Product Description

Known For: One of Richmond’s most established psychiatric practices, offering FDA-approved Spravato (esketamine) and TMS within a full-service behavioral health model. Distinguished by 53 years of psychiatric expertise and broad insurance acceptance including Medicare and Medicaid.

HealingMaps Take: Dominion Behavioral Healthcare represents the institutional end of Richmond’s ketamine-adjacent treatment landscape. This is not a ketamine startup — it is a full-service psychiatric practice with over five decades of clinical history, led by Dr. Ashvin Patel, a Distinguished Life Fellow of the American Psychiatric Association. The Spravato offering here is contextualized within a comprehensive psychiatric care model: patients do not just receive esketamine in isolation — they have access to psychiatric evaluations, medication management, individual therapy, couples counseling, family therapy, and neuropsychological assessment. That comprehensive model matters because treatment-resistant depression rarely exists in a vacuum. The insurance acceptance is the headline for many patients: Dominion accepts 11+ plans including Medicare and Medicaid, making Spravato treatment accessible to populations that are priced out of cash-pay IV ketamine clinics. The two-hour monitoring requirement for each Spravato session is handled within their practice, and the large multidisciplinary team (psychiatrists, psychologists, LCSWs, PMHNPs) means continuity of care is built in. For patients who want esketamine delivered within a serious, insurance-covered psychiatric framework rather than a standalone infusion clinic, Dominion is the strongest option in Richmond.

Patient Review

“Dr. Patel and his team took my treatment-resistant depression seriously when other providers had given up. The Spravato sessions are covered by my insurance and being able to see my psychiatrist, therapist, and Spravato provider all in one practice makes everything easier to manage.”

About Dominion Behavioral Healthcare

Dominion Behavioral Healthcare is a comprehensive psychiatric practice located at 2301 North Parham Road, Suite 5, Richmond, VA 23229, with an additional location in Mechanicsville. Founded by Ashvin A. Patel, M.D., D.L.F.A.P.A., a board-certified psychiatrist with 53 years of clinical experience and a Distinguished Life Fellow of the American Psychiatric Association, the practice offers FDA-approved Spravato (esketamine) nasal spray, TMS therapy, psychiatric evaluations, medication management, individual/couples/family therapy, and neuropsychological assessment. The multidisciplinary team includes psychiatrists, psychologists, licensed clinical social workers, licensed professional counselors, and psychiatric nurse practitioners. Dominion accepts 11+ insurance plans including Medicare and Medicaid.

For more on how ketamine therapy works, see our complete guide to ketamine therapy.

What People Like

53 years of psychiatric expertise — one of Richmond’s most established behavioral health practices. Broad insurance acceptance including Medicare and Medicaid. Spravato delivered within comprehensive psychiatric care model. Full multidisciplinary team (psychiatrists, psychologists, therapists, NPs). Two locations (Richmond and Mechanicsville). TMS also available for patients who want non-ketamine options.

What People Don’t Like

No IV or IM ketamine — Spravato only. No KAP or psychedelic-assisted therapy model. Traditional psychiatric practice setting rather than modern wellness environment. Website could be more detailed about the Spravato program. Spravato requires prior authorization which can delay treatment start. Two-hour in-office monitoring requirement for each session.

Getting Started at Dominion Behavioral Healthcare

Call (804) 270-1124 or visit dbhrichmond.com to schedule a psychiatric evaluation. Located at 2301 North Parham Road, Suite 5, Richmond, VA 23229. Accepts Medicare, Medicaid, and 11+ insurance plans — ask about Spravato coverage and prior authorization.

Learn more about the evidence behind ketamine for depression at the National Institute of Mental Health.