After years of battling depression and anxiety, Better U has been a transformative step in my mental health journey. Offering affordable, at-home ketamine therapy, it makes cutting-edge treatment accessible and convenient. Designed for those interested in exploring the benefits of psychedelic therapy, Better U combines flexibility with the need for self-guided therapeutic work, providing a powerful alternative when traditional treatments haven’t worked.
Cost: $500 (4 sessions) or $792 (8 sessions)
Insurance Accepted? No
Free Consultation? Yes
Payment Plans? Yes, through Affirm
Ages Served: 18+
Pros & Cons:
- Free consultation
- Cheaper than other at-home ketamine treatments
- Pay-as-you-go option through Affirm
- At-home treatment
- Excellent customer support
- Does not accept insurance
- Does not offer therapy
- Must have Spotify Premium or Apple Music to access session playlists
Preview Better U:
Better U is an online ketamine treatment program that gives users an at-home treatment option for depression, anxiety, or chronic pain. The price for Better U treatment is a one-time fee ranging from $500 for four ketamine sessions, to $792 for eight ketamine sessions. Payment plans are available through Affirm, which are advertised as payment plans starting at $43 monthly. Better U serves those in 29 United States ages 18 and up and earned a 4.5 out of 5 stars in our independent review.
In my time using Better U, I experienced profound changes in my thinking and emotional responses. The sessions I underwent helped me identify areas of life that were out of focus and unbalanced. One critique that I had was that Better U did not offer many coaching integration sessions; ideally, I would have liked a call either before or after each ketamine session. However, I supplemented this with weekly therapy on my own.
Better U services are best for those who have experience with other forms of mental health care, such as therapy or medication management. Likewise, since Better U only offers a few coaching integration sessions, users must be ready to put in extra therapeutic work on their own. If you are seeking talk therapy or are just starting on your wellness journey, BetterHelp and Talkspace are two great options. For more options, read our guide on the best online therapy platforms.
Why You Can Trust My Review
Review our scoring criteria for at-home ketamine treatment platforms here.
Review our complete editorial policies here.
Firsthand Experiences
Full reviews and breakdowns of services are valuable, but sometimes you just want to hear a clear recommendation from somebody who’s used the service firsthand. Here is a firsthand experience from someone who has used Better U.
Detailed Review – What is Better U?
Better U is an online mental health company that offers at-home ketamine therapy for treatment-resistant depression, anxiety, and chronic pain. The cost of services ranges from $500 – $792, based on the package selected and how many ketamine sessions you sign up for. I signed up for eight ketamine sessions along with two coach integration sessions.
Better U uses higher doses of ketamine to induce a psychedelic effect within users. This increases neuroplasticity, or the brain’s ability to adapt and change. It is this, along with integration work tailored to your problem areas, that helps users overcome barriers to depression, anxiety, and other mental health struggles.1
Signing Up
Signing up for Better U services was very quick and simple. I completed the signup process on my smartphone, which took only about 15 minutes, from completing the initial assessment to paying for the package. The questionnaires at intake helped to determine if I was a good fit for ketamine therapy and started by asking about mental health symptoms and health history. The assessment came back that I was a good candidate, and I was then able to purchase a package and set up an appointment with a psychiatrist for an initial consultation.
Initial Psychiatric Consultation
After signing up and purchasing my package, I was able to meet with a psychiatrist to go over treatment planning. This appointment included the psychiatrist gathering detailed information about my health history, mental health symptoms, and lifestyle habits to assess if I was a good candidate for the program. This was also the call where I could ask questions or raise concerns.
We agreed in the session on the starting dose of ½ troche, a dissolvable lozenge, intending to increase to two troches for later sessions. One thing that impressed me was the ability to pick the flavor of the ketamine tablets, and I opted for a pleasant root beer flavor.
I left the initial session with a few questions, as the psychiatrist I met with was very thorough and detailed. However, the 25-minute call felt very rushed and could have been extended to make the process feel more relaxed.
Group Treatment Preparation Session
My next live session was a 30-minute group call with around ten other Better U participants who were also just starting their ketamine treatment. An integration guide went over dosing procedures, preparation for the sessions, how to use the online portal, and tips and tricks for getting the most out of treatment. At the end of the call, participants could ask any questions, but I walked away feeling more confident about managing my own treatment when the first ketamine session came around.
