If you want to worsen your mental health, this is the clinic for you. It’s the most awful experience I’ve ever had at any place purporting to be a medical establishment. It took a lot of work, a lot of time, a lot of careful scheduling for me to get setup here. I wanted to only go in once a week for Spravato treatment, but they don’t allow that and informed me I had to go in twice a week for treatment or not at all. I wasn’t even wanting to take ketamine twice a week, but it was covered by insurance so I agreed with the policy and went through the long process of setting everything up even if it meant I was forced to take it 2 times a week. The first appointment they only administer 56 mg which isn’t enough to dissociate (in my case). After that, the remaining 7 appointments they say they'll administer the 84 mg. Right before my second appointment, I left my AirPods in the Uber and had to sprint after the car for blocks trying to get them back. I haven’t been running as often and I was running after a motor vehicle, so it was extreme exertion. As a result, during that second appointment when I was able to feel positive effects of treatment, people came into the room several times and said my oxygen was lower than they wanted. I said it’s because I ran to the extreme before my appointment and it had been awhile since I built up my running ability. They wanted me to go see my primary care physician before they would administer treatment to me this Monday (September 15th, 2025). So I went to my primary care physician who listened to my lungs and said I sound totally fine. My doctor then asked me to go run around the building and exert myself, which I did. When I came back in my doctor told me I have slight asthma from sudden exertion that I don’t need inhalers for, but I was prescribed inhalers just in case. I made a special trip back to Evolve to check for my hoodie that was somehow lost there when my AirPods were left in the Uber, and to take them the paperwork from my primary care doctor who thoroughly checked my lungs and cleared me for Spravato treatment (at the request of Evolve). When I showed up for my 3rd treatment today, I was given a dissolvable pill for nausea and while it was still in my mouth she put on a stethoscope and wanted me to take deep breaths. She said she could hear a little something (she said inflammation) and wouldn’t give me the full dose 84 mg which is enough to actually help dissociate. She said she would only give me the 56 mg… I said if I wasn’t going to be treated there in a meaningful way via the same dosage as last time, then I didn’t see any point to staying. It’s a huge commitment to go in twice a week as it is, let alone not get a dosage that helps, and waste entire afternoons and evenings. She told me I could go in for my Thursday appointment when another provider would be there and see if that provider would prescribe me the 84 mg. I said, again, unless I was guaranteed to be treated in a meaningful way with the appropriate dosage to dissociate, I wasn’t interested in coming back. What I was thinking was if this lady actually had real concerns about my oxygen intake/lung capacity, it’s extremely irresponsible and dangerous for her to suggest I come in to see another provider at this clinic who may give me the dosage she was claiming was too dangerous for her to administer. This makes me very concerned about her competency to be practicing medicine of any kind. Other smaller things include today being put in a room where they had stored two other treatment chairs which I was worried might make me think other people were in the room during treatment. I asked if I could go into another room and she said “patients can’t choose the room and this room always has three chairs”. I didn’t like the idea of being under the influence of Spravato in a storage room. Just bizarre stuff. Don’t go here. And I’m out all of the money for the Uber there and back just to be denied treatment that my doctor cleared me for at Evolve's request.
Ryan Michaels · September 16th, 2025