For psychotherapy, medical appointments & clearances, integration therapy, and Spravato treatment — with participating providers!
We know starting or continuing care can bring up a lot of questions. This page is designed to help you learn more about our services, what to expect, and how to begin your journey with Center for New Growth. If you don’t find what you’re looking for, please reach out — our team is happy to help.
We know starting or continuing care can bring up a lot of questions. This page is designed to help you learn more about our services, what to expect, and how to begin your journey with Center for New Growth. If you don’t find what you’re looking for, please reach out — our team is happy to help.
We currently accept Medicare and Medi-Cal’s behavioral health program, Carelon. Please note that neither Medicare nor Medi-Cal/Partnership Health Plan cover or offer reimbursement for IV, IM, SL ketamine.
Spravato, FDA approved esketamine, is often a covered service by Medicare and Medi-Cal. After being medically cleared, it is then possible to determine if your insurances’ pharmacy benefits cover the Spravato prescription. It can take up to 4 weeks to determine pharmacy coverage.
Medical clearances, medical and psychiatric medication appointments, psychotherapy and integration therapy appointments can be billed to Medicare and Medi-Cal if you are seeing one of our providers who is enrolled and credentialed with these insurances.
We do not currently accept any private or commercial insurances.
This amount varies, so it’s best to call your insurance company prior to booking an appointment and provide the following applicable procedure code(s) for the most accurate information:
-90837 (psychotherapy)
-99205 (50 minute medical appointment, such as a ketamine medical clearance or a psychiatric medication management intake)
-99214 (30 minute follow up medical appointment)
-99215 (50 minute follow up medical appointment)
First you’ll need to book and attend your appointment at the Center for New Growth. After we have collected payment for your visit (usually within a few days) you can access your patient portal by calling (707-267-7931) or texting (707-273-1455) us to request an email invitation. Once you’ve clicked the link to view your patient portal (preferably from a computer with a full web browser), click “itemized receipt” to view and download the receipt(s) for your selected date(s). Each insurance company will have a different process for submitting these superbills, so please check with them directly for guidance.
It is required to wait 24 hours after your treatment before driving or operating any heavy machinery. We recommend waiting until the following day after your treatment to go back to work. Some patients find they prefer having the following day off work as well if they are able, to begin processing and integrating their journey.
Most appointments are currently held in our Arcata office, except for lab work appointments which are held at our lab (Thrive Lab) in our Eureka office (or at your home, if using our mobile lab service). We also offer house call appointments for our Thrive Wellness vitamin infusion and injection services. If you have a medical or therapy appointment in Eureka, your appointment reminders will clearly state the Eureka Center for New Growth.
While we do not require referrals and do allow patients to self-refer and book a medical clearance appointment to discuss their treatment options with one of our medical practitioners, we do warmly welcome any collaboration with outside medical/mental health providers. At times, we may need to request your medical records from another providers office to review before making a decision about clearing you for treatment.
Some of our collaborating local agencies, such as the Department of Veteran’s Affairs in Eureka and PACE require referrals. Please speak to your provider there to facilitate this process.
This depends on the type of ketamine treatment you will be doing, as well as which integration therapy route you will be taking. If you will be receiving in-office treatments such as sublingual lozenge KAP sessions or IV/IM sessions, patients usually find they need a bit of time to arrange their transportation, time off work if applicable, etc. This typically aligns well with our appointment schedule, which can sometimes be booked roughly a few weeks out, due to the coordination between multiple providers that is required, etc. This is especially true is there is a certain day of the week that your personal schedule requires you to have your treatments take place on.
Ketamine induces an experience of dissociation to varying degrees depending on dosage and route of administration. Dissociation refers to a feeling of disconnection from our body and normal sense of reality. This experience is highly individualized, but many people report changes in both their perception of time and space, and an experience of being an outsider looking in, or witnessing their thoughts from a distance.
Ketamine has been widely used as an anesthetic since the 1960s, in amounts much higher that what is used even in the highest doses within a ketamine assisted therapy context, without respiratory depression or cardiac complications. The safety profile of ketamine is robust enough that it is often the first choice of anesthetic to be used in the treatment of children and within an emergency medicine context. Before beginning ketamine therapy, a thorough medical clearance exam is required to assure that ketamine is a safe choice for you as an individual.
