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Evidence-Based Ketamine & Wellness Treatments in DC, MD & VA
Avesta is the longest-running ketamine practice in the Washington DMV. Explore our clinical treatments below, or schedule a free 30-minute consult to find the best pathway for your goals.
No obligation · No referral needed · We check your benefits up front
Specialized clinical treatments tailored to your needs
Administered and monitored in private treatment suites by licensed clinical providers across five DMV clinics.
IV Ketamine Infusion Therapy
Intravenous infusions for treatment-resistant depression, severe anxiety, PTSD, and chronic pain. 100% bioavailability allows precise, rapid dose titration under continuous vital monitoring.
- Depression & TRD
- Severe Anxiety
- PTSD
- Chronic Pain
- 45-60 min
Spravato (Esketamine) Nasal Spray
The first FDA-approved esketamine nasal spray for adults with treatment-resistant depression and MDD with suicidal thoughts. In-network with Aetna, Cigna, VA, and Medicaid.
- Treatment-Resistant Depression
- In-Network Insurance
- FDA-Approved
- 2-hr Observation
Ketamine-Assisted Psychotherapy (KAP)
Pairs clinical ketamine administration with licensed relational psychotherapy. Accelerates psychological breakthroughs, resolves deep emotional trauma, and supports lasting integration.
- Trauma Resolution
- Relational Therapy
- Preparation & Integration
- 90-120 min
IV Vitamin Infusions
Targeted intravenous vitamin and mineral infusions including the Myers' Cocktail, Glutathione, and NAD+. Restores cellular hydration, boosts immunity, and supports cognitive clarity.
- Myers’ Cocktail
- Immune Defense
- NAD+ Therapy
- Cellular Hydration
- 30-45 min
Ketamine Integration Coaching
Dedicated 1:1 integration sessions designed to translate neuroplastic ketamine experiences into actionable, sustainable behavioral patterns and lifelong wellness habits.
- Neuroplastic Window
- Behavioral Habits
- 1:1 Coaching
- Goal Setting
- 50 min
The same standard of care across every treatment
Every treatment at Avesta is administered and monitored by licensed clinical specialists under evidence-based protocols.
A clinician beside you
Every treatment session is directly monitored 1:1 by licensed CRNAs and psychiatric nurse practitioners. You are never left unattended.
Georgetown academic protocols
Dr. Ladan Eshkevari, PhD, CRNA, FAAN, former Georgetown University Program Director, establishes the evidence-based clinical protocols used across all clinics.
A free consult to begin
Start with a complimentary 30-minute clinical consultation. No referral is needed, and our team verifies your insurance benefits up front.
Insurance accepted for Spravato & treatments
Spravato is in-network with Aetna, Cigna, Maryland Medicaid, Virginia Medicaid, and the VA. For IV ketamine, we provide superbills for out-of-network reimbursement and partner with Advance Care for interest-free financing.
See insurance and costsVeterans: VA-covered care close to home
Avesta is an authorized VA Community Care Network provider. Eligible veterans can receive covered Spravato and IV ketamine therapy across our five DMV clinic locations.
Veterans care at AvestaCommon questions about our treatments
Straight answers on choosing a treatment, protocols, insurance, and outcomes. Still have questions? Call (301) 381-8381.
How do I know which ketamine treatment is right for me?
During your free 30-minute consultation, our clinicians evaluate your medical history, diagnosis, previous treatments, and insurance coverage. We will recommend either IV Ketamine Therapy, Spravato nasal spray, or Ketamine-Assisted Psychotherapy (KAP) based on what is clinically most effective and financially practical for you.
What is the difference between generic IV Ketamine and Spravato?
IV Ketamine delivers racemic ketamine directly into the bloodstream with 100% bioavailability, allowing precise, minute-by-minute dose adjustments for both mental health and chronic pain. Spravato (esketamine) is an FDA-approved nasal spray indicated specifically for Treatment-Resistant Depression and major depression with suicidal ideation, which is covered by many commercial insurances and Medicaid.
How many treatment sessions will I need?
For IV Ketamine, the standard evidence-based induction protocol consists of 6 infusions over 2 to 3 weeks, followed by personalized maintenance boosters as needed. For Spravato, treatment typically begins with twice-weekly sessions for 4 weeks, tapering to once weekly and then every other week.
Will my insurance cover ketamine treatments?
Spravato is covered by most commercial plans (including Aetna and Cigna), VA Community Care, and Medicaid in Maryland and Virginia. While generic IV Ketamine is typically not covered directly by private insurance, we provide detailed superbills for out-of-network reimbursement and offer flexible financing through Advance Care.
Do I need a doctor’s referral to schedule a consultation?
No referral is needed to schedule a consultation or begin IV ketamine therapy at Avesta. For Spravato covered by insurance or VA Community Care, we will assist you in obtaining the required documentation from your referring provider.
Ready to get started?
Book a free 30-minute consult. No referral needed, and we check your benefits before you commit to anything.