Next Step Psychiatry
4145 Lawrenceville Highway, STE 100, Lilburn
4.1(36 Google reviews)
The clinic provides in-office Spravato treatment as a REMS-certified center. Its site describes private treatment rooms and a two-hour monitoring period.
Ketamine treatment
Ketamine is not FDA-approved specifically for OCD. Research is preliminary, and a response to ketamine in depression does not establish that it treats OCD. Ask a clinician about exposure and response prevention, medication and the evidence and risks for any off-label option.
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Gwinnett County · Georgia
1 listed clinic in Lilburn. Confirm treatment options and current availability directly with each practice.
Independent directory · confirm services and addresses directly. Educational information, not medical advice.
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Lilburn is a suburban community located in Gwinnett County, Georgia, within the bustling Metro Atlanta region. Known for its diverse population, historic Old Town area, and proximity to major transportation routes, the city offers residents access to a variety of healthcare services. For individuals exploring advanced psychiatric treatments, Lilburn provides local options for managing treatment-resistant depression and other challenging mental health conditions.
Patients in Lilburn have direct access to specialized care within their own community. Next Step Psychiatry maintains an office in Lilburn, providing in-office Spravato treatment as a REMS-certified center. Their facility features private treatment rooms and accommodates the required two-hour monitoring period.
For those willing to travel slightly further within the Metro Atlanta area, additional options are available. Nearby communities host practices such as Georgia Behavioral Health, LLC in Norcross, which offers Spravato, and Revive Ketamine Centers in Buford, which provides ketamine infusion therapy. Patients might also consider exploring resources in Lawrenceville or Snellville to find a clinical setting that aligns with their specific medical needs.
When evaluating these therapies, it is important to consult with a qualified psychiatric provider to determine the most appropriate approach. Whether seeking care locally in Lilburn or traveling to Atlanta, patients should carefully review the specific services, monitoring protocols, and clinical environments offered by each practice to ensure a safe and supportive treatment experience.
4145 Lawrenceville Highway, STE 100, Lilburn
4.1(36 Google reviews)
The clinic provides in-office Spravato treatment as a REMS-certified center. Its site describes private treatment rooms and a two-hour monitoring period.
Treatment schedules vary by clinic and treatment type, so plan transportation for each visit. Distances below are straight-line miles from Lilburn.
5.5 miles away · Snellville
3991 Stone Mountain Highway, Suite 203, Snellville
4.4(981 Google reviews)
LifeStance Therapists & Psychiatrists Snellville is listed in Snellville, Georgia. The listed appointment address is 3991 Stone Mountain Hwy Ste 203, Snellville, GA 30039, USA. Confirm the current location with the practice before travelling.
6.1 miles away · Norcross
4720 Peachtree Industrial Boulevard, Suite 4101, Norcross
4.7(53 Google reviews)
The practice is a certified Spravato treatment center directed by psychiatrist Neha Khurana. Patients self-administer the nasal spray in the office and remain under observation for two hours.
8.7 miles away · Decatur
2440 Lawrenceville Highway, 200, Decatur
5.0(22 Google reviews)
The clinic provides in-person Spravato, ketamine therapy, and Deep TMS. Psychiatric evaluations, medication management, and psychotherapy are available in person and through Georgia telepsychiatry.
9.6 miles away · Chamblee
3990 Clairmont Road, Chamblee
5.0(2 Google reviews)
Paula Sinisterra, LPC- Integrative Psychotherapy & Ketamine Assisted Psychotherapy is listed in Chamblee, Georgia. The listed appointment address is 3990 Clairmont Rd, Chamblee, GA 30341, USA. Confirm the current location with the practice before travelling.
10.1 miles away · Decatur
1766 Lawrenceville Highway, Decatur
4.6(245 Google reviews)
Treatment information
10.3 miles away · Johns Creek
10475 Medlock Bridge Road, Suite 410, Johns Creek
4.9(62 Google reviews)
The location lists ketamine therapy and Spravato among its outpatient psychiatric services. Other listed services include TMS, psychiatric medication management, and psychotherapy.
When exploring ketamine-based treatments in Lilburn, patients will encounter two distinct financial pathways. Off-label treatments, such as intravenous (IV), intramuscular (IM), or sublingual ketamine, are typically not covered by standard health insurance plans. Because these formulations are not FDA-approved for psychiatric conditions, clinics generally require out-of-pocket payment. Patients should request a comprehensive written estimate before beginning treatment, factoring in the cost of the initial psychiatric evaluation and the series of repeated sessions usually required for optimal results.
In contrast, Spravato (esketamine) is an FDA-approved nasal spray specifically indicated for certain types of adult treatment-resistant depression. Because of its approved status, many insurance providers offer coverage, though this often requires a rigorous prior authorization process. Patients must typically demonstrate that they have tried and failed other conventional antidepressant medications.
Regardless of the treatment type, prospective patients should account for indirect expenses. Repeated visits mean potential lost wages, and the requirement for a responsible adult to drive the patient home adds logistical costs. Additionally, patients considering compounded ketamine should be aware of safety considerations; the FDA warns patients and health care providers about potential risks associated with compounded ketamine products.
