Author: Lori Calabrese, M.D.

  • Need To Do a 180? Ketamine Treatment Can Give You a New Start

    Need To Do a 180? Ketamine Treatment Can Give You a New Start

    Need to do a 180 in your life? Ketamine Treatment can help.

    Do you ever feel like you’ve lost control of your life? That little by little, things began to fall into a slump that you can’t figure out how to escape from? How do you put your life back on its feet? Where did you go wrong…?  It’s like it starts with a bad decision, or a traumatic experience, or some sort of mistake… and somewhere along the line you loose traction… and then your footing. And before long you find yourself toppling over completely and rolling to the bottom of the proverbial hill. You know you need to do a 180 but… How do you get back up again?

    Take Hannah, for example. Two years ago she made a snap decision to move out of her apartment and bought a home. It was a small, vintage home and she thought it was so cute. She loved it. She didn’t know much about buying a house. It was her first house, and she got the inspection report and it seemed to be pretty sound.

    Moving in and decorating and making it hers was so much fun. But  it was all she could do to just make the payments each month. She no longer had the money to eat out, or buy clothes, or put money in savings.

    Then she met Jake.

    Need to do a 180? Ketamine treatment can give you a new start.

    Jake was a looker, and seemed so personable. They spent time together often and he brought a spark into her life. She always looked forward to seeing him.

    Occasionally, he took her to dinner, but more often she cooked for him at home. Trouble was, she was finding it difficult to pay her bills when she was buying so many more groceries than she had been.

    She began to wonder if she should stop seeing him, because she was embarrassed to tell him she couldn’t afford to feed him so often.

    Then, one Saturday, Jake suggested they live together and share bills. Hannah hesitated for a moment. They’d only been seeing each other 7 months…was she ready for this?  Were they ready for this?

    She’d been feeling the need to do a 180 in her life, but now she was tangled up with Jake.

    She thought about it for the next couple days.  It was true she liked him, and they had fun together. But living together was a commitment — such a big step! — and she worried they weren’t ready for that. Still… if they didn’t do something to ease the financial strain, they would have to break up. So she agreed to let him move in.

    Hannah was too embarrassed to sit down and write up an agreement about what sharing bills would look like. She told herself he was a responsible man and would surely pay half of the bills — because he said he would.

    If your life is out of control and you need to do a 180, Ketamine can help.

    Unfortunately, once he moved his belongings into the house, Jake didn’t seem that motivated to put his things away. The mess of various and copious items, the stacked boxes, the clutter that piled up on tabletops and other surfaces, made her miserable. After two weeks of coping with piles of boxes, clothes, and what looked like pure junk to her, she was really regretting her decision to let him move in. 

    So she decided to sit down with him and talk about bills, division of responsibilities, and how they can make this work.

    She showed him the upcoming bills for the house payment, electricity, gas, water, sewer, internet, and garbage collection.

    She made a list of what each of them would need to pay. 

    Then she talked about responsibilities. In his column she wrote “unpack boxes, and organize belongings.”  Jake cleared his throat.

    “There’s no room in this house for me to organize my belongings. I’ll just live out of the boxes. I don’t mind.”

    “But I do, Jake. I need the house to look pretty and tidy if I’m going to be able to function here. I’ll find places to clear out so you have spots to put your things. But let’s talk about bills. Are you prepared to pay half of all these bills?”

    “No. You were already paying all of these yourself. This is your house, not mine. I’m not going to help you buy your house. I’m glad to split electricity with you, and the internet. You can just handle the rest yourself. I wouldn’t have any spending money left if I helped you pay all those bills!”

    Slowly, deeply, Hannah felt her heart sinking.

    Disappointment oozed through her pores. He wasn’t going to help. He was taking advantage of her and maybe that had been his intention all along. Good grief, she needed a 180 turn in her life.

    She felt defeated.

    Sometimes the disappointments of life overwhelm Ketamine can help.

    In one last effort, she said, “Jake, whether you live here or somewhere else, you’re using the property, electricity, gas, sewer, water, internet…all of it. And you need to pay for your use of all these things.

    “If you thought you could live here and only pay electricity and internet, you’re mistaken. Maybe it’s best that you move out now, before you unpack your boxes.”

    Jake exploded, and stormed out the door yelling, “FINE!”  The loud bang that followed as he slammed it confirmed he was gone.

    Weeks went by. There was no contact from Jake. Hannah texted him and asked him to come pick up his stuff. Again and again. Nothing. It was time to do a 180.

    After two months she loaded his boxes into her car and drove them to Goodwill and donated them. She sent him a text to tell him where his things were.

    Hannah felt like the worst failure. She should never have bought this house. She should never have agreed to let Jake move in. Bad snap decisions that led to a world of difficulty… and she didn’t know how to fix all this. 

    On top of that, her circumstances hadn’t changed. She still had no money left for living after she paid her bills. She felt trapped in this house. Trapped in this life. There was no room for friends, or having fun, or even helping others. She just had to figure out how to do a 180 in her life. How to change it.

    The longer that soaked in, the more failure she felt. The more failure she felt, the harder it was to go to work. With Christmas approaching, she needed to buy gifts for family and friends. But that would take money she didn’t have. So she just binge-watched Netflix at night and worked during the day. She couldn’t get over what her life had become.

    Then, on Christmas Day, she heard a knock on her door. When she answered, it was her friend Mandy…!  She hadn’t seen her in months. 

    Christmas can be a hard time for some people.

    “How did you know where to find me?”

    Mandy said, “I called your Mom.”

    “Well, come in!”

    “I brought you leftovers from our Christmas dinner. Since you’re by yourself, I guessed you wouldn’t be cooking today.”

    Hannah burst into tears. 

    “It’s been so hard for so long, Mandy. I appreciate this so much. I feel like my entire life has fallen apart and I don’t know how to fix it. I’ve been pretty isolated, with no one to talk to. Just haven’t had the energy to face anything or come up with solutions. Just going to work every day is so hard. My entire life needs a ‘do-over’… I need to do a 180… but I don’t have the energy to do anything about it.”

    “Hannah, I don’t know what the solutions are for you. What I do know is that you need a doctor to help you get on your feet emotionally again. You can’t find solutions when you have no energy to deal with anything.

    “Once you get some treatment and start feeling better, you’ll be in a much better position to figure out what changes you need to make to get your life back on track. But from what you’re telling me, it sounds like you have little to work with to really analyze your life.

    On the darkest day, hope reaches out and it's a gift.

    “Here, take this card. My sister had a major depresssion last year, and went to this psychiatrist. She prescribed medications but they didn’t work, so she encouraged her to get IV ketamine treatment. That treatment helped my sister so much. It’s like she’s a new person.”

    Christmas Miracle

    Hannah accepted the card gratefully, and hugged Mandy. What a gift her visit turned out to be. It felt like a Christmas present to be given so much hope that life could become better after all that had happened.

    She made an appointment for early January. The doctor prescribed some medications, but after 3 months she felt no improvement. So another prescription. And nothing. Something had to give. Her life desperately needed a 180.

    Then the doctor recommended IV ketamine treatment, which she said was often effective for those whose oral antidepressants don’t help. 

