Interventional psychiatry · Fairfax, VA
Ketamine infusions, Spravato and TMS act on the brain, blood pressure and mood in real time. At Resova they are prescribed, dosed and supervised by Dr. Siddharth Arora, a physician board-certified in psychiatry, addiction medicine and pain medicine, with monitoring throughout every session.
Dr. Siddharth Arora is a triple board-certified physician in Psychiatry, Addiction Medicine, and Pain Medicine – a rare combination that allows him to understand the full complexity of treatment-resistant conditions. He completed his psychiatry residency at the prestigious Cleveland Clinic, followed by an interventional pain medicine fellowship at Nova Southeastern University and a visiting fellowship in neuromodulation at Duke University, where he trained directly in TMS, ECT, and tDCS protocols.
With an M.S. in Human Anatomy from Wright State University and a D.O. in Medicine from Midwestern University, Dr. Arora brings deep scientific understanding to every treatment decision. He currently serves as a Clinical Assistant Professor at Orlando College of Osteopathic Medicine, teaching the next generation of physicians, and is an item writer for the Conjoint Pain Medicine board certification examination.
What truly sets Dr. Arora apart is his personal approach. He built this practice specifically for patients who have tried medication, tried therapy, and still are not better. Unlike larger practices where you may never meet the medical director, Dr. Arora personally oversees every TMS and ketamine treatment – from your initial consultation through your final session. This is where you come when standard treatment has failed.
From depression and anxiety to ADHD and addiction recovery, we offer personalized, evidence-based care tailored to your unique needs. If standard treatment has not worked, there may still be a path forward.
If depression has continued despite treatment, a consultation can review your history and discuss the evidence, potential benefits, risks and alternatives for further care. Results vary by person.
Learn moreAnxiety can affect daily life in many ways. Discuss your symptoms and previous treatment with a clinician, including whether any proposed option is off-label and what evidence supports its use.
Learn moreCare for trauma-related symptoms starts with an individual assessment. Discuss treatment options, their evidence and risks, and how any new treatment would fit with your existing care.
Learn moreAn OCD evaluation can review previous treatment and available options. Ask which treatment protocols are appropriate for your diagnosis and what benefits, limitations and risks to expect.
Learn morePain conditions have different causes and treatment needs. A consultation can review your history and discuss whether an infusion option is appropriate, including its evidence and risks.
Learn moreCare for substance use concerns requires an individual assessment and coordination with your existing clinicians. Ask how any proposed treatment fits with your recovery plan and what evidence and risks apply.
Learn moreBipolar symptoms require treatment planning with attention to mood changes and ongoing care. Discuss potential benefits, risks and alternatives with your clinician; outcomes are not guaranteed.
Learn moreIf you are in immediate danger, call 911 or go to the nearest emergency department. In the U.S., call or text 988 for crisis support. A routine appointment request is not an emergency service.
Learn moreFor severe migraines that haven’t responded to standard treatments, a low-dose ketamine and magnesium infusion may offer relief. It is an off-label use; your doctor reviews the evidence, risks and alternatives with you first.
Learn moreProblematic pornography use and compulsive sexual behavior are medical conditions, not moral failures. Dr. Arora evaluates the neurobiology behind them, treats co-occurring depression or anxiety, manages medications that quiet urges, and connects you with specialized therapists.
Learn moreAt Resova Infusions and TMS in Fairfax, Virginia, adults can explore IV ketamine, Spravato and TMS treatment through a clinical consultation.
Treatment choice depends on your diagnosis, medical history, previous treatment and preferences. Ask about the evidence, risks, off-label use, costs and practical requirements for each option. Results vary; no treatment guarantees relief.
*Testimonials reflect real patient experiences. Individual results may vary.
From your first inquiry through treatment completion, here is exactly what to expect at our Fairfax clinic.
Your journey begins with a conversation. Whether you call us directly or fill out our online form, we take time to understand what you have been through – what treatments you have tried, what worked and what did not, and what you are hoping to achieve. There is no judgment here, only a genuine effort to understand your unique situation and determine if our approach is right for you.
You will sit down with a triple board-certified psychiatrist who specializes in treatment-resistant conditions. This is not a rushed 15-minute medication check. We spend real time reviewing your complete history – your symptoms, previous treatments, medical background, and what you want your life to look like. Together in person at our Fairfax office or via secure telehealth, we determine whether TMS or ketamine is appropriate for your specific situation.
Before beginning treatment, we complete a thorough clinical evaluation. This includes reviewing your medical history, conducting baseline PHQ-9 and GAD-7 assessments, verifying insurance coverage, and ruling out any contraindications. For ketamine, we assess cardiac risk and medication interactions. For TMS, we check for any metal implants or seizure history. This careful preparation ensures your treatment is both safe and optimized for your needs.