Session One: Dose Acclimation
It was finally time to start treatment, and I was admittedly a bit nervous. It was my first experience with psychedelics so I wasn’t sure what to expect in terms of experience and sensations, but I was excited to see how the medication could aid me. The first session was just for dose acclimation, starting with half of a troche to test the effects. To prepare for this session, and all others to follow, I stopped all food three hours before and stopped all liquids two hours before.
To prepare even further, I meditated and journaled, setting my intentions for the session. Better U’s app integrates well into treatment, as it offers journal prompts for each session along with relaxation techniques. It is also important for users to take their blood pressure before starting the session and log it in the metrics section of the app.
I settled into the guest bedroom, where I had prepared the space with incense and soft lighting. I started with the 1/2 troche (which was 150 mg of ketamine) as recommended by my psychiatrist, leaving the tablet under my tongue for 12 minutes and then spitting out any remaining troche and saliva.
I started to feel the effects of the ketamine after about 10 minutes of holding it in my cheek, which very much surprised me. I then laid down, put on the playlist that Better U curated for the session, and put on my eye mask. The first few minutes were the most intense, as I felt a wave of emotion take over. The music was instrumental and helped me get into a deep meditative state, with a bell ringing every 20-30 seconds to help ground me. No visuals occurred during this trip, but I was still able to process the emotions of grief over the recent loss of my dog. Eventually, I fell into a nice calm state and finished the session with a renewed sense of peace.
The comedown was a bit harder; I had a fairly intense headache after the experience that only went away with sleep. I also experienced nausea and vomiting later that evening. Overall though, I was pleased with the dose acclimation session and planned to up the ketamine dosage at the next session.
Future Better U Sessions
At the time of publication, I had not completed any other ketamine sessions with Better U. I will, however, finish the program in its entirety and take advantage of all eight ketamine sessions. Keep an eye out for updates and revisions, as I will be adding content with my most recent sessions and experiences.
Extra Features
Better U also offers extra features in their mobile app and on their website. Users can log activities such as exercise, yoga, meditation, and more. There is also a built-in note space where users can also track their mood, which is shared with the Better U provider. The app also features educational content on breathing exercises, meditations, and general lifestyle tips.
Cost
Better U costs a one-time fee of $500 – $792, depending on the package bought. The service offers two separate packages, which differ in the number of ketamine sessions and guide sessions. Currently, Better U does not accept insurance but does accept HSA/FSA payments along with payment plan options through Affirm. Better U does not issue refunds if you’ve already started treatment, but you can receive a refund if you pay for services and are determined not to be a good fit for the program.
Pricing and information for the two plans at Better U include:
- Introduction Package – $500 ($125 per session):
- Ketamine therapy consultation
- Virtual clinical appointment
- One-on-one treatment preparation
- Companion app and member portal
- Brainbox starter kit
- Medication delivered
- Four ketamine treatment sessions
- One integration coaching session
- Transformation Package – $792 ($99 per session):
- Everything listed in the Introduction Package
- Eight ketamine treatment sessions
- Two integration coaching sessions
Who Does Better U Serve?
Better U is a great option for those struggling with depression, anxiety, PTSD, or chronic pain who have found no relief in traditional treatments such as medication management and therapy. Better U is not suitable for those with uncontrolled high blood pressure or those pregnant or breastfeeding.
User Reviews of Better U
Reviews for Better U are generally positive, though there are few reviews on the Apple App Store and the Google Play Store. Overall, users found that Better U helped them with their mental health and found the coaching sessions to be very beneficial.
Reviews from Apple App Store | 4.4 out of 5 stars | 20 reviews
Positive reviews from the Apple App Store include users feeling that the onboarding process was easy and that the care staff was extremely helpful and empathic. Many users felt that the treatment itself was very helpful for their mental health symptoms.
Negative reviews from the Apple App Store include complaints about the app, citing the payment process would freeze and users were unable to complete the purchase.
Reviews from Google Play Store | 3.9 out of 5 stars | 14 reviews
Positive reviews from the Google Play Store include feeling that the overall program was life-changing and effective in managing depression.
Negative reviews from the Google Play Store include mostly issues with the app itself, such as not saving progress on forms and taking a lot of phone storage.
