The Space Between

The Space Between is a small ketamine clinic, independently run, at 225 Broadway in New York that gives ketamine only by intravenous infusion. Its treatment rooms sit on the 34th floor, face south over the Hudson River and get direct sun for most of the day.

Approach

Medical director Dr. John A. Seitz, a board-certified anaesthesiologist in private practice in Manhattan since 2007, has nearly 20 years of experience with ketamine. He studied at the University of Pennsylvania and Tulane University School of Medicine, trained in anaesthesiology at Columbia Presbyterian, and later trained in ketamine-assisted psychotherapy at the California Institute of Integral Studies and with Dr. Phil Wolfson. He does each intake himself, by phone or Zoom, places every IV and stays for the whole session. Each infusion runs slowly over 45 minutes, so the dose can be raised at a check-in halfway through, lowered or stopped.

Who it is for

The clinic is set up for patients who already have a therapist or psychiatrist. Integration or psychotherapy must be in place before treatment starts, and the clinic works alongside those existing clinicians and keeps them informed. Therapists interested in this way of working are invited to get in touch.

Practical details

Each infusion costs $500, and infusions of NAD+, magnesium and B vitamins are also available. Treatment is in person only, and the clinic does not offer ketamine tablets by post or nasal sprays.

Care and safety

The clinic recommends integration within 24 to 72 hours of each session. It says IV delivery lets it give the smallest effective dose, with little residual effect once the session ends, and that the slow infusion leaves room to stop if a patient wishes.