Question 1

- question: "How do I sign up for online ketamine therapy?

Accepted Answer

Most telehealth ketamine providers have a straightforward enrollment process. You typically start by visiting the provider's website and completing an initial intake questionnaire about your medical history, mental health diagnoses, and treatment goals. If the initial screening suggests you may be a candidate, you schedule a video consultation with a licensed clinician who conducts a comprehensive evaluation. If approved, your medication is prescribed and shipped to your home from a licensed compounding pharmacy. For a complete walkthrough, see our guide on [how telehealth ketamine works](/telehealth-guide/how-telehealth-ketamine-works/).

Question 2

What medical conditions qualify me for telehealth ketamine?

Accepted Answer

The most commonly treated conditions are treatment-resistant depression, generalized anxiety disorder, PTSD, and chronic pain syndromes. Treatment-resistant depression — defined as failure to respond adequately to at least two antidepressant medications — is the most well-supported indication. Some providers also treat OCD, bipolar depression (with appropriate safeguards), and substance use disorders. Your eligibility depends on the specific provider's clinical criteria and your individual medical history.

Question 3

Do I need a referral from my current doctor or therapist?

Accepted Answer

Most telehealth ketamine providers do not require a referral. They conduct their own independent clinical evaluation. However, it is strongly recommended that you inform your primary care provider, psychiatrist, or therapist about any new treatments you pursue. Coordination between your existing care team and your ketamine provider leads to better outcomes and safer treatment.

Question 4

How long does the enrollment process take?

Accepted Answer

From initial inquiry to receiving your first medication shipment, the process typically takes one to two weeks. The intake questionnaire takes 15-30 minutes, scheduling the video consultation may take a few days depending on availability, and pharmacy processing and shipping usually takes three to seven business days after your prescription is issued.

Question 5

What should I do to prepare for my first ketamine session?

Accepted Answer

Prepare a comfortable, private space where you will not be disturbed for approximately two hours. Arrange for a sober support person to be present, especially for your first few sessions. Follow your provider's instructions regarding food and medication timing — most recommend a light meal two to three hours before the session and avoiding certain medications. Have water, a blanket, and an eye mask or headphones available. Ensure you have your provider's emergency contact information accessible.

Question 6

Can I continue my current medications while doing ketamine therapy?

Accepted Answer

Many patients continue their existing medications during ketamine therapy, but some medications may interact with ketamine or reduce its effectiveness. Your prescribing clinician will review your full medication list during the evaluation. Benzodiazepines, lamotrigine, and certain other medications may need to be adjusted. Never stop or change any medication without consulting the prescribing provider.

Question 7

What happens if I am not approved for ketamine therapy after the evaluation?

Accepted Answer

If the clinician determines that ketamine therapy is not appropriate for you — due to medical contraindications, psychiatric risk factors, or other clinical concerns — most providers will explain their reasoning and may suggest alternative treatment options. Many providers do not charge for the initial evaluation if you are not approved, though policies vary. A denial is a safety measure, not a rejection of your treatment needs.

Question 8

How is telehealth ketamine different from going to an infusion clinic?

Accepted Answer

Telehealth ketamine uses sublingual tablets or troches taken at home, while infusion clinics typically administer ketamine intravenously in a clinical setting. The telehealth model is more convenient and affordable but involves a different administration route with lower bioavailability. Infusion clinics provide direct medical supervision during every session. Both approaches have clinical evidence supporting their efficacy, and the best choice depends on your medical needs, budget, and access. See our detailed [telehealth vs. in-person comparison](/compare/telehealth-vs-in-person-clinics/) for more.

Getting Started with Online Ketamine Therapy

Frequently Asked Questions

Related Reading

Switching from In-Person to Telehealth Ketamine: A Guide to Transitioning Your Care

Telehealth Ketamine for Shift Workers: Scheduling Therapy Around Irregular Hours

Video Visit Tips for Ketamine Patients: Making the Most of Your Telehealth Appointments