Reviews from Trustpilot | 4.6 out of 5 stars | 128 reviews
Positive reviews from Trustpilot include users stating that the ketamine therapy was incredibly effective and helpful in managing their mental health symptoms. Many users stated that it was life-changing for them.
Negative reviews from Trustpilot include feeling that the amount of texts and emails that they received when entering their information was excessive.
Reviews from Reddit | r/KetamineTherapy, r/TherapeuticKetamine
Positive reviews from Reddit include users stating that customer service was incredibly helpful and responsive. Other users felt that the service was helpful for their depression and anxiety symptoms.
Negative reviews from Reddit include feeling that the service was expensive, with many users stating that the price was raised after treatment started.
Who May Want an Alternative to Better U?
While Better U serves many adults, there are certain populations that would best be served by other services. Those who need in-person services or have not already tried more traditional mental health services should also seek care elsewhere.
Those needing in-person services
Since Better U is an at-home ketamine service, those seeking in-person care or ketamine treatment should look elsewhere.
Those who haven’t already worked with traditional mental healthcare
It is recommended that before starting ketamine for depression or anxiety, the user already be familiar with mental health care and has preferably tried more traditional services like medication management or therapy. If you are looking to start mental health services, read our lists of the best online therapy providers and best online psychiatry providers.
Those with uncontrolled hypertension or high ocular pressure
Better U requires that your blood pressure is below 150/90 before starting treatment, and any high blood pressure must be well managed and under control. Since Ketamine can raise your blood pressure, those with uncontrolled ocular hypertension are also not good candidates. Always speak to your primary care physician and ophthalmologist before starting ketamine treatment.
Look to all-in-one healthcare platforms like Doctor on Demand or Sesame Care to find physicians to help with uncontrolled hypertension, or seek help from your family doctor.
Those struggling with severe mental health symptoms
Ketamine treatment is not ideal for those suffering from severe mental health symptoms such as suicidal ideation, hallucinations, or psychosis
Those suffering from severe mental health symptoms should seek in-person care that’s more comprehensive.
If you currently have severe mental health symptoms and need immediate help, you should dial 911, visit the nearest emergency room, or call the National Suicide Prevention Lifeline at 800-273-TALK (8255) or by dialing 988.
Better U, or any at-home ketamine treatment program, is not ideal for those with a serious mental illness (SMI) such as bipolar disorder, schizophrenia, eating disorders, or personality disorders. Many of these disorders and conditions are considered exclusionary criteria for these sorts of programs.
Those with a history of ketamine abuse
If you have a history of ketamine abuse, an at-home ketamine service is not a good fit. If you’re presently looking for help with substance abuse, Workit Health offers whole-person medically-assisted treatment for a variety of addiction-related issues.
Better U Vs. Competitors
Better U is just one of a few at-home ketamine therapy programs on the market. Companies like Mindbloom offer similar experiences, whereas Joyous focuses on microdosing instead of a full psychedelic experience. Since it’s a newer approach to mental health care, at-home ketamine treatments can be expensive, are often not covered by insurance, and are available in only select states.
Better U Vs. Mindbloom
Better U Vs. Nue Life
Better U Vs. Joyous
Better U Vs. Innerwell
Final Verdict
Frequently Asked Questions
Is Better U Legit?
Yes, Better U is a legitimate treatment provider for at-home ketamine therapy.
What Ages Does Better U Serve?
Better U serves adults ages 18 and older.
Does Better U Offer Psychiatry Medication?
No, Better U does not offer any other psychiatric medication, besides ketamine.
What States is Better U in?
Currently, Better U is available in Alaska, Arizona, California, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Iowa, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New York, North Carolina, Ohio, Oregon, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, and Wisconsin.
How Much Does Better U Cost?
Better U costs $500 for four at-home ketamine sessions or $792 for eight at-home ketamine sessions. For a limited time, ChoosingTherapy.com readers can get $200 off Better U’s Transformation Package (8 Sessions) with code “NEWYOU”. Visit Better U
Can I Use My HSA/FSA for Better U?
Yes, you can use your HSA/FSA to pay for Better U services.
Does Better U Issue Refunds?
No, Better U does not offer refunds or guarantees. You will receive a refund if you pay for services and are determined not to be a good fit for the program.
