What psychedelic therapies are legally available in Las Vegas?

In Nevada, ketamine-assisted psychotherapy is the primary legal option. Ketamine is a Schedule III controlled substance prescribed off label for depression, anxiety, and PTSD. Psilocybin and MDMA are Schedule I federally and not legally available in Nevada. Only Oregon (Measure 109) and Colorado (Proposition 122) currently operate regulated psilocybin programs.

How much does ketamine-assisted psychotherapy cost in Las Vegas?

In Las Vegas, ketamine-assisted psychotherapy typically runs 400 to 900 dollars per session, with full protocols of six sessions costing 2,500 to 6,000 dollars. IM injection sessions tend to be less expensive than IV infusions. Spravato (esketamine nasal spray) is FDA-approved for treatment-resistant depression and may be covered by insurance with prior authorization, though out-of-pocket copays vary. Integration therapy sessions are often billed separately at 150 to 300 dollars each.

Is MDMA-assisted therapy available?

Not as an FDA-approved treatment. In August 2024 the FDA issued a Complete Response Letter to Lykos Therapeutics (formerly MAPS PBC) for MDMA-assisted therapy for PTSD, citing concerns about trial design and data quality. MDMA remains Schedule I federally. Some expanded access and clinical trial pathways exist, but no Las Vegas clinic can legally prescribe MDMA outside of those frameworks. Lykos has stated it plans to resubmit following additional trial work.

What conditions does ketamine-assisted therapy treat?

Ketamine-assisted psychotherapy is used off-label for treatment-resistant depression, PTSD, anxiety, and suicidal ideation. Spravato (esketamine) carries FDA approval specifically for treatment-resistant depression and major depressive disorder with acute suicidal ideation or behavior. Evidence quality is strongest for depression, with multiple randomized trials supporting short-term benefit. Las Vegas clinics typically screen for cardiovascular conditions, psychotic disorders, and active substance use before starting treatment.

How do I choose a reputable psychedelic therapy clinic in Las Vegas?

Verify the prescriber on the Nevada medical board license lookup and NPI registry. Confirm the clinician has training in psychedelic-assisted therapy through MAPS, Fluence, Polaris, or a comparable program. Ask about screening protocols, emergency procedures, and whether a therapist is present during sessions. Check the FDA warning letter database. Avoid clinics promising guaranteed outcomes, pushing large prepaid packages, or operating outside of state licensure. Integration support should be part of any reputable protocol.

Clinics in Las Vegas, Nevada

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.

SB 242 / Psychedelic Medicines Working Group (2023)
Established a working group to study regulated access to psilocybin and MDMA therapy; report and follow-on legislation pending.
Nevada Uniform Controlled Substances Act
Mirrors federal scheduling.

Nevada enforces federal scheduling. The Nevada State Board of Medical Examiners oversees prescriber conduct. DEA enforcement on ketamine clinics focuses on diversion and Ryan Haight Act telehealth rules. Nevada PMP requires controlled substance reporting.

Clinics in Las Vegas, Nevada

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Psychedelic Therapy clinics in Las Vegas

Lakesyde Behavioral Health

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A note on Nevada's psychedelic therapy rules.

Psychedelic Therapy in Las Vegas, answered.

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