✓ Edited by Angelica Bottaro for HealingMaps Editorial Staff
Known For: Physician-led Atlanta north-metro psychiatric practice offering IV ketamine, Spravato (REMS-certified esketamine), and TMS under psychiatrist Karen Giles, MD, with offices in Sandy Springs and Alpharetta. A medical-model program that pairs interventional treatments with psychiatric oversight and medication management.
| Location | Sandy Springs, Georgia |
| Address | 755 Mount Vernon Hwy NE, Suite 220, Sandy Springs, GA 30328 |
| Phone | (470) 231-2235 |
| Website | breakthrupsych.com |
| Treatments | IV Ketamine + Spravato (Esketamine, REMS-certified) + TMS + Psychiatry & Medication Management |
| Conditions | Treatment-resistant depression, major depressive disorder, depression with suicidal ideation, anxiety, bipolar depression, PTSD, and OCD |
| Cost | N/A (contact for pricing) |
| Insurance | Spravato typically insurance-billed; IV ketamine self-pay (FSA/HSA eligible) |
| KAP Available | No |
| Clinical Lead | Karen Giles, MD (psychiatrist) |
HealingMaps Take: Breakthru covers the full interventional-psychiatry toolkit under one psychiatrist: IV ketamine for rapid response, insurance-billable Spravato for treatment-resistant depression, and TMS for a drug-free option. For north-metro patients weighing cash-pay infusions against covered esketamine, having both routes in one practice (Sandy Springs and Alpharetta) makes it easy to start with whichever fits the diagnosis and budget. It is a medical, psychiatrist-run model rather than a therapy-forward or KAP setting.
Market Position: Breakthru occupies the physician-led, multi-modal interventional slot in Atlanta’s north suburbs — IV ketamine + Spravato + TMS under one psychiatrist. Dual Sandy Springs/Alpharetta offices and the insurance-billable Spravato and TMS pathways are the differentiators versus cash-only infusion clinics.
Industry pricing reference. Breakthru Psychiatric Solutions has not published specific per-session pricing — contact the clinic directly for a quote. The calculator above shows typical metro-level cost estimates across protocols, not this clinic’s specific prices.
| Protocol | Typical Industry Cost | Offered Here |
|---|---|---|
| IV Ketamine | $350–$650/session | ✓ Yes |
| Spravato (esketamine) | $0–$250 copay (insured) | ✓ Yes |
| IM Ketamine | $250–$400/injection | — |
| KAP (with therapist) | $400–$1,200/session | — |
| At-home troches | $150–$300/month | — |
Sources: CDC PLACES 2023 (Fulton County (Sandy Springs — Atlanta north suburbs), crude prevalence) · U.S. Census ACS 5 Year · HealingMaps proprietary patient inquiry data.
Behind this data: HealingMaps has analyzed 23,496 patient inquiries (Oct 2022 – Mar 2026), mapped 1,800 verified clinics across 3,142 counties, scraped 132 clinic pricing pages, and collected 658 practitioner survey responses. This snapshot reflects our multi-source methodology.
44.9% of patients cite access as the #1 barrier to treatment — the largest single obstacle to ketamine therapy in the HealingMaps corpus, outranking cost, stigma, and side-effect concerns. Source: HealingMaps 2026 Ketamine Clinic Intelligence Report — drawn from 23,496 patient inquiries and 132 clinic website analyses.
“Having IV ketamine and Spravato both available meant I could start with what my insurance covered and still have options. Dr. Giles actually managed my medications alongside the treatments instead of just running infusions.”
Breakthru Psychiatric Solutions is a physician-led psychiatric practice serving Atlanta’s north suburbs from two offices — 755 Mount Vernon Hwy NE, Suite 220 in Sandy Springs (30328) and 3400 Old Milton Pkwy, Building C, Suite 285 in Alpharetta (30005). The interventional program is directed by psychiatrist Karen Giles, MD.
The practice offers three interventional treatments for depression: IV ketamine infusions, Spravato (esketamine) under FDA REMS certification with in-office monitoring, and TMS (transcranial magnetic stimulation). Spravato and TMS are billable to insurance, while IV ketamine is typically self-pay — giving patients a covered pathway and a rapid-response option under the same roof.
Because treatment is psychiatrist-directed, Breakthru coordinates interventional care with diagnosis and medication management rather than treating infusions in isolation. Conditions treated include treatment-resistant depression, major depressive disorder, depression with suicidal ideation, anxiety, bipolar depression, PTSD, and OCD.
To schedule, call (470) 231-2235 or visit breakthrupsych.com.
This 5-question summary is matched to the protocols and conditions Breakthru Psychiatric Solutions treats. Editorial responses are HealingMaps-authored.
Breakthru Psychiatric Solutions offers IV Ketamine + Spravato (Esketamine, REMS-certified) + TMS + Psychiatry & Medication Management. Confirm specific dosing schedules during your consult.
Yes — Breakthru Psychiatric Solutions offers Spravato, which means they’re FDA REMS-certified and maintain the required two-hour in-office monitoring window after each dose.
Breakthru Psychiatric Solutions operates a medical-model program. Patients seeking explicit KAP with a licensed integration therapist should evaluate practices that pair the dosing experience with structured therapy.
Breakthru Psychiatric Solutions treats treatment-resistant depression. TRD is typically defined as two or more prior antidepressant trials without sufficient response — patients meeting that bar are best candidates.
Yes — Breakthru Psychiatric Solutions treats anxiety disorders. The evidence base for ketamine in anxiety is less robust than for depression, but it can be a meaningful option for patients who haven’t responded to SSRIs or benzodiazepines.
View all REMS-certified Spravato clinics in Georgia and across the United States.
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