✓ Last verified: October 6, 2026 — Edited & verified by Angelica Bottaro for HealingMaps Editorial Staff
Known For: Fourth Wall Wellness (formerly Precision Mind Restoration) is a psychiatric nurse practitioner practice in Tucson offering microdosed ketamine taken at home as lozenges, troches or nasal spray, alongside psychotherapy, medication management and low-dose naltrexone. Located on East Grant Road, the practice serves Arizona and Colorado for depression, anxiety, PTSD, chronic pain and alcohol use disorder.
Initial visit may be covered by insurance; the ketamine prescription itself is cash-pay and varies by compounding pharmacy and dose (per the practice, October 2026)
Insurance
Aetna, Humana, Medicare, Medicaid, Blue Cross Blue Shield, UnitedHealthcare accepted for the initial visit and psychiatric care; the compounded ketamine prescription is paid out of pocket
KAP Available?
Contact clinic for details
Clinical Lead
Sara Moss, PMHNP — board-certified psychiatric nurse practitioner
HealingMaps Take: Fourth Wall Wellness’s name says it all—they’re focused on precise, individualized ketamine protocols rather than a one-size-fits-all approach. For Tucson residents, this is a strong local option that saves the drive to Phoenix for ketamine treatment. Their near-perfect Google rating suggests patients are getting excellent, personalized care. A solid choice for southern Arizona patients seeking targeted ketamine therapy.
Market Position: Fourth Wall Wellness treats both depression and PTSD — the two most common ketamine therapy indications, accounting for 34% of HealingMaps patient inquiries.
Is Fourth Wall Wellness Right for You?
✓ Choose Fourth Wall Wellness if:
You’re treating co-occurring depression and PTSD
✗ Look elsewhere if:
You want ketamine-assisted psychotherapy (KAP) with integrated talk therapy
Fourth Wall Wellness 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
$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 Manhattan, NY market
Select a treatment type to see pricing context.
Get matched to verified clinics
A HealingMaps specialist will follow up within one business day with providers that match your estimate, protocol, and insurance situation.
✓ Request received.
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.
Ketamine Protocols Compared — What’s Offered at Fourth Wall Wellness
Industry pricing reference. Fourth Wall Wellness 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 Infusion
$350–$650/session
—
Spravato (esketamine)
$0–$250 copay (insured)
—
IM Ketamine
$250–$400/injection
—
KAP (with integrated talk therapy)
$400–$1,200/session
—
At-home oral troches
$150–$300/month
—
What to Expect at Your First Fourth Wall Wellness Appointment
Initial intake call — Medical history review and clinical eligibility check. Call (520) 436-3922 or visit fourthwallwellness.com to schedule.
Medical evaluation — in-person or telehealth psychiatric assessment, vitals check, and review of current medications with the Fourth Wall Wellness clinical team.
First treatment session — supervised ketamine therapy session in a private treatment room, lasting approximately 60–90 minutes. Sessions are held at 6137 East Grant Road, Suite B, Tucson, AZ. 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 ketamine session.
What to Ask on Your Fourth Wall Wellness Consult Call
How long has the Fourth Wall Wellness clinical team been delivering ketamine therapy, and what specialty training do your providers hold?
What’s a typical 6-session total cost at Fourth Wall Wellness, and do you offer payment plans, HSA/FSA-eligible billing, or sliding-scale pricing?
Have you navigated BCBS Arizona, UnitedHealthcare, and Banner Health Plans Spravato prior authorizations specifically?
What does Fourth Wall Wellness recommend for patients who don’t respond to the standard 6-session acute series?
Tucson Ketamine Market Snapshot
Sources: CDC PLACES 2023 (Pima County, AZ, crude prevalence) · U.S. Census ACS 5 Year · HealingMaps proprietary patient inquiry data.
Adult depression in Pima County, AZ: 23.6%
Frequent mental distress (14+ days per month): 16.3%
Adults lacking health insurance: 12.7%
Pima County population: 1,042,393 · median household income $64,323
Recent Tucson-area inquiries to HealingMaps: A growing stream of Arizona residents have recently contacted us seeking ketamine care
Behind this data:HealingMaps has analyzed 23,496 patient inquiries (Oct 2022 – Mar 2026), mapped 1,473 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
75% of ketamine patients report zero insurance coverage for their treatment — meaning most patients pay cash and should factor the full cost of care into their treatment decision. Source: HealingMaps 2026 Ketamine Clinic Intelligence Report — drawn from 23,496 patient inquiries and 132 clinic website analyses.
Patient Questions about Fourth Wall Wellness
This 4-question summary is matched to the protocols and conditions Fourth Wall Wellness treats. Editorial responses are HealingMaps-authored, grounded in our 2026 Ketamine Clinic Intelligence Report.
Is Fourth Wall Wellness suited for treatment-resistant depression?
Fourth Wall Wellness treats depression with at-home microdosed ketamine (off-label, evidence-based), paired with psychotherapy and medication management. The initial visit may be covered by insurance; the compounded ketamine prescription is paid out of pocket and varies by pharmacy and dose. TRD is typically defined as two or more prior antidepressant trials without sufficient response — patients meeting that bar are best candidates here.
Does Fourth Wall Wellness treat chronic pain conditions?
Yes — Fourth Wall Wellness treats chronic pain. Their at-home microdosed program lists chronic pain among the conditions it treats. It is a lower-dose approach than clinic infusions, so ask how pain is dosed and monitored.
Does Fourth Wall Wellness treat PTSD?
Yes — Fourth Wall Wellness treats PTSD. 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 Fourth Wall Wellness help with anxiety disorders?
Yes — Fourth Wall Wellness 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.
Angelica Bottaro is a medical writer and researcher with a rich background in psychology and journalism. She holds a bachelor's degree in Psychology from Trent University and an Advanced Diploma in Journalism from Centennial College. Angelica has been a freelance writer since 2014, amassing bylines in various platforms like Very Well Health, The Good Men Project, MakeWell, and LymeTime among others. Although primarily a freelance writer, her educational background and career trajectory have positioned her as a voice in mental health discourse, highlighting systemic issues in mental health care through her writing.
To provide the best experiences, we use technologies like cookies to store and/or access device information. Consenting to these technologies will allow us to process data such as browsing behavior or unique IDs on this site. Not consenting or withdrawing consent, may adversely affect certain features and functions.
Functional
Always active
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
Preferences
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
Statistics
The technical storage or access that is used exclusively for statistical purposes.The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
Marketing
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.
Leave a Reply