Excited to announce the launch of SPRAVATO®..... Click Here to Learn More →
Excited to announce the launch of SPRAVATO®..... Click Here to Learn More →
At Tennessee Ketamine & Wellness Center, we provide medically supervised ketamine-based treatment for individuals facing complex mood disorders and chronic pain conditions. Located in Franklin, Tennessee, our clinic was established to offer a safe, compassionate option for those who have not found relief through traditional therapies.
We understand the toll that depression, PTSD, OCD, anxiety, and chronic pain can take—especially when standard care falls short. Our role is not to replace existing care, but to supplement it with carefully administered therapies grounded in science and guided by clinical integrity.
Our mission is to support individuals living with treatment-resistant mental health conditions and chronic pain by offering access to innovative, research-supported treatment options delivered with professionalism, empathy, and respect.
We exist to provide clarity in a space where confusion and frustration often dominate—and to give patients a private, calm, and ethical environment where their care is taken seriously.
At the core of our practice is a commitment to safe, evidence-based treatment protocols that prioritize both physical and psychological well-being.
We exclusively offer:
Every treatment is conducted on-site by licensed professionals in private rooms with continuous monitoring. We do not use group settings, at-home protocols, or telehealth-based ketamine. All patients are thoroughly screened for medical and psychiatric safety before beginning treatment, and each care plan is customized and updated based on individual progress.
Our medical doctors provide ketamine infusions with safety and patient comfort as our top priority.
Every patient undergoes a comprehensive evaluation by an anesthesiologist, who closely oversees their individual care. Our team has significant experience developing highly effective ketamine infusion protocols while minimizing side effects.
Our staff provides support and comfort to patients. We fully explain each procedure so patients know what to expect. Treatment is constantly monitored by a nurse to ensure safety, and an anesthesiologist is always on-site and immediately available.
Dr. Malchow served as an anesthesiologist for 25 years in the armed forces before retiring as a colonel in 2008. He then became an associate professor at Vanderbilt University Medical Center in Nashville, where he was the first Vanderbilt physician to offer intensive ketamine infusion therapy in 2014. In 2015, he established one of the few ketamine infusion centers (KIC) in the Veteran Health Administration and the only KIC in the U.S. specifically targeting opioid cessation/reduction.
He is an acknowledged U.S. expert on ketamine administration, having presented his extensive experience with ketamine in the veteran population at the American Society of Ketamine Physicians in 2018 and has given multiple lectures regarding the use of ketamine to national audiences in 2021. Dr. Malchow has published over 20 peer-reviewed journal articles and serves regularly on worldwide medical missions supporting those in need.
Dr. Malchow is honored to serve as the Medical Director for the Tennessee Ketamine & Wellness Center to provide compassionate and competent care for those suffering from depression, PTSD, OCD, chronic pain, and opioid dependence.
Dr. Rachel Rome is a board-certified anesthesiologist and interventional pain specialist with a deep expertise in regenerative medicine and palliative care. Her commitment to individualized patient care, innovative treatment approaches, and her prioritization of utilizing a holistic approach has made her a respected figure in the medical community.
Witnessing the transformative impact of ketamine on patients suffering from depression and chronic pain, Dr. Rome pursued advanced training in ketamine administration. In November 2021, she founded Mindful Infusions of TN, a concierge ketamine and wellness clinic, where she served as Medical Director. In addition, she has had the privilege of serving the local community at several clinics including David Price Regenerative Medical Center, LifeLinc Pain, and Empatia Palliative Care.
Dr. Rome earned her undergraduate degree in biology from Christian Brothers University and her medical degree from the University of Tennessee College of Medicine in Memphis. She completed her residency in anesthesiology and a fellowship in pain management at the University of Virginia in Charlottesville. She is an active member of the American Society of Anesthesiologists and the American Society of Interventional Pain Physicians.
Licensed providers are present for the entire duration of every session
Private treatment rooms ensure a quiet, individualized experience
Continuous monitoring is standard during and after every infusion
No overpromising—we present ketamine and SPRAVATO® as one part of a broader care plan
Personalized protocols reflect the unique needs and goals of each patient
Strict boundaries around compliance, privacy, and scientific accuracy
Exploring ketamine or SPRAVATO® treatment can feel overwhelming. We’re here to help you make that decision with confidence—never pressure.
If you’ve been living with a condition that hasn’t responded to other interventions, Tennessee Ketamine & Wellness Center offers a safe, respectful space to evaluate your options.