How it works

Why it's called a pathway

A trellis is the structure a plant climbs as it grows. The medicine helps your brain rebuild; the pathway keeps that growth steady and safe.

01

Comprehensive Evaluation

You meet your physician in person for a full diagnostic visit. We confirm this is the right treatment before any medicine is prescribed.

  • Psychiatric & medical history
  • Suitability & safety screening
  • A plan built around you
02

Supervised Induction

Your first doses happen in clinic, observed and monitored. We learn how you respond and calibrate the dose that's right for you.

  • Clinician-observed dosing
  • Vital monitoring throughout
  • Dose calibrated to response
03

At-Home Maintenance

Once you're stable, treatment continues at home — with a trained peer monitor, virtual check-ins, and your physician on call.

  • Peer-monitored home sessions
  • Virtual visits & messaging
  • 90-day re-evaluation

Physician-led ketamine and Spravato therapy held together by one careful pathway.

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Medical disclaimer. Ketamine and Spravato® are prescription medicines. At-home and IV ketamine are administered off-label for mood and pain conditions; Spravato® (esketamine) is FDA-approved for treatment-resistant depression and administered under a REMS program. All treatment requires an in-person physician evaluation and ongoing clinical oversight. This page is educational and does not constitute medical advice. Results vary; treatment may not be appropriate for every patient. If you are in crisis, call or text 988.

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