Reclaim your Mental Health with Ketamine Therapy in Livermore

We recognize the courage it takes to seek healing. Ketamine therapy is more than a treatment; it’s a beacon of hope, guiding you to reclaim your mental health, to feel empowered and in control. We will help you take the first steps to begin this transformative journey, toward a brighter, more vibrant state of mental health and wellness.

Indications for Ketamine Therapy

Ketamine is an ideal treatment for battling numerous mental health conditions that are not alleviated using traditional therapy and medications. It is often considered when clients have not experienced sufficient relief from conventional treatments and are looking for a different path forward. Some examples of indications include:

  • Depression – Alleviates symptoms and fosters a more positive outlook on life.
  • Anxiety – Provides relief for anxious thoughts and feelings
  • PTSD – Helps process traumatic experiences and reduce distress
  • Substance use disorders and addiction – Helps clients overcome substance misuse by breaking harmful cycles
Man relaxing in dark room during ketamine treatment in Northern California

How Ketamine Works

Ketamine is a dissociative anesthetic that has been used in hospitals for anesthetic procedures for several decades. It’s very safe and widely regarded as transformative in therapeutic settings when used at a significantly lower dose than what is used in anesthesia.

It works by rewiring neural pathways in the brain, positively altering the mental state. Ketamine can effectively stop disruptive thought patterns and transform them into positive thinking. Unlike traditional antidepressants, ketamine works on the brain’s glutamate system and promotes neuroplasticity: the brain’s ability to form new neural connections and adapt. This can help clients break out of entrenched patterns of thinking and experience new perspectives.

Ketamine is available in oral, nasal and injectable, and many providers offer one or the other, or a combination.

Intramuscular (IM) Ketamine

IM ketamine is administered by a trained physician in a calm, supportive setting. It provides an immediate and immersive experience, often used when deeper dissociation or rapid relief is desired. The dosage is carefully adjusted to support both safety and the therapeutic process.

Before treatment begins, each client undergoes a thorough evaluation to determine whether ketamine therapy is appropriate and safe for their specific needs. Throughout treatment, clients are carefully monitored to ensure a comfortable and supportive experience.

Sublingual Ketamine

These lozenges dissolve under the tongue, delivering ketamine gradually into your system. This route is ideal for those seeking a gentler, more flexible approach and can be used for at-home treatment in specific cases under physician guidance.

There are multiple benefits to sublingual, including:

  • Controlled, titratable dosing
  • Fewer physical side effects compared to injectable
  • A gradual onset that many find less intense
  • A longer-lasting reflective state, often extending into the days following treatment

Intranasal Esketamine

Intranasal esketamine (Spravato) is delivered as a nasal spray, allowing the medication to be absorbed through the nasal mucosa for relatively quick and efficient onset. This method offers a middle ground between sublingual and IM delivery, acting faster than lozenges while remaining non-invasive.

Intranasal ketamine may be a good option for clients who want more predictable absorption without injections, and it is commonly administered in a clinical setting under medical supervision. It’s also the only option available that is covered by insurance. 

Many clients find this route effective for symptom relief while still maintaining a manageable and grounded therapeutic experience.

Learn more about Spravato.

Intravenous (IV) Ketamine

IV ketamine is delivered directly into the bloodstream, offering precise dosing and a highly controlled session. A single infusions lasts about 40 to 60 minutes and we monitor the patient the entire time.

Note: At Mind Balance Flow, we primarily work with intramuscular (IM) ketamine. IM delivery is equally effective, well-studied, and allows for a more natural, comfortable experience — without the need for IV placement or continuous monitoring. For most patients, it’s the right fit. If you have questions about which approach is best for you, we’re happy to talk it through.

What Ketamine Feels Like

Most clients feel the dissociative or dissociative and neuroplasticity-promoting effects of ketamine gradually as it takes effect. Typical sensations are described as out-of-body, giving clients the opportunity to view themselves and their thought processes from a completely different viewpoint.

The effects vary from person to person, but almost universally it is known to be a positive, uplifting, transformative experience.

Read more about what ketamine feels like on our blog.

Integration and Lasting Change

The ketamine experience itself is only part of the healing process. Many clients find that the period following treatment offers a unique opportunity for reflection, personal insight, and meaningful change. By integrating new perspectives and healthier patterns into daily life, clients can maximize the benefits of ketamine therapy and support long-term emotional wellness.

If you do not have a therapist experienced with integration after ketamine therapy, we have several our our Therapists page we would be happy to refer you to.

Reach Out to Begin

If you're ready to explore how ketamine therapy can illuminate your path to mental wellness, we invite you to reach out. Together, we can chart a course towards healing and empowerment.