Do you offer ketamine? Esketamine (Spravato)? How do they work? What do visits look like?

I offer both; we can discuss options during the first visit. Ketamine is FDA-approved for anesthesia and used off label to treat depression, bipolar depression, post-traumatic stress disorder (PTSD), and substance use disorders, while esketamine nasal spray (Spravato) is FDA-approved for depression. They are both offered as in-office medications and not for take home use. Please browse to my page on ketamine / esketamine for much more information.

What are your fees?

The current fee schedule is described in the new patient intake form, available here.

Do you accept insurance?

To provide you with the highest quality care, maintain confidentiality, and avoid restrictions imposed by insurance companies, I am not on any insurance panels and collect the full fee at time of service.  This allows me to spend more time and direct more attention to you and your care, rather than to meeting insurance company requirements.  If you have coverage for out-of-network providers, as is typically offered by PPO insurance plans, you can likely receive reimbursement for your visit, though this is not guaranteed and is determined by your insurance provider.  After the visit, I can provide you a receipt (known as a superbill), which lists diagnoses and insurance billing codes for the visit, that can then submitted to your insurance provider for reimbursement. Payment is due at the time of your visit, via cash or credit card, or for established patients, by check. 

Are you accepting new patients? How long is your wait list?

I am accepting new patients, except for those with Medicare, Medicaid, or Medi-Cal insurance.  To confirm availability it is best to check with the office via phone or email.

How long are your visits? How often should I expect to come in?

New patient intake visits are booked for a duration of 1 hour. Subsequent visits range from 1/2 hour (medication management only) to 1 hour (combined psychotherapy / medication management).  Ketamine treatments are scheduled for 90 minutes, and esketamine nasal treatments (Spravato) are 2.5 hours. Unlike most busy physician offices, delays are infrequent and appointments typically start at the scheduled time.  Frequency of visits vary greatly, from up to weekly for those in psychodynamic psychotherapy to every other month for those who are doing well on a stable dose of medication.  

What should I bring for my first appointment?

Please complete the new patient intake form (here), and if possible fax it to the office ahead of your appointment.  Our fax is HIPAA secure and encrypted, guaranteeing your privacy.  Alternatively, you may email it if you prefer, but please be aware that email is not considered a secure method of communication.  Also, please bring any prescription medications you are currently or have recently been taking, in their original prescription bottles, as well as any recent lab results and hospital discharge summaries.

Where are you located?  Where can I park?

The office is located at 4519 Admiralty Way, Suite 202, in Marina Del Rey, with a view of the water, and directly across from Yvonne Burke Park.  There is free and ample parking in the private lot surrounding the building.  The building is entirely wheelchair accessible.

Is what I say confidential?

Mental health treatment is personal and private, and I strive to maintain that.  Everything discussed in the doctor-patient relationship is held in the strictest confidentiality.  I am legally and ethically obligated to uphold this, other than when I have your explicit permission, such as for me to speak with your insurance provider to facilitate reimbursement/billing for your visit.  Only in situations of imminent danger can I legally breach confidentiality, such as in individuals who credibly pose an immediate danger to themselves or others.  In such cases I may assist in arranging a hospitalization.

Where can I find the new patient intake, and ketamine informed consent forms?

Please visit the forms page.

Where can I find reviews of your practice?

Reviews for my practice can be found on a number of third party websites, such as yelp.

Are you available for home visits?

I am able to perform home visits in select situations, however please note there are significant additional fees associated with transportation and so individuals are strongly encouraged to come for in-office visits instead to minimize costs. Additionally, insurance companies do not reimburse for these transportation fees and so individuals are typically responsible for their full cost, which is due at time of scheduling.  Please note payment and the above intake paperwork must be submitted at time of booking for home visits.  Please contact me for more details.