Why NYC & NJ Patients Are Switching to At-Home Ketamine

IV ketamine infusion clinics in the New York metro area and New Jersey charge $600–$800 per session, often requiring 6 or more infusions ($3,600–$4,800 total). Waitlists stretch 4–6 weeks at top clinics. For many patients struggling with depression, anxiety, or PTSD, waiting isn't an option — and neither is paying $4,000+ out of pocket. Physician-prescribed at-home ketamine uses sublingual troches (dissolve-under-tongue lozenges) or nasal spray. Clinical research shows equivalent outcomes to IV for most patients with treatment-resistant depression, anxiety, and PTSD — at a fraction of the cost.

• IV infusion clinics in NYC/NJ: $600–$800/session, 6+ sessions needed = $3,600–$4,800
• At-home ketamine: starting at $250/month, 2 sessions included
• No office visit, no IV needle, no 2-hour infusion appointments
• Medication shipped directly to your door in discreet packaging
• Same board-certified physician oversight — telehealth from your home
• Start treatment within 24–48 hours vs. 4–6 week clinic waitlists

The Clinical Evidence: Troches vs. IV Infusion

The debate between IV and sublingual ketamine largely comes down to bioavailability and patient population. IV delivers nearly 100% bioavailability directly to the bloodstream. Sublingual troches achieve 25–50% bioavailability — but clinical studies consistently show robust antidepressant and anxiolytic effects at therapeutic doses. A 2022 study in the Journal of Affective Disorders found sublingual ketamine produced significant reductions in depression scores equivalent to IV in treatment-resistant patients. For most outpatient cases — depression, anxiety, PTSD, OCD — at-home troches are clinically appropriate and physician-supervised.

• Published research supports sublingual ketamine for depression, anxiety, PTSD, and chronic pain
• IV infusion required for certain acute psychiatric emergencies — not typical outpatient care
• Troches allow home titration with physician guidance — same controlled approach
• No anesthesia risk, no IV catheter complications
• Multiple sessions per month vs. 6 IV infusions total — better for maintenance

Who Should Choose At-Home vs. IV Clinic

At-home ketamine is appropriate for most adults with treatment-resistant depression, anxiety, PTSD, OCD, or chronic pain who are medically stable and have been evaluated by a physician. IV infusion clinics may be preferable for patients with severe psychiatric emergencies requiring monitored settings, or those who have specifically failed oral/sublingual routes.

• At-home best for: outpatient depression, anxiety, PTSD, chronic pain, OCD — medically stable
• At-home best for: privacy-conscious patients, professionals, busy schedules
• At-home best for: NJ/NYC patients priced out of infusion clinics
• IV clinic may be preferable for: severe acute psychiatric crisis requiring monitoring
• IV clinic may be preferable for: patients who have failed sublingual routes specifically
• When in doubt: physician evaluation determines appropriate route — we'll tell you honestly

New Jersey & New York Patients: Skip the Waitlist

Bergen County, Essex County, Hudson County, and the NYC metro area have some of the busiest ketamine infusion clinics in the country — and some of the longest waits. Discreet Ketamine is licensed in New Jersey and serves all 21 counties via telehealth. Your consultation, prescription, and medication can all happen without leaving home. NJ patients pay the same price as FL patients. No premium for the metro area. No commute into Manhattan.

• Licensed in New Jersey — all 21 counties covered
• Board-certified physician licensed in NJ (Dr. Ben Soffer, DO)
• Telehealth consultation from Bergen, Essex, Hudson, Morris, Mercer, and all NJ counties
• Medication shipped directly to your NJ address
• Same price as our FL patients — no NYC premium
• Available within 24–48 hours of approval