2 clinics shown
Psychiatric services for children, adolescents, and adults are provided at Dr. Joshua Feder's practice on Highway 101 in Solana Beach. The practice focuses on diagnostic evaluation and medication management across developmental stages. Dr. Feder's approach integrates developmental and relational perspectives in treatment planning. Specific procedural treatments such as TMS or ketamine therapy are not indicated in available practice information.
IM ketamine therapy is administered at Luma Health and Wellness in Solana Beach for adults with treatment-resistant depression and other mood disorders. The clinic, located on Stevens Avenue, operates under medical supervision with sessions tailored to individual patient protocols. Luma specializes in ketamine infusion treatments as part of comprehensive psychiatric care. Patients typically undergo an initial evaluation to determine candidacy before beginning a treatment series.
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.