7 Ketamine and Spravato Treatment Options Near Pinecrest and Coral Gables: Finding the Right Level of Care for Your Mental Health
If you've been exploring treatment options for depression, trauma, or another mental health condition that hasn't responded the way you hoped, you've probably encountered a growing number of terms that sound similar but describe very different services. Ketamine. Spravato. Medication management. Psychiatric evaluation. Ketamine-assisted psychotherapy. Integration therapy.
Sorting through those differences can be surprisingly difficult. Many people begin by searching for “ketamine therapy near Pinecrest” or “Spravato near Coral Gables,” only to discover that some clinics primarily provide medication, some focus on psychiatric care, some offer psychotherapy, and some combine several services under one roof.
That confusion makes sense. These treatments often overlap, but they are not interchangeable. Understanding how they fit together can make it much easier to decide which type of care best matches your own needs.
Residents Throughout South Miami Often Travel Across the Region for Specialized Care
People living in Pinecrest and Coral Gables rarely limit their search to one municipality. It's common to look throughout South Miami, Kendall, Coconut Grove, Downtown Miami, and nearby communities when seeking specialized psychiatric or interventional mental health services.
Unlike routine primary care, treatments such as ketamine infusions, Spravato, or comprehensive psychiatric evaluations are typically offered at fewer locations. As a result, many people compare providers across the broader Miami area rather than choosing the closest office.
The same pattern often appears in psychotherapy. Clients may decide that finding a therapist whose approach feels like a good fit matters more than finding someone a few minutes closer to home. For some people, especially those participating in ketamine-assisted psychotherapy, the quality of the therapeutic relationship becomes an important part of the overall treatment experience.
Understanding the Different Types of Ketamine-Related Care
One of the most common questions I hear involves what each provider actually does. Because many practices offer overlapping services, it can be difficult to tell from their websites exactly how one approach differs from another.
Psychiatric Evaluation
A psychiatric evaluation is usually the starting point for someone considering medication or other biological treatments. During this appointment, a psychiatrist or psychiatric nurse practitioner reviews symptoms, treatment history, medical conditions, current medications, and diagnostic considerations.
The evaluation helps determine whether ketamine, Spravato, traditional psychiatric medications, psychotherapy, or another approach may be appropriate.
Clients often arrive expecting a recommendation for one specific treatment. After a careful evaluation, they sometimes discover that another option better addresses the concerns bringing them in. A thorough assessment is designed to match treatment to the individual rather than fitting the individual into a predetermined treatment.
Medication Management
Medication management refers to ongoing appointments with a psychiatrist or psychiatric nurse practitioner after an initial evaluation.
These visits may include:
adjusting antidepressants or other psychiatric medications
monitoring benefits and side effects
coordinating treatment with therapists or primary care physicians
discussing whether additional treatments such as Spravato or ketamine should be considered
reviewing progress over time
Medication management may continue whether or not someone ultimately receives ketamine or Spravato.
Ketamine Treatment
Ketamine treatment generally refers to the administration of ketamine under medical supervision. Depending on the practice, this may include intravenous (IV) infusions, intramuscular injections, oral formulations, or other routes that are appropriate for the clinical setting.
The treatment session primarily focuses on administering ketamine safely, determining appropriate dosing, monitoring your response, and watching for side effects. Some clinics also incorporate supportive conversation during treatment, while others concentrate on the prescribing clinician's role of overseeing the medication itself and encourage clients to work with a separate therapist for preparation and integration.
Spravato Treatment
Spravato is a prescription medication that contains esketamine, one of the two mirror-image molecules that together make up ketamine. Traditional ketamine contains both the esketamine and arketamine forms, while Spravato contains only the esketamine molecule.
Spravato is approved by the U.S. Food and Drug Administration for specific indications, including certain forms of treatment-resistant depression. Treatment takes place in certified healthcare settings with required observation after each dose.
Although ketamine and Spravato are closely related and work in similar ways in the brain, they are different medications with different regulatory pathways, dosing protocols, insurance considerations, and evidence bases. A psychiatric evaluation helps determine whether either treatment may be appropriate based on an individual's symptoms, treatment history, medical conditions, and overall clinical picture.
Ketamine-Assisted Psychotherapy
At the Lantern Room, my role is different from that of a ketamine clinic.
I provide psychotherapy that can be integrated with ketamine treatment when appropriate. Clients receive psychiatric evaluation, ketamine prescribing, and medication management from independent prescribing clinicians, while our work together focuses on preparing for treatment, making sense of the experience afterward, and helping insights become part of everyday life.
Many clients are surprised by how much attention goes into preparation before a ketamine session. Therapy often explores intentions, expectations, fears, relationships, and longstanding emotional patterns before medication ever enters the picture.
Integration sessions afterward frequently center on questions such as:
Which parts of the experience felt emotionally significant?
What seemed different from your usual way of thinking?
Which insights still feel meaningful several days later?
What has become easier to notice in daily life?
Which familiar patterns quickly returned?
The prescribing clinician and psychotherapist contribute different parts of the treatment process. One oversees the medication itself. The other helps clients prepare for the experience and integrate what emerges afterward.
Seven Ketamine and Spravato Treatment Options Near Pinecrest and Coral Gables
The organizations below represent a range of treatment models available throughout the greater Miami area. Inclusion here should not be interpreted as a ranking or endorsement. Availability, accepted insurance, treatment approaches, and provider staffing can change over time, so it's worth confirming current information directly with each practice.
