IV KETAMINE THERAPY FAQ • GREENWOOD, INDIANA
Questions About IV Ketamine, Answered Straight.
Everything people actually ask us before they book, including the awkward ones about money. If your question is not here, call or text and ask us directly.
THE BASICS
What This Actually Is
What is IV ketamine therapy?
A low dose of ketamine delivered through an IV, in our Greenwood office, present with you the whole time. An infusion runs about 40 minutes. Evidence-based research calls for people do a series of six infusions.
It is not a sedative and it is not an escape. It is used to trigger neuroplasticity, which is your brain's ability to build new connections. That window is the point. What you do inside it is what makes the change stick, which is why integration is part of treatment here rather than an upsell.
Is this legal? How can you give me ketamine?
Completely legal. Ketamine is an FDA-approved medication that has been used safely in hospitals and emergency departments since the 1970s, and it is on the World Health Organization's list of essential medicines.
We use it off label for depression, anxiety, and PTSD. Off label is normal medicine, not a loophole. It is the same thing that happens when a blood pressure medication is prescribed for migraines or a seizure medication is used to stabilize mood.
Because this office is physician-led and medically licensed, every patient gets an evaluation, a dosing plan built for them, and continuous monitoring during the infusion.
How does it actually work in the brain?
Long stretches of stress physically change the brain. The tiny connection points between brain cells shrink in the areas that handle focus, mood, and hope. That is part of why those things get harder to reach over time. It is not a character flaw. It is wiring.
Ketamine blocks a receptor called NMDA, which sets off a chain that helps new connections form. In lab studies this began within hours of a single dose. That is what we mean by the window, and it is why the series of six matters more than any single infusion. More on the neuroscience and what to do with that window.
Is this the same as the at-home ketamine I keep seeing ads for?
No. Those are lozenges or tablets mailed to your house, with nobody watching the dose and nobody watching you.
IV delivery means the dose is controlled and adjustable in real time. It also means someone trained in psychedelic medicine and psychedelic "trip setting" is present with you throughout your infusions. Both of those matter more than the convenience does.
Will this work for someone like me?
Our patients are usually high-functioning people who look fine from the outside and are running on empty underneath. They have tried to do everything right and still do not feel like themselves.
We'll tell you at the free consult if this is NOT for you based on established criteria. But honestly, this therapy has worked well FOR A LOT of people. Why? Because it is for people whose brains just need to get healthy again. And no, YOU are not too far gone.
WHAT TO EXPECT
What It Is Like in the Chair
What happens during an infusion?
You are in a recliner in a quiet room, awake but relaxed (lucid dreaming is a good way to describe the feeling) the whole time. The infusion runs about 40 minutes. Most people use an eye mask and music. Your vital signs are monitored from start to finish.
People describe it as floaty, dreamlike, sometimes emotional. You are not unconscious and you are not out of control. If anything feels wrong, you say so and we adjust.
Who is actually in the room with me?
Every infusion happens under the medical direction of Dr. Dee Bonney, a board-certified emergency physician with more than 25 years of experience, with a paramedic present at all times.
Our staff are not just ACLS-trained. They are working paramedics. That card is not gathering dust in a wallet.
All of them are also trained in psychedelic trip sitting, which is a different skill from running a code. Knowing what to do when someone gets quiet, or teary, or wants to talk, is training too.
And you are always welcome to bring an emotional support person to sit in the room with you for comfort.How many sessions will I need?
The standard series is six, usually over two to three weeks. The windows stack, which is why six beats one.
After that, boosters and maintenance are planned around how you actually respond, not a fixed schedule someone printed out in advance.
What do the side effects feel like?
That lucid dreaming, "trippy" feeling is usually mild and short-lived. Dizziness, nausea, a floaty or dreamlike feeling during the session, sometimes tearfulness. Most of it fades soon after the infusion ends. You may feel tired or emotionally hungover throughout the day. Your brain did a lot of work in that chair!
We monitor vital signs throughout and adjust when we need to. If something is bothering you, tell us in the room rather than sitting with it.
Can I drive myself home?
No. You will need a ride. Plan for a low-input rest of the day: no driving, no big decisions, no hard conversations. Sleep is productive on infusion day.
Do I have to stop my current medications?
Usually not. Most patients stay on their regimen through treatment. A few medications, benzodiazepines and lamotrigine among them, can affect how well the infusion works, so we talk about timing rather than stopping.
Any change to your prescriptions is a conversation with the provider who prescribes them, not something we do unilaterally.
Can I keep my therapist and my prescriber?
Yes, and we would prefer it. Prescribing stays with your provider. Your therapist knows your history in a way we never will, and that relationship is not something we would try to replace.
