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64
Fair

Joyous

The most affordable at-home ketamine provider, offering very-low-dose (microdose) sublingual ketamine for depression, anxiety, and PTSD at $129/month.

Foster City, CAFounded 2021~34 employees
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What we like

+Most affordable at-home ketamine option at $129/mo — fraction of competitors' pricing
+Microdose approach: patients stay fully functional, no sitter required, compatible with SSRIs
+All-inclusive flat pricing: consultation, medication, provider access, portal, and check-ins bundled
+Daily/weekly structured check-ins with care team for ongoing monitoring
+89%+ of patients report improvement within the first month

What to watch

$400K privacy class action settlement (2025) for disclosing confidential customer data
BBB C+ rating with 112 complaints — billing after cancellation is the top issue
High provider turnover — patients rarely see the same clinician twice
Medication shipment delays and missed refills reported increasingly in early 2026
Compounded ketamine is not FDA-approved for psychiatric use (off-label)

Full Review

Joyous has built a compelling position as the most accessible entry point for at-home ketamine therapy, with flat $129/mo pricing that significantly undercuts competitors like Mindbloom ($330-430/mo) and IV clinics ($400-800/session). The company's microdose approach (10-120mg sublingual troches) keeps patients fully functional during treatment — no 'trip' experience, no required sitter, and compatibility with other antidepressants. Joyous reports 89%+ of patients see improvement within the first month. However, a $400K privacy class action settlement (2025), deteriorating service quality in early 2026, and persistent BBB complaints about billing and cancellation friction are material concerns. Available in 29 states.

Last researched: 2026-03-31

Pricing

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

TreatmentCategoryPrice/moIncludesNotes
Commitment Plan (3-month minimum)Mental Health$129
Consults Lab work Shipping
Free initial consultation
Subscription required
Flexible Plan (cancel anytime)Mental Health$159
Consults Lab work Shipping
Drops to $129/mo after 3 months
Subscription required

Score Breakdown

60
Trust & Safety (30%)
85
Value (25%)
60
Experience (20%)
55
Product Range (15%)
55
Reputation (10%)
Trust & Safety60/100
Value85/100
Experience60/100
Product Range55/100
Reputation55/100