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Therapies

Psychiatric Therapies in Minnesota

Finding the right treatment for depression, anxiety, PTSD, or another mental health condition is rarely a straight line. Some people feel better with the first medication they try. Others go through prescription after prescription and still feel stuck. At Psychiatric Pathways, we believe your options should not run out just because standard treatment has not worked yet.

Led by Brenna Christie, FNP-C, PMHNP-BC, our Bloomington practice offers three therapies under one care team: psychiatric medication management, Spravato (esketamine), and IV ketamine therapy. Each one is part of a single, coordinated plan built around your diagnosis, history, and goals, so you never have to piece together care from different clinics.

If you are having thoughts of suicide or feel unsafe, call or text 988 (the Suicide & Crisis Lifeline) or call 911 if there is immediate danger.

Our Therapies

Psychiatric Medication Management

comprehensive psychiatric evaluation and continues with a personalized medication plan, regular follow-up visits, and careful adjustments over time. Whether you are starting medication for the first time, dealing with side effects, or have tried several prescriptions without relief, Brenna reviews what has and has not worked so your plan moves forward instead of repeating the past. Many follow-up visits are available by telehealth for adults located in Minnesota.

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Spravato Treatment

Spravato (esketamine) is an FDA-approved nasal spray for adults with treatment-resistant depression, meaning depression that has not improved enough after trying at least two antidepressants. It is also approved, together with an oral antidepressant, for major depression with acute suicidal thoughts or actions. Spravato works on glutamate rather than serotonin, and some people notice improvement within days. As a certified Spravato treatment center, we give every dose in our office and monitor you for at least two hours afterward. Because it is FDA-approved, Spravato is often covered by insurance, and our team can help with prior authorization.

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Ketamine Therapy

IV ketamine therapy acts on the brain’s glutamate system and may bring relief within hours or days for some patients. Its strongest research support is for treatment-resistant depression, with growing evidence for PTSD and earlier research in anxiety and OCD. Infusions are given slowly over about 40 to 60 minutes in a calm, private room while our team monitors your blood pressure, heart rate, and comfort. Ketamine is used off-label for mental health, and at Psychiatric Pathways it is always managed by a psychiatric provider alongside your medications and therapy, never offered on its own.

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Comparing Our Therapies

Here is a quick look at how the three therapies differ. Your consultation is the best place to talk through which one fits your situation.
Medication Management Spravato Ketamine Therapy
How it is given Oral medications, prescribed and adjusted over time Nasal spray you take yourself under direct supervision IV infusion given slowly over about 40 to 60 minutes
FDA status Depends on the medication FDA-approved for treatment-resistant depression and for major depression with suicidal thoughts or actions FDA-approved as an anesthetic; used off-label for mental health
Commonly used for Depression, anxiety, PTSD, OCD, bipolar disorder Treatment-resistant depression Treatment-resistant depression and PTSD; may be considered for anxiety, OCD, and bipolar depression
Where In person or telehealth In our Bloomington office only In our Bloomington office only
Time per visit Standard appointment; visits are more frequent at first About 2 to 2.5 hours, including at least 2 hours of monitoring About 2 hours in total
Insurance Often covered Often covered; prior authorization usually required Usually self-pay; HSA, FSA, and superbills accepted

Which Therapy Is Right for You?

You do not have to figure this out on your own. Most patients start with a free consultation and a comprehensive evaluation, and Brenna helps you choose a path from there. As a general guide:

  • Medication management is usually the starting point, whether you are new to psychiatric care or want a fresh, thorough review of what you have already tried.
  • Spravato may be a fit if you have tried at least two antidepressants at adequate doses without enough relief and want an FDA-approved option that is often covered by insurance.
  • Ketamine therapy may be a fit if your symptoms have not responded to standard treatment, if you are dealing with conditions like PTSD alongside depression, or if you prefer the precise dosing of an IV infusion.

Many patients use more than one. Spravato and ketamine are typically added to an existing medication plan rather than replacing it, and every part of your care is coordinated by the same provider.

Conditions We Treat

Our therapies help adults living with:

Depression

Anxiety disorders

PTSD

OCD

Bipolar disorder

Not every therapy is right for every condition. See all conditions we treat to learn how each one is approached.

How to Get Started

  1. Book a free consultation. A short call to talk through what is going on and whether our practice is a good fit.
  2. Complete a comprehensive evaluation. An in-person visit covering your symptoms, history, past medications, and medical health.
  3. Build your plan. Together, we choose a starting point, whether that is medication management, Spravato, ketamine, or a combination. You will understand the benefits, risks, and timeline before anything begins.
  4. Start treatment and follow up. We track your progress with structured check-ins and adjust your plan as you go.

Insurance and Cost

Psychiatric Pathways is in-network with Optum (including UnitedHealthcare, Medica, and UMR), Aetna, and Humana. Medication management and Spravato are often covered, though many plans require prior authorization for Spravato. IV ketamine is used off-label and is usually self-pay at $395 per session. We accept HSA and FSA payments and can provide a superbill that may help with out-of-network reimbursement. Visit our insurance page for details.

Care Led by Brenna Christie

Brenna Christie is dual board certified as a Family Nurse Practitioner and a Psychiatric-Mental Health Nurse Practitioner, and a member of the American Society of Ketamine Physicians, Psychotherapists and Practitioners (ASKP3). After seven years as a registered nurse in inpatient settings, she now focuses on adults whose depression and mood symptoms have not improved with traditional treatment alone. Her family medicine background means physical health, sleep, hormones, and other medications are always part of the picture, and her appointments are unhurried so your questions get real answers.

Serving Adults Across the Twin Cities

Our clinic is located at 3601 Minnesota Dr #510 in Bloomington, serving adults throughout the Twin Cities, including Minneapolis, Edina, Richfield, Eden Prairie, and surrounding communities. Spravato and ketamine treatments take place in person at our office, and many medication management follow-up visits are available by telehealth statewide.

Frequently Asked Questions About Our Therapies

Do I need a referral?

Most patients can schedule directly. Some insurance plans require a referral, so it is worth checking your plan. Providers can also refer patients through our referral page.

Both work on the brain’s glutamate system. Spravato is a nasal spray made from esketamine, FDA-approved for treatment-resistant depression and often covered by insurance. IV ketamine is given by infusion, is used off-label, and is usually self-pay.

Yes. Most patients receiving Spravato or ketamine continue with medication management, and all of it is coordinated by the same provider.

Usually not. We review everything you take during your evaluation and make changes only when they are needed. Never stop a psychiatric medication suddenly without talking to your provider.

Many medication management follow-up visits can be held by telehealth for adults located in Minnesota. Your first evaluation, Spravato, and ketamine treatments take place in person.

Depression is generally considered treatment-resistant when it has not improved enough after trying at least two antidepressants at adequate doses for long enough. Your evaluation will look closely at your treatment history to find out.

Take the Next Step

Whether you are just starting treatment or have tried everything you can think of, there may be a path forward. Brenna Christie and our team are here to help you find the therapy that fits.

Call (952) 592-5421 or schedule your free consultation today.