The Flagship Program

A dose meant to keep you present

Sublingual ketamine at a genuinely low dose, taken at home and prescribed inside a real psychiatric relationship. Not a package, not an app.

Start with an evaluation What it actually feels like
Soft first light across a quiet landscape
A softening, not a journey Dose adjusted to you, not to a package
What “Very Low Dose” Means

Present and coherent,
not sent somewhere

The dose is intended to keep you present rather than to produce a psychedelic experience. Most people describe a mild softening rather than a journey.

You do not need a sitter, and most people carry on with an ordinary evening afterward. Your exact dose is set individually and adjusted over time, based on what you notice and what we measure together.

  • Taken sublingually, at home
  • Paired with a daily practice of your own
  • No clinic day, no recovery time to plan around
  • Adjusted to you, never fixed to a package
How It Runs

Four steps, at your pace

Nothing begins before you have a written plan you agree to.

01

Full evaluation

Fifty minutes. History, past treatments, your full medication list, and candidacy and safety screening.

02

A plan you agree to

Written down before anything starts, including what we expect and what we do not yet know.

03

Delivered to your door

Compounded troches come from a compounding pharmacy, billed separately by them rather than by us.

04

Monitored and adjusted

Ongoing clinical monitoring, validated scales, and your own account of how life actually feels.

Safety and Honesty

Ketamine is a controlled
medication, treated as one

It is prescribed after a proper evaluation, monitored while you take it, and stopped if it is not helping. We tell you what the evidence supports and where it runs out.

  1. Screened before you start

    Not everyone is a candidate. Some histories and conditions make this the wrong choice, and we will say so.

  2. Reviewed against what you take

    Ketamine can often be combined with existing psychiatric medications when it is clinically appropriate.

  3. Stopped when it should be

    You can pause or stop at any point. If the plan is not working, we raise it rather than waiting for you to.

What It Costs

Two numbers,
plus the pharmacy

Subscription platforms advertise one bundled figure that includes medication. Ours are listed separately so you can see exactly what you are paying for, and to whom.

Medication is billed by the pharmacy. We will walk you through a realistic monthly estimate for your situation during the evaluation, before you commit to anything.
Start with an evaluation
Initial evaluation
$300 · 50 minutes
Follow-up visit
$150 · as needed
Medication
Billed separately by the compounding pharmacy
Insurance
Not billed directly · superbills on request
Where
Telehealth, anywhere in California
Who prescribes
Shannon Enochs, DNP, PMHNP-BC
Now accepting new patients

The evaluation answers
whether this fits

You do not have to decide about ketamine before you book. That is what the first conversation is for, including if the answer turns out to be no.

Book a Consultation Read the FAQ

Not for emergencies. If you are in crisis, call or text 988.

Ask a Question Book Now