✓ Last verified: February 17, 2026 — Edited & verified by Angelica Bottaro for HealingMaps Editorial Staff

Known For: Dr. Kai MacDonald’s concierge psychiatry practice in San Diego offers intimate, personalized ketamine therapy as part of a whole-person treatment approach. Named one of San Diego Magazine’s Top Doctors from 2009–2013, Dr. MacDonald takes a holistic perspective that includes lifestyle, diet, and individualized treatment planning alongside ketamine. Operating outside the insurance-based model allows for extended time with each patient and deeper therapeutic relationships.
| Google Reviews | ⭐ Highly rated concierge practice |
| Location | San Diego, California |
| Address | 3368 2nd Avenue, Suite B, San Diego, CA |
| Phone | (619) 203-7393 |
| Website | kaimacdonald.com |
| Treatments Offered | Ketamine Therapy, Concierge Psychiatry, Medication Management, Holistic Treatment Planning |
| Conditions Treated | Mood Disorders, Anxiety Disorders, PTSD, Attention Disorders, Addiction, Substance Abuse |
| Cost | $300–$500 per session depending on condition severity |
| Insurance Accepted | Concierge model — self-pay; not insurance-based |
| KAP Available | Yes — psychiatric ketamine therapy with holistic integration |
| Clinical Lead | Dr. Kai MacDonald, MD (Board-Certified Psychiatrist) |
HealingMaps Take: Dr. Kai MacDonald’s practice represents the gold standard of personalized ketamine care in San Diego. As a board-certified psychiatrist recognized among San Diego’s top doctors, he brings deep clinical expertise to every treatment plan. The concierge model means more face time and individualized attention than typical high-volume clinics can offer, though it does come at a higher out-of-pocket cost since insurance isn’t accepted. For patients who prioritize a deep doctor-patient relationship and a holistic approach to ketamine therapy, this is one of San Diego’s premier options.
Market Position: Kai MacDonald Ketamine Clinic is a verified ketamine provider in the metro on HealingMaps — one of 1,473 clinics we have mapped and tracked across 3,142 U.S. counties.
Industry pricing reference. Kai MacDonald Ketamine Clinic’s posted price: $300–$500 per session depending on condition severity. Contact the clinic for any package or sliding-scale options. The calculator above shows metro-level cost estimates across protocols.
| Protocol | Typical Industry Cost | Offered Here |
|---|---|---|
| IV Ketamine | $350–$650/session | — |
| Spravato (esketamine) | $0–$250 copay (insured) | — |
| IM Ketamine | $250–$400/injection | — |
| KAP (with therapist) | $400–$1,200/session | ✓ Yes |
| At-home troches | $150–$300/month | — |
Sources: CDC PLACES 2023 (, state-level 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 1,473 verified clinics across 3,142 counties, scraped 132 clinic pricing pages, and collected 658 practitioner survey responses. This snapshot reflects our multi-source methodology.
Depression is the #1 condition cited in 20.9% of HealingMaps ketamine inquiries, followed by PTSD (13.5%) and anxiety (11.4%) — the three together account for nearly half of all patient demand. Source: HealingMaps 2026 Ketamine Clinic Intelligence Report — drawn from 23,496 patient inquiries and 132 clinic website analyses.
“Dr. MacDonald takes the time to truly understand each patient as a whole person. His approach to ketamine therapy goes far beyond just the treatment itself — he considers lifestyle, diet, and everything that contributes to mental wellness.” — Kai MacDonald Ketamine Clinic patient
Known For: Concierge psychiatrist with 25+ years experience offering deeply personal KAP with attachment-based and emotion-focused therapy
| Review Scores | Yelp: 15 reviews · Healthgrades: Outstanding · WebMD: Highly recommended |
| Location | San Diego (Hillcrest), California |
| Address | 3368 2nd Avenue, Suite B, San Diego, CA 92103 |
| Phone | (619) 203-7393 |
| Website | kaimacdonald.com |
| Treatments | Ketamine-Assisted Psychotherapy, Concierge Psychiatry, Medication Management |
| Conditions Treated | Depression, Anxiety, PTSD, Trauma, Addiction, Mood Disorders |
| Cost | $300–$500 per session (concierge model) |
| Insurance | Not insurance-based — concierge practice |
| KAP Available? | Yes — advanced training in attachment-based and emotion-focused KAP |
| Clinical Lead | Dr. Kaimana MacDonald, MD — Psychiatrist, 25+ years, UCSD-affiliated |
HealingMaps Take: Dr. MacDonald is one of the most respected ketamine providers in San Diego. His concierge model means longer appointments, deeper therapeutic relationships, and a dual expertise in both psychiatry and psychotherapy. Reviews across every platform are exceptional. For patients wanting a physician-led KAP experience, this is a top pick.
“Through Dr. MacDonald’s treatment that combines medicine, psychiatry, and emotional strengthening, I found a balance that greatly improved my quality of life.” — WebMD Review (7-year patient)
Offering “concierge psychiatry,” the Kai MacDonald Ketamine Clinic in San Diego, California provides intimate psychiatric and ketamine therapy treatments.
As a clinic separated from the insurance-based model, Dr. MacDonald’s practice allows for more time with each patient, which builds a personal relationship between client and doctor.
Although ketamine plays a large role in many patients’ treatments, the Kai MacDonald Ketamine Clinic also focuses on “whole-person treatment,” including such aspects as lifestyle and diet. It is Dr. MacDonald’s belief that, by treating patients from this holistic perspective, each patient will receive an individualized treatment plan that takes into account all aspects of a patient’s health, rather than simply focusing on the difficult to manage mental health aspects.
Dr. Kai MacDonald first became aware of the remarkable potential for ketamine use in psychiatry when he “supervised IV administration of ketamine to a person with severe depression” in 2013. Although he has been aware of the utility of ketamine in treating resistant conditions, Dr. MacDonald chose to wait for further research and protocols to be developed before he offered the treatment to his clients.
Individuals whose struggles with depression have not been alleviated by mainstream medications will find that ketamine infusion therapy at the Kai MacDonald Ketamine Clinic offers an potential route to healing and hope.
Once ketamine has been determined to be a suitable medication for your condition, the initial treatment takes place at Dr. MacDonald’s clinic.
Throughout the process, patients are monitored, as some people report dissociative sensations, such as floating, during treatment. Such side effects are completely normal, and fade soon after the treatment ends.
Treatments at the Kai MacDonald Ketamine Clinic are for individuals who are struggling with the symptoms of difficult to manage mental health conditions. While many people respond well to mainstream oral medications, a significant portion of sufferers do not.
In laboratory settings, ketamine has shown a 70-75 percent effectiveness in treating these difficult conditions. For those who are seeking further assistance in managing their health, the Kai MacDonald Ketamine Clinic stands ready to help.
Discover more California Ketamine Clinics
This 2-question summary is matched to the protocols and conditions Kai MacDonald Ketamine Clinic treats. Editorial responses are HealingMaps-authored, grounded in our 2026 Ketamine Clinic Intelligence Report.
Yes — Kai MacDonald Ketamine Clinic 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.
Yes — Kai MacDonald Ketamine Clinic 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.
Leave a Reply