SPRAVATO® (esketamine) & Intramuscular Ketamine Treatment Centers of North Carolina
We offer SPRAVATO® intranasal esketamine and intramuscular ketamine treatment therapy to patients in western North Carolina. With offices in Asheville, Mooresville and Morganton, our mission is to help treat major depression, PTSD and related anxiety conditions through newly approved medications and methods in psychiatry. SPRAVATO® is FDA-approved and accepted by most major commercial insurance. For those who qualify, we enroll patients in financial assistance programs meant to make SPRAVATO® available to those who struggle with medical costs.
SPRAVATO® (esketamine) CIII Nasal Spray Administration and Treatment
Certified treatment facility and affiliate of the SPRAVATO® Risk Evaluation and Mitigation Strategy (REMS) Program. We offer intranasal esketamine administration in accordance with REMS guidelines.
Intramuscular Ketamine Injection Treatment
Intramuscular ketamine injections for fast-acting relief. Ketamine itself is also fast-acting, and many patients notice results within 24 hours. Intramuscular injections allow your body to absorb the medication right away.
Consultation
Our team provides expert consultation and evaluation of individual patient needs. All patients must provide a referral from a primary care provider or outpatient psychiatrist before proceeding with consultation and treatment.
ANTHONY A. FRASCA, MD, MSPH
Board Certified in Psychiatry
Since 1997, it has been my passion and privilege to help people struggling with the most severe behavioral health conditions. During these 25+ years of practice I've seen the abilities, and sadly, the limitations of current psychiatric care. But, a new era of treatment is dawning, with opportunities to marry expertly applied standard care to newly approved medications and modalities that will help those for whom typical current care has not been enough.
The first and only NMDA receptor antagonist approved for 2 subtypes of MDD in adult patients:
Studied in more than 1700 adult patients with treatment-resistant depression across all studies, SPRAVATO® was approved by the FDA in March, 2019.
- FDA Approved
- Safe & Effective
- Available only through the SPRAVATO® Risk Evaluation and Mitigation Strategy (REMS)
- Long term efficacy demonstrated
- Comfortably administered
- Only dispensed and administered in healthcare settings
why choose us
Offering the latest advancements in treatment for mental health and depression, our facilities are innovative and unique.
Our team is passionately dedicated to helping you overcome your disorder. Through expert consultation and guided sessions, our prescriptive treatments are tailored to each individual patient’s needs. We’re here to help.
Expert Analysis
With over 25 years experience in mental health treatment, we aim to provide expert psychiatric consultation and care tailored to individual patient needs.
Privacy-Ensured Care
With your privacy in mind, we utilize treatment spaces that allow for private sessions in a comfortable and relaxed setting.
Innovative Treatment
We use clinically researched methods in modern psychiatry with a progressive approach toward treatment.
I was a patient at Zen Psychiatric for nearly a year, beginning treatment in February 2025. Out of nowhere, in January 2026, the office manager, Erica Rhyne, called me and abruptly ended my Spravato treatments. She claimed that “they haven’t been paid for any of my treatments since October,” even though my insurance later confirmed that all claims were pending, not denied—and the clinic had been receiving payments.
During my last appointment, the check-in staff member, Dash, behaved unprofessionally and aggressively toward me. She lied about the treatment bays being unavailable, created tension over a simple misunderstanding because I couldn’t hear her while wearing earbuds, and refused to take me back for treatment until I answered her question about whether I wanted water.
Dash had already been rude and disrespectful on at least four other occasions to both me and my fiancé, but every time I reported it, Erica Rhyne dismissed it completely.
After my treatment was cut off, I made numerous attempts to contact my prescribing psychiatrist, Dr. Anthony Frasca—through calls, emails, and every route I could think of—but never received a response. I was told multiple times that Dr. Frasca was aware of the situation and would be calling me back soon. One staff member, Rachel, even assured me he was adamant about returning calls.
Still, as of March 3, 2026, I’ve never heard from him. I even had to start calling from a secondary phone number app because the office stopped answering when I used my primary phone line.
I’ve struggled with Major Depressive Disorder, Treatment-Resistant Depression, Anxiety, and Complex PTSD for nearly 27 years. No medication combination ever worked for me—until Spravato. This treatment truly changed my life. For the first time, I felt genuine relief from the crippling symptoms that had controlled me for so long. My progress was incredible, and I finally had hope.
Erica Rhyne—who is not my psychiatrist—took all of that away. She single-handedly denied me access to a life-saving treatment, refused to let me speak with anyone else, and erased all of my hard-won progress. Because of her actions, my mental health has plummeted, leaving me in crisis once again!
What Erica Rhyne did to me has completely broken my spirit. Her actions were unethical, unfair, and illegal, and because of them, my entire life fell apart. I lost my job, my confidence, and a part of myself that I can’t seem to get back. The emotional pain she caused runs deep — I wake up every day struggling with crushing depression and anxiety that I can’t control. It feels like she took away not just my livelihood, but my peace, my stability, and my ability to feel safe in my own life again!!!
We highly recommend Zen Psychiatric Services!
First the actual treatments keep me from completely losing all my marbles, which I very much appreciate.
Most importantly though is that the people who work there are some of the best human on this planet. They are kind, compassionate, and have a good sense of humor. I feel like I am more than just a patient that they see when they go to work, but rather it feels like they really care. Words cannot express how much I appreciate everyone who works there!
I would recommend Spravato to anyone who is struggling and feels like nothing is working. And I would 10/10 recommend that they go to Zen Psychiatric Services, because they are truly wonderful. Between the treatments and the staff you will find that life suck less!
Latest News
Serving the western NC region and beyond, our main office is located in Morganton, NC. Inquiries regarding referrals, patient insurance, prior authorization for treatment, or general inquiries should be directed to our main office contact information listed below.
Phone: (828) 608-0892 Fax: (828) 608-0373
MONDAY-FRIDAY: 9:00 AM – 5:00 PM