Services

Intramuscular
Ketamine Therapy

Why work with Dr Iva?

In my office, your ketamine journey is uniquely tailored to you. With a two-injection approach, we can adjust your dose in real-time—allowing either for a gentle start with a deepening booster or a stronger initial dose followed by a tapered, smaller booster. This artful balance of precision and personalization ensures a journey that fits your needs, comfort and therapeutic goals.

Unlike many clinics that simply administer ketamine, we provide a dedicated hour for therapy and intention setting before your session, followed by the “Golden Hour” of integration therapy, when your brain is most open to forming new, lasting patterns. This scientifically-backed approach maximizes ketamine’s healing potential, helping you create real, sustainable change.

With over 11 years of psychiatric experience, I combine innovative medicine with trauma-informed care. Ketamine is a powerful tool, but true transformation happens in the integration and processing that follows. 


Benefits of Ketamine Therapy

  •  Improvement in Depression Symptoms

  •  Alleviation of PTSD symptoms

  •  Reduced Anxiety

  •  Increased Motivation and Energy

  •  Reframing Limiting Beliefs 

  •  Reduction in Pain symptoms

  •  Improvement in PMS or PMDD symptoms

  •  Enhanced Self-Compassion & Emotional Openness


Evidence based benefits

Ketamine promotes neuronal growth and increases synaptic connectivity. As an NMDA receptor antagonist, it stimulates glutamate release, fostering new neural pathways and enhanced brain plasticity. Intramuscular (IM) ketamine has a 93-95% bioavailability, ensuring potent, predictable effects. Compare this to oral ketamine which has significantly less bioavailability (only 20-30%) due to metabolism in the liver.

Your first step is an initial Psychiatric Evaluation with me (click here to learn more) to determine if you’re a good fit for this Treatment and if IM Ketamine is the appropriate therapy for you.

3 Hour In-Person Ketamine Journey

Hr 1: Preparation & Intention Setting

Hr 2: IM Ketamine Induction & Journey

Hr 3: Integration Therapy (“Golden Hour”)

  • We begin with a 20-minute therapeutic conversation discussing recent emotions, mood changes and then setting goals for your session; After our check-in, I will take your Blood Pressure and heart rate for protective measures.

    Together, we set a personal intention for your experience and create a calm, sensory-friendly environment with curated music, comfortable eye mask and aromatherapy (if desired). You will journey on a comfortable couch with weighted blankets and comfortable pillow to support relaxation and maximize your experience

  • The experience begins as you lay back, relax and settle in with a soft eye mask, noise-canceling headphones, and a weighted blanket to ease your nervous system. 

    I personally administer two intramuscular ketamine injections—the first guides you inward and 10 minutes later, a booster shot deepens and smooths the experience. Throughout your journey, I provide medical supervision and therapeutic support as needed.

  • As your journey gently brings you back, you enter the Golden Hour—a rare state where your mind is open, your defenses are lowered, and your brain is in a state of heightened neuroplasticity. This is the moment when the rigid patterns of the past begin to soften, and new pathways—new thoughts, behaviors, and perspectives—can take root.

    In this 50-minute integration session, we explore the insights, emotions, and imagery that surfaced during your experience, helping you make sense of what unfolded. With compassionate guidance, we work through old narratives and limiting beliefs allowing space for release and transformation. We gently anchor this experience with behavioral activations so that the wisdom gained doesn’t fade but instead translates into lasting, meaningful change.

  • As your session comes to a close, we take a few final moments to check in, ensuring you feel alert, grounded, and are able to walk independently. I will confirm that your assisted ride or ride-share is arranged, so you have a safe way home. When you’re ready, I will walk you to the door, where your trusted driver or ride-share will meet you, ensuring you leave feeling supported and safe.

    Note: Due to Ketamine’s sedative effects, clients must arrange for a ride home with a responsible adult or a ride share service like Lyft or Uber.

  • Music in a journey acts as a silent yet powerful guide, shaping the experience like a magical conductor, leading you through deep emotions, memories, and insights. The right playlist can help weave together the unfolding narrative of your healing. That’s why in my clinic, we curate specialized playlists with the utmost care and attention.

Psychiatric Medication Management

I take a collaborative approach to psychiatric medication management, ensuring that your treatment plan is tailored to your unique symptoms and goals. My philosophy prioritizes minimizing side effects and avoiding unnecessary polypharmacy. I aim to simplify your med regimen while producing effective results. The goal is to balance medication benefits with safety without excessive medication burden. I gladly offer in person or virtual telehealth appointments (via video or phone).