Now the real work begins. For TMS, you will visit our Fairfax clinic daily Monday through Friday for 36 sessions – 30 acute treatments followed by 6 taper sessions to lock in your results. Each session lasts 20-40 minutes, or just 3-5 minutes with our theta burst protocol. For ketamine, you will receive a series of IV infusions in our private, comfortable suites. Unlike larger practices where you rarely see the medical director, every session is personally overseen by Dr. Arora, who adjusts your protocol based on how you respond.
Healing is not linear, and we track it carefully. At every TMS session, we measure your PHQ-9 depression score and GAD-7 anxiety score to quantify your improvement. With ketamine, we check in before and after each infusion. If you are not responding as expected, we do not just continue blindly – we adjust. We also coordinate with your existing psychiatrist, therapist, or primary care provider to ensure everyone on your care team is aligned and informed.
Your last session is not goodbye. We develop a personalized maintenance plan to protect the gains you have made. For some patients, this means occasional TMS booster sessions. For others, it means follow-up ketamine infusions at carefully spaced intervals. We schedule check-ins, track your ongoing progress, and remain available if symptoms resurface. Our goal is not just to help you feel better temporarily – it is to help you stay better.
General answers about ketamine, Spravato and TMS for depression, with the research and guidance behind each one.
Treatment-resistant depression (TRD) usually means major depression that hasn't improved enough after trying at least two different antidepressants, each taken at a high enough dose and for long enough during the current episode. The exact definition can vary a little between studies and doctors. Having TRD doesn't mean depression can't be treated. It means it may be time to look at other options.
Sources: FDA: Spravato prescribing information (2025) ; McIntyre et al., American Journal of Psychiatry (2021)
IV ketamine can work quickly. Many people notice improvement within hours, often by the next day, instead of the several weeks standard antidepressants usually take. In an early NIH study, improvement began within about 2 hours of a single infusion. However, the benefit of one infusion often lasts only about 3 to 7 days, which is why a series of infusions is usually given, and not everyone responds.
Sources: Zarate et al., Archives of General Psychiatry (2006) ; McIntyre et al., American Journal of Psychiatry (2021)
Studies commonly use a first series of about six infusions, given two or three times a week. For example, a large 2023 trial gave them twice a week for three weeks. Doctors usually check how well treatment is working after about four to six infusions. Whether to continue with occasional maintenance infusions, and how often, is decided case by case because the best schedule hasn't been established.
Sources: Anand et al., New England Journal of Medicine (2023) ; McIntyre et al., American Journal of Psychiatry (2021)
IV ketamine for depression is given in a medical setting after a health check, and staff monitor heart rate, blood pressure and breathing. Common short-term effects include feeling detached or "dissociated", dizziness or drowsiness, and temporary rises in blood pressure and heart rate. These usually fade within a few hours. People with uncontrolled high blood pressure or certain serious heart or blood-vessel conditions are generally not candidates, a history of psychosis calls for extra caution, and long-term safety with repeated use is less well studied.
Sources: McIntyre et al., American Journal of Psychiatry (2021) ; Sanacora et al., JAMA Psychiatry (2017)
Spravato is a nasal spray containing esketamine, a form of ketamine. It is FDA-approved for adults with treatment-resistant depression, either on its own or with an oral antidepressant. Together with an oral antidepressant, it is also approved for depressive symptoms in adults with major depression who have acute suicidal thoughts or behavior. Because of risks like sedation and dissociation, it can only be given at healthcare settings certified in an FDA safety program (REMS), with monitoring for at least 2 hours after each dose. IV ketamine is given through a vein and is used "off-label" for depression, which means it isn't FDA-approved for that use.
Sources: FDA: Spravato prescribing information (2025) ; Sanacora et al., JAMA Psychiatry (2017)
Not on the same day. For Spravato, FDA labeling says not to drive or operate machinery until the next day after a restful sleep, and you will need someone to drive you home after each treatment. IV ketamine for depression has no depression-specific FDA label, but the FDA label for ketamine as an anesthetic advises against driving, operating hazardous machinery or other hazardous activities within 24 hours. Plan for a ride home and follow your care team's instructions.
Sources: FDA: Spravato prescribing information (2025) ; FDA: Ketalar (ketamine) prescribing information (2026)
TMS (transcranial magnetic stimulation) is a noninvasive treatment that uses magnetic pulses from a coil held against the head to stimulate a specific area of the brain. The FDA first cleared a TMS device for depression in 2008. It later cleared TMS for pain from certain migraine headaches (2013) and for OCD (2018), as well as for depression with anxiety symptoms and as an aid to quitting smoking. In 2024 it also cleared TMS as an add-on treatment for depression in teens 15 and older, and in 2026 it cleared one device (the MeRT System) as an add-on treatment for adults with PTSD. Each clearance applies to specific devices.
