Ketamine Therapy in Virginia - Oral ketamine and nasal spray ketamine for depression, PTSD, anxiety, and Pain

Ketamine Oral Tablets and Ketamine Nasal Spray Therapy for Depression, PTSD, Anxiety, and Pain in Virginia

Oral Ketamine Therapy

Ketamine Tablets, ready-to-dissolve tablets, and troches for depression, suicidality, anxiety, and pain. Used in a prescriptive manner, treatments vary by the patient weight and mental health condition. Tablets are dissolved under the tongue, and the medication is absorbed there. Results can be seen within several days in an incremental fashion. This treatment can be used with Ketamine-assisted psychotherapy to augment CBT, EMDR, and other psychotherapies. This therapy is generally used as a micro-dosing strategy and does not lead to dissociation unless the prescription is targeted for Ketamine-assisted psychotherapy.

Ketamine Nasal Spray

Ketamine nasal spray is compounded, racemic ketamine that has more rapid absorption than tablets. It is generally used at home several days a week for the treatment of depression, anxiety, PTSD, and chronic pain. This can be used to maintain the effects of ketamine infusions as well as treatment for depression or anxiety disorders from the ground up.

Ketamine Infusions for Rapid Depression Relief

Ketamine infusions offer the most rapid and effective therapy for depression, PTSD, anxiety, suicidality, bipolar depression, and Pain. After an initial series of 6 infusions over two weeks, 75 % of patients have remission or significant improvement in their mood. They are then transferred to home-based ketamine therapies at NOVA Health Recovery.

Ketamine assisted Psychotherapy

Augment your psychotherapy with ketamine nasal spray and oral lozenges. Augment your initial antidepressant therapy with oral and nasal-spray ketamine. Ketamine treatment is more effective with psychotherapy and psychotherapy results are enhanced by ketamine treatments. Contact NOVA Health Recovery for more information.

NOVA Health Recovery

NOVA Health Recovery

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Videos About Ketamine Therapy at NOVA Health Recovery:

• Year-End Mental Health Reset: When to Seek Professional Help Before the New Year
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• Planning Mental Health Treatment Around Holiday Travel and Family Commitments
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• Managing Holiday Triggers When You’re in Addiction Recovery: A Medical Perspective
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• Rapid Mental Health Relief During the Holidays: Understanding Fast-Acting Depression Treatments
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• Why Your Anxiety Spikes During Family Gatherings (And What Science Says About Holiday Mental Health)
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• How to Enjoy Life's Process Instead of Racing to the Next Goal
  Stop racing to the next destination. Discover Alan Watts' wisdom on viewing life as a dance, not a marathon – and why this perspective shift can help you enjoy the process of being alive.
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  Complete 2025 ketamine therapy guide featuring real crisis recovery lessons. From treatment basics to advanced integration, plus authentic resilience tools learned rebuilding after trauma. Your roadmap to healing through difficulty.
• How Hard Things Make Life Easier: A Ketamine Therapy Lesson
  Dr. Ko shares an unexpected lesson from building a 570-piece Lego set with his daughter: tackling hard challenges makes everything else feel easier. Drawing parallels between complex Lego builds and the discomfort of stepping outside our comfort zones, he explores how facing difficult experiences – whether in life or during ketamine therapy – expands our […]
• Setting Intentions for Ketamine Therapy: Focus on Your Vision, Not Obstacles
  While rebuilding his ketamine clinic after a car bomb explosion, Dr. Ko shares how focusing on obstacles was actually hindering his progress. Drawing from Dan Millman's board-breaking lesson and the brain's negativity bias, he explains why outcome-focused intentions work better than obstacle-focused thinking – both for clinic rebuilding and ketamine therapy. Learn how to shift […]
• Being Yourself Is Hard: Lessons From Chess, Crisis, and Ketamine Therapy
  Dr. Ko shares a personal story about chess grandmaster Josh Waitzkin, who got worse at chess when he abandoned his natural aggressive style for expert advice. Drawing parallels to his own experience rebuilding after a clinic explosion, Dr. Ko explores how authenticity often serves us better than trying to be perfect, and how ketamine therapy […]

