Touchstone TMS & Ketamine – Gig Harbor, Washington Ketamine Clinics

✓ Last verified: January 21, 2026 — Edited & verified by Angelica Bottaro for HealingMaps Editorial Staff

Known For: Gig Harbor’s dedicated treatment-resistant depression center combining FDA-approved Spravato (esketamine) with TMS — one of the few South Sound practices offering both insurance-covered advanced therapies under one roof.

💡 No clinic-specific pricing posted? See our ketamine therapy cost guide for typical pricing ranges by treatment type and insurance pathways.

HealingMaps Take: Touchstone TMS & Ketamine solves a specific problem for patients on the Kitsap and Key peninsulas: access to advanced, insurance-covered depression treatment without crossing the Narrows Bridge to Tacoma or driving to Seattle. The combination of Spravato and TMS under one roof is strategically smart — these are the two FDA-approved, insurance-covered interventions for treatment-resistant depression, and having both available means patients can try one or combine them based on response. Spravato’s insurance coverage is the headline here: most Gig Harbor and surrounding area patients can access esketamine nasal spray with minimal out-of-pocket cost, which removes the primary barrier that keeps ketamine-based treatment out of reach for middle-income patients. The TMS complement means that patients who respond partially to Spravato can add TMS (or vice versa) without switching clinics. For the Gig Harbor, Bremerton, Port Orchard, and Key Peninsula communities, this is a genuine lifeline — advanced depression treatment that does not require a trip to a metropolitan center.

Market Position: Touchstone TMS & Ketamine is a Spravato-certified clinic in the Harbor metro. Spravato (esketamine) is the FDA-approved ketamine treatment that most commercial insurance plans cover after prior authorization — unlike cash-pay IV ketamine.

Touchstone TMS & Ketamine Ketamine Cost Calculator

Ketamine Protocols Compared — What’s Offered at Touchstone TMS & Ketamine

Industry pricing reference. Touchstone TMS & Ketamine 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.

What to Expect at Your First Touchstone TMS & Ketamine Appointment

1. Initial intake call — Insurance verification, prior authorization workflow (Spravato requires documentation of failure on at least two antidepressant trials), and clinical eligibility check. Call (253) 579-4974 to schedule.
2. Medical evaluation — in-person or telehealth psychiatric assessment, vitals check, and review of current medications with the Touchstone TMS & Ketamine clinical team.
3. 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 4700 Point Fosdick Dr NW, Suite 308, Gig Harbor, WA 98335. 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 Spravato session.

What to Ask on Your Touchstone TMS & Ketamine Consult Call

• How long has the Touchstone TMS & Ketamine clinical team been delivering ketamine therapy, and what specialty training do your providers hold?
• How long does Touchstone TMS & Ketamine’s Spravato prior authorization typically take with my specific insurance plan, and what happens if it’s denied?
• How do you navigate Premera, Regence BCBS, and Kaiser Permanente Washington for Spravato prior authorization?
• What does Touchstone TMS & Ketamine recommend for patients who don’t respond to the standard 6-session acute series?

Patient Questions about Touchstone TMS & Ketamine

This 4-question summary is matched to the protocols and conditions Touchstone TMS & Ketamine treats. Editorial responses are HealingMaps-authored, grounded in our 2026 Ketamine Clinic Intelligence Report.

Does Touchstone TMS & Ketamine offer Spravato (esketamine)?

Yes — Touchstone TMS & Ketamine 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 Touchstone TMS & Ketamine suited for treatment-resistant depression?

Touchstone TMS & Ketamine 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 Touchstone TMS & Ketamine treat PTSD?

Yes — Touchstone TMS & Ketamine 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 Touchstone TMS & Ketamine help with anxiety disorders?

Yes — Touchstone TMS & Ketamine 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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