2 clinics shown
Dr. Christopher Migdal operates a psychiatric practice in Novato, located in the Rowland Way medical complex north of San Francisco. The practice provides psychiatric evaluations and medication management for adults. Specific procedural treatments such as TMS or ketamine therapy are not listed in available data; patients seeking those modalities should inquire directly about current offerings and referral options.
MarinHealth Neurology operates as a UCSF Health affiliate in Novato, providing neurological evaluations and treatment for adults with conditions affecting the nervous system. The clinic, located on Rowland Way, focuses on general neurology rather than psychiatric conditions like depression or anxiety. Patients seeking TMS, esketamine, or ketamine therapy should confirm availability directly, as these treatments are not specified in the practice's standard neurology offerings.
Ketamine therapy is the broader category of clinical ketamine use for mental health conditions including treatment-resistant depression, anxiety, PTSD, OCD, and chronic suicidal ideation. Unlike Spravato (which is the FDA-approved esketamine nasal spray), most ketamine therapy is provided off-label using racemic ketamine — typically through IV infusion, intramuscular injection, or sublingual lozenges.
Treatment is administered in a clinical setting with continuous medical supervision. A typical IV protocol involves six infusions over two to three weeks, with each infusion lasting 40 to 60 minutes. Patients are monitored throughout for blood pressure changes, dissociative effects, and emotional response. Many clinics provide a calm, dimly lit room with eye masks and music to support a contemplative experience during dosing.
Ketamine acts on the brain's NMDA receptors and glutamate system, which is fundamentally different from how SSRIs and other traditional antidepressants work. Many patients report significant improvement within hours to days of their first session — among the fastest-acting antidepressant effects in clinical use.
Because most ketamine therapy is off-label, insurance coverage is limited and most patients pay out of pocket. Clinics in our directory range from anesthesiology-led infusion centers to integrated psychiatric practices offering ketamine alongside therapy.