IV ketamine infusion, IM ketamine injection, Spravato (esketamine nasal spray), ketamine-assisted psychotherapy (KAP) with preparation and dedicated integration sessions, psychedelic-assisted therapy, TMS, Deep TMS and accelerated TMS
Conditions Treated
Depression and treatment-resistant depression, anxiety, PTSD, OCD, suicidal ideation; other indications evaluated individually
Chronic Pain
Patients with chronic pain are evaluated for ketamine when a mood disorder is the primary reason for treatment
Clinical Research
FDA-regulated clinical trials of next-generation treatments for depression, anxiety, PTSD and other conditions, including investigational psilocybin/psilocin, LSD, DMT and 5-MeO-DMT, novel medications and devices. Investigational psychedelics are available only through qualifying studies.
Cost
IM ketamine $475 per session; IV ketamine $550 per session (pricing supplied by the clinic). Contact Kadima for current pricing on Spravato, TMS and other services.
Insurance
Standard IV and IM ketamine for psychiatric conditions is generally self-pay. Spravato is often covered for qualifying patients, subject to plan and prior authorization requirements.
Founder & Medical Director
David Feifel, MD, PhD — neuropsychiatrist, Professor Emeritus of Psychiatry at UC San Diego, where he established pioneering ketamine and TMS clinical programs before founding Kadima in 2017; Board member, Clinical TMS Society
Market Position: Kadima is one of the few San Diego practices offering the full range of interventional psychiatry under one roof — IV and IM ketamine, Spravato, TMS including Deep and accelerated protocols, and ketamine-assisted psychotherapy — alongside an active clinical research program. Patients start with a comprehensive consultation, and the treatment recommended depends on the individual rather than defaulting to ketamine.
Is Kadima Neuropsychiatry Institute Right for You?
✓ Choose Kadima Neuropsychiatry Institute if:
You want a psychiatrist-led practice offering ketamine, Spravato, TMS and psychedelic-assisted therapy under one roof
You want ketamine-assisted psychotherapy (KAP) with preparation and dedicated integration sessions
You have depression, treatment-resistant depression, anxiety, PTSD or OCD
You’re interested in clinical trials of next-generation treatments
✗ Look elsewhere if:
You want at-home oral ketamine — Kadima administers ketamine in clinic by IV infusion or IM injection
You want investigational psychedelics such as psilocybin outside a research study — these are available only through qualifying clinical trials
⚠ FDA-cleared indications for TMS therapy: treatment-resistant major depressive disorder (MDD), obsessive-compulsive disorder (OCD, Deep TMS only), anxious depression, short-term smoking cessation, and adolescent MDD (ages 15–21). Use of TMS for other conditions including PTSD, bipolar depression, fibromyalgia, and other indications is off-label — not currently FDA-cleared for those specific indications. Discuss your condition with the clinic to understand insurance coverage and clinical evidence.
Kadima Neuropsychiatry Institute Ketamine Cost Calculator
How Much Does Ketamine Therapy Cost in San Diego?
These are San Diego market estimates, not Kadima’s prices. They are based on patient-reported pricing and HealingMaps clinic data. Kadima’s own ketamine pricing is $475 per IM session and $550 per IV session — confirm current pricing directly with the clinic.
Estimated per session
$525–$900
Range: $450–$1,500/session
Estimated total program
$3,150–$5,400
Range: $2,700–$9,000/6-session series
Your estimate vs. national patient-reported medianBased on national tracking, adjusted for San Diego, CA market
Select a treatment type to see pricing context.
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A HealingMaps specialist will follow up within one business day with providers that match your estimate, protocol, and insurance situation.
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A HealingMaps specialist will reach out within one business day with clinic matches based on your estimate. In the meantime, review the verified providers below.
What to Expect at Your First Kadima Neuropsychiatry Institute Appointment
Comprehensive consultation — an in-depth evaluation with an experienced Kadima clinical provider, covering your history, prior treatments and goals.
Individualized treatment plan — your provider recommends the approach that fits you. That may be TMS, ketamine, Spravato, psychedelic-assisted therapy, a clinical research study, or another option; treatment is not automatically ketamine.
Treatment — delivered according to your plan. Ketamine and Spravato sessions include medical monitoring and a post-treatment observation period, and you’ll need a ride home afterward.
Integration and follow-up — patients receiving ketamine-assisted psychotherapy have dedicated integration sessions, and your progress is reviewed so the plan can be adjusted.
What to Ask on Your Kadima Neuropsychiatry Institute Consult Call
How long has the Kadima Neuropsychiatry Institute clinical team been delivering ketamine therapy, and what specialty training do your providers hold?
What’s a typical 6-session total cost at Kadima Neuropsychiatry Institute, and do you offer payment plans, HSA/FSA-eligible billing, or sliding-scale pricing?
California’s psychedelic-therapy regulatory landscape is evolving — do you stay current with state Department of Public Health and Medical Board guidance on ketamine prescribing?
