Operating as SD Wellness Group from Suite 300 at 3930 Fourth Ave, RT Med delivers interventional psychiatry treatments including IV ketamine infusions, SPRAVATO esketamine nasal spray, and FDA-cleared transcranial magnetic stimulation for depression and OCD cases that have not responded to standard medication trials. Treatment-resistant depression and anxiety workups here coordinate with specialized therapy groups such as Eating Disorder & OCD Therapy San Diego when SSRI failure overlaps with food restriction or obsessive-compulsive patterns that a pharmacology-only approach cannot resolve. The clinic also runs medication-assisted treatment for opioid use disorder alongside CBT, DBT, and EMDR individual therapy sessions, staying in-network with most major commercial plans. Holistic psychiatry follow-up between infusion cycles gets co-managed with integrative wellness offices such as Dr. Jon Deam - Aveo Wellness, where ketamine responders continue medication tapers and lifestyle adjustments after the acute treatment window closes. Same-week initial consultations prioritize in-person intake before moving eligible patients to a telehealth cadence for ongoing medication management. The most intensive treatment arcs here run six-infusion ketamine loading protocols with SPRAVATO maintenance and TMS stacking - a multimodal regimen for the treatment-resistant cases that conventional outpatient psychiatry has already tried and exhausted.