    Hannah felt a slight improvement during and after the first infusion. The second infusion a couple days later seemed to extend the effect of the first one. By the time she received the fourth one, she was beginning to feel better, but not better enough. The doctor reminded her that every brain is unique, and ketamine affects various people in different ways. She knew that she could expect to need between 6 and maybe as many as 10 infusions. That they would decide as they watched her response to the treatment.

    By the time of the 6th infusion, she noticed she was having pleasant but vivid dreams. She hadn’t remembered a dream in more than a year. She could tell she was improving, and the symptom questionnaire she completed before each infusion showed that she was improving — but not close to remission yet.

    She still lacked the energy to do much, and she still needed a 180 in her life… But subtle thoughts of things she wanted to do were rising up inside her. She agreed with her doctor to stop at 8 infusions and see what that could do for her in the coming weeks.

    If you need to do a 180 in your life, ketamine treatment can help.

    After the 8th

    In the weeks that followed, she noticed she was waking up in the morning with a brighter and brighter outlook. She also noticed she wasn’t minding going to work…and her creativity was blooming. She was having more and more new ideas, and her boss was loving them.

    When it came time for evaluations with her boss, her score was much higher than the previous year…and she got a raise!

    Hannah sent Mandy a basket of fruit, cheese, and wine as a thank you for coming to her house on Christmas and presenting her with hope. Then she called a realtor about selling her house. The subtle changes that resulted over time were the transforming 180 she’d been needing in her life. And IV ketamine treatment was at the core.

    What about you?

    Do you feel like your life has gotten out of control? Maybe a decision or two has led to disaster, and you don’t know how to get your traction back?

    Chaos may lead to depression, anxiety, or PTSD.

    A few small steps away from the path can have adventurous results…or horrific results. Do you need to do a 180 like Hannah?

    Start with recognizing you’re human. And humans make mistakes. It’s part of who we are. We all make mistakes. 

    Next, reach out for help. 

    IV ketamine treatment can give you the power to enjoy the holidays!

    Most likely there is someone in your circle who can help you find answers. And if the help you need is to get treatment for depression, anxiety, PTSD, suicidal thoughtsIV ketamine can be a remarkable help.

    As Christmas and Hanukkah come to your home, as the holiday season of love, sharing, and renewal continues, if you’re overwhelmed and not enjoying it, you may need treatment… especially if nothing else has helped.

    Don’t keep suffering silently. Call us.

    We can help you with the fastest way to get better using IV ketamine treatment in a relaxed and comfy setting (which also happens to be gorgeous).

    If you’re hurting, we want to help.

    To all our friends this holiday season— may you be well, may you find peace, may you be happy.

    Lori Calabrese, M.D. is on the front end of the race to stop PTSD in its tracks using IV ketamine treatment.

    To the restoration of your best self,

  • Did You Get Fired? How to Move Forward After a Severe Blow

    Did You Get Fired? How to Move Forward After a Severe Blow

    When you get fired, it can be devastating but ketamine can help.

    Ryan blew out a breath. He felt like the walls were closing in on him. He’d been working at this company for 9 years, and for some time now, he didn’t feel like he was contributing his best work. He didn’t know what was wrong, but he just didn’t have good ideas like he used to. Something akin to brain fog had been filling his head for so long he could hardly remember being sharp and productive. Most of the time he felt like he plodded along, doing grunt work. He was worried he’d lost his edge. Somehow, his job had turned into drudgery, and he felt like he was always playing catch up. Then one day his boss came to his office and closed the door. Not a good sign. “Ryan, as you know your annual evaluation didn’t carry a very high score. I’m sorry to have to do this….but…you’re fired. Gather your things and security will be here shortly to escort you from the building.”

    “What???”

    “You heard me. I hate to be the bearer of bad news, but you know this company operates on the performance of its employees. Your performance has been way down for over two years. My hands are tied.”

    If you get fired, looking for a new job can be hard.

    Ryan’s dignity shriveled in his gut. His self respect shriveled with it. He trudged down the hall to the supply room to find a box for his stuff. Head hanging, eyes staring at the floor, shoulders slumped…this was surely the worst day of his life. When you get fired, it soaks into your very core, eroding away your sense of worth.

    He was too stunned to analyze what happened…or why. He just kept putting one foot in front of the other to get a box and load it with his belongings because security was coming to escort him out of the building whether he was ready or not.

    After security walked him to his car, he stopped at a bar before driving home. What would he tell his wife? She would lose all respect for him and probably leave him.  He’d been trembling ever since he got the news, and he just had to find a way to get a grip. He needed to be strong for Trina.  He needed Trina…he didn’t want to lose her. But why would she stay with a loser?

    The pain and shock of the morning loomed before him. It was hard to get his thoughts to work. Who would ever hire him again? With a failure this serious on his record, what did he have to offer..? But without work, how could he take care of his family? Pay bills? Would they lose their house? Their cars?

    The more he worried, the more he worried.

    Fear of the future threatened to knock him to his knees.  He could think of no solutions, just failure, shock, loss, and despair.

    When he arrived home, Trina was in the kitchen. She turned to see him with a look of surprise.

    “What brings you home so early in the day?”

    “We need to talk. I had a terrible blow. Let’s sit down.”

    They walked into the living room and sat on the sofa.

    “What is it, Ry?”

    “I can hardly say it out loud. I honestly feel so shocked…and ashamed. Got fired this morning…”

    “Fired?? What happened?”

    “My boss told me my performance has been down for 2 years. He said it was out of his hands. I know I haven’t felt as sharp for awhile…like my head is full of cotton. It’s been hard to come up with new ideas, or to make clever contributions. But I had no idea I was on the verge of losing my job. I’m so sorry Trinie.”

    “Oh Ry, I’m so so sorry. What a terrible blow.”

    When you get fired, it's hard to know where to turn, and family support is important.

    “The worst of it is that I have no idea what to do. How will I get hired somewhere else with this on my record? And how can I perform somewhere else when I couldn’t perform at the job I had? What’s wrong with me?”

    Trina instinctively knew she needed to help reduce the stress Ryan was feeling right now, before he could move forward. He was close to panic and that would only work against him.

    She made him some lunch, put on some music, and they sat down to eat. She held his hand and told him as tough as things looked right now, they were going to get through this together.

    “Somehow, Ry, everything is going to work out. It will.”

    After lunch they went for a walk together. Trina told him about her friend Jill, whose husband had been depressed and is seeing a psychiatrist. Ryan rolled his eyes. 

    “Try to listen to me, Ry.

    “Jill’s husband’s name is Paul. He’d been in a funk for months and finally decided to see a psychiatrist who told him he had major depressive disorder. He and Jill were shocked by that. They knew he was irritable, and sort of bland, but they didn’t realize it was depression. He tried some medication that didn’t help and finally was encouraged to try IV ketamine treatment. It was a series of 7 or 8 infusions — I don’t remember — but it helped him dramatically. He says he’s thinking more clearly, feeling creative, far less irritable, and feels optimistic for the future.

    “Jill says the biggest change that she’s noticed is that he enjoys moments, food, their time together and with the kids. It’s his ability to enjoy.”

    Ryan was quiet.

    “I wonder if those changes in mental clarity and creativity are common. Without that kind of change, I’m worried whether I can function in a new job, not to mention successfully interview for one.”

    Couple talks about how to move forward after getting fired.

