At-Home Ketamine Therapy in San Francisco, Prescribed by a Board-Certified Anesthesiologist
Telehealth ketamine treatment for San Francisco residents dealing with treatment-resistant depression, anxiety, PTSD, OCD, and chronic pain — prescribed and personally overseen by Dr. David Mahjoubi, MD, a California-licensed board-certified anesthesiologist and President of the American Board of Ketamine Physicians. First month of medication covered. No clinic visits, no rotating clinicians.
Have questions first? Book a free 5–10 minute Discovery Call — no prescription, just answers.
- Ships throughout the Bay Area
- Board-certified anesthesiologist
- 3,900+ patients since 2014
- HIPAA-compliant telehealth
Mental Health in San Francisco — Why At-Home Care Fits the City
San Francisco runs on intensity. The tech industry, the founder culture, the venture-capital tempo, and a cost of living that keeps the city moving at a pace that leaves little room for traditional psychiatric care. NutraBrain intakes from San Francisco cluster around three patterns: high-functioning depression (the kind that doesn’t show up at work but shows up at 11 p.m.), burnout-driven anxiety, and the emotional blunting that years of SSRIs leave behind.
At-home ketamine therapy fits the city. The video consultation slots in between meetings. The medication arrives discreetly to your apartment in Hayes Valley, the Mission, Pacific Heights, or wherever you live. The protocol runs on your time — Friday evenings, Saturday mornings — not on the rhythm of a downtown clinic with a 30-minute slot at 2:15 on a Wednesday.
For SF’s tech and founder community
Many of our San Francisco patients have spent years cycling through Lexapro, Wellbutrin, Effexor, and stimulants without sustained relief, or have felt emotionally flat in a way that affected relationships and creative work even when their depression was technically “managed.” Ketamine works on a different mechanism — NMDA receptors and rapid neuroplasticity — and the response often arrives within days rather than months. For patients with attachment trauma or chronic relational disconnection, our exclusive ketamine + oxytocin nasal spray (not available from any other U.S. telehealth provider) is often the right call.
Conditions Dr. Mahjoubi Treats for San Francisco Patients
- Treatment-resistant depression, including high-functioning depression and major depressive disorder
- Anxiety disorders, including burnout-related, generalized, and social anxiety
- PTSD, including complex trauma and relational trauma
- OCD and persistent ruminative patterns
- Chronic pain— fibromyalgia, neuropathic pain, CRPS
- Alcohol and cannabis dependency (as part of a broader plan)
- Postpartum depression (in consultation with the patient’s OB/GYN)
How the NutraBrain Program Works for San Francisco Patients
- Qualifying quiz– 20 seconds, free. Start here.
- Free Discovery Call — 5–10 minutes with our team. No prescription, just answers. Book here.
- Intake form — secure medical and psychiatric history. Begin intake.
- Video consultation with Dr. Mahjoubi — 30–45 minutes; protocol design; first month of medication included.
- Medication shipped to your San Francisco address — compounded by a California-licensed pharmacy.
- Ongoing care — $69/month membership with direct email access to Dr. Mahjoubi, refills included.
Full regulatory and legal detail on California telehealth ketamine prescribing is on our California state page.
Pricing for San Francisco Patients
| Item | Cost | Notes |
|---|---|---|
| Discovery Call | Free | 5–10 min Q&A. No prescription. |
| Initial telehealth consult | $400 | 30–45 min with Dr. Mahjoubi first 30-day supply included. |
| Ongoing membership | $69 / month | Protocol, refills, unlimited physician email — included |
| Refills | $0 | Included in membership. |
| Annual video follow-up (after year one) | $200 | One per year with Dr. Mahjoubi |
Ketamine is not covered by most insurance. HSA/FSA accepted in most cases. All pricing confirmed in your initial consult.
Three free ways to get started in San Francisco
- The 20-second qualifying quiz — tells you in seconds whether you may be a candidate.
- A free 5–10 minute Discovery Call — short Q&A. No prescription, just answers.
- The intake form — submit your history; we’ll evaluate before the paid consult.
Why San Francisco Residents Choose NutraBrain
- Direct physician relationship. Every patient meets and works with Dr. Mahjoubi directly — no rotating NPs, no triage layer.
- Mechanism-driven care. Patients who’ve researched the science get a physician who can talk about NMDA receptors, BDNF, and neuroplasticity in real terms — not marketing copy.
- Five delivery formats including ketamine + oxytocin. The only ketamine + oxytocin nasal spray in U.S. telehealth — designed for patients dealing with emotional blunting, attachment trauma, or relational disconnection.
- Privacy built in. Discreet packaging, HIPAA-compliant telehealth, no front-door visits to a downtown psychiatric clinic.
- Transparent pricing. $400 first month all-in, $69/mo thereafter. No surprise fees, no annual escalation.
Frequently Asked Questions — San Francisco Patients
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Yes — anywhere in San Francisco, plus Marin, San Mateo, Alameda, and Contra Costa counties (Oakland, Berkeley, Daly City, San Mateo, Palo Alto, Walnut Creek, and surrounding cities). All medication is compounded by California-licensed pharmacies and shipped via tracked courier.
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Often yes. Most SSRIs and SNRIs are compatible with at-home ketamine therapy. Dr. Mahjoubi reviews your full medication list during your consult and may suggest spacing or holding benzodiazepines around session days, since they can blunt ketamine's neuroplastic effect.
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Yes — and it's one of the most common patterns we see in our San Francisco intake. Emotional blunting affects up to 60% of long-term SSRI users in published surveys. The exclusive NutraBrain ketamine + oxytocin nasal spray was specifically formulated for this — addressing emotional connection and relational disconnection in addition to mood.
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Yes. California Business & Professions Code §2290.5 permits physician-supervised telehealth prescribing by California-licensed physicians. Full detail on our California page.
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Very. Medications ship in plain, unlabeled outer packaging with no NutraBrain or "ketamine" markings visible on the exterior. Inner pharmaceutical labeling is standard FDA-required format.
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A service-area agreement related to Dr. Mahjoubi's prior California clinics prevents NutraBrain from accepting new LA or OC patients at this time. LA and OC residents can visit www.phos.la.
Other California Cities We Serve
Start Your San Francisco Consult
30–45 minute telehealth consult with Dr. Mahjoubi · $400 flat · First month of medication included · $69/month thereafter · Cancel anytime. Not ready? Book a free 5–10 minute Discovery Call first.
