Find Relief Through a Personalized, Holistic Approach to Anxiety Care
At Recovery Without Walls (RWW) in Mill Valley, CA, we offer ketamine-assisted psychotherapy (KAP) as a safe and carefully integrated option for individuals living with anxiety. Our program is designed for those seeking innovative solutions beyond traditional medications and therapy, especially individuals diagnosed with treatment-resistant anxiety or generalized anxiety disorder.
Unlike many ketamine clinics that offer infusions without deeper therapeutic support, we approach KAP as one part of a broader mental health treatment plan. Every patient undergoes a comprehensive assessment, and ketamine is only offered when it aligns with your health history, needs, and goals.
Book Your Free Information Session
We offer a complimentary 15-minute call to help you determine if ketamine therapy could be a good fit for you. It’s a chance to learn about our clinical approach, ask any questions you may have about the intake process, and get a clearer sense of what to expect throughout your treatment journey.
What Is Ketamine Therapy for Anxiety?
Ketamine is a Schedule III medication originally developed as an anesthetic, now being studied extensively for its rapid-acting antidepressant and anxiolytic (anti-anxiety) effects. It works differently than traditional anti-anxiety medications like SSRIs or benzodiazepines, targeting the glutamate system and NMDA receptors in the brain. These mechanisms are associated with neural plasticity, or the brain’s ability to form new, healthier connections.
Ketamine for anxiety has shown promise in numerous clinical studies, particularly for those with treatment-resistant anxiety, social anxiety disorder, and comorbid depression. At RWW, we combine the powerful biological effects of IV ketamine infusions with trauma-informed therapy, functional medicine testing, nutritional protocols, and emotional support.
Why Choose Recovery Without Walls for Ketamine-Assisted Psychotherapy?
We are not a high-volume infusion center. We are a small, integrative clinic that believes in treating each patient with individualized care and clinical expertise. When you work with us, you are joining a community committed to:
- Holistic healing for the mind, body, and spirit
- Trauma-informed care with licensed professionals
- Thorough medical and psychiatric screening
- Ongoing collaboration between therapists and prescribers
- Personalized nutrition and lifestyle protocols to support outcomes
Ketamine is never offered as a standalone solution. We integrate psychotherapy, functional medicine, lab testing, and lifestyle support to help you build sustainable mental health over time.
How Fast Does Ketamine Work for Anxiety?
One of the most compelling findings from clinical trials is the speed of symptom relief ketamine offers compared to traditional medications.
These effects are believed to stem from increased synaptic plasticity in key areas of the brain such as the prefrontal cortex and anterior cingulate cortex, regions associated with emotional regulation. Measurement tools like the Liebowitz Social Anxiety Scale and Quick Inventory of Depressive Symptomatology have shown significant positive effect sizes in clinical research.
What to Expect During Ketamine Treatment
Your ketamine journey begins with a comprehensive psychiatric consultation and medical intake. We evaluate your mental health history, medications, physical health markers (such as blood pressure), and overall readiness for KAP.
Treatment may include:
All treatments occur in a medical office under direct supervision from trained healthcare professionals. We monitor for side effects, which are usually mild and temporary. Common ones include dissociation, nausea, or temporary increases in heart rate.
Beyond Ketamine: A Truly Integrative Psychiatry Model
Ketamine is just one of the tools we use to support lasting mental wellness. Many of our patients come to us after years of cycling through medications without relief, experiencing adverse events, or being labeled as “treatment-resistant.”
We approach every case with a whole-person philosophy that includes:
Functional Medicine Testing
We use advanced lab panels to uncover imbalances that may contribute to anxiety:
- Hormonal panels (thyroid, adrenal function)
- Inflammatory markers and gut-brain axis evaluation
- Micronutrient testing and metabolic markers
Nutrition & Supplementation
Our integrative nutrition protocols support brain chemistry and reduce anxiety symptoms naturally:
- Anti-inflammatory diets and blood sugar regulation
- Targeted supplements for neurotransmitter support
- Lifestyle and sleep optimization
Sleep & Nervous System Support
Unresolved anxiety often disrupts sleep and vice versa. We work with natural, non-habit-forming methods to restore rest:
- Circadian rhythm alignment
- Nutraceuticals and non-pharmacological interventions
Cognitive behavioral techniques to calm the fight-or-flight response
Who Is a Good Candidate for Ketamine Therapy for Anxiety?
You may be a candidate for ketamine therapy if you:
We do not prescribe ketamine to anyone without a full evaluation. We also do not recommend it for patients with uncontrolled cardiovascular disease, a history of psychosis, or certain substance use patterns. Safety and appropriateness are determined by our expert team.
Is Ketamine FDA-Approved for Anxiety?
The U.S. Food and Drug Administration (FDA) has approved a nasal form of ketamine (esketamine) for treatment-resistant depression, but not yet specifically for anxiety. However, clinical study after study supports its off-label use for anxiety symptoms, especially when supported by psychotherapy. Research from Institutional Review Board-approved trials continues to grow, with promising results related to anxiety and comorbid mood conditions. Patients with anxiety who have not responded to standard care may benefit significantly from ketamine in the hands of experienced clinicians.
How Much Does Ketamine Therapy Cost?
Recovery Without Walls does not bill insurance directly. However, we provide patients with detailed documentation that can be submitted to your insurance provider for possible reimbursement under out-of-network coverage.
We understand that cost can be a barrier. Our team is available to walk you through your options and work with you to find an accessible plan.
Your Next Step: Free Introductory Call
We offer a free 15-minute information call to help you explore whether ketamine therapy may be right for you. During this call, you can:
- Learn more about our clinical approach
- Ask questions about the intake process
- Understand what to expect during and after treatment
You deserve more than symptom management. You deserve to feel whole again.
Serving San Francisco, the Bay Area, and beyond
Telehealth available for select services
Frequently Asked Questions
How many ketamine sessions do I need?
Most protocols include 6–8 infusions spaced over 2–4 weeks, with optional maintenance sessions as needed.
Will I be able to work after a ketamine session?
You should plan for rest after each session and arrange transportation, as driving post-treatment is not advised.
What makes RWW different from other ketamine clinics?
We offer both psychotherapy and integration, advanced lab testing, and nutritional support—not just infusions or lozenges. Our care is tailored and comprehensive.
Can I stop my current medications?
Only in consultation with your prescriber. We do not recommend stopping medications without professional supervision.
Is ketamine safe?
Ketamine is generally safe when used in controlled medical settings. We monitor for side effects and tailor dosing for each patient.