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WEKU
WEKU
Health
Dawn Megli

The ketamine economy: New mental health clinics are a 'Wild West' with few rules

Patients report that ketamine infusions can be lifesaving, with immediate improvement for severe depression. But dosage and safety measures vary widely at the hundreds of clinics that have opened. (Yana Iskayeva/Getty Images)

In late 2022, Sarah Gutilla's treatment-resistant depression had grown so severe that she was actively contemplating suicide. Raised in foster care, the 34-year-old's childhood was marked by physical violence, sexual abuse and drug use, leaving her with life-threatening mental scars.

Out of desperation, her husband scraped together $600 for the first of six rounds of intravenous ketamine therapy at Ketamine Clinics Los Angeles, which administers the generic anesthetic for off-label uses such as treating depression. When Gutilla got into an Uber for the 75-mile ride to Los Angeles, it was the first time she had left her home in Llano, Calif., in two years. The results, she says, were instant.

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