    Trina paused thoughtfully, then said, “Let’s find out. Let’s look through the internet when we get back and see what we can learn. It seems like there may be some real hope here.”

    And they did just that.

    A day that began as one of the worst days of Ryan’s life, the day he got fired, wound up to be one with sprigs of hope popping up all around. They learned that Ryan had apparently developed major depression, based on all the symptoms they found listed. He kept wishing he’d realized it before so he could have done something about it before losing his job. But he was hopeful with treatment he’d be able to rebuild his career and his life.

    He was so thankful for Trina. Her unconditional love propped him up and gave him courage he hadn’t had that morning. And the way she dove into problems seeking real solutions made problems seem to shrink.

    He called for an emergency appointment with a psychiatrist they found who offered ketamine. After a trial with medications that didn’t seem to help him at all, he was able to schedule IV ketamine treatment.

    He began to notice some improvement after the 3rd infusion, but it was so subtle he wasn’t sure if it might be his imagination. Then after the 4th infusion, it seemed there was a little bit of elevation.  Strange, hard to describe, but unmistakable.

    After the fifth infusion, he began to feel hope. And he noticed spurts of emotion that had been silent before.

    The sixth infusion was right before Thanksgiving, so he had to wait over a week for the 7th one. That turned out to be positive for him. For some reason, that resulted in the 7th infusion being more potent, and he found himself laughing on the way home. After that, and the 8th, he got better and better. 

    Spending time in nature along side ketamine treatment can enhance your outcomes.

    Ryan and Trina made a point to go for a walk every afternoon, to get fresh air and to enjoy the sounds of leaves rustling in the trees, and see birds flying. Taking the time to relax and enjoy those times rocked his recovery.

    Finally, Ryan began to prepare so that he could be astute for job interviews. The benefits of ketamine treatment showed up in his social ease, his patience, his creative ideas, and his hope.

    It only took several interviews until he was hired in a new company. By that time he’d been out of work for 6 1/2 months, and his energy, skills, and creativity were working again.

    It turned out that the atmosphere in the new company was far better suited to Ryan’s nature and work style than his old job had been. He never could have dreamed he’d be happier there, but he was.

    Losing a job, especially being fired, can be a traumatic and damaging experience. Some people never get over it. Others are able to adapt and move forward. But if you’re depressed and plagued with anxiety already, before you’re fired, that’s just a heavier load than anyone should have to carry.

    IV ketamine treatment can help.

    If you got fired, or were laid off, don’t despair. Your life can go on. You can go on.

    If you’ve had a traumatic blow, and you’re suffering from depression and/or anxiety like Ryan, call us.

    IV ketamine treatment may give you the advantage you need against these debilitating symptoms, and give you the open door to hope and restoration. Give yourself the chance to strive for remission of your symptoms, so you can embrace your life with joy.

    Lori Calabrese, M.D. is on the front end of the race to stop PTSD in its tracks using IV ketamine treatment.

    To the restoration of your best self,

  • Feeling Alienated? Some Form of Support Could be Helpful

    Feeling Alienated? Some Form of Support Could be Helpful

    Feeling alienated by abuse? Abuse can lead to depression but ketamine can help.

    Kyle and Rose felt fighting hot rage at their parents for separating.  Kyle was 17 and Rose was 15. How could their parents be so selfish?? They had ripped apart the home that Kyle and Rose needed. Relied on. Their parents were so buried in their own demands and accusations of each other, they were oblivious to the misery their children were enduring. At least it seemed that way to Kyle and Rose. From where they were sitting, their secure home had become a war zone and they had no idea what to do to get their lives back. Being a teen was hard enough. Did their parents not see that THEY were the adults? They should be keeping the home fires burning while the kids lived their lives. What were they thinking??? When you’re feeling alienated, you can also feel desperate.

    Their mom, Christine, quietly retreated to her room when the kids turned to homework. She softly sobbed into her pillow. She hadn’t wanted this, but her husband’s verbal abuse for 20 years had devolved to physical blows in the last few months, and she’d always told herself she wouldn’t live with him if he started hitting her. The kids didn’t know. It always happened behind closed doors. But she had had to take a stand and tell him to move out.

    The kids blamed her for making him move out. They believed she was being selfish but they didn’t know why she did it. And she knew she could say nothing about his abuse because it would alienate Rose and Kyle from their father…it would make everything worse.

    A Family Shattered

    The result was that in this family of four, there were three separate camps. Mom, Dad, and Teens.

    When parents fight, teens can feel alienated and not know who to trust.

    None of the four wanted this. All of them were miserable and heartbroken. Kyle and Rose sought refuge among their respective friends. It was the best they could do in this state of reverberating loss.

    Christine buried herself in her job. She kept her head down, kept tissues on her desk for the occasional breakthrough tears, and worked to achieve the best she could in spite of her distraction and pain. It wasn’t going that well, and she was haunted that her children were hurting and didn’t feel they could be comforted by her or their dad. Her husband was bitter, but didn’t want the children to know he’d been hitting their mom. So he also kept his head down and focused on work.

    Trouble is, in a situation like this, nothing stays the same.

    The relationships between each parent and each child continued to deteriorate, because the children were in the dark. It seemed to them their very foundations had been sabotaged for no good reason, so rather than turn to the parents they’d always trusted, they turned to other teens. 

    And in the state they were in, they felt the most in common with teens who were hurting about their home lives, too. Before long they found themselves exposed to things they never had been before. Teens at risk sometimes take risks themselves. And when they’re feeling alienated…well, things can blow up fast.

    Christine couldn’t talk to her husband about her concerns because he was too angry. Alienation can blow a family apart in the worst way. And solutions can be terribly hard to find.

    But Christine kew her kids, and she saw their facial expressions, their clothing, and their attitudes grow darker, less trusting, more dangerous. And…she began to suspect they weren’t doing their homework, to make matters worse.

    Angry Teen Takes Risks

    One night, she heard her daughter whispering on the phone. She kept an eye on her to see if she could tell what she was up to. She had trusted Rose and Kyle all their lives and they’d lived up to that trust. But she knew these times were adding pressures they might not be able to manage. And because they were feeling alienated, she worried what they might do.

    After she thought everyone had gone to bed, she sat in her room and listened. It didn’t surprise her when she heard a car idling out in front of the house — then her daughter’s bedroom door opened across the hall.

    Christine slipped into the hall in time to see Rose heading down the stairs.

    When Rose reached the bottom of the stairs, Christine was at the top.

    “Rose?”

    Rose’s hand froze on the front door handle.

    “Yes…?”

    “Where are you going?”

    “…nowhere…?”

    But your hand.  It’s on the doorknob. Who’s in the car outside?”

    BUSTED.

    When you're feeling alienated, it can take work to connect again.

    “Rachael Franklin.”

    “Don’t you think it’s a little late for two fifteen year old girls to go out ? Does Rachael have a driver’s license?”

    “Yes.”

    “Ok, then, a 15 year old and a barely 16 year old. Why don’t you text her that you’re not coming, and let’s make some hot chocolate.”

    “Ok.” Rose rolled her eyes and started texting her friend. She knew from her mom’s tone this was not negotiable.

    “This is so embarrassing, Mom.”

