The Ultimate Guide to the Best Ketamine Infusions in Australia (2026 Update)
The landscape of mental health treatment in Australia is undergoing a seismic shift. For the hundreds of thousands of Australians suffering from treatment-resistant depression (TRD), anxiety, and PTSD, the search for relief can feel endless. Traditional antidepressants, therapy, and lifestyle changes often fall short, leaving patients and their families in a state of despair.
Enter ketamine infusion therapy. Once known solely as an anesthetic or a party drug, ketamine has emerged as a breakthrough, rapid-acting treatment for mental health conditions. As we move through 2026, access to this therapy is expanding across the country, but navigating the options can be overwhelming.
At keta-mine.com, we are dedicated to connecting you with the highest standard of care. This guide will walk you through the science, the costs, the regulatory landscape, and how to find the best ketamine infusion clinics in Australia.
What is Ketamine and How Does it Work for Depression?
To understand why ketamine is causing such excitement in the psychiatric community, we must look at how it differs from traditional treatments.

Beyond the “Happy Pill”: The Mechanism of Action
Most conventional antidepressants (like SSRIs) work by increasing levels of neurotransmitters like serotonin or norepinephrine in the brain. However, they can take weeks or months to work, and for one-third of patients, they don’t work at all .
Ketamine works differently. It is an NMDA receptor antagonist. In simple terms, it blocks a specific receptor in the brain, leading to a cascade of events that increase something called Brain-Derived Neurotrophic Factor (BDNF) . This increase stimulates neuroplasticity—the brain’s ability to form new neural connections and repair damaged ones .
Think of depression as a series of well-worn ruts or negative pathways in the brain. Ketamine helps the brain “smooth over” those ruts and create new, healthier pathways. This is why patients often report feeling a sense of “clarity” or a “lifting of the fog” within hours of an infusion, rather than the weeks required for standard pills .
The Two Main Types of Ketamine Used in Australia
When researching the best ketamine infusions in Australia, you will encounter two primary formulations. Understanding the difference is key to making an informed decision.
- Racemic Ketamine (Generic): This is the traditional, generic form of ketamine. It is a 50/50 mixture of two mirror-image molecules (isomers). It is administered intravenously (IV) or subcutaneously (SC) in clinics. According to recent studies from UNSW and the Black Dog Institute, generic ketamine is highly effective, safe, and remarkably low-cost—priced at just $5 to $20 per dose . However, because it is “off-patent,” it lacks a commercial sponsor and is not yet subsidized by the PBS for mental health, meaning the clinic fees cover the cost of administration and monitoring.
- Esketamine (Spravato®): This is a patented nasal spray containing only one of the isomers (S-ketamine). It was added to the Pharmaceutical Benefits Scheme (PBS) in 2025 for treatment-resistant depression . While the list price is high ($500-$900 per dose), the PBS subsidy means eligible patients pay just $31.60 per script (or $7.70 with a concession card) . It must be administered in a medical setting under supervision.
Why Choose Infusions? The Benefits of IV Ketamine
While esketamine sprays are convenient, many experts and patients still consider IV infusions the “gold standard” for the best ketamine infusions in Australia. Here is why:
- 100% Bioavailability: When taken orally or intranasally, the body does not absorb all the medication. With IV infusion, the full dose enters your bloodstream directly, ensuring predictable and consistent results.
- Precision Dosing: Doctors can precisely control the infusion rate, tailoring the dose to your specific body weight and response, which optimizes the therapeutic effect while minimizing dissociation .
- Rapid Response: Many patients with suicidal ideation report a significant reduction in thoughts within 24 hours of a single infusion, making it a critical intervention for acute crises .
The Australian Regulatory Landscape (2025/2026 Update)
Accessing ketamine therapy isn’t as simple as walking into a clinic and asking for a shot. Strict regulations are in place to ensure patient safety.
Who Can Prescribe?
In Australia, ketamine is a Schedule 8 (S8) controlled medicine. To prescribe it for mental health, the practitioner must be an Ahpra-registered psychiatrist . General Practitioners (GPs) cannot prescribe it; they must refer you to a psychiatrist for assessment and management.

State-by-State Requirements
While the Therapeutic Goods Administration (TGA) provides national oversight, states manage the approvals.
- New South Wales: Psychiatrists must apply via the SafeScript NSW portal for approvals to prescribe injectable ketamine, although there is now a class authority for the PBS-listed Spravato nasal spray .
- Victoria: Public options like the Royal Melbourne Hospital’s AIM Clinic serve specific catchment areas (Melbourne and Moonee Valley), but private clinics are more widely available for those outside these zones .
What to Expect: A Typical Infusion Session
If you are nervous about your first appointment, that is completely normal. Here is a step-by-step breakdown of what happens at the best ketamine infusion clinics.
1. The Pre-Assessment
You cannot just show up. A rigorous pre-assessment is mandatory. This includes:
- A comprehensive psychiatric evaluation.
- A medical history review and physical exam.
- An ECG to check your heart health, as ketamine can slightly elevate blood pressure and heart rate .
- Blood tests to rule out other causes of your symptoms.
2. The Setting
You will be settled into a calm, private room. Clinics like the Marian Centre or Epworth provide recliner chairs, blankets, and eye masks. You are encouraged to bring noise-canceling headphones and a curated playlist . Unlike the chaotic operating rooms where ketamine is used as an anesthetic, the therapeutic setting is designed for introspection and calm.
3. The Infusion
A cannula is inserted into your arm or hand. The low-dose ketamine is infused over approximately 40 to 60 minutes . A nurse will monitor your blood pressure and oxygen levels throughout the process.
4. The Experience (The “Trip”)
Patients describe a wide range of experiences. Some feel a profound sense of detachment from their body (dissociation), floating, or visual distortions. One patient described it as “a soaring drone shot over history,” while others simply feel deeply relaxed . The goal isn’t the “trip” itself, but the biological changes happening in the brain.
5. Recovery
After the infusion, you will rest in the recovery area for about 30-60 minutes. You will feel drowsy and spaced out, so you must not drive. You will need to arrange for a friend or family member to take you home .

