Confluence Psychiatry – Denver, Colorado Ketamine Clinics, Spravato Clinics

✓ Last verified: March 2, 2026 — Edited & verified by Angelica Bottaro for HealingMaps Editorial Staff

Known For: Confluence Psychiatry is the private practice of Dr. Charles Shuman, a board-certified psychiatrist with dual specializations in general psychiatry and addiction psychiatry. Operating since 2016, Dr. Shuman has completed 150 hours of didactic training in psychedelic-assisted therapy through Colorado’s Integrated Psychiatric Institute. The practice offers ketamine-assisted therapy with transparent, accessible pricing and a thoughtful, evidence-based protocol.

HealingMaps Take: Confluence Psychiatry is a strong option for Denver patients who want ketamine-assisted therapy delivered by a psychiatrist with formal psychedelic therapy training and addiction medicine expertise. Dr. Shuman’s 150 hours of specialized psychedelic-assisted therapy education goes well beyond what most ketamine prescribers have completed. The transparent pricing—$360 for the initial evaluation plus first session, $250 for follow-ups—is competitive and removes the guesswork. The addiction psychiatry specialization is a meaningful differentiator for patients navigating co-occurring substance use and mental health challenges. A boutique, physician-led experience with real clinical depth.

Market Position: Confluence Psychiatry treats both depression and PTSD — the two most common ketamine therapy indications, accounting for 34% of HealingMaps patient inquiries.

Confluence Psychiatry Ketamine Cost Calculator

Ketamine Protocols Compared — What’s Offered at Confluence Psychiatry

Industry pricing reference. Confluence Psychiatry’s posted price: Initial evaluation + first treatment: $360; follow-up treatments: $250. Contact the clinic for any package or sliding-scale options. The calculator above shows metro-level cost estimates across protocols.

What to Expect at Your First Confluence Psychiatry Appointment

1. Initial intake call — Medical history review and clinical eligibility check. Call (303) 870-8331 or visit confluencemd.com to schedule. Confluence Psychiatry’s posted pricing: Initial evaluation + first treatment: $360; follow-up treatments: $250.
2. Medical evaluation — in-person or telehealth psychiatric assessment, vitals check, and review of current medications with the Confluence Psychiatry clinical team.
3. First treatment session — supervised ketamine therapy session in a private treatment room, lasting approximately 60–90 minutes. Sessions are held at 1127 Auraria Parkway, Suite 7, Denver, CO 80204. You’ll have a comfortable chair or recliner, dim lighting, and direct medical monitoring throughout.
4. Recovery and follow-up — observation period after dosing, mood check-in with the clinical team, and scheduling your next session. Arrange for a ride home; do not drive for 24 hours after your ketamine session.

What to Ask on Your Confluence Psychiatry Consult Call

• How long has the Confluence Psychiatry clinical team been delivering ketamine therapy, and what specialty training do your providers hold?
• What’s Confluence Psychiatry’s typical full-program cost for the integration-therapy bundle, and do you accept HSA/FSA payments?
• Colorado’s Natural Medicine Health Act covers certain psychedelics — how does your ketamine practice integrate with broader psychedelic-therapy options patients may consider?
• Is the therapist who guides KAP sessions independently licensed, and how long are integration sessions after the dosing portion?
• What does Confluence Psychiatry recommend for patients who don’t respond to the standard 6-session acute series?

Patient Questions about Confluence Psychiatry

This 3-question summary is matched to the protocols and conditions Confluence Psychiatry treats. Editorial responses are HealingMaps-authored, grounded in our 2026 Ketamine Clinic Intelligence Report.

Does Confluence Psychiatry offer ketamine-assisted psychotherapy (KAP)?

Yes — Confluence Psychiatry offers KAP, which combines ketamine dosing with structured psychotherapy during the dissociative window. KAP sessions are longer than standalone infusions and priced accordingly. A reasonable consult question: whether KAP is delivered by a single integrated provider, or by a separate therapist working with the prescribing clinician.

Is Confluence Psychiatry suited for treatment-resistant depression?

Confluence Psychiatry treats depression via KAP for trauma-anchored depression. Insurance coverage is rare for IV/KAP — most patients pay out of pocket. TRD is typically defined as two or more prior antidepressant trials without sufficient response — patients meeting that bar are best candidates here.

Can Confluence Psychiatry help with anxiety disorders?

Yes — Confluence Psychiatry treats anxiety, including generalized anxiety, social anxiety, and panic disorder. 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. Worth asking which of their protocols they typically recommend for anxiety-primary patients.

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Review (1)

• 
  Mary Tolley

  March 18, 2022 at 9:27 pm

  My son deals with depression and alcohol addiction .
  He currently has a naltrexone implant.
  Is it possible to do the ketermine treatment with the naltrexone implant.

  Helpful Review 1