    “I can imagine. But the fact that you were heading out this late at night without permission, tells me things are moving to the next level.”

    “The next level..?”

    “The level of anger and reaction that you were willing to damage your integrity with your mom to push back against what’s happening in our family. I don’t blame you for wanting to do something…anything…to express your disappointment and frustration. I wish I could, too. But you might have found yourself in a dangerous situation. 

    “We’ll never know. But instead of running away from each other, we need to find ways to strengthen our trust in each other. I love you. I want you to be happy and safe.”

    “Mom, I can see that and I don’t want to be mad at you. But I feel so alone. I’ve lost the people I trust. You and Dad made our home what it is, and with all this going on — with you and Dad at odds with each other — I don’t know who to trust. I just feel so awfully alone. More and more I’ve been thinking about wanting to die to make all this go away.”

    Christine was relieved for the chance she and her daughter had to open up to each other. When they were both feeling so alienated, the night could have ended so much worse.

    Mom and daughter continued to talk until they were both tired and ready to sleep. In bed, Christine thought in the dark about Kyle, too, and wondered how she should connect with him to hopefully pull him into a safer place.

    Further Communication to Bridge the Gap

    The following weekend she took advantage of the opportunity to make waffles for breakfast, and broached the subject.

    “Kyle, Rose and I have been talking about what a difficult position you and she find yourselves in the wake of your dad’s and my separation. It’s a terribly difficult position for your dad and I, too. Do you feel angry about it all?”

    When a home falls apart, you may be feeling alienated.

    Kyle nearly choked. 

    “Of course, I do.”

    “Do you feel more angry that you don’t understand what led to this, or just that our family is living in two separate locations?”

    “Both! How could you make such a random, life-crushing decision out of the blue? We saw nothing that led up to it. It looks like this is all your fault from what I can tell, since Dad is the one living off by himself, and you’re all fine and comfortable right here, sleeping in your own bed.”

    Christine swallowed hard. She wanted to cry out and defend herself and her decision, but she knew she would damage the relationships between her children and their father if she told them. What could she say to reassure her 17 year old son and preserve his trust in both parents?

    “Kyle, your dad and I are determined to work through this time with the help of counselors, if at all possible. We’re also determined to not speak ill of each other to you and Rose. You need both us us and we want your trust in your parents to remain intact.

    “Please try to understand that in a marriage, sometimes things go terribly wrong, and both parties feel betrayed and disappointed in each other. Sometimes it’s nearly impossible to get past it. But when that happens, it’s between the parties in the marriage, and isn’t between the parents and their children. For this reason, your dad and I will be attending co-parenting counseling to help us do the best we each can for you and Rose.

    “We’re determined to do all we can to get through this with the least possible amount of damage to our family, and it’s too soon in the process to know how this is going to go. But above all things, we want you two to be happy and feel safe. At least as much as possible. So we need to keep talking about how we’re all doing along the way.”

    Kyle played with his waffle by stirring his fork through it. He didn’t look up.

    “I’m asking both of you, how are your grades doing?  And your homework..is it getting done? If not, maybe we need to all do it together at the table for awhile for moral support…”

    Kyle sighed. “I just haven’t felt like doing much of anything lately.  So I guess I’ve missed some assignments.”

    Rose spoke up. “I’ve been sort of relaxed about mine, too. It’s been hard to see the point.”   

    Mom and Teens Begin to Work Together

    When feeling alienated, teens often turn to friends.

    “Ok, good to know. Talk to your teachers and tell them what’s going on in our family, and that you know you’ve missed some work. Ask if they’ll let you make up the work, and we’ll conquer it together in the evenings until you’re flush again. You don’t have to face this alone, but you do need to face it. I have the feeling your teachers will have some understanding for your situation. They’ll know that when you’re feeling alienated, you can flounder. Will you try to do that?”

    Both Kyle and Rose nodded.

    In the following weeks and months, Christine stayed closely connected to her teens and their outlook. While they tried to get their work caught up, they also both found it very difficult. Clearly, they both seemed unable to focus, and listless, as well. 

    An appointment with her psychiatrist for each of them revealed they were both depressed. Antidepressants were prescribed but — even after months — she saw no improvement. Then, another prescription was added for each of them…again with no improvement. Months of lost time were passing.

    A New Treatment Makes the Difference

    Finally, she read about IV ketamine treatment for depression. After talking with her psychiatrist, she obtained a referral from him to seek out IV ketamine treatment. By this time she realized she needed it too. 

    Feeling alienated can be resolved with couples counseling.

    She went first. Over the next few months, she and both her children received IV ketamine treatment. It entailed 6 infusions for Rose, 9 infusions for Christine, and 7 for Kyle. The storm that had nearly destroyed their family was calming down. Treatment was restoring their resilience and hope. By the time school started in the fall, all three of them were on firmer footing, and had the courage to face what was ahead.

    They had stronger connections with each other, too. They talked about how sometimes a storm is the very thing to make roots go deeper. And that they were not feeling so alienated anymore.

    Strength to Contribute to Healing

    Meanwhile, Christine and her husband Ben were going to couple’s therapy, and Ben had started anger management treatment. It was too soon to tell how their family’s crisis would play out, but everyone was trying. And they were facing the present and future with courage, thanks to ketamine treatment and a lot of hard work.

    Have you felt alienated in your family? Have you or your spouse or children felt isolated from the rest?  What about depression or anxiety? Has alienation led to depression for your loved ones?

    When you're feeling alienated, if you give it time, connections to family can be restored.

    When Symptoms Resolve There is Strength for What Needs to be Done

    Challenges in a family can be complex to resolve, but if you have no energy to seek solutions due to depression, resolution may be impossible. When you’re feeling alienated, it also makes it so hard to invest. By treating depression first with ketamine treatment, you may find you’re better equipped to construct solutions going forward. You may be best armed to unravel the alienation.

    Does some of this sound familiar? If you or a family member have experienced some of the things Christine and her family did — if you are experiencing depression and anxiety that nothing else has helped — call us.

    IV ketamine treatment can be a remarkably effective treatment for depression symptoms, social anxiety, PTSD, and suicidal thoughts. Don’t suffer in silence and allow these symptoms to dismantle your ability to cope and overcome obstacles in your life. Address the situation that makes you feel alienated.

    You have options no one has ever had before this 21st century. So many people have been without help…or hope…until now. Reach out for treatment that will illuminate and empower your life and joy. You can live again.

    We want to help you enjoy your best self, now.

    Lori Calabrese, M.D. is on the front end of the race to stop PTSD in its tracks using IV ketamine treatment.

    To the restoration of your best self,

  • When Trauma Sabotages Your Life – You Can Overcome It!

    When Trauma Sabotages Your Life – You Can Overcome It!

    When trauma sabotages your life, overcome it with ketamine.

    Stephanie was a happily married thirty-something woman with 3 young children. She adored her husband and after 12 years of marriage, she still felt a thrill every time they held hands or caught each other’s eye. She fully expected the spark between them would see them through good times and bad, and they worked at actively communicating through every challenge. Of course, they had minor conflicts and bumps in the road from time to time, like any marriage does. But they built a life and family together, and Stephanie felt lucky and fulfilled. Then, everything changed. One evening right before Christmas, Stephanie’s husband told her he’d never loved her, and wanted a divorce. Stephanie was floored. She felt punched in the gut. Devastated. Shocked. Stunned. All she believed about their marriage seemed to have been fiction..?  Her friend told her when trauma sabotages your life, it can be overcome. But how?