Is Better U HIPAA-Compliant?
Yes, any Personal Health Information (PHI) collected by Better U is HIPAA-compliant and secured.
History & News About Better U
When was Better U Founded? 2021
CEO: Derek Du Chesne
Headquartered in: West Hollywood, CA
Publicly-Traded? No
Better U was co-founded by Derek Du Chesne and psychiatrist Dr. Sam Zand with the mission of providing safe, affordable, and clinically guided at-home ketamine treatments.3 Derek Du Chesne was driven to start Better U after struggling with depression and suicidal thoughts and personally experiencing the transformative effects of ketamine therapy. Dr. Zand, who served as Chief Medical Officer, has since moved on from the company.4 Better U’s current Medical Directory is Zaid Fadul, MD, FS, FAAFP
Choosing Therapy strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.
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Puderbaugh, M., & Emmady, P. D. (2023, May 1). Neuroplasticity. StatPearls. StatPearls Publishing. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK557811/
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Better U. (2022, November 3). Better U expanding psychedelic-assisted therapies to 9 states with immersive healing centers. PR Newswire. https://www.prnewswire.com/news-releases/better-u-expanding-psychedelic-assisted-therapies-to-9-states-with-immersive-healing-centers-301663315.html
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Better U. (n.d.). Better U: Company profile. Crunchbase. Retrieved February 21, 2025, from https://www.crunchbase.com/organization/better-u#people
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Better U. (2022, November 3). Better U expanding psychedelic-assisted therapies to 9 states with immersive healing centers. PR Newswire. https://www.prnewswire.com/news-releases/better-u-expanding-psychedelic-assisted-therapies-to-9-states-with-immersive-healing-centers-301663315.html
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Church, M. (2025, February 5). BetterHelp review 2025: Cost, pros & cons, & my experience. Choosing Therapy. Retrieved from https://www.choosingtherapy.com/betterhelp-review/
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Church, M. (2025, February 10). Talkspace review 2025: Pros & cons, cost, & my experience. Choosing Therapy. Retrieved from https://www.choosingtherapy.com/talkspace-review/
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Boudin, M. (2024, December 13). The best online therapy services of 2025. Choosing Therapy. Retrieved from https://www.choosingtherapy.com/best-online-therapy/
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Cottone, J. (2024, January 19). Ketamine therapy: What it is, who it can help, & effectiveness. Choosing Therapy. Retrieved from https://www.choosingtherapy.com/ketamine-therapy/
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Boudin, M. (2024, December 19). The best online psychiatrist platforms of 2025. Choosing Therapy. Retrieved from https://www.choosingtherapy.com/best-online-psychiatrist/
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Suarez-Angelino, L. (2024, June 5). Doctor on Demand review 2024: Pros & cons, cost, & my experience. Choosing Therapy. Retrieved from https://www.choosingtherapy.com/doctor-on-demand-review/
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Church, M. (2024, April 11). Sesame Care review 2024: Pros & cons, cost, & my experience. Choosing Therapy. Retrieved from https://www.choosingtherapy.com/sesame-care-review/
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Sprintis, R. (2024, March 1). Workit Health review 2024: Cost, pros & cons, & who it’s right for. Choosing Therapy. Retrieved from https://www.choosingtherapy.com/workit-health-review/
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Church, M. (2024, June 7). Mindbloom review 2024: Cost, pros & cons, & my experience. Choosing Therapy. Retrieved from https://www.choosingtherapy.com/mindbloom-review/
We regularly update the articles on ChoosingTherapy.com to ensure we continue to reflect scientific consensus on the topics we cover, to incorporate new research into our articles, and to better answer our audience’s questions. When our content undergoes a significant revision, we summarize the changes that were made and the date on which they occurred. We also record the authors and medical reviewers who contributed to previous versions of the article. Read more about our editorial policies here.
Author: Chelsey Church, M.S. (No change)
Medical Reviewer: Kristen Fuller, M.D. (No change)
Primary Changes: Updated state offerings to include the following: Hawaii, Indiana, Kentucky, New Jersey, New Mexico, and Oklahoma; Updated History and News Section to reflect correct co-founders.
Author: Chelsey Church, M.S.
Medical Reviewer: Kristen Fuller, M.D.
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