for psychiatric conditions. Patients typically pay out-of-pocket for these infusions. It is highly recommended to request a comprehensive written estimate from your provider outlining all associated clinical and medication costs.
If you are experiencing a psychiatric crisis, immediate help is available. You can call or text the 988 Suicide & Crisis Lifeline at 988 anytime, day or night. If there is a life-threatening medical emergency, please dial 911 immediately to reach local Montgomery County first responders.
Costs, coverage & aftercare
IV, IM and compounded ketamine for psychiatric conditions are off-label; many programs are self-pay. Ask about assessment, medication, administration, monitoring, therapy and maintenance charges separately. We do not assume a statewide price.
Spravato is FDA-approved esketamine, not the same as ketamine infusions. Coverage is not guaranteed. Check eligibility, prior authorization, network status, drug and visit charges, deductibles and copays with your insurer and clinic.
Spravato requires a certified healthcare setting and monitoring for at least two hours. Arrange transport home; do not drive until the next day after restful sleep. For other ketamine treatments, follow your clinician's instructions. Follow-up and maintenance depend on response and tolerability.
Ask who manages your medications, how your usual clinician will receive updates, and whom to contact between visits. Neither a shortage designation nor local depression statistics show that ketamine is appropriate or effective for you. Consult a licensed physician.
Use these questions when you call or book a consultation with any Bethesda provider.
Ask whether a physician, psychiatrist or anesthesiologist oversees each session and who you can reach afterward.
A good clinic reviews your history, medications, blood pressure and past treatments before recommending ketamine.
Look for continuous vital-sign monitoring and a calm, private recovery space.
IV infusions, Spravato® nasal spray, IM or sublingual options suit different goals and budgets.
Ask how the clinic coordinates with your therapist or offers integration support between sessions.
Request a written estimate for the first series and any maintenance sessions before you start.
| Clinic | Google rating | Reviews | Phone |
|---|---|---|---|
| Bright Horizons Psychiatry - RockvilleRockville | 4.8 | 230 | (240) 599-1001 |
| Medpsych Health ServicesRockville | 3.1 | 105 | (240) 464-8000 |
| Avesta Ketamine and Wellness BethesdaBethesda | 4.9 | 91 | (301) 200-9333 |
| Freedom Ketamine Treatment CentersRockville | 4.7 | 37 | (301) 235-9022 |
| Calliope Health KetamineBethesda | 5 | 17 | (301) 828-9513 |
| Amir Etesam | Ketamine & Spravato Therapy in North BethesdaNorth Bethesda | 4.2 | 15 | (240) 599-1001 |
| Sanctuary Holistic TherapyTakoma Park | 5 | 8 | — |
| Lumin Health Bethesda | Ketamine & Spravato TherapyBethesda | 5 | 2 | (301) 783-0326 |
Ratings come from public Google reviews and change over time. Listing order is not a medical recommendation.
Many patients travel a short distance for a clinic that fits their needs. Explore ketamine care in these nearby communities.
Browsing a wider area? See every clinic in Montgomery County
Conditions Ketamine treats, county-wide options and guides written for Maryland patients.