    Her love and warmth and deep affection for her husband was not returned. Why?

    Infidelity Shatters Trust in a Committed Relationship

    It came out that he’d been seeing a “family friend.” He didn’t go home the next night, and the night after that. Then began coming home only in the morning to shower before work.

    Stephanie saw him in the bathroom and flew out of bed in a rage. “How could you???”

    He silently dressed and left for work…and Stephanie collapsed on the bed, crying in pain and betrayal. This man who had been so beautiful to her for the 15 years she’d known him, had turned into a stranger and a monster in a moment.

    Cold. Without compassion or mercy. Brutal. Cruel.

    Trauma sabotages your life and strips your joy.

    What a fool she must have been. She felt ashamed. Humiliated. How could she think she was in a happy marriage? How could she have enjoyed him so much, when his loyalty was to someone else? The betrayal of her deep trust and love disintegrated her core. Trauma sabotaged her life, from wall to wall.

    Painful thoughts of hurt, humiliation, betrayal, and loss swirled around and around in her head. 

    “So this is what it feels like when your heart is breaking,” she thought…For weeks, then months. Then years. She worked hard to build a new life, support her children, weave fun moments into their lives. If it wasn’t for her children, she thought she’d go to bed and stay there. Forever. But she didn’t. She kept putting one foot in front of the other.

    Dinner Out is Ruined, Groceries Abandoned

    Two years later she still felt like she would implode at the mention of his name. If she entered a restaurant, and saw him and “her” seated, she would walk out to keep from having a panic attack. If she saw them in the grocery store, her hands would start shaking, her palms would grow moist, and perspiration would break out on her forehead. She’d quickly leave, abandoning her groceries.

    She wondered how others got over divorce. She didn’t think she was making any progress. How do you let go of the rage? How do you heal from the terrible hurt? What do you do to stop trauma from sabotaging her life? She felt like she was defined by her ex-husband’s rejection. Stephanie worried about her children and what her prolonged grief was doing to them.

    The heartbreak of betrayal and trauma leave you heartbroken.

    As more time went by, the strain of her ex-husband’s betrayal wore her down. It ground away at her resources— including mental, emotional, financial, and physical. She had not experienced joy since he told her he was leaving nearly three years ago. Stephanie endured. She existed. She kept hanging on.

    Maybe There’s More To It than Grief

    Stephanie decided to see a therapist. On the recommendation of a friend, she made an appointment. After talking awhile, the therapist pointed out that she may have PTSD from the way it all happened. Considering her panic attacks, her severe reactions to having contact with her ex. Her increased heart rate and respirations at the thought of him.

    The stress of living her altered life, worry about her children, fear of contact with her ex-husband, fear of reminders of the trauma … all hinted at her post traumatic stress and need for treatment.

    There were long sessions with her therapist every week for months, but while she learned some things about herself, the panic continued.

    Then, she read an article about PTSD and how IV ketamine treatment could be effective in treating it. She wanted her life back. Her self back. She wanted to be her best self for her children.

    IV Ketamine Treatment Emerges as Her Solution

    Trauma sabotages your life but ketamine can help you rise above it.

    Stephanie googled “IV ketamine treatment” and learned it showed dramatic results in treating depression, social anxiety, PTSD, and suicidal thoughts. She also found blog posts and articles describing personal experiences about relief and remission following the treatment.

    Stephanie felt hope in ketamine’s potential. Could it help her feel better?  Could it help her reach freedom from the prolonged grief and pain of her divorce? Was it possible she could actually live again?

    A search for psychiatrists who offered IV ketamine, and a scrutiny of those she found, led her to choose a practice in a nearby town. She began infusions the following week.

    A Supplement that Can Enhance Outcomes

    The doctor encouraged her to begin taking magnesium glycinate daily to help her glutamate receptors and neurons work more effectively with the ketamine.

    By the third infusion, Stephanie felt a lightening of the weight that had hung over her for 3 years. It was subtle, but definitely there. She noticed other changes in her motivation, her ability to laugh, and her plans.  Something was getting better inside her.

    Trauma sabotages your whole life, but ketamine can help you overcome.

    It May Take More Than 6 Infusions

    All in all, 9 infusions were required, but it was worth the perseverance. A sense of resilience replaced the defeat and trauma. Her feeling of self respect seemed to fall into place, along with confidence to reach out and assert her desires. Stephanie realized that though trauma might sabotage her life, with ketamine it could be overcome.

    A happy mom leads to happy children, and hers were no exception. Her life, and theirs, had changed — and there had been losses. But she came to accept that change is a part of life, and she could move forward and make her new life meaningful and rewarding.

    And she did.

    If you have had a life altering blow that seemed to dismantle your life, there is hope. And if the blow was so traumatic that you’ve been unable to move forward, but want to, we may be able to help.

    So, if you’ve had trauma, betrayal, hurt…that’s led to depression or PTSD, and nothing has helped, call us.

    It just could be that IV ketamine treatment can restore your peace, your resilience, your hope, and your freedom to live as your best self.

    Lori Calabrese, M.D. is on the front end of the race to stop PTSD in its tracks using IV ketamine treatment.

    To the restoration of your best self,

  • When Abuse Leads to Overwhelming Stress at Work

    When Abuse Leads to Overwhelming Stress at Work

    A boss who uses abuse can lead to overwhelming stress.

    Garrett is a 38-year old computer programmer who works in the IT department of a nationwide mortgage company. After ten years in the same department, the stress of the job seems to just pile upon itself. The short length of time allotted for projects to be completed, the abrasive attitudes of co-workers who are all under terrible pressure, the long hours into the night when something breaks down, the strain on everyone when a key member of the team leaves for a new job… Garrett is worn out and work down by the ongoing pressure and stress of his job…and doesn’t know how much longer he can endure. The stressful conditions of the job itself are abusive. And abuse leads to overwhelming stress.

    Why Can’t People Just Be Kind?

    By far, however, the worst stressor in his life ...is his boss. Daily chiding, screaming profanity, and humiliating Garett and his co-workers has destroyed the morale of the team. Garrett’s early annoyance with his boss’s bad attitude has evolved into a white hot fury he keeps under a lid. He does what he’s told but he feels himself losing his tolerance.

    Day after day after week after month, the toxic atmosphere is so distracting and keeps Garrett on edge. He feels his creativity wane, his outlook darken. Until his mind has grown dull, and his bitterness toward his abusive boss grows hotter.

    A constant source of abuse leads to overwhelming stress, like your boss.

    Finally, the last straw. It’s on a Monday morning. His boss gives a young, newer employee a promotion and a raise, and places him in a supervisory role over Garrett. He demotes Garrett to a position with less authority than he currently has. And he announces it to everyone. He makes Garrett an example of failure before his entire team.

    Garrett is devastated. His boss is such a jerk.

    From where Garrett’s sitting, his boss seems to derive actual pleasure from humiliating Garrett. The hurt and frustration fills him. Humiliation crushes him. From this point, he avoids making eye contact with his co-workers. He feels frozen, hopeless, and unable to do his job acceptably.

