At-Home Ketamine Therapy in Florida
When a provider determines it is clinically appropriate, ketamine treatment can take place at home — within a structured safety framework, with provider oversight at every step.
If you are in crisis or having thoughts of suicide, this is an emergency. Call or text 988 (Suicide & Crisis Lifeline) or call 911. Bravely Balanced is not an emergency service, and the candidate assessment is not a crisis intervention.
At-home ketamine treatment is a clinician-directed option for eligible patients. It is not a DIY regimen and not a guaranteed outcome. Everything about your plan — formulation, strength, dose, and frequency — is determined by your prescribing provider and supported by required follow-up.
How at-home treatment works
After psychiatric evaluation and, if appropriate, a prescription sent to a licensed compounding pharmacy, you receive compounded ketamine and take it in a calm, private setting. Bravely Balanced does not provide IV or IM ketamine; at-home treatment uses oral or nasal formulations only.
Preparing for a session
- Choose a calm, private, comfortable environment.
- Avoid food for the time your provider recommends before treatment.
- No alcohol or recreational substances in the 24 hours beforehand.
- Have your support person available.
- Confirm no driving or machinery for the remainder of the treatment day.
Administration principles
Administration follows your provider's specific instructions for your prescribed formulation — nasal spray, troches, or ODT. You do not adjust your dose. If you have questions or experience unexpected effects, you contact your provider through the secure portal rather than self-managing.
Support person requirement
A trusted support person should be nearby or available by phone during sessions, particularly early in treatment. Their role is simple but important: stay reachable, keep the environment calm, and help you follow safety guidance.
The first 30-day safety framework
The first month is structured to prioritize safety. You log each treatment session, track mood before and after, and complete required follow-up. Your provider reviews this data before deciding whether and how to continue.
Provider monitoring
Follow-up is not optional. Your provider assesses symptom change, functioning, side effects, and whether ketamine continues to be appropriate. Continuation is never automatic — it is a clinical decision made at each visit.
When at-home treatment is not appropriate
At-home treatment may not be appropriate if you cannot maintain a safe environment, lack a support person, have contraindications such as uncontrolled hypertension or active psychosis, or need a higher level of care than telehealth can provide. In those cases, your provider will discuss alternatives or referrals.
Safety at home
At-home treatment is only appropriate when it can be done safely. The program is built around preparation, a support person, structured logging, and required follow-up — not around unsupervised self-treatment. See our safety standards for a full overview.
Important context about ketamine. Ketamine is FDA-approved as an anesthetic. The use of compounded racemic ketamine for psychiatric conditions is off-label, and compounded medications are not FDA-approved products. Compounded ketamine nasal spray is not the same as FDA-approved esketamine (Spravato®).
Treatment is not appropriate for everyone. A licensed clinician independently determines whether prescribing is appropriate. No prescription is guaranteed, and completing an assessment does not equal clinical eligibility.
About this page
- Written by:
- Bravely Balanced Clinical Education Team
- Medical review:
- Pending — this content has not yet been clinically reviewed.
- Last updated:
- 2026-08-27
This page is educational and is not a substitute for personalized medical advice. All treatment decisions are made by a licensed provider based on your individual evaluation.