Isha Health

Ketamine Clinic in San Francisco, California, United States
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  • Clinic Info

    About your Clinic:

    Who We Are

    Dr. Mai Shimada, MD MBA – Double board-certified physician, Harvard-trained researcher, founder of Isha Health.
    Dr. Akua Brown, MD – Board-certified physician with deep expertise in trauma-informed and integrative mental-health care.

    Together they lead an interdisciplinary team of KAP-trained therapists committed to evidence-based practice, collaborative care, and radical compassion.

    What We Treat

    • Depression (including treatment-resistant)

    • Post-Traumatic Stress Disorder (PTSD)

    • Anxiety

    Our Care Model

    Phase What Happens Your Team
    1. Collaborative Intake Comprehensive medical & psychological assessment, review of current supports, consent & goal-setting Physician, referring clinician
    2. Preparation Sessions Somatic & mindfulness skills, values clarification, safety planning KAP therapist from the network
    3. Medicine Sessions Low-dose, sub-lingual ketamine lozenges in a calm, at homesetting (vitals & set/setting optimized) KAP sessions with KAP therapist
    4. Integration Psychodynamic, CBT, and mindfulness-based processing to translate insights into daily life Our own therapist or KAP therapist, optional family or community supports
    5. Measurement-Based Follow-up PHQ-9/GAD-7 tracking, daily mood score Care coordinator, your wider care network

    Why Patients & Providers Choose Us

    • True Team Care – We partner with outside therapists, primary-care doctors, and coaches to keep everyone rowing in the same direction.

    • Inclusive & Affirming – Extensive experience serving LGBTQIA+, BIPOC, immigrant, and neurodiverse clients.

    • Safety First – Board-certified physicians plan and oversee the treatment.

    • Evidence & Ethics –Personalized low dose protocols backed by peer-reviewed research; no up-selling, no over-medicalizing—just the right fit for each person.

    • Whole-Person Focus – Nutrition, sleep, movement, and community are woven into care plans because ketamine is a catalyst, not a cure-all.

    Quick Facts

    • Location: Secure tele-medicine across 8 U.S. states(CA, WA, OR, CO, AZ, TZ, FL, GA, NY)

    • Session Length: 2-hour medicine visits, 50-minute prep/integration.

    • Languages: English, Japanese (Dr. Mai), Spanish (Dr. Akua).

    • Cost & Coverage: Transparent fee schedule; superbills for out-of-network reimbursement.

    Ready to collaborate or refer?
    Visit isha.health or email [email protected] to schedule the initial evaluation.

    Description of Services:

    Ketamine-Assisted Psychotherapy (KAP)

    • Collaborative, team-based model – Every medicine session pairs one of our board-certified physicians (medical safety, dosing, vital-sign monitoring) with a licensed KAP-trained psychotherapist who guides set, setting, and integration.

    • Community network – If you already have a therapist, we can co-treat: your primary therapist remains central to the process while our on-staff KAP clinicians handle medical oversight. For clients without a therapist, we match you with one of 300+ KAP-trained partners in our network, prioritizing cultural fit (LGBTQIA+, BIPOC-affirming, neurodiversity-informed).

    • Low-dose, sub-lingual ketamine lozenges taken at home followed by 1–3 integration sessions that weave psychodynamic, CBT, mindfulness, and somatic practices into daily life.

    • Measurement-based care – PHQ-9, GAD-7, and trauma scales tracked at each milestone; data can be shared—with consent—with outside providers to keep your full care team aligned.

    Preparation & Integration Packages

    • Two to four 50-minute sessions focused on intention-setting, safety planning, and skills for navigating non-ordinary states of consciousness (breathwork, grounding, parts work).

    • Post-medicine integration sessions within 48 hours and at one-week follow-up to translate insights into concrete behavioral change, supported by personalized homework and community resources.

    Medical Assessments

    • Comprehensive intake covering medical history, medication review, medical evaluation, and social determinants of health.

    • Labs or EKG ordered when clinically indicated. Clearance note provided to collaborating therapists.

    Provider-to-Provider Consults

    • 15-minute rapid consults and detailed case reviews for community therapists, psychiatrists, and primary-care physicians exploring whether KAP is right for a shared patient.

    Cost & Insurance Support

    • Transparent per-session pricing.

    • Superbills and documentation supplied for out-of-network reimbursement. HSA/FSA. .

    How to Get Started

    1. Book the initial evaluation – 60-minute intake to make sure you can receive the treatment safely.

    2. Complete intake – Online questionnaires + virtual medical visit.

    3. Choose your therapist (if applicable)– Bring your own or let us match you.

    4. Prepare • Experience • Integrate – Begin the KAP journey with a care team that stays in step with your goals.

    Practitioners:

    Mai Shimada, MD
    Akua Brown, MD

    Supporting Team:

    Soh Shimada
    Jenya Kaufman, MD

  • Details

    Founder(s) / CEO: Mai Shimada
    Remote/Online: Yes
    Price Range: $350 for a medical appointment

  • Our Process

    Overview of Experience:

    At Isha Health, we work collaboratively with our clients to provide a personalized and comprehensive ketamine-assisted psychotherapy (KAP) experience. Our goal is to create a safe, supportive, and compassionate environment that facilitates healing and growth.

    Our approach begins with a thorough psychological and medical evaluation to assess clients' mental health status, medical history, and current medication use. Based on the evaluation, our experienced board-certified physicians and licensed therapists work with clients to develop a personalized treatment plan that addresses their unique needs and concerns.

    During the KAP session, clients take low-dose, sub-lingual ketamine lozenges. The KAP session lasts approximately 90 minutes, during which clients may experience an altered state of consciousness and/or a psychedelic-like journey into deeper parts of themselves.

    After the KAP session, clients participate in psychotherapy sessions either with their own therapist or with our KAP therapist to help integrate the insights and experiences gained during the KAP session. Our therapists are informed by a variety of therapeutic traditions such as psychodynamic psychotherapy, cognitive-behavioral therapy (CBT), mindfulness practices, and trauma-informed care.

    Throughout the entire KAP experience, we prioritize safety, compassion, and ethical practices. Our clinicians are experienced in working with diverse populations and issues, including multi-culture issues, psychosomatic issues, and first responders.

    We strive to maintain ongoing communication and collaboration with our clients, providing support and guidance throughout the KAP experience. At Isha Health, we are committed to helping clients find healing and growth through the compassionate and ethical use of expanded states of consciousness.

    Intake Process:

    At Isha Health, our intake process begins with a brief 5-minute questionnaire designed to help us determine if you are an ideal candidate for our specialized treatment. If our initial assessment suggests that our services could be beneficial for you, you'll have the opportunity to schedule an intake appointment. During this appointment, you will meet with a licensed clinician to discuss and develop a personalized treatment plan tailored to your specific needs.

    For patients dealing with treatment-resistant depression, our approach often involves commencing with twice-weekly low-dose ketamine sessions. This treatment regimen is based on the latest available research data and has shown promise in addressing this challenging condition. Subsequently, your treatment plan may include less frequent medication sessions to ensure the best possible outcomes for your mental health journey.

    Psychedelic Substance Offered:
    • Ketamine

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