    Weeks go by as he struggles to muscle through his job responsibilities.  It’s just so hard to think. Before his boss took his position in Garrett’s department, Garrett had been a bright, promising employee, full of good ideas and creative solutions. Now he can’t seem to produce anything worthwhile. It’s like the lights have been turned out.

    Weekend Getaway To Explore Options

    Finally, Garrett and his wife take a weekend trip and talk. Garrett pours out to her his frustration, wounded pride, feelings of betrayal by his boss, and disillusionment. She says he needs to get out of that job, but he says he’s lost his edge and wouldn’t be able to find further employment. The strain of abuse leads to overwhelming stress.

    So they talked about why he’s having so much difficulty on the job. Is the boss’s cruel treatment traumatizing him? Is he getting depressed from all the stress? All he knows is that he used to be exceptional and now he feels dull and stunted.

    Resilient businessman can rise above the stress with ketamine.

    Lucy, his wife, had been reading some books lately. One of them, Ketamine for Depression by Stephen J Hyde, had been remarkably enlightening. She wondered if this treatment that had helped so many, would help Garrett. She described some of the personal stories in the book and Garrett was intrigued.

    It sounded like this treatment could help trauma, depression, cognition, and social anxiety. It seemed possible it might help him.

    A Special Treatment Restores Resilience

    He googled “IV ketamine treatment” in his area and found a psychiatry practice that offered it. What a relief that he could go in after work. Finally, someone was getting it—that when you’re already under fire, you can’t afford to call out or take PTO. He scheduled a consult and was excited he could schedule infusions on Tuesdays and Fridays after work. That meant no one needed to know.

    Whew.

    Garrett didn’t feel any change after the first 3 infusions…. his wife encouraged him, pushed him to continue, read that this was not unusual. Then felt some lightening in his outlook after the fourth. He felt less depressed and took some initiative after the fifth.  Then felt somewhat better again after the sixth. The seventh opened a door that brought in light…and hope. He found in the following weeks he had a spring in his step, and energy for people’s idiosyncrasies.

    Ketamine can relieve stress that abuse causes and give you the power to enjoy life.

    Within two weeks of his 7th infusion, he was becoming more and more creative, and his work became easier and easier for him.  He felt like he was getting better and better now.

    And he was resilient, so the boss’s comments just rolled off him. Garrett was so thankful, and relieved. He could live his life again. He and his wife could have dinner with friends. So much opened up.

    He was ready to keep it going.

    As we often say, ketamine treatment isn’t for everyone. And we continue to study it to learn why.

    But for most people it’s transformative.

    Here at Innovative Psychiatry, we’re focused on bringing this extraordinary treatment to you. We do all we can to help you get the most benefit from your ketamine treatment. That why, first and foremost, we offer IV ketamine infusions.

    It’s what works. It’s where the most data is. And it’s the safest and fastest route out of misery.

    Thanksgiving is a time for love and sharing

    Do you live or work in a situation where abuse leads to overwhelming stress? Is that stress leaving you worn down and worn out? If you experience the symptoms of depression like Garrett did and nothing has helped, call us.

    We want to help you feel great again, back to your best self, and able to enjoy the rewards your life can bring.

    With Thanksgiving upon us, we wish you and your loved ones a wonderful holiday, and that you have the resilience to enjoy this season and make memories you’ll treasure.

    Happy Thanksgiving From Us to You!!

    Lori Calabrese, M.D. is on the front end of the race to stop PTSD in its tracks using IV ketamine treatment.

    To the restoration of your best self,

  • Does Your Teen Get SAD This Time of Year? Try IV Ketamine.

    Does Your Teen Get SAD This Time of Year? Try IV Ketamine.

    Does your teen get sad this time of year?

    It’s November, and Daylight Savings Time has ended. The sun goes down earlier, and when you get home from school or work, the night covers you and the traffic in a blanket of darkness. Homework has to be done by artificial light, and the healing dose of vitamin D that has nourished you all year is gone. Add to that the nourishing sunlight is only prevalent while you’re indoors at school. Seasonal Affective Disorder, or SAD, can interfere in your teen’s social development and education. Does your teen get SAD this time of year?

    Psychiatric Disorders Tend to Run in Families

    Cherie and Tom are brother and sister, and they both suffer from seasonal affective disorder. It started in their early teens, and you know how psychiatric difficulties can run in families. They have a 9 year old little sister who doesn’t seem to be affected by the emotional lows in fall and winter that Cherie and Tom do. At least, not yet.

    Their family is active, and in the summer they’re busy with tennis, golf, swimming and water skiing, and they feel great. But by November, both of them slow down, feel too sluggish to participate in sports at school, and do only what’s required.

    Seasonal affective disorder makes school work hard or impossible to accomplish.

    Studying is harder than it is in September and early October, or April and May. They both feel withdrawn, less interested in social interaction, and  more overwhelmed with school demands. Cherie is 15 and in 10th grade, and Tom is 17 in 11th grade. 

    Without Resilience It’s Hard to Move Forward

    Tom dreads going to college because he’ll be away from home and wonders how he’ll survive during fall and winter. What can he do to save his grade point?

    As for Cherie, she just wants to give up. She thinks a lot about dropping out of high school because it seems futile to keep going through this every year, when classes get harder and harder with each passing grade.

    Finally, Cherie feels she’s drowning in the futility and begins to think about making her life stop. Ending it. Trouble is, she doesn’t talk to anyone about it. She just carries it inside her…thinking about it more and more.

    In a family of five, a quiet teen can easily be overlooked. The signs can be missed.

    Meanwhile, Tom is trying to prepare for the SAT, which is no small feat in his frame of mind. His parents are taking him around to a variety of college campuses to help him narrow down his choices. And on top of that their younger sister, Izzie, is trying to prepare for the Science Fair.

    Tom held on with white knuckles, trying to study and prepare for his upcoming SAT, getting his parents to drill him. To say the least, the family was stretched in too many directions.

    No one noticed that Cherie was spending most of her time in her room.

    Does your teen get SAD this time of year?

    Bottom line, the depression of seasonal affective disorder made Tom and Cherie feel like they were sludging through hip-deep mud day after day.

    Then came the day of Tom’s SAT test. He honestly prayed through it. Hoping for some sort of miracle that the answers would come to him and he’d do well.

    Cherie stayed at home that day, and after everyone else left, she found a bottle of pills her mom took to help her sleep. She sat on her bed for hours contemplating those pills. Finally, Cherie went to the kitchen to get a glass of water then sat on her bed working up the courage to start systematically swallowing the pills. When your teen gets SAD at this time of year, it can be dangerous.

    She started swallowing the pills two at a time.

    After she had gagged while swallowing the second handful, she thought she heard a clattering downstairs. She closed her eyes and tried to swallow down the nausea. Then swallowed two more.

    Her mom tapped on the door then walked in. There Cherie sat with a pile of pills in her lap, and water in her hand, looking guilty.

    IF your teen gets SAD this time of year, IV ketamine can help her get back on track.

    Thinking fast, her mother called 911, then asked Cherie how many she’d taken. In a panic, Cherie said, “I’m not sure.”  But she knew she felt a bit fuzzy.

