Velara Wellness
- Transcranial Magnetic Stimulation (TMS)
- Ketamine Therapy
- Psychedelic Therapy
Read the Ketamine Therapy guide for the educational context behind this treatment category.
San Diego, CA
Patients searching for ketamine depression treatment in San Diego will find clinics clustered along a few corridors, most pairing ketamine with ongoing psychiatric care rather than a one-time service, and most requiring a psychiatric intake screening before a first infusion. The UTC and La Jolla medical corridor near UC San Diego and Scripps holds a concentration of practices along I-5 and Genesee Avenue, with another cluster in Hillcrest along the 163. Farther north, practices along El Camino Real and I-5 through Carmel Valley, Encinitas, and Carlsbad serve North County, so patients in Oceanside or Vista rarely need to drive into the city center.
Locally, ketamine therapy is usually delivered as an intravenous infusion, sometimes as an intramuscular injection, inside a physician's office or dedicated infusion suite. A clinician, often an anesthesiologist, psychiatrist, or nurse practitioner, stays present to monitor vital signs and response throughout the session. A first visit typically covers a psychiatric and medical history review and a plain explanation of what the session will feel like, with follow-up built around ongoing care rather than a fixed number of sessions promised up front. For depression, that usually means coordination with the psychiatrist or therapist already treating the patient, since ketamine supports rather than replaces that care. Ketamine itself is FDA approved only as an anesthetic, so prescribing it for depression is off label, while a related nasal spray carries separate FDA approval for treatment-resistant depression.
Before booking, ask about the supervising clinician's credentials, whether a physician is present during the infusion, what is being administered, how risks are disclosed in writing, and what costs are included in a quoted price.
Listing order on the clinics below is not a paid ranking: organic position reflects profile completeness and relevance, not what a clinic pays Regenerated.com. Featured placements are labeled and capped at a small number of slots, and a Verified badge means a clinic's credentials have been checked, not that it spent more to appear higher. Regenerated.com is free for patients to use, and a listing here is not an endorsement of any clinic's outcomes. For how ketamine works, see the national ketamine therapy hub, and for more on reading this list, see How to read a Regenerated city hub and Featured vs Verified vs organic.
Regulatory context
Ketamine is a DEA Schedule III controlled substance, FDA-approved as a dissociative anesthetic and used off-label for treatment-resistant depression, PTSD, and chronic pain. The FDA approved esketamine (Spravato) in 2019 for treatment-resistant depression under a Risk Evaluation and Mitigation Strategy (REMS) program that requires in-office administration at certified sites. MDMA-assisted therapy remains Schedule I; the FDA issued a Complete Response Letter in August 2024 to Lykos Therapeutics on its MDMA new drug application. Psilocybin is Schedule I and holds FDA Breakthrough Therapy designation through sponsors such as Compass Pathways and Usona, but has not received FDA approval. Oregon Measure 109 (passed 2020, operational 2023) created a state psilocybin service center framework, and Colorado Proposition 122 (2022) authorized regulated healing centers.
California enforces federal DEA scheduling. The Medical Board of California investigates prescriber misconduct, including ketamine diversion and inadequate patient monitoring. Several high-profile California ketamine-related deaths (including Matthew Perry's 2023 overdose) have intensified board scrutiny of clinic practices. DEA enforcement targets compounding, diversion, and Ryan Haight Act telehealth compliance.
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