Conditions we treat
All treatmentsClinician-monitored at every session
Avesta is the longest-standing Ketamine and Spravato practice in the DMV, and for people whose depression, anxiety, PTSD or pain hasn't improved with other treatments, ketamine may be the next step.
Free 30-minute consult · No referral needed · Benefits checked first
Our patients sometimes travel hours for our expertise, but we aim to keep growing our network to be as close to you as possible.
Treatments
Every plan starts with a medical consultation. Our intake coordinator recommends the route with the strongest evidence for your condition and will tell you plainly when ketamine is not the answer.
Intravenous infusions for depression, anxiety, PTSD and chronic pain.
FDA-approved nasal spray for treatment-resistant depression.
Therapy combined with ketamine for deeper healing.
Coaching combined with Ketamine for deeper healing.
Intravenous vitamins for hydration, energy and vitality.
A free 30-minute consult with our clinical team settles candidacy and cost.
Book a consultSpravato is FDA-approved for treatment-resistant depression. IV ketamine is used off-label; esults vary.
What to expect
Process from first call to first visit
Talk with our team about your history and goals. We require an official mental health or pain diagnosis.
We check your insurance up front and send you a cost estimate for treatments. After your medical intake, our clinicans send over your treatment plan so you know what to expect before you start.
Sessions take place in a soothing setting, and you are monitored throughout.
Coaching and/or integration therapy help the benefits last beyond the session. We proactively reach out to your mental health team to coordinate your care.
The Avesta difference
Ketamine clinics can look alike from the outside. Here is what matters once you are in the chair and what to ask any clinic you consider.
| What matters | Avesta Ketamine & Wellness | Ask any clinic |
|---|---|---|
| Safety standards | We review your full medical history before your first visit and take time to educate you, so you can make an informed decision. A clinician monitors every dose from start to finish. | “Who reviews my history, and who stays with me during treatment?” |
| Clinical expertise | Protocols are set by Dr. Ladan Eshkevari, CRNA, PhD, FAAN, professor emeritus at Georgetown University. We keep up with the latest research and rely on deep knowledge of ketamine pharmacology. | “Who sets your protocols, and what is their training?” |
| Coordination of care | Coordination across your wider health team is key to your best results, so we educate your care providers about ketamine, too. | “Will you work with my therapist, psychiatrist and doctor?” |
| Beyond the medicine | Results rely on more than infusions. Integration coaching and ketamine-assisted psychotherapy help you do the deeper work. | “What support is built in after the infusions?” |
| Insurance and access | Spravato is in-network with Aetna, Cigna, the VA and Medicaid. IV ketamine is in-network with Cigna, the VA and Workers’ Compensation. We check your benefits first. | “Will you check my coverage before I commit?” |
| Track record | The longest-standing ketamine practice in Maryland, Washington DC and Virginia, with five clinics and 178 Google reviews. | “How long have you treated patients, and how many?” |
Ask us any of these on your consult call. We answer them the same way in person.
Book a free consultWho sets our protocols
Our goal is simple: safe, evidence-based care in a patient-centered environment. Patient care is our sole focus.
A patient’s story
Josh, an Avesta patient, shares how ketamine therapy restored his hope and joy.
“Bringing hope and healing to our patients”Patient interview
“Even after the first couple of infusions, they saw my light shining again. That felt amazing because it had dimmed quite a bit.”
Individual experiences vary. A patient story is not a guarantee of results.
Patient reviews
Amy GutierrezAugust 18, 2026BethesdaGoogle
Wendy LaffermanSeptember 25, 2026ColumbiaGoogle
Kate GowingAugust 2, 2026Norfolk/Virginia BeachGoogle
Spencer AgostiniAugust 2, 2026TysonsGoogle
Matthew ConnorsSeptember 10, 2026Washington DCGoogle
Paul ThompsonJuly 3, 2026BethesdaGoogleVeterans and first responders
Avesta is in-network with the VA for IV ketamine, Spravato and ketamine-assisted psychotherapy, and partners with nonprofits such as Ten Ten Life that fund trauma-informed ketamine therapy for eligible service members, veterans and first responders.
FAQs
Still unsure? Call (301) 381-8381 and a member of our team will help.
From the blog
Insurance & pricing Does Aetna Cover Ketamine Therapy?
Yes, for Spravato. Avesta is in-network with Aetna for Spravato as of July 2026, and most members pay $0 for the medication…
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Veterans Does TRICARE Cover Ketamine Treatment? What Military Families in Hampton Roads Should Know
TRICARE covers Spravato (esketamine) nasal spray for specific depression diagnoses as of July 2026, but it does not cover IV ketamine for…
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Veterans VA Ketamine Treatment Through Community Care: What Hampton Roads Veterans Should Know
VA ketamine treatment is covered, and you do not have to receive it inside a VA hospital. Through community care, Hampton VA…
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Book a free 30-minute consult. No referral needed, and we check your benefits before you commit to anything.
If you are in crisis or thinking about harming yourself, call or text 988 (Suicide & Crisis Lifeline) or call 911.