    At the Emergency Department, the doctor induced vomiting, then inserted an NG tube into her stomach to keep her stomach empty. It was a miserable experience for Cherie. Then she was admitted to the Psychiatry unit for observation.

    Afterwards, Tom and Cherie’s parents drove home to talk to Tom.

    “Have you had any thoughts about hurting yourself, Tom? We know you’ve been struggling since the first part of November,” his parents asked gently.

    “I don’t think so,” Tom replied quietly.

    “I’ll admit I’ve felt desperate at times, but not that desperate. I wondered how I would survive in life without college because it all overwhelms me and I’m afraid to go. I don’t know what to do.”

    Both Tom and Cherie had been taking a variety of antidepressants but neither seemed to have gotten relief from the medicine.

    Tom’s parents looked at each other and said, “There must be something that will help.”

    Tom went to bed, and his parents got on the computer. They googled, “Treatment for depression when medicine doesn’t help.”

    A Novel Depression Treatment May Hold Hope

    IV ketamine can give your depressed teen a new lease on life.

    To their surprise, all sorts of things came up, that all seemed to point to novel forms of treatment, especially IV ketamine treatment. They got to thinking about how their teens get sad, and realized they’d been rather blind to their children’s wellbeing.

    They read all they could find on it, and learned that ketamine has been used for 50 years safely in anesthesia, and that in the last ten years it’s been used more and more widely to treat depression, bipolar depression, social anxiety, PTSD, and suicidal thoughts

    The more they read, the more hope they had for both of their teens. They learned that ketamine turbo boosts the connections between brain cells which offers clearer cognition, a brighter outlook, and more creativity. It brings hope and resilience.

    Tom and Cherie both received IV ketamine treatment for depression and social anxiety the following week, along with their mom. who also battled with seasonal affective disorder but hadn’t realized it.

    Does your teen get SAD this time of year? Is he sluggish, listless, with little interest in school work or time with the family? If he’s hopeless, sad, and withdrawn, and medications haven’t helped, call us.

    At Innovative Psychiatry we can help you get the ketamine treatment you need to restore your joy and hope.

    Make this a productive and rewarding winter.

    We’re here for you.

    Lori Calabrese, M.D. is on the front end of the race to stop PTSD in its tracks using IV ketamine treatment.

    To the restoration of your best self,

  • Straight Talk: Let’s Be Honest About  Excessive Social Media Engagement

    Straight Talk: Let’s Be Honest About Excessive Social Media Engagement

    Extensive social media engagement can hinder a students success.

    Zach is 15 year-old high school sophomore. Some say that 14-15 can be the hardest teen years. Insecurities about identity, body image, personality, and a need for acceptance without the freedom of driving can add seemingly insurmountable pressures for a young person. But those miseries and uncertainties can be compounded by the hostile input that occurs through excessive social media engagement.

    Zach was a more serious student who tried to do well in school. He had a few friends who were academically focused like him. They kept to themselves to avoid bullying  by those who had nothing better to do. Occasionally, Zach or one of his friends, was the target of attacks on social media, and it was so cruel because of the public humiliation he felt. 

    Extensive social media engagement can cause isolation and shame.

    The more often it happened, the more he withdrew into himself. It seemed like life was about keeping his head down and enduring.

    He was ashamed that he’d been singled out and rejected by the crowd, and he wondered if he’d ever overcome all this, or if he would fail at life because of his shame. Zach and his friends talked about all the heartache excessive social media engagement caused, and how it affected them. The most resilient of their friends, Noah, reminded them that by studying hard in high school, they’ll be better equipped in college, and one day the cruel kids will end up working for Zach, Noah, and their friends. He encouraged them to focus on the long game.

    Pep talks like that helped. A little.

    After his homework one night, Zach googled what he thought were his symptoms. He had begun to wonder if his social withdrawal was a psychiatric problem, or whether there was something wrong about him the bullies could see that he couldn’t.

    Teens can be so cruel, sometimes due to their own pain, which can be traumatic to their targeted victim.

    In his search results, up came link after link to articles about major depressive disorder, anxiety disorders, and personality disorders like antisocial disorder.  He found online tests and videos he watched to help him diagnose himself.

    Then he researched the medications often found effective in treating his “symptoms.”

    Trouble was, Zach’s “symptoms” weren’t actually symptoms at all. They were a natural part of surviving adolescence. Zach’s limited perspective as a 15 year old who was experiencing bullying online didn’t take into consideration his overall coping skills and challenges he was facing. 

    But he didn’t know that.

    He decided to talk to his parents about his concerns and what he had learned on social media. YouTube videos had convinced him he had the classic symptoms of antisocial personality and general anxiety disorder. He asked his parents to help him see a psychiatrist.

    His parents loved him and wanted him to feel their support. They agreed with Zach that excessive social media use among his high school students was destructive. They called around to get a recommendation for a psychiatrist, then called for an appointment. 

    When Zach and his mom arrived for his appointment, she told the doctor that Zach had researched his symptoms and discovered he had antisocial personality disorder. She asked if the doctor could prescribe medication for him.

    Extensive social media engagement can seem harmless but it can do great harm through bullying.

    The doctor raised his eyebrows.

    “Antisocial, huh? Let’s take a breath and talk about this.”

    The doctor proceeded to ask Zach some questions, listen to his answers, and then ask more. Before long, Zach was engaged in the conversation that included his childhood, his home life, the bullying at school, and his experiences with social media. They talked about his friends, and his relationship with his parents, and his performance in his classes.

    Finally, the doctor sat back and smiled.

    “Zach, first of all, you don’t have antisocial personality disorder, so I want to set you at ease about that. I think the bullying you’ve experienced face to face and on social media has triggered some anxiety for you. You seem to have healthy relationships with your friends, as well as your family, and you’re investing considerable effort to do well in your studies. These are signs of a healthy 15 year old guy who’s taken it on the chin several times due to thoughtless, ill-adjusted teenagers.

    Extensive social media engagement can lead to bullying, but counseling and IV ketamine can help.

    “I’d like to see you get some counseling to help you let go of the opinions of others, and I’m giving you a list of some counselors you can call.  I’m also prescribing 6 months without social media, to give you relief from the cruelty you find there. Hopefully that time will give you the space you need to sever the influence that cruel, idle peers have tried to hold over you. Hopefully, you’ll find this excessive social media engagement is something you can live without.

    “Here’s a prescription for a very low dose of anxiety medicine — No, it’s not a benzodiazepine — to help reduce your worrying while you work on these changes.”

    “I’d like to see you in a couple weeks to check on how things are going and how the medicine is doing. Do you think you can work with this plan?”

    “Yes,” Zach said. “I’m going to try.  I’m sorta overwhelmed with the counseling, but I’ll try.”

    And he did.

    Six months later, Zach was feeling more like himself, had learned to ignore the irrelevant voices of “haters,” and had gained confidence in who he was through group counseling with other peers.

    He was feeling more comfortable in his own skin, and worried less about what others said about him. 

    Teen friends spend time together.

    Meanwhile, across town, his friend Noah had been talking with Jeb about his sullen outlook, hopeless demeanor, and bitter attitude. Noah explained to Jeb what he himself had been through after his dad died. Noah told him he was already depressed, but medication wasn’t helping…then his dad died and he just gave up. He described to Jeb what that felt like, and how his grades dropped and he didn’t want to be around anyone.

