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31 Best Ketamine Therapy Clinics in Washington

Compare clinic listings by treatment and location. A listing is not a medical endorsement. Organic rank is never for sale; Featured placements are labeled and separate from organic results.

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Read the Ketamine Therapy guide: evidence, costs and questions to ask

Washington

Ketamine Therapy clinics in Washington

If you are looking for a center offering esketamine therapy in Washington, start with what the clinic actually provides, because no directory can rank clinics by patient results and this one does not try. Nasal esketamine is the FDA approved form for treatment-resistant depression. It can only be given at certified treatment centers that watch you on site after each dose. Intravenous ketamine for depression is a separate, off-label service. Ask each listing which of the two it offers, and confirm its esketamine certification before you compare anything else.

Most Washington listings sit in the Puget Sound metros, from Everett through Seattle and Bellevue down to Tacoma and Olympia. Spokane is the main option east of the Cascades and also draws patients from north Idaho. Smaller cities such as Bellingham, the Tri-Cities and Yakima are worth a phone call to confirm current services. Residents around Vancouver often look across the Columbia River to Portland, Oregon. From the coast, the Olympic Peninsula or rural eastern counties, a visit can mean a long drive each way, and since you cannot drive after a session, plan for a driver too.

Ketamine is a federally controlled substance, so the prescriber needs a Washington license and DEA registration, and care usually happens in a physician office, psychiatric practice or infusion suite rather than a spa setting. The state regulation section on this page covers sourced specifics. Check physicians and physician assistants with the Washington Medical Commission, osteopathic physicians with the Board of Osteopathic Medicine and Surgery, and nurses, including nurse practitioners, with the Nursing Care Quality Assurance Commission, all through the Department of Health provider credential search. A record shows license status and public discipline, not ketamine experience or how you will respond.

Before booking, ask who evaluates you and who supervises each session, exactly what is administered and which manufacturer or pharmacy supplies it, how risks are disclosed in writing, what happens if it does not help, and what a written quote itemizes.

Listing order here is not sold. Featured slots are labeled and capped, Verified means credential checks rather than spend, Regenerated.com is free for patients, and inclusion is not an endorsement. The national ketamine therapy hub explains the mechanism and the evidence. See How to read a Regenerated city hub and Featured vs Verified vs organic.

31 Clinics, showing page 3 of 3

Syzygy Psychotherapy Collective
Physician status unknown

Syzygy Psychotherapy Collective

Seattle, WA

Syzygy Psychotherapy Collective, a mental-health clinic in Seattle, offers psychedelic-assisted therapy and ketamine therapy alongside evidence-based psychotherapeutic modalities including EMDR, Inte…

  • Transcranial Magnetic Stimulation (TMS)
  • Ketamine Therapy
  • Psychedelic Therapy
  • Hormone Replacement Therapy (HRT)
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Regulatory context

A note on Washington's ketamine therapy rules.

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 5263 / Psilocybin Task Force (2023)
    Established a state psilocybin task force and authorized a pilot psilocybin services program for veterans and first responders, with UW School of Medicine oversight.
  • Local decriminalization
    Seattle (2021), Port Townsend, and Olympia have passed resolutions deprioritizing enforcement of entheogenic plants.
  • Washington Uniform Controlled Substances Act
    Mirrors federal scheduling.

Washington enforces federal scheduling outside the pilot program. The Washington Medical Commission oversees prescriber conduct. DEA enforcement on ketamine clinics focuses on diversion and Ryan Haight Act telehealth rules. Washington PMP requires controlled substance reporting. The UW-affiliated psilocybin pilot operates within federal research compliance.

Sources: dea.gov · doh.wa.gov · doh.wa.gov · app.leg.wa.gov

Ketamine Therapy in , answered.

Most listings cluster in the Puget Sound metros, especially Seattle, Bellevue, Tacoma and Everett, with Olympia and Bellingham also worth calling. Spokane is the main center for eastern Washington, and patients around Vancouver often compare options in Portland, Oregon. From the coast, the Olympic Peninsula or rural eastern counties, expect a long drive. Because you should not drive after a session, plan for a driver, and ask whether evaluation or follow-up can happen by telehealth.

Cost depends on the form of ketamine, the setting, how long you are monitored, and whether therapy sessions are included. Intravenous ketamine for depression is usually cash pay because it is off label, while nasal esketamine is more often covered when a plan's criteria are met. Ask your insurer about prior authorization, and ask the clinic for a written quote itemizing evaluation, medication, monitoring and follow-up. This page does not publish averages because services differ too much.

Ketamine is an anesthetic that, at lower doses, is used for depression that has not responded to other treatment. Nasal esketamine is FDA approved for treatment-resistant depression alongside an oral antidepressant. Intravenous ketamine for depression is off label, and studies show rapid but often short-lived relief for some people. Evidence for PTSD, bipolar depression, addiction and microdosing is more limited, so ask any clinic what it is treating and why it recommends that approach.

Ketamine therapy is legal in Washington when licensed clinicians prescribe and administer it for a medical purpose, because ketamine is a federally controlled substance rather than a banned one. Prescribers need a Washington license and DEA registration, and esketamine may only be given at certified treatment centers. Rather than relying on a clinic's description, read the state regulation section on this page and ask who prescribes, who monitors you during the session, and who is on site in an emergency.

Use the Washington State Department of Health provider credential search. Physicians and physician assistants are overseen by the Washington Medical Commission, osteopathic physicians by the Board of Osteopathic Medicine and Surgery, and nurses, including nurse practitioners, by the Nursing Care Quality Assurance Commission. A search shows license status and public disciplinary actions. It will not tell you how much ketamine experience someone has or how carefully a clinic monitors patients, so ask those questions directly.

Ketamine therapy is generally considered for adults whose depression has not improved after several adequate treatments, usually following a full psychiatric evaluation. People with uncontrolled high blood pressure, certain heart conditions, a history of psychosis, active substance misuse, or pregnancy are often told to wait or look elsewhere. Bipolar disorder calls for specialist input first. A careful clinic screens you before any session, coordinates with your existing care, and is willing to say no.

Common effects during and shortly after a session include dissociation, dizziness, nausea, raised blood pressure and drowsiness, which is why monitoring and a driver are standard. Frequent or unsupervised use raises concerns about bladder problems and misuse. Risk is lower in a monitored medical setting than without supervision, but no setting is free of risk. Ask for the risks in writing, and ask what the clinic does if you react badly during or after a session.

This Washington page helps you decide where in the state to look and whether to travel. City pages cover local detail, and the national ketamine therapy hub explains the mechanism and the evidence. Unlike a plain web search, organic order here is not sold, Featured slots are labeled and capped, and Verified means credential checks rather than spend. Regenerated.com is free for patients, and appearing on this page is not an endorsement.

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