Varying with route of administration and your personal therapeutic needs, an induction period of 4-6 weeks of weekly or biweekly treatments is recommended to bolster the antidepressant and neuroplastic effects of ketamine. Length of ketamine therapy is highly individualized. It is safe and within your ability to withdraw from ketamine therapy at any time, without a withdrawal period as is often the case with traditional antidepressants.
Before participating in ketamine treatment, you will be carefully interviewed to determine if you are eligible for ketamine therapy, including a medical and psychological history. Pregnant women and nursing mothers are not eligible for ketamine treatment. Untreated hypertension is a contraindication to ketamine use as it causes a rise in BP. Similarly, a history of heart disease may make you ineligible to participate.
Ketamine does not cause tolerance and withdrawal symptoms and therefore does not meet the criteria for chemical dependence. However, “cravings” have been reported by individuals with the history of heavy use of “psychedelic” drugs.
Due to the nature of the ketamine experience, there is the possibility of psychological dependence if large amounts of ketamine are used for an extended period of time without the oversight of a licensed physician. These amounts are generally much higher than what is prescribed or administered during ketamine therapy. Ketamine is a schedule III controlled substance, and should never be used without with oversight.
The side effects of ketamine may include dizziness, a change in depth perception, nausea/vomiting, blurred vision, slurred speech, euphoria, confusion, anxiety, and a change in perception of time and space.
A rise in blood pressure may also occur when using ketamine. For this reason, uncontrolled hypertension is a contraindication for ketamine therapy.
Repeated, high dose, chronic use of ketamine has caused urinary tract symptoms and even permanent bladder dysfunction is individuals abusing the drug. This has not occurred within this framework of treatment and at the doses used in ketamine assisted psychotherapy.
In many people, the effects of ketamine are experienced during a session, immediately after, or within a day of their first dose. However, it is possible for these effects to fade 5-7 days following treatment; this is one reason why a 4-6 week period of weekly sessions is recommended to begin treatment.
Results vary depending on a number of factors including route of administration, spacing of appointments, and external life factors. Many of our patients report some relief of their symptoms after even a single Spravato or IV/IM ketamine treatment, but all methods seem to have cumulative effects that build up and strengthen over time (particularly after the 4th session if doing IV/IM). Sublingual lozenges typically produce a gentler, less powerful dissociative experience and are best paired with ongoing integration therapy, possibly incorporating EMDR or somatic work alongside ketamine.
If you are interested in an alternative (non-SSRI) method for relief of symptoms associated with treatment-resistant depression, PTSD and cPTSD, and anxiety, ketamine treatment might be a good option to explore.
We will make sure you’ve had an appropriate amount of preparation appointments with our team before your first treatment. You will need to secure transportation to and from any in-office appointments (we recommend having a friend or family member support this part of your treatment; many patients have also used taxi services as well). On the day of your treatment, you will need to fast from food and drink for 4-6 hours prior to your appointment start time (small sips of clear liquid are okay, if needed). When your appointment begins, our care team member will make sure you are comfortable in the room space. They will provide you with eye shades and headphones to be used during your journey, and will play a curated playlist after your medicine begins.
While each person and each journey is unique, there are some similarities between most dissociative psychedelic experiences. There is usually a sense of body relaxation, and you may experience what might feel like somewhat of a “dreamlike state”, with vivid visual images, powerful emotions, and somewhat distorted sounds. Some patients report feeling an ineffable sense of “oneness” or universal love not always easily accessed in their day to day lives. These effects typically increase with higher doses, such as those received during IV/IM ketamine sessions. You may find that some of the same themes come up during different your sessions, while other elements are fresh each time. You will have a trained and experienced sitter present during your in-office sessions, and this usually helps our patients feel free to go deeper within their journey, while trusting we are here to support them and keep them safe.
All controlled substances – including stimulant medication, opioid medication, ketamine or a benzodiazepine – require at least a 30 minute check in appointment to receive a refills, typically every 4 weeks.
We currently accept CareCredit, which is a line of credit for medical purposes only. You can apply online and if you are approved, all purchases $200 and over will receive a 6 month 0% financing offer from CareCredit. *Please note each individual purchase must be paid off within the 6 month period to avoid incurring deferred interest fees.
We offer a weekly group integration meeting on Tuesdays from 5:30-7pm in the Arcata office. We also offer a monthly breathwork group, which can be paired with low-dose ketamine lozenges if you have a prescription. We also recommending making sure you’re on our email newsletter list, so we can keep you in the loop about upcoming events, including our retreats.