@CANDC, thank you for your response.

Ketamine infusions are FDA-approved. Actually, it is esketamine, but close enough.

The VA would not have approved it if it were not. I went through two evaluations by two pdocs before the VA approved it and the clinic accepted me. I tried to get ketamine treatment in 2016, but was still in trials so they denied it.

The only reason I asked for it is because I am not doing well and it is not a daily pill so there aren't really any long-term side effects to worry about. I have permanent side effects from medications I took last decade. I don't qualify for ECT or rTMS because of epilepsy so this is literally my last option. My medical records list over 30 failed psych medications.

If the payment snafu gets resolved and this clinic agrees to continue contracting with the VA, I can go back, but given how long it takes to get approval for outside care, it will be at least 9 months from now and that is only if they fix it by the end of the year.

I wasn't looking for medical advice although I could see how my poor writing made that impression.

It was more like I was hoping that someone who has gone through it could give their thoughts on whether it would have been worth it had they only gone once. Sorry, for any confusion.