2 clinics shown
Rodney Erwin practices general psychiatry at a Kaiser Permanente facility on South McDowell Boulevard in Petaluma, providing psychiatric evaluations and medication management for adults. The practice operates within the Kaiser system, typically serving Kaiser members through internal referrals. Specific treatment modalities beyond standard psychiatric care—such as TMS, esketamine, or ketamine therapy—are not detailed in available information.
Ketamine-assisted psychotherapy is offered at Temenos Center for Integrative Psychotherapy in Petaluma, combining low-dose ketamine administration with therapeutic support for adults with depression, anxiety, and trauma-related conditions. The practice, located on Bodega Avenue, integrates ketamine sessions into a broader psychotherapy framework rather than providing ketamine as a standalone medication treatment. Sessions are conducted by licensed therapists trained in psychedelic-assisted therapy protocols, with medical oversight for ketamine administration.
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.