Top Clinics Offering Ketamine Infusions in Australia
While keta-mine.com is your premier destination for finding the best care, it is helpful to know the landscape of providers currently operating across the country. These institutions represent the gold standard in safety and efficacy.
Victoria (VIC)
The Royal Melbourne Hospital (AIM Clinic)
- Overview: A public hospital option run by Professor Chris Davey. This is a research-driven clinic offering low-dose IV ketamine.
- Focus: Treatment-resistant depression.
- Eligibility: Strictly limited to patients in the Melbourne and Moonee Valley local government areas or those already in the RMH/Western Health system. Referrals must come from a psychiatrist .
- Why it stands out: It is at the forefront of clinical research, including neuroimaging studies to see how ketamine physically changes the brain .
Marian Centre (In collaboration with Anodyne)
- Overview: A private inpatient facility offering a structured two-week program.
- Focus: Treatment-resistant depression, suicidality, and PTSD.
- Treatment: Patients stay for two weeks and receive six infusions (Mon/Wed/Fri) .
- Why it stands out: The inpatient model provides intensive psychological support alongside the medical treatment, which can be ideal for those with severe, complex conditions.
Epworth HealthCare (Camberwell)
- Overview: A major private hospital group offering the PBS-subsidized Esketamine (Spravato) service.
- Focus: TRD in adults.
- Cost: The medication is subsidized by the PBS, but Epworth charges a $340 procedure fee per session to cover nursing and facility costs, which is out-of-pocket .
- Why it stands out: As a private hospital, it offers a high level of medical oversight and integration with other psychiatric services.
New South Wales (NSW)
Mind Connections Specialist Health Services (Sydney)
- Overview: A private specialist service offering both IV infusions and esketamine.
- Focus: Depression, PTSD, and anxiety.
- Cost: IV infusions range from $300 to $500 per session, with initial courses of 6-8 sessions totaling $1,800 to $4,000 .
- Why it stands out: They are noted for transparent pricing and comprehensive pre-treatment evaluations.
National and Online Providers
The Mindscape
- Overview: A newer entrant focusing on accessibility, offering at-home ketamine-assisted therapy (often via troches or nasal spray).
- Cost: Subscription models around $199-$249 per month .
- Why it stands out: Ideal for maintenance therapy after initial IV loading doses, though it requires a high degree of personal responsibility and a safe home environment.
The Cost of Ketamine Therapy vs. The Cost of Doing Nothing
Let’s address the elephant in the room: cost. Ketamine therapy is an investment in your health. However, when you compare it to the long-term economic and personal cost of chronic depression, the value becomes clear.
The Price Breakdown (2026 Estimates)
Is it Worth It?
Consider the alternative. A study from UNSW showed that 44.2% of patients responded to treatment by six months, and 73.3% saw a significant reduction in suicidality .
For someone who has spent thousands of dollars on therapies that didn’t work, and years of lost productivity and joy, the rapid relief offered by ketamine is often priceless. As one patient in the ABC article noted, even when the treatment wasn’t a total cure, the journey provided a new perspective and hope that traditional pills couldn’t offer .

Patient Stories: Hope in the Face of Adversity
It is easy to get lost in the scientific jargon and the dollar figures. But the real story of the best ketamine infusions in Australia is written in the lives of the patients.
One journalist who participated in a Sydney trial shared his experience of living with “half-lived life” due to depression. During his sessions, he described moments of encountering a “brilliant-white divinity” or a feeling of floating among the stars. While his depression scores didn’t fully remit, he noted that the psychedelic possibilities do “offer hope to so many” .
Conversely, the clinical data from the Black Dog Institute shows the “real-world” success stories: the 35% of patients who respond within eight weeks, and the 26% who achieve full remission . These are individuals who can return to work, reconnect with family, and escape the cycle of suicidal ideation.
How to Choose the Best Clinic for You
Choosing the right provider is the most important decision you will make in this journey. Here is a checklist to use when evaluating clinics like those on keta-mine.com:
- Verify Credentials: Is the prescribing doctor an Ahpra-registered psychiatrist?
- Assess the Setting: Is the treatment room comfortable? Does the clinic have protocols for emergencies?
- Understand the Protocol: Do they offer a structured loading phase (usually 6 infusions over 2-3 weeks)? Do they have a clear maintenance plan?
- Ask About Integration: Do they offer therapy or integration sessions to help you process the insights gained during the infusion? Medication without therapy is often less effective.
- Transparent Pricing: Do they provide a clear breakdown of costs (medication, procedure fee, psychiatrist fee) upfront?
Conclusion: A New Dawn for Mental Health in Australia
We are living in a historic moment for psychiatry. For the first time in decades, we have a tool that works quickly and effectively where other tools have failed. The best ketamine infusions in Australia offer a lifeline to those drowning in the depths of treatment-resistant depression. ketamine therapy australia
At keta-mine.com, we are committed to guiding you through this landscape. Whether you are seeking the research-backed precision of the Royal Melbourne Hospital, the intensive inpatient care of the Marian Centre, or the accessibility of PBS-subsidized Spravato at Epworth, help is closer than ever before.
If this story has raised issues for you, or if you are ready to take the next step, contact your treating psychiatrist to discuss a referral. Your path to relief starts with a single conversation. Ketamine Infusions
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