With a signed release we share intake findings, PHQ-9 and GAD-7 trends, and how you are responding, so the people already caring for you are not left guessing. We love collaborative care!
What if it does not work for me?
It does not work for everyone, and we are not going to pretend otherwise. Response varies, and part of what we track through the series is whether yours is moving.
IV ketamine also is not right for everyone in the first place. If we do not think you are a candidate, we will tell you at your consult before you have spent anything, and we will follow up with some resources afterward.
COST AND INSURANCE
The Money Questions
Does insurance cover IV ketamine therapy?
No. IV ketamine for depression is used off label, so it is almost never covered by any insurer in the country. That is not an AlphaOmega thing.
We also do not bill insurance at all, which is a separate decision and one we will happily explain. The four reasons are here.
What does it cost?
You will get your exact number at your free consult, because what you pay depends on your protocol and we would rather price it after we have talked with you than guess in advance.
What you will not get is a surprise. You will know your full cost before your first infusion. No claim denied six weeks later, no deductible that reset in January, no envelope in March you were not expecting.
Can I use my HSA or FSA?
Yes, both. Bring the card. That is pre-tax money you already set aside for medical care, and this is medical care.
Do you offer payment plans?
Yes. We offer Affirm if you would rather pay monthly, and we will walk you through it at your consult. Eligibility and terms apply.
Is there a first responder or military discount?
Yes. Police, fire, EMS, and military. We came out of the emergency department. We have a reasonably good idea of what you are carrying home. More for first responders and veterans.
What about Spravato? Is that covered?
Often, yes. Spravato is the esketamine nasal spray, FDA approved specifically for treatment-resistant depression, and insurers frequently cover it with a prior authorization and documented medication trials. It is a different medication in a different setting, and we do not provide it here.
If you want the honest side by side, we compared IV ketamine, TMS, Spravato, and ECT
GETTING STARTED
Booking, Hours, and the First Visit
Is the consult really free?
Free means free. No card, no deposit, no obligation to book anything afterward. You will leave knowing whether you are a candidate and exactly what treatment would cost you.
How do I schedule, and can we do it virtually?
Call or text 317-300-4091 and speak to one of our lovely humans, or book online. We also offer virtual consultations, so you can find out whether this is right for you before driving anywhere.
What are your hours?
Our ketamine care hours are Monday through Friday, plus some Saturday mornings. We understand busy. Know this though: making yourself a priority is the part that matters.
Where are you, and how far do people drive?
We are at 1777 W. Stones Crossing Rd, Suite 140, in Greenwood, Indiana. Patients come to us from Indianapolis, Carmel, and across Central Indiana. And even further believe it or not!
What happens between and after the infusions?
This is the part most clinics skip. The infusion opens the window. What you do inside it decides how much of the change holds.
Brain Health Reboot is included with every ketamine series here, and ROOT is our ongoing program for people who want to keep building after the six. How integration works at AlphaOmega.
OTHER SERVICES
Membership, hormones, and everything else
Do you treat children?
For primary care, yes, starting at age one. We do not stock immunizations in the office, so for those we will point you to the health department.
IV ketamine therapy is adults only.
Can I come here without joining the membership?
For ketamine therapy and hormone therapy and BioTE, yes. No membership needed.
Direct primary care is the one that requires a membership.
If I have the Wellness Membership, what do I owe when I come in?
Nothing for the visit itself. Your monthly fee covers it. Labs are the exception, those you pay for separately.
Can my child be on my membership?
Yes. Dependents are $35 a month, through age 18, or up to age 22 if they are a full-time student.
I have traditional insurance. Can I still come here?
Yes. We are a self-pay practice and we do not bill insurance, so your pricing is the same either way. You will know what something costs before you agree to it.
Who makes your BHRT pellets?
Belmar Pharmacy, a LegitScript certified compounding pharmacy. We have used them for years for all of our hormone pellet therapy.
Can I order supplements through you?
Yes, though supplements work best when someone has actually looked at what you need rather than guessing from the internet. If you already have recommendations, you can order through FullScript or Metagenics.
Why do you not list your ketamine prices on the site?
We do, actually. Pricing and financing options are here. We also go over pricing, payment options and our guarantee at the free consult, so nothing is a surprise once you are in the chair.
Full details on each
Direct Primary Care. A flat monthly membership with Peighton, PA-C and Chelsey, FNP-C.
Hormone Therapy and BioTE. We test before we treat, and again after. Men and women.
Medication Assisted Treatment. Physician-led and private, with Dr. Dee Bonney, MD.
STILL STUCK?
Still Have a Question We Did Not Answer?
Ask it at the consult. It is free, there is no card, and you are under no obligation to book anything afterward.