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• The science behind ketamine for alcohol use disorder: how glutamate-targeted therapy is changing recovery
  Why alcohol use disorder resists traditional treatment Traditional recovery models often fall short because they address behavior without correcting the underlying neurobiological imbalance that drives craving. Alcohol use disorder (AUD) is not a failure of willpower—it’s a medical condition rooted in disrupted brain chemistry, specifically the balance between glutamate (the brain’s primary excitatory neurotransmitter) and […]
• Alternative migraine treatments: from neuromodulation to ketamine and what the evidence shows
  When standard treatments fail: exploring alternative migraine treatments Standard treatments—triptans, CGRP (calcitonin gene-related peptide) inhibitors, and traditional preventives—often fail to provide lasting relief for people living with chronic migraines because they target vascular or inflammatory markers but leave the glutamate/NMDA (N-methyl-D-aspartate) receptor system—critical for central sensitization and pain amplification—unaddressed. Between 67-86% of people  discontinue preventive […]
• Beyond talk therapy and medication: the complete guide to alternative PTSD treatments in 2026
  For the nearly 7% of adults who have experienced PTSD at some point in their lives, standard treatments often promise relief but deliver limited results. The two FDA-approved selective serotonin reuptake inhibitors (SSRIs) for PTSD show an  effect size of just 0.23 , and approximately  50% of people  don’t respond adequately to first-line therapies. For those […]
• Beyond antidepressants: a 2026 map of evidence-based alternative treatments for depression
  Why traditional antidepressants don’t work for everyone Traditional antidepressants often fail to bring adequate relief because they focus almost exclusively on serotonin pathways, which may not address the root neurobiological causes of depression for many individuals. This biological mismatch affects roughly one-third of people living with depression, a reality known as  treatment-resistant depression . A  2023 […]
• Ketamine infusion for dual-diagnosis depression and anxiety: what to expect during a session
  Why depression and anxiety often travel together: the role of ketamine for comorbid depression anxiety Depression and anxiety frequently co-occur because they share overlapping symptoms and clinical patterns.  The comorbidity of anxiety and depression  affects approximately 60% of people with either condition, creating a feedback loop where each disorder amplifies the other. Anxiety fuels hypervigilance […]

• What to Expect at Your First Appointment for Winter Depression
  You’ve recognized the pattern—winter after winter of the same exhaustion, low mood, and difficulty functioning. You’ve decided to seek professional help. Now comes the uncertainty: What will they ask? What tests will they run? How do you prepare? A comprehensive seasonal affective disorder evaluation typically includes a physical exam with in-depth health questions, laboratory tests […]
• When Should You Start Treatment for Seasonal Depression: Before or After Symptoms?
  You know the pattern. Every October, as Boise’s daylight hours shorten and temperatures drop, you feel the familiar heaviness returning. By November, getting out of bed requires monumental effort. December through February become months you simply endure. The question isn’t whether your seasonal depression will return—research shows that people with a history of seasonal affective […]
• When Light Therapy Isn’t Enough: What to Know About Treatment-Resistant SAD
  You followed all the recommendations. You purchased a 10,000-lux light box and used it faithfully every morning for thirty minutes. You started in early fall, before symptoms appeared. You positioned yourself at the right distance and made it part of your routine. Six weeks later, you’re still exhausted, still struggling with motivation, still dreading each […]
• Understanding Treatment Options for Seasonal Affective Disorder
  If you’ve experienced the same pattern of winter depression for two or more consecutive years—feeling fine through spring and summer, then struggling with low mood, fatigue, and changes in appetite as fall arrives—you’re likely dealing with seasonal affective disorder. The evidence-based treatment options for SAD include bright light therapy, cognitive-behavioral therapy adapted for seasonal depression, […]
• Why Your Body Craves Carbs and Sleep When Winter Depression Hits
  You wake up exhausted despite sleeping ten hours. By mid-afternoon, you’re hunting for bread, pasta, or sweets with an intensity that feels almost desperate. You finish a full meal and within an hour, you’re back in the kitchen looking for more carbohydrates. This isn’t a lack of willpower—it’s your brain attempting to self-correct a neurochemical […]

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