What are my payment options for treatment?
Most insurance companies cover TMS for patients who have not responded to several medication trials. We have an experienced and committed staff to assist in the process of calculating the costs and obtaining any available reimbursement. We know that navigating health insurance can be confusing and stressful, and we are devoted to providing whatever assistance is needed. Ketamine is not currently covered by insurance providers. Please contact us to discuss the cost of treatment.
Do I need a referral from a psychiatrist?
No. We consult directly with patients who are interested in pursuing TMS or ketamine, though we work closely with outside treaters whenever necessary.
Isn't Ketamine used as a recreational drug?
Yes. Like many other psychoactive medications, ketamine has been used for non–medical purposes. Ketamine is a controlled substance, and must be prescribed by a physician.
Will I become addicted to Ketamine?
There is no evidence that Ketamine used to treat depression leads to dependence or addiction.
How soon will I begin to feel better and how long will it last?
TMS can take 2-6 weeks to before the benefits become noticeable, although response time is typically shorter than for medication. We obtain weekly symptom reports using valid assessments to monitor response and adjust treatment as clinically indicated. We work with patients and outside treaters in an ongoing basis to assess the need for booster sessions and other longer–term treatment options. With ketamine therapy, many patients will begin to feel better within hours of the first infusion. Patients with thoughts of self–harm may notice those thoughts dissipating first. Other patients may not notice any mood improvement until the next day, while others may require up to 6 or more infusions before feeling better.
Do I need someone to accompany me?
You do not need to have someone accompany you to TMS, though you are welcome to bring a companion. You do not need to have someone bring you to a ketamine infusion, but we do suggest that someone is available to drive you home. We advise you not to drive a car until the following morning after ketamine infusion.
Can I eat or drink before my appointment?
There are no food or drink restrictions for TMS. Since ketamine can sometimes cause nausea, you should not eat or drink for 4 hours prior to an infusion.
Will my current psychiatric medications interfere with treatment?
Psychiatric medications do not interfere with TMS or ketamine therapy, and there is no need to stop them. It is possible that benzodiazepines, like Ativan and valium, may blunt the effects of ketamine, however there is no definitive research demonstrating this. You should not decrease or discontinue any prescribed medication without first consulting your prescribing physician.
Will these treatments lead to memory loss?
Unlike ECT, there is no memory loss associated with TMS or ketamine. In fact, there is some evidence that these treatments may enhance cognition.
Are Cambridge Ketamine and Cambridge TMS connected to Cambridge Biotherapies?
Yes. Cambridge Ketamine and Cambridge TMS are divisions of Cambridge Biotherapies.