Medication is one piece of the healing process:I believe in an integrative approach, combining medication with therapy, lifestyle adjustments, and mind-body practices to promote long-term resilience.

After our initial Psychiatric Intake, I offer clients Medication Regimens for the following Conditions:

  • Anxiety can cause persistent worry, racing and ruminative thoughts, restlessness, over-analyzing and physical symptoms like rapid heartbeat; it can also lead to insomnia. I can offer medication options to help restore calm, focus, and daily functioning.

  • For those who struggle with intense fear of judgment or avoidance of social situations, I offer medications to ease discomfort and support confidence in everyday interactions.

  • OCD can involve distressing thoughts and some repetitive behaviors. I can offer a medication treatment plan that reduces obsessive thinking and compulsive urges, helping you regain control.

  • I provide personalized treatment plans to help improve your mood, energy, and engagement in life. We would review medications that help you find joy again, restore motivation and help you re-engage in various arenas of your life: work, hobbies, friendships, relationships, passions.

  • Trauma can lead to depression, anxiety, hypervigilance, emotional numbness or dysregulation, irritability, or dissociation. I offer medications that ease distressing symptoms while supporting emotional healing and stability. I also offer shadow and parts work therapy that helps process core emotional wounding.

  • ADHD affects focus, daily productivity, organization, processing speed, mood regulation and impulse control. If you meet diagnostic criteria for ADHD I can provide stimulant and non-stimulant medication options to significantly improve your attention, executive functioning, and productivity.

  • Chronic sleep issues can disrupt mood, energy, and mental clarity. Whether you struggle with falling asleep or staying asleep,  I design a medication plan that promotes restful sleep without unnecessary sedation and minimizes side effects.

  • Chronic conditions like thyroid disorders, fibromyalgia, and autoimmune diseases can impact mental health, leading to depression, anxiety, and insomnia. I take an integrative approach to restore emotional balance. Research shows that treating these symptoms can also reduce inflammation, potentially improving overall health.

  • Bipolar disorder is characterized by intense mood swings, ranging from high-energy mania or hypomania to deep depressive lows. I provide treatment with mood-stabilizing medications, helping regulate these shifts to support emotional balance, mood stability and regulation of impulsivity or irritability.

  • These conditions can cause clouded, fragmented thinking, making it hard to focus or stay present. Some individuals experience delusions, such as paranoia, or hallucinations that distort reality. I can offer medications to help reduce these symptoms, allowing for clearer thinking and better daily functioning.

Psychotherapy & Integration Therapy

After our initial 50 min Consultation, I offer a broad range of psychotherapy tailored to your needs, including integration sessions for ketamine therapy to help process unresolved trauma or challenging emotions that may surface. These sessions provide a safe, supportive space for deeper healing with the guidance of a skilled psychiatrist.

My multi-faceted approach includes Cognitive Behavioral Therapy (CBT) to help restructure negative thought patterns, build healthier habits and improve focus, organization and performance. I also specialize in Interpersonal Psychotherapy (IPT) to support navigating relationship challenges, strengthening communication skills, setting appropriate boundaries, and improving conflict resolution skills for healthier, more fulfilling connections.

For emotional regulation, I incorporate Dialectical Behavior Therapy (DBT) to help you manage anxiety, impulsivity, grief, self-doubt and fear with greater resilience and self-compassion. We work together to cultivate inner calm, strength and self-regulation, so you feel grounded and empowered in the face of life’s unpredictability. I also offer deep inner work, trauma-informed therapy for PTSD symptoms including shadow work, to help you reframe self-judgment, release outdated narratives, and step into your most empowered, authentic and loving self! I gladly offer in person therapy or virtual telehealth appointments (via video or phone).

  • Relationships can be both fulfilling and challenging. IPT helps you:

    •  Improve relationship dynamics 

    •  Strengthen communication and boundaries

    •  Address patterns of conflict

  • DBT provides tools to help you:

    • Regulate emotions and manage stress

    • Build resilience and navigate difficult moments

  • Many of us carry old narratives of shame or self-doubt. 

    In therapy, we:

    • Reframe self-judgment into self-compassion

    • Work through difficult moments and memories through skilled trauma informed care

    • Break free from outdated patterns and step into your empowered, authentic self