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✓ Last verified: March 12, 2026 — Edited & verified by Angelica Bottaro for HealingMaps Editorial Staff
Known For: One of Richmond’s most established psychiatric practices, offering FDA-approved Spravato (esketamine) and TMS within a full-service behavioral health model. Distinguished by 53 years of psychiatric expertise and broad insurance acceptance including Medicare and Medicaid.
| Review Scores | Established practice; patients value the comprehensive psychiatric care model and insurance acceptance |
| Location | Richmond, VA |
| Address | 2301 North Parham Road, Suite 5, Richmond, VA 23229 |
| Phone | (804) 270-1124 |
| Website | dbhrichmond.com |
| Treatments | Spravato (Esketamine Nasal Spray), TMS Therapy, Psychiatric Evaluations, Medication Management, Individual Therapy, Couples Therapy, Family Therapy, Neuropsychological Assessment |
| Conditions Treated | Treatment-Resistant Depression, Major Depressive Disorder, Anxiety, PTSD, OCD, Bipolar Disorder |
| Cost | Spravato typically covered by insurance; contact for other service pricing |
| Insurance | Accepts 11+ insurance plans including Medicare and Medicaid |
| Clinical Lead | Ashvin A. Patel, M.D., D.L.F.A.P.A. — Board-Certified Psychiatrist with 53 years of clinical experience |
💡 No clinic-specific pricing posted? See our ketamine therapy cost guide for typical pricing ranges by treatment type and insurance pathways.
HealingMaps Take: Dominion Behavioral Healthcare represents the institutional end of Richmond’s ketamine-adjacent treatment landscape. This is not a ketamine startup — it is a full-service psychiatric practice with over five decades of clinical history, led by Dr. Ashvin Patel, a Distinguished Life Fellow of the American Psychiatric Association. The Spravato offering here is contextualized within a comprehensive psychiatric care model: patients do not just receive esketamine in isolation — they have access to psychiatric evaluations, medication management, individual therapy, couples counseling, family therapy, and neuropsychological assessment. That comprehensive model matters because treatment-resistant depression rarely exists in a vacuum. The insurance acceptance is the headline for many patients: Dominion accepts 11+ plans including Medicare and Medicaid, making Spravato treatment accessible to populations that are priced out of cash-pay IV ketamine clinics. The two-hour monitoring requirement for each Spravato session is handled within their practice, and the large multidisciplinary team (psychiatrists, psychologists, LCSWs, PMHNPs) means continuity of care is built in. For patients who want esketamine delivered within a serious, insurance-covered psychiatric framework rather than a standalone infusion clinic, Dominion is the strongest option in Richmond.
Market Position: Dominion Behavioral Healthcare is a Spravato-certified clinic in the Richmond metro. Spravato (esketamine) is the FDA-approved ketamine treatment that most commercial insurance plans cover after prior authorization — unlike cash-pay IV ketamine.
Is Dominion Behavioral Healthcare Right for You?
✓ Choose Dominion Behavioral Healthcare if:
- You have commercial insurance and a documented treatment-resistant depression diagnosis (Spravato pathway)
- You’re treating co-occurring depression and PTSD
✗ Look elsewhere if:
- You’re seeking cash-pay IV ketamine instead of insurance-billed Spravato
- You want ketamine-assisted psychotherapy (KAP) with integrated talk therapy
- You need same-week appointments — Spravato prior authorization typically takes 1–3 weeks
Dominion Behavioral Healthcare Ketamine Cost Calculator
How Much Will Ketamine Therapy Cost?
Estimate your out-of-pocket range based on patient-reported pricing and HealingMaps proprietary clinic data.
Estimated per session
$401–$687
Range: $344–$1,145/session
Estimated total program
$2,405–$4,123
Range: $2,061–$6,871/6-session series
Select a treatment type to see pricing context.
Ketamine Protocols Compared — What’s Offered at Dominion Behavioral Healthcare
Industry pricing reference. Dominion Behavioral Healthcare 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 | — |
| 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 | — |
What to Expect at Your First Dominion Behavioral Healthcare Appointment
- Initial intake call — Insurance verification, prior authorization workflow (Spravato requires documentation of failure on at least two antidepressant trials), and clinical eligibility check. Call (804) 270-1124 to schedule.
- Medical evaluation — in-person or telehealth psychiatric assessment, vitals check, and review of current medications with the Dominion Behavioral Healthcare clinical team.
- First treatment session — supervised Spravato (intranasal esketamine) in a private treatment room, lasting approximately 90 minutes (40-minute session + 60 minutes monitoring). Sessions are held at 2301 North Parham Road, Suite 5, Richmond, VA 23229. You’ll have a comfortable chair or recliner, dim lighting, and direct medical monitoring throughout.
- 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 Spravato session.
What to Ask on Your Dominion Behavioral Healthcare Consult Call
- How long has the Dominion Behavioral Healthcare clinical team been delivering ketamine therapy, and what specialty training do your providers hold?
- How long does Dominion Behavioral Healthcare’s Spravato prior authorization typically take with my specific insurance plan, and what happens if it’s denied?
- What does Dominion Behavioral Healthcare recommend for patients who don’t respond to the standard 6-session acute series?
Patient Questions about Dominion Behavioral Healthcare
This 4-question summary is matched to the protocols and conditions Dominion Behavioral Healthcare treats. Editorial responses are HealingMaps-authored, grounded in our 2026 Ketamine Clinic Intelligence Report.
Does Dominion Behavioral Healthcare offer Spravato (esketamine)?
Yes — Dominion Behavioral Healthcare offers Spravato, which means they’re FDA REMS-certified and maintain the required two-hour in-office monitoring window after each dose. Spravato is the primary insurance-covered ketamine option for treatment-resistant depression. Worth confirming the prior-authorization timeline before booking your first session.
Is Dominion Behavioral Healthcare suited for treatment-resistant depression?
Dominion Behavioral Healthcare treats depression via Spravato (FDA-approved for TRD). The Spravato pathway is the most likely to obtain commercial insurance coverage. TRD is typically defined as two or more prior antidepressant trials without sufficient response — patients meeting that bar are best candidates here.
Does Dominion Behavioral Healthcare treat PTSD?
Yes — Dominion Behavioral Healthcare treats PTSD. Spravato can be used for trauma. Ketamine for trauma differs from depression treatment: dosing is often lower per session, and pairing the protocol with trauma-focused therapy between sessions is common. A reasonable consult question: whether PTSD patients here typically use ketamine alone or alongside an outside therapist.
Can Dominion Behavioral Healthcare help with anxiety disorders?
Yes — Dominion Behavioral Healthcare 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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Healing Maps Editorial Staff
View all posts by Healing Maps Editorial StaffThe Healing Maps Editorial Team has decades of experience across all facets of the psychedelic industry. From assessing studies and clinic research, to working with clinician's and clinics, we help provide data-backed information to psychedelic-curious individuals across the globe.
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