Accessing ketamine or Spravato therapy in Lilburn requires careful logistical planning. Spravato must be administered in a REMS-certified healthcare setting. Patients self-administer the nasal spray under medical supervision and must remain in the clinic for at least two hours of observation to monitor for potential side effects like sedation or dissociation. Following the session, patients are strictly prohibited from driving or operating heavy machinery until the next day, after a restful sleep. A responsible adult must be available to provide transportation home.
While telehealth can be useful for initial psychiatric assessments or follow-up consultations, it cannot replace the in-person requirements for Spravato. Spravato is never administered at home. Some providers may prescribe compounded ketamine for home use off-label, but these are not FDA-approved for psychiatric care, and the FDA warns against the risks of use without on-site clinical monitoring.
Patients should consider local travel conditions when scheduling their repeated appointments. Metro Atlanta traffic, particularly along Highway 29 or near Interstate 85, can cause significant delays. Additionally, Georgia's intense summer heat and severe thunderstorms may impact travel reliability. For more information on approved treatments, visit the Spravato website. If you or a loved one are in crisis, contact the 988 Suicide & Crisis Lifeline by calling or texting 988, or dial 911 for immediate medical emergencies.
IV ketamine is an off-label infusion therapy typically paid for out-of-pocket, while Spravato is an FDA-approved esketamine nasal spray for specific adult depression indications that may be covered by insurance. Both require clinical supervision, but Spravato must always be administered in a certified healthcare setting.
No. Clinical guidelines strictly prohibit driving or operating heavy machinery until the day following your Spravato treatment, after you have had a restful sleep. You must arrange for a responsible adult to safely drive you home from your Lilburn clinic after the mandatory two-hour observation period.
Yes, Lilburn residents have local access to Spravato. Next Step Psychiatry maintains an office in Lilburn and operates as a REMS-certified center providing in-office Spravato treatment. They offer private treatment rooms to accommodate the required two-hour post-administration monitoring period for patients.
Insurance typically does not cover off-label IV or compounded ketamine treatments. However, Spravato is FDA-approved for certain types of treatment-resistant depression and is often eligible for insurance coverage. Approval usually requires a prior authorization process demonstrating that other antidepressant medications have been ineffective.
Ketamine and Spravato therapies require multiple clinic visits, often twice a week initially. Heavy Metro Atlanta traffic, especially around Gwinnett County and I-85, can cause delays. Patients should factor in travel time and potential weather disruptions when coordinating appointments and arranging for their required return transportation.
Telehealth is often utilized for initial psychiatric evaluations and ongoing medication management. However, Spravato must be administered in person at a certified clinic. While some providers prescribe off-label compounded ketamine for home use, the FDA warns against this practice due to the risks of unmonitored administration.
Costs, coverage & aftercare
IV, IM and compounded ketamine for psychiatric conditions are off-label; many programs are self-pay. Ask about assessment, medication, administration, monitoring, therapy and maintenance charges separately. We do not assume a statewide price.
Spravato is FDA-approved esketamine, not the same as ketamine infusions. Coverage is not guaranteed. Check eligibility, prior authorization, network status, drug and visit charges, deductibles and copays with your insurer and clinic.
Spravato requires a certified healthcare setting and monitoring for at least two hours. Arrange transport home; do not drive until the next day after restful sleep. For other ketamine treatments, follow your clinician's instructions. Follow-up and maintenance depend on response and tolerability.
Ask who manages your medications, how your usual clinician will receive updates, and whom to contact between visits. Neither a shortage designation nor local depression statistics show that ketamine is appropriate or effective for you. Consult a licensed physician.
Use these questions when you call or book a consultation with any Lilburn provider.
Ask whether a physician, psychiatrist or anesthesiologist oversees each session and who you can reach afterward.
A good clinic reviews your history, medications, blood pressure and past treatments before recommending ketamine.
Look for continuous vital-sign monitoring and a calm, private recovery space.
IV infusions, Spravato® nasal spray, IM or sublingual options suit different goals and budgets.
Ask how the clinic coordinates with your therapist or offers integration support between sessions.
Request a written estimate for the first series and any maintenance sessions before you start.
| Clinic | Google rating | Reviews | Phone |
|---|---|---|---|
| LifeStance Therapists & Psychiatrists SnellvilleSnellville | 4.4 | 981 | (770) 389-8100 |
| MindBodySoul Mental Health & Family Practice - SPRAVATO/TMS /Medication Management/Weight Loss/BHRT and PEPTIDEDecatur | 4.6 | 245 | (404) 383-6196 |
| Hightop Health - Johns CreekJohns Creek | 4.9 | 62 | (470) 737-1569 |
| Georgia Behavioral Health, LLCNorcross | 4.7 | 53 | (678) 861-6463 |
| Next Step PsychiatryLilburn | 4.1 | 36 | (678) 437-1659 |
| Attuned PsychiatryDecatur | 5 | 22 | (470) 589-5858 |
| Paula Sinisterra, LPC- Integrative Psychotherapy & Ketamine Assisted PsychotherapyChamblee | 5 | 2 | (678) 995-9456 |
Ratings come from public Google reviews and change over time. Listing order is not a medical recommendation.
Many patients travel a short distance for a clinic that fits their needs. Explore ketamine care in these nearby communities.
Browsing a wider area? See every clinic in Gwinnett County
Conditions Ketamine treats, county-wide options and guides written for Georgia patients.