1. Ketamine Lounge
Located in Miami Beach, Ketamine Lounge offers IV ketamine infusions, Spravato, psychiatric evaluation, and integration support as part of its treatment model. The practice encourages psychotherapy alongside ketamine treatment and offers in-house therapy, referrals to outside therapists, and ketamine-assisted psychotherapy when appropriate. If you are comparing clinics, it is worth asking whether you can continue working with your own therapist throughout treatment, how preparation and integration are incorporated into the process, and how the prescribing clinician and therapist coordinate care when both are involved.
2. Neuro Wellness Centers of America
Neuro Wellness Centers of America has multiple South Florida locations and offers a range of psychiatric services that may include Spravato, medication management, and psychiatric care, depending on the location. Patients considering several evidence-based treatment options in one practice often appreciate having these services available through the same organization.
3. Greenbrook Mental Wellness Centers – Coral Gables
Located in Coral Gables, Greenbrook specializes in psychiatric treatments, including Spravato and transcranial magnetic stimulation (TMS). The practice begins with a psychiatric evaluation to determine whether someone is an appropriate candidate before developing an individualized treatment plan.
4. Miami Psychiatric Services
Miami Psychiatric Services provides psychiatric evaluations, medication management, and Spravato treatment for qualifying patients. Because the practice also offers ongoing psychiatric care, patients who need continued medication management alongside Spravato may find this integrated model appealing.
5. AMC Psychiatric Services
AMC Psychiatric Services combines psychiatric care with ketamine treatment, Spravato, medication management, and psychotherapy in a single practice. Treatment typically begins with a comprehensive psychiatric evaluation, followed by an individualized care plan based on your diagnosis, symptoms, treatment history, and goals. For people looking for coordinated care under one roof, it can be helpful to ask how psychiatrists, therapists, and other members of the treatment team communicate throughout the course of treatment and whether ongoing psychotherapy is incorporated alongside ketamine or Spravato when appropriate.
6. Inner Compass Wellness
Inner Compass Wellness provides psychiatric evaluations, medication management, ketamine infusions, and other psychiatric treatments for adults in the Miami area. The practice emphasizes individualized treatment planning, with recommendations based on a thorough assessment rather than assuming one approach fits everyone. If you already have an established therapist, it is worth asking how the prescribing clinician coordinates care with outside psychotherapists and how ongoing therapy can complement ketamine treatment before, during, and after the medication sessions.
7. My Psychiatrist
Although My Psychiatrist is not solely a ketamine clinic, it provides comprehensive psychiatric evaluation and medication management in South Miami. For some individuals, the next appropriate step after struggling with depression is not immediately pursuing ketamine treatment but receiving a careful diagnostic evaluation to clarify whether medication adjustments, psychotherapy, Spravato, ketamine, or another intervention best fits their situation. That distinction often becomes clearer after spending time with an experienced psychiatric clinician rather than deciding based on internet searches alone.
How Ketamine-Assisted Psychotherapy Fits Into the Picture
People are often surprised to learn that ketamine-assisted psychotherapy does not necessarily occur at the same location where ketamine is prescribed.
Many therapists who provide ketamine-assisted psychotherapy—including the Lantern Room—work collaboratively with independent prescribing clinicians. The prescriber determines whether ketamine is appropriate, oversees prescribing, dosing, and safety, and monitors the medication throughout treatment. The therapist focuses on preparing for treatment, supporting the psychological aspects of the experience when appropriate, and helping clients integrate what emerges into their everyday lives afterward.
Clients frequently describe the integration sessions as the place where the experience begins to make sense. During ketamine treatment, thoughts, emotions, memories, or perspectives may shift quickly.
Therapy creates space to explore questions that medication alone cannot answer. A client may recognize a longstanding pattern in relationships, experience unusual self-compassion, or reconnect with emotions that have felt inaccessible for years. Those experiences rarely arrive with clear instructions. Integration involves slowing down enough to understand what actually feels meaningful, what has already begun fading, and how daily life is responding in the days and weeks that follow.
At the Lantern Room, I work with adults receiving ketamine treatment through independent prescribing clinicians while providing psychotherapy before and after treatment from an Internal Family Systems (IFS), Acceptance and Commitment Therapy (ACT), and relational perspective. The prescribing clinician remains responsible for evaluating whether ketamine is appropriate, overseeing prescribing, dosing, and safety, while our work together focuses on preparing for treatment, making sense of the experience afterward, and helping insights become part of everyday life.
Finding the Right Fit
The best choice is not always the practice offering the greatest number of services. Sometimes someone benefits most from a comprehensive psychiatric evaluation before pursuing interventional treatment. Others already have an established psychiatrist and therapist and simply need a medical clinic that administers ketamine or Spravato. Still others want a treatment team in which psychiatric care, psychotherapy, and ketamine-assisted psychotherapy are coordinated across providers.
Residents of Pinecrest, Coral Gables, South Miami, Kendall, and neighboring communities have access to a growing number of options. Taking time to understand how each practice approaches evaluation, medication management, ketamine treatment, Spravato, and psychotherapy can make the search feel considerably less overwhelming.
Whether someone ultimately pursues ketamine, Spravato, psychotherapy, medication management, or a combination of these approaches, understanding the different roles each provider plays can make the process of finding care feel a little less confusing and a little more intentional.
Resource descriptions, eligibility information, and website links were verified against publicly available information as of July 2026. Because organizations and services change over time, readers should confirm current offerings directly with each provider before scheduling care.
Powell is a therapist who offers individual therapy for adults in Georgia, California, Colorado and Florida.
He offers individual therapy, but also specializes in Gender Identity, Life Transitions, and Self-Worth.