Serving all of Michigan · Ann Arbor & East Lansing

At-home ketamine therapy, guided by a psychiatric team you can actually see

Compounded ketamine troches taken at home for treatment-resistant depression, anxiety and PTSD, prescribed and monitored by licensed prescribers who also manage the rest of your mental-health care. Not an app. Not a subscription box.

Call (734) 999-3505 Book an evaluation

Michigan-licensed prescribers Insurance for visits Open weekends

A woman resting calmly on a sofa in a sunlit living room

Treatment at homeCare from a real Michigan practice

< $80/motypical medication cost at a compounding pharmacy

In-networkappointments billed to BCBS, BCN, Aetna, UHC, Medicare & Medicaid

~$50/mocash-pay visit cost once stable on quarterly visits

2 officesAnn Arbor and East Lansing, not a call center

In-network for appointments with

+ BCN, Medicare & more

Who this is for

When two or more antidepressants haven't been enough

Most people who ask about ketamine have already tried two or more antidepressants without enough relief. Some have depression with a strong anxious edge; some have PTSD that hasn't budged with therapy alone. If that's you, at-home ketamine troches may be an option worth a real conversation, one that starts with a full psychiatric evaluation, not a checkout page.

Treatment-resistant depression
Depression with significant anxiety
PTSD that hasn't improved with therapy alone

Ketamine is not a first-line treatment and it is not for everyone. We screen carefully and we say no when it isn't a good fit. See who should not use ketamine.

Morning sunlight streaming through trees onto a forest path

Why Root Psych

How we're different from online-only ketamine services

A full psychiatric practice behind it

Ketamine is one tool we use. The same team can adjust your antidepressants, offer therapy including EMDR, run pharmacogenetic testing, and keep caring for you long after the ketamine course ends.

Real offices in Michigan

Ann Arbor and East Lansing. If an in-person visit is needed for your initial evaluation or a blood-pressure check, you can come in. Many online-only services have no physical location in the state.

Insurance for the visits

Evaluation and follow-up appointments are billable to insurance. The compounded medication itself usually isn't covered by any insurer, but at under $80 a month it is one of the lowest-cost parts of care.

Honest about the evidence

Ketamine has strong evidence for rapid relief in treatment-resistant depression. Sublingual dosing has less research than IV infusions, and PTSD evidence is still emerging. We'll tell you that plainly.

How it works

From first call to stable care

Call or book online
Tell us what you've tried so far. Our team can check your insurance and answer first questions before you commit to anything.
Psychiatric evaluation
A full new-patient visit covering your history, current medications, blood pressure and safety screening. Billable to insurance. Depending on current federal telehealth rules, this visit may need to be in person.
Prescription
If ketamine is appropriate, we send it to a licensed Michigan compounding pharmacy. Typically under $80 a month, paid directly to the pharmacy.
Guided first dose
Clear written instructions, a safety checklist, and a plan for your first session at home with a trusted adult present.
Follow-up
Early follow-ups are closer together while we find the right dose. Once you're stable, visits stretch to about every three months.

What to expect

What a session at home is like

You dissolve the troche under your tongue and hold it for about 10–15 minutes before swallowing or spitting, following our written protocol. Many people feel floaty, detached or dreamlike; this dissociation is expected and temporary.

10–15 minhold under tongue

15–30 mineffects begin

60–90 mineffects fade

During the session

You stay seated or lying down in a quiet room, eyes closed or with calm music, with a trusted adult in the home. You don't drive, work, or make important decisions for the rest of the day.

Side effects

Common side effects include nausea, dizziness, blurred vision and a short-term rise in blood pressure. Rarely, frequent or high-dose use has been linked to bladder irritation, which is one reason we keep doses conservative and check in regularly.

Your care team

The same prescribers who manage the rest of your care

Every patient in the program is under the oversight of a board-certified psychiatrist.

Akash Kumar, MDPsychiatrist · Medical Director

Oversees the ketamine program and supervises the prescriber team.