Ketamine

We are now offering ketamine treatments to a limited number of patients.

Current treatment can use your accepted insurance or is out of pocket. The prices are a fraction of what other clinics offer.

For more information about Ketamine therapy, follow this link:
https://www.health.harvard.edu/blog/ketamine-for-major-depression-new-tool-new-questions-2019052216673

Inquire below to see if this treatment is right for you.

What is the purpose of Ketamine?

In the mental health arena, Ketamine is used to treat symptoms of depression, PTSD, and chronic pain. The goal of Ketamine is to create new ways of viewing and perceiving mental blocks or traumatic experiences. It helps guide our brains out of the depressive thought loops these experiences create and promotes the facilitation of new, positive thought patterns.

It can also help isolate our emotional response from triggering events or thoughts so that we can address them from a feeling of safety and objectivity. We might think of this as the way we would view situations if they happened to someone else rather than ourselves. This, in turn, helps retrain our brains to associate vulnerability with safety rather than with threat, to remove barriers, and promote healing. The Ketamine aids us in dissociating, by entering into a trance-like state, so the mind is free to wander and make these new perspective connections.

It's important to note that Ketamine is not a cure-all treatment. It won't magically fix all of our problems. What it will do is help us to gain new tools and perspectives to better navigate and overcome challenges with greater choice and ease.

What should I know before starting treatment?
  1. The efficacy of ketamine treatments will largely depend on past experiences and psychotherapy work, along with your future experiences and work with a psychotherapist. Regardless of where you find yourself now, ketamine allows your brain to explore or consider different ways of thinking available to you, that you may not yet realize. This may be more subtle for some individuals than others.
  2. You may experience anxiety during treatment. This is most commonly caused by the want to feel in complete control of your mind/body. As you reach dissociation, the feeling of disconnect between mind and body may seem uncomfortable or scary - this is part of the process which allows your mind to wander and make healing connections much more easily than it would be able to otherwise. The most important thing to keep in mind is that the body is an incredibly complex organism, your mind and body know exactly what they need to do to keep you safe during your ketamine sessions. Trust them and lean into the experience.
What are the side effects?

Minor side effects from treatment can include the following and tend to resolve within a few hours:

  • Nausea or Vomiting - To minimize this it is recommended that you are well hydrated and avoid eating or drinking for 3 hours before treatment
  • Temporary Elevated Blood pressure - The most common physical side effect is a short-term spike in blood pressure, pulse, or heart rate
  • Drowsiness and sedation
  • Blurred vision
  • Dizziness or lightheadedness
  • Impaired balance and coordination
  • Headache

Adverse side effects resulting from high dose, chronic use of Ketamine are very rare in medically supervised settings. Please inform your providers immediately if you notice any of these side effects:

  • Frequent, painful, or difficult urination
  • Permanent bladder dysfunction or cystitis - when drug is abused

Psychologically, ketamine has been shown to worsen certain psychotic symptoms in those who suffer from schizophrenia or other serious mental disorders.

How long is treatment?

Our treatment is set up to last 8 weeks. We recommend that you come in twice in the first week, then once per week for the remaining 7 weeks. Ultimately, the number of treatments you complete is up to you. You are not obligated to continue the full 8 weeks if you decide not to.

Each session lasts approximately 2 hours.

How is it administered?

We have 3 administration options: nasal spray, troche (dissolvable lozenge), and intramuscular (IM) injection. Prior to starting treatment, you will discuss with Able staff which administration method is best for you.

What will I feel or experience during my ketamine sessions?

Since each person is different and will react differently to Ketamine therapy, you may experience a range of feelings throughout your treatment. The most commonly reported experiences include feelings of happiness, calm, and relaxation. Alternatively, some people experience visual or time distortions or even the feeling they are out of their body. It is also common for people to feel like they don't have full control over their mind and body, which may cause moments of brief anxiety.

What is a typical session like?

When you come to the office you will get comfortable in one of our Ketamine rooms, where you are encouraged to listen to music, watch our tv visuals, meditate, or whatever you find helps you to relax. We'll start each appointment by taking your resting blood pressure and go over the Ketamine administration of whatever method you are using. During your session, you will embark on a self-guided exploration of your thoughts. Throughout your appointment, an Able Psychiatry staff member will be checking in on you.

How do I maximize the benefit of ketamine treatment?