What does Kadima Neuropsychiatry Institute recommend for patients who don’t respond to the standard 6-session acute series?
Patient Questions about Kadima Neuropsychiatry Institute
This 4-question summary covers the most common patient questions for ketamine clinics in San Diego, California. Editorial responses are HealingMaps-authored, grounded in our 2026 Ketamine Clinic Intelligence Report.
What ketamine treatments does Kadima Neuropsychiatry Institute offer?
Kadima administers ketamine by IV infusion and IM injection, and Spravato (esketamine) intranasally. It also offers ketamine-assisted psychotherapy (KAP) with preparation and dedicated integration sessions, psychedelic-assisted therapy, and TMS including Deep TMS and accelerated TMS. Treatment is individualized after a comprehensive consultation.
Is Kadima Neuropsychiatry Institute suited for treatment-resistant depression?
Treatment-resistant depression (TRD) — typically defined as failure on two or more antidepressant trials — is the most common qualifier for ketamine therapy and the FDA-approved indication for Spravato. Patients meeting that bar are typical candidates at ketamine clinics like Kadima Neuropsychiatry Institute. If insurance coverage matters, ask whether they offer Spravato (insurance-covered for TRD) versus IV ketamine (typically self-pay).
Does Kadima Neuropsychiatry Institute treat PTSD, anxiety, or chronic pain?
Most ketamine clinics treat PTSD and anxiety alongside depression — these three conditions account for ~46% of HealingMaps patient inquiries. Some clinics also treat chronic pain (CRPS, fibromyalgia, neuropathic pain), though pain protocols differ from mental-health protocols (longer infusion times, higher doses). Ask Kadima Neuropsychiatry Institute which specific conditions they treat most often and how their protocols differ by indication.
How does Kadima Neuropsychiatry Institute compare to other ketamine clinics in San Diego, California?
Compare ketamine clinics in San Diego, California on three axes: (1) protocol mix — multi-protocol clinics offer flexibility; (2) clinical lead — psychiatrist-led clinics typically include KAP integration, anesthesiologist-led clinics typically focus on infusion; (3) insurance posture — Spravato is often covered for qualifying patients with prior authorization, while standard IV and IM ketamine for psychiatric conditions is generally self-pay. Kadima Neuropsychiatry Institute’s positioning on these axes determines whether it’s the right fit for your specific diagnosis and budget.
This clinic offers ketamine therapy, Spravato (esketamine) and TMS. IV and IM ketamine is FDA-approved as an anesthetic and used off-label for psychiatric conditions; Spravato is FDA-approved for specific depressive disorders; and TMS devices are FDA-cleared for specific indications. TMS sessions take 19 to 37 minutes (or 3 minutes for the iTBS protocol), with no anesthesia, sedation, or controlled-substance handling. This clinic uses BrainsWay Deep TMS, the only TMS device with standalone FDA clearance for OCD via the H7 coil. Read our complete guide to TMS therapy for FDA-cleared conditions, device differences, insurance coverage by carrier, and what to expect at your first appointment. Browse verified TMS clinics in our directory.
I have done my homework and you guys are by far and beyond the best operation I have seen for what I am looking for. Now, I am working on a “Single Case Agreement” as you don’t accept my insurance with Central Health. By the way, I am finding that getting treatment for mental health is much easier and better for individuals who are not 65+ Social Security which doesn’t seem fair. My plan is to get treatment with Psilocybin maybe in TJ or elsewhere in Mexico or perhaps going to Oregon as I am a Duck. Finally, wherever I get treatment, I am happy to share everything I learn about the process with you guys with the idea of helping others in my shoes.
Dr. Feifel and the staff at Kadima are wonderful. It really feels like everyone is on your team and wanting you to feel better. It is a very supportive environment and the space is beautiful and well thought out. Although ketamine didnt work well for me, the doctors offered an alternative plan using TMS therapy and that really helped with my treatment resistant depression.
The 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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Robert W. O'Donnell
April 2, 2025 at 7:53 pmI have done my homework and you guys are by far and beyond the best operation I have seen for what I am looking for. Now, I am working on a “Single Case Agreement” as you don’t accept my insurance with Central Health. By the way, I am finding that getting treatment for mental health is much easier and better for individuals who are not 65+ Social Security which doesn’t seem fair. My plan is to get treatment with Psilocybin maybe in TJ or elsewhere in Mexico or perhaps going to Oregon as I am a Duck. Finally, wherever I get treatment, I am happy to share everything I learn about the process with you guys with the idea of helping others in my shoes.
Helpful ReviewSunny
February 18, 2025 at 12:41 amDr. Feifel and the staff at Kadima are wonderful. It really feels like everyone is on your team and wanting you to feel better. It is a very supportive environment and the space is beautiful and well thought out. Although ketamine didnt work well for me, the doctors offered an alternative plan using TMS therapy and that really helped with my treatment resistant depression.
Helpful Review