Sources: NIMH: Brain Stimulation Therapies ; FDA: TMS for obsessive compulsive disorder (2018) ; FDA 510(k) K260402: MeRT System for PTSD (2026)
Depending on the type of TMS, one session can take from about 3 minutes (a faster form called theta-burst stimulation) to about 40 minutes (standard TMS). A typical course is one session a day, 5 days a week, for about 4 to 6 weeks. Your care team will set your exact schedule.
Sources: NIMH: Brain Stimulation Therapies ; Blumberger et al., The Lancet (2018)
TMS doesn't involve needles or anesthesia, and you stay awake. Most people feel a light tapping on the scalp and hear clicking sounds, which some find uncomfortable, especially at first. The most common side effects are headache and scalp discomfort, which are usually mild and short-lived, and seizures are a serious but very rare risk. Because no anesthesia is used, most people can go back to their usual activities, including driving, after a session.
Sources: Cleveland Clinic: Transcranial Magnetic Stimulation ; CMS Medicare LCD L34998 (Novitas)
Medicare can cover TMS for major depression when specific medical criteria are met, and private insurance plans set their own rules. Medicare's rules are written by regional contractors and differ by area. For example, one regional policy requires severe major depression and no response to at least two antidepressant trials from different drug classes, plus a trial of psychotherapy, while another requires failure of one or more medication trials. Because requirements vary, check with your plan before starting treatment.
Sources: CMS Medicare LCD L34869 (Palmetto GBA) ; CMS Medicare LCD L34998 (Novitas)
Accelerated TMS gives several sessions in one day, so a full course takes days instead of weeks. The best-known protocol, SAINT (now called Stanford Neuromodulation Therapy), uses brain MRI scans to pick a personalized target and gives 10 short sessions a day for 5 days. The FDA cleared the SAINT system in 2022 for adults with major depression who haven't improved enough with antidepressant medication. In a small randomized trial of SAINT, active treatment cut depression scores by about 52% on average 4 weeks later, compared with about 11% for sham treatment, and larger, longer studies are still needed. In 2026 the FDA also cleared accelerated schedules, with several sessions a day, for another TMS system (MagVenture) for the same group of adults.
Sources: FDA 510(k) K220177: SAINT system (2022) ; Cole et al., American Journal of Psychiatry (2022) ; FDA 510(k) K260189: MagVenture Accelerated TMS (2026)
This information is general education, not medical advice. Whether a treatment is right for you depends on an evaluation with a clinician.
Most patients are seen within 24 hours of their initial consultation. We accept major insurance including Aetna, Blue Cross Blue Shield, Cigna, United Healthcare, and Tricare. TMS and Spravato may be covered for qualifying conditions, depending on your insurance and plan; not every plan covers them, and both require prior authorization. Insurance does not cover ketamine infusions, but it may cover your office visit. Complete the form or call us directly – our team will verify your benefits and schedule your first appointment.
Our board-certified team specializes in ketamine infusion therapy, TMS (Transcranial Magnetic Stimulation), and Spravato treatment for depression, anxiety, PTSD, OCD, and chronic pain. We serve patients throughout Northern Virginia from our Fairfax clinic, including McLean, Vienna, Reston, Arlington, Falls Church, and the greater DC metro area.
During your consultation, Dr. Arora will review your medical history, current symptoms, and previous treatments to determine if interventional psychiatry is right for you. We believe in personalized care – no two treatment plans are exactly alike because no two patients are exactly alike.
In-person care at our Fairfax clinic for communities within about 50 miles of 4017 Williamsburg Court, Fairfax, VA 22032, including Northern Virginia, Washington, DC, and nearby Maryland.
Our primary in-person clinic in Fairfax, VA, serves as a dedicated destination for patients seeking advanced psychiatric treatments. We provide comprehensive ketamine therapy and TMS treatment for depression, anxiety, PTSD, and other treatment-resistant conditions in a comfortable, medically supervised environment. Our board-certified team brings decades of combined experience in treating complex behavioral health conditions.
We believe that accessibility is a critical part of effective care. Our Fairfax location is easily accessible from across the region, with competitive pricing and flexible scheduling designed to fit your real-world needs. Most patients are seen within 24 hours of their initial consultation, ensuring you don’t have to wait weeks to start feeling like yourself again.
Mon & Thu: 9am–7pm
Tue, Wed & Fri: 9am–5:30pm
Sat & Sun: Closed
Telemedicine (ET)Every day: 9am–8pm
The Care Clinic is now Resova Health.
A new name and a bold new chapter in mental health care.The name is new. The purpose is not.
