Canto Integrative Psychiatry – Chapel Hill, North Carolina Ketamine Clinics

✓ Edited by Angelica Bottaro for HealingMaps Editorial Staff

Known For: A Chapel Hill psychiatry practice centered on ketamine-assisted psychotherapy with oral, intranasal or IM ketamine, for teens 14 and up and adults, alone, as couples or in groups.

HealingMaps Take: Canto Integrative Psychiatry is a Chapel Hill psychiatric practice on South Estes Drive whose main focus is ketamine-assisted psychotherapy, with traditional psychotherapy and psychiatric medication management alongside. It is led by Sarah Tatko, PA, a doctorally trained psychiatric physician assistant certified in psychedelic psychotherapy. Canto gives ketamine as an oral lozenge or troche, intranasally or by intramuscular injection, with on-site medical supervision, and offers ketamine-assisted therapy for individuals, couples and groups. It works with teens 14 and older as well as adults. Canto is a private-pay practice that provides superbills; it doesn’t publish prices, and its site doesn’t list IV ketamine or Spravato.

Market Position: Canto Integrative Psychiatry offers ketamine-assisted psychotherapy inside a small psychiatric practice in Chapel Hill, with couples and group ketamine sessions and evening and weekend appointments for the Raleigh-Durham-Chapel Hill area.

Canto Integrative Psychiatry Ketamine Cost Calculator

Ketamine Protocols Compared — What’s Offered at Canto Integrative Psychiatry

Industry pricing reference. Canto Integrative Psychiatry 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.

What to Expect at Your First Canto Integrative Psychiatry Appointment

1. Email to request a consultation — Email sarah@cantoteampractice.com or call (919) 443-0705 to request an initial consultation. Canto will follow up to schedule a brief conversation, answer your questions and talk through next steps.
2. Intake paperwork and consultation — Fill out Canto’s intake paperwork, which includes a Good Faith Estimate of costs, and schedule your first appointment; most new clients are seen within 7 days. The one-hour consultation can be in the office or virtual.
3. Ketamine sessions on S Estes Drive — Ketamine-assisted therapy sessions take place in person at 121 S Estes Drive, Ste 205C and last one to three hours, depending on the form of ketamine and whether the session is individual, couples or group. Follow-up appointments run 30 to 60 minutes.

What to Ask on Your Canto Integrative Psychiatry Consult Call

• Which form of ketamine (lozenge, intranasal or IM) do you recommend for me, and why?
• What will my ketamine sessions and follow-ups cost, and what will the superbill cover?
• Would individual, couples or group ketamine-assisted therapy fit my goals best?
• Will I need someone to drive me home after a ketamine session?

Chapel Hill Ketamine Market Snapshot

Sources: U.S. Census 2020 (county population).

• Orange County population: 148,696 (2020 Census)

Behind this data: HealingMaps has analyzed 23,496 patient inquiries (Oct 2022 – Mar 2026), mapped 1,800 verified clinics across 3,142 counties, reviewed 132 clinic pricing pages, and collected 658 practitioner survey responses. This snapshot reflects our multi-source methodology.

From the 2026 Ketamine Industry Report

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.

About Canto Integrative Psychiatry

Canto Integrative Psychiatry is at 121 S Estes Drive, Ste 205C, Chapel Hill, NC 27514. Appointments run Monday through Friday, 8am to 4:30pm, with evening and weekend appointments also available by appointment. Call (919) 443-0705 or email sarah@cantoteampractice.com. Canto works with teens 14 and older and adults.

Ketamine-assisted psychotherapy is the practice’s main focus. Canto says its office provides on-site medical supervision and offers ketamine as an oral lozenge or troche, intranasally or by intramuscular (IM) injection; its site doesn’t list IV ketamine infusions or Spravato (esketamine). All ketamine therapy sessions take place in person and last one to three hours, depending on the form of ketamine, whether the session is individual or group, and its goals. Canto offers ketamine-assisted therapy for individuals and for couples, runs ketamine and non-medicine therapy groups, and says to ask about at-home ketamine services; home visits are by appointment and subject to availability.

Canto treats treatment-resistant depression, anxiety and panic, PTSD, OCD, bipolar disorder, substance abuse and suicidal ideation, and also works with ADHD and eating disorders. Beyond ketamine, it offers traditional psychotherapy and takes a limited number of psychiatric medication management clients, using genetic testing among its tools. Sarah Tatko, PA, leads the practice: she is a doctorally trained psychiatric physician assistant with a Doctor of Medical Science from Rocky Mountain University of Health Professions and a Master of Physician Assistant Studies from Marywood University, and is certified in psychedelic psychotherapy through IPI and MAPS. Canto also offers safety counseling and integration support for people processing experiences with psychoactive substances, and says it does not provide illegal substances.

Canto is a private-pay practice. For medical management it is out of network and doesn’t bill insurance directly, but it provides superbills for all services, which may help you recoup some cost from your insurer, and it says some of its therapists participate with insurance. Canto doesn’t publish prices; it discusses pricing at the initial consultation, and new clients receive a Good Faith Estimate with their intake forms. Ketamine used this way isn’t FDA-approved for depression and is usually self-pay.

To start, email sarah@cantoteampractice.com or call (919) 443-0705 to request an initial consultation. Canto says it can see most new clients within 7 days of receiving completed intake paperwork.

Patient Questions about Canto Integrative Psychiatry

This 6-question summary is matched to the treatments and conditions Canto Integrative Psychiatry lists. Editorial responses are HealingMaps-authored.

What does Canto Integrative Psychiatry offer?

Canto offers ketamine-assisted psychotherapy for individuals, couples and groups, traditional psychotherapy, and psychiatric medication management for a limited number of clients. It works with teens 14 and older and adults.

How is ketamine given at Canto Integrative Psychiatry?

Canto says its office provides on-site medical supervision and offers oral ketamine (lozenge or troche), intranasal ketamine and intramuscular (IM) ketamine. Its site doesn’t list IV ketamine infusions or Spravato (esketamine).

Does Canto Integrative Psychiatry take insurance?

Canto is a private-pay practice and doesn’t bill insurance directly for medical management. It provides superbills for all services, which may help with out-of-network reimbursement, and says some of its therapists participate with insurance.

How much does ketamine therapy cost at Canto?

Canto doesn’t publish prices. It says cost depends on how long and where you meet, which provider you see, and whether you meet in person or virtually, and it discusses pricing at your initial consultation.

Does Canto Integrative Psychiatry see teenagers?

Yes. Canto says it specializes in working with teens (ages 14 and up) and adults seeking ketamine-assisted therapy, and also offers therapy and medication management for both.

How long are appointments at Canto?

Consultations are one hour. Ketamine sessions run one to three hours, depending on the form of ketamine, the setting and the goals of the session, and follow-up appointments are 30 to 60 minutes.

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