The biggest way to maximize the benefit of ketamine treatment is to allow your mind to wander. This means being open to the exploration of whatever thoughts, feelings, or memories come up. It can be helpful to set an intention or choose a topic you would like to explore before each session. This gives the mind directions on where to go during your appointment.

There is no specific outcome needed or expected during your sessions, just the opportunity to experience alternative perspectives and lenses to view whatever your mind brings up. This gives you the opportunity to consciously choose how you want to view and interpret it. If you are able to record any of the insights you gain during your session, they can be very useful to explore in future psychotherapy sessions you may have.

How do I know if my Ketamine treatment is working?

Gauging the efficacy of your ketamine treatment will depend on your own unique set of criteria. A common indicator that treatment is working is experiencing the ability to just let things sit and allow them to be (without the need to take action/fix/restrict/etc). Other factors to consider might include:

  • Ability to view things from a different perspective (for example, if you default to a common thought or behavior, do you experience times when you also think of an alternative thought/behavior different from this - even if you don't fully believe or follow it?)
  • Increased self-compassion or self-acceptance
  • Increased compassion or acceptance of others
  • These are just a few examples of how benefits may manifest. Since every person's reasons for and expectations of treatment will be different, so will the way that they benefit from treatment.

How is this treatment different from Ketamine Infusions?

Our Ketamine treatment is different in cost, ease of administration and holistic effect. Ketamine infusion costs often range from $350 - $500+ per single infusion. Infusions can be very effective, but they do require the insertion of an IV into the arm to deliver the medication. Due to the ketamine entering directly into the bloodstream the effects are felt almost immediately and much more intensely than with other administration methods. Depending on the patient, this may not be the best introduction to Ketamine or it's benefits given the invasive nature and intensity level.

At Able Psychiatry, our priority is your comfort and feeling of safety. Effects of treatment do not have to feel super intense to yield benefits. Positive outcomes can come from effects as seemingly mild as the sense of complete relaxation. We recognize that different dosage intensities unlock different thoughts, feelings and sensations, all of which bring benefits. Lasting positive changes are not the result of the medication alone, but a combination of the treatment space, staff care, and self-directed integration before and after each session. We provide as much guidance as possible on how to maximize the benefit of your treatment with recommendations based on your individual intent for treatment.

How much does it cost?

Ketamine requires an upfront prescription/supply cost that must be paid out of pocket, before starting treatment. The cost for intranasal Ketamine spray or troches is $120 and $165 for intramuscular injection. Your prescription will be used for the duration of the treatment. Due to one's individual reaction and tolerance to Ketamine, you may require an additional prescription before reaching the end of treatment. This is not very common.

If using BCBS PPO (in-network) insurance, your plan’s deductible, copay and/or coinsurance will apply to your Ketamine sessions, if you have one. These costs vary by insurance plan. If using self-pay, each Ketamine session will be $250.

If using out-of-network insurance, you will need to pay out of pocket ($250) and we can provide you with a superbill that may be sent to your insurance company for reimbursement.

Will my current medications affect treatment efficacy?

Certain medications do interact with ketamine, causing it to be less effective. To adjust for this, make sure to tell us of all current medications you are on to maximize treatment efficacy.

What happens after I complete my treatment?

Once you have completed your treatment, the next two months will be used for observation on how the treatment effects are holding. If you feel you would benefit from a refresher or an additional cycle of treatment, you can consult with your provider.

RESOURCES

Spotify Playlists - Please note that a premium Spotify account is needed to listen to playlists without advertisement interruption

Curated by The Ketamine Training Center: https://open.spotify.com/user/vkrolsnfcgkhtnmh5hz83ndh6

Curated by Healing Realms Center: https://open.spotify.com/user/rgsahykfxjeoyl35cfgiyr60h

Patient Recommendations: https://open.spotify.com/playlist/2j3ZAy8tcrlWrgbx4WlUqR

YouTube Music - Continuous play music

Soothing Relaxation: Beautiful Relaxing Music for Stress Relief https://www.youtube.com/watch?v=2OEL4P1Rz04

Soothing Relaxation: Relaxing Zen Music with Water Sounds https://www.youtube.com/watch?v=V1RPi2MYptM

Meditation and Healing: "Boost Your Aura" https://www.youtube.com/watch?v=Lju6h-C37hE

Is Ketamine Right for Me?