    Then, someone in his math class told Noah about IV ketamine treatment. He called the doctor the classmate told him about, went in for a long appointment (with a million questions) and started ketamine infusions. Already after the first one, he felt better and by the end, he felt like himself again. He had the strength to grieve his dad’s death, while still functioning at school and with friends. Noah said that sometimes you need help just to work on your life.

    Jeb told him that he would talk to his parents about it.

    Turns out, Jeb’s dad had heard the story from a friend at work how IV ketamine treatment had transformed the man’s daughter… that it was like a miracle after years of depression. He was immediately on board about Jeb’s interest in getting treated.

    A couple months into the summer, Zach ran into Jeb, and he was his old self. He was back at his best self. They talked and laughed and caught up, and agreed to go to a movie on Saturday. Noah and Ethan joined them and the four had a great time. They talked openly about what an amazing year it had been, as though they had passed from dark to light. 

    IV ketamine can help bring joy to your teen's life.

    IV ketamine treatment isn’t for everyone. There is a small percentage of people who don’t seem to benefit from it, at least so far. Others benefit more from changes in their lives…their infrastructure…to support their healthy frame of mind. They also may need changes in their environment — like friends they choose or excessive social media, for sure. But for those who need treatment to restore their brain structures and their resilience, ketamine treatment offers a rapid and robust antidepressant transformation in most people. Chances are, it can change your outlook and your life can be rewarding again.

    If you suffer from depression, general or social anxiety, PTSD, or suicidal thoughts, and nothing has helped, call us.

    We get up early and stay up late, studying, conferring, and seeking the latest research, finding ways to help you get better. Let us hear from you.

    Lori Calabrese, M.D. is on the front end of the race to stop PTSD in its tracks using IV ketamine treatment.

    To the restoration of your best self,

  • How Ketamine Can Put Your College Student Out Front Again

    How Ketamine Can Put Your College Student Out Front Again

    Start your college student out front with treatment for depression with IV ketamine.

    Ethan was in his second semester of his first year in college. The new had worn off, and the classes were getting harder. He hadn’t had to work that hard to do well in high school and being challenged felt more like being overwhelmed. He studied hard for chemistry, but he really struggled to get a handle on it. Instead of A’s he was making B’s and C’s in that class and was feeling stupid for the first time in his life. He had never worked at a job before now, but had to work 20 hours a week doing something he hated…making cold calls to alumni to raise funds. It was part of his financial aid. To make things worse, his social anxiety was kicking up with all the stress, making those calls torture. Ethan wasn’t starting as a college student out front, unfortunately.

    Help your college student out front again with ketamine for depression.

    His friendships were few, because forming connections took so much energy and he felt more and more depleted. HIs roommate was a nightmare…clearly someone who needed some sort of treatment. 

    The guy would hide behind the door and jump out screaming at him when he walked in the room. Bizarre was an understatement. Rather than a place of rest and refuge, his dorm room was a torture chamber except when his roommate went home for the weekend. Relief was hard to find, and the stress just kept building.

    As time passed, Ethan’s anxiety kept rising. Test anxiety, social anxiety, and worry grew and billowed, choking his ability to function. Worse and worse. He had expected to do well, but his stressors were preventing him from being a college student out front of the crowd.

    When he reached the breaking point, he would stay in bed and skip classes as well as work. A day in bed in a dark room seemed to give him the courage to face another day…until it didn’t.

    His grades began to decline.

    The worse his grades, the more guilty he felt. He didn’t want to face his parents with what had happened this semester. He began drinking to relieve the guilt. It wasn’t partying because he had too much anxiety to face a crowd. He had never used alcohol before, because he’d always had his mind on performing well in school. But that wasn’t happening anymore. He didn’t know what to do.

    A student feels lost when they aren't ahead in class.

    Realizing he was going to fail the semester if he didn’t take action, Ethan went to the campus counseling center and talked to a therapist. He told him the trouble he was having with everything. He asked what could be done about his record when he was too anxious and depressed to function, much less improve his grades.

    The therapist recommended a leave of absence to give him time for treatment and therapy so he could function again and improve his grades.

    She also gave him a card for a therapist, and another one for a psychiatric practice that offers ketamine treatment.  And she encouraged him to spend some time with his parents to talk through all that had happened, and determine the best steps to take.

    Anxiety disorder is the most common disorder in college students, and generalized anxiety disorder is often diagnosed during college. It exhibits itself often as worry that won’t stop, and can often be accompanied by social anxiety or panic attacks. Add to that the prevalence of depression which often accompanies untreated anxiety, and you can see the very real risk to college students for things to fall apart caused by the new stressors they face. 

    You can set your college student out front when you treat depression with IV ketamine.

    Suicidal thinking, planning, and attempts threaten college students — and suicide is the third leading cause of death for young adults.

    Eating disorders are also high on the list of disorders threatening college students. ADHD and autism often get identified for the first time are also prevalent. Sometimes psychotic symptoms begin.

    All these challenges face a growing number of young adults between ages 17 and 25. Since college students aren’t known for seeking help, many end up being placed on suspension without effective treatment. In addition, the prevalence of disorders sometimes clogs the healthcare system in universities. 

    But when parents and students identify symptoms of depression, anxiety, PTSD, and suicidal thinking, they can receive IV ketamine treatment and in most cases find relief and even remission.

    By treating mood disorders you can set your college student out front.

    IV ketamine doesn’t resolve everything, but for these conditions it can give you your life back. Initiative, motivation, clarity of thinking, hope… freedom from feeling overwhelmed and confidence can set your college students on firm ground for embracing challenges. If you have social anxiety it can be transformative for you.

    It doesn’t work for everyone, but IV ketamine can be transformative for many.

    The key to understanding why college students may be overcome with anxiety, depression, PTSD, and suicidal thoughts is stress. Their increased stressors wear down the synaptic connections between brain cells that are the pathways for signals throughout the brain. When those pathways wear down, signals can’t be sent, and thoughts become less prolific…dull…dark.   

    IV ketamine treatment turns on mRNA which switches DNA to ON to turbo boost  brain-derived-neurotrophic-factor. BDNF restores and proliferates those synapses creating strong and broad pathways for messages, filling your mind with problem solving, creativity, and hope.

    Put your college student out front with IV ketamine for depression.

    If your student is struggling with anxiety, depression, PTSD, or suicidal thinking, call us.

    We offer IV ketamine treatment so he can experience freedom from fear, lifting of depression, relief from PTSD, and the end of suicidal thinking. If he’s had difficulty with academic demands, ketamine can put your college student out front again.

    Let us help your student excel like he used to.

    Lori Calabrese, M.D. is on the front end of the race to stop PTSD in its tracks using IV ketamine treatment.

    To the restoration of your best self,

  • Promote Optimism and Slash Depression with IV Ketamine

    Promote Optimism and Slash Depression with IV Ketamine

    Ketamine can promote optimism and slash depression for you.

    Jayne believed in being realistic. She didn’t notice that her “realistic” outlook leaned toward pessimism. When someone said, “Don’t be such a pessimist!” she would respond, “My realistic outlook has served me well.” She didn’t want her head in the clouds. When something bad happened, she thought about how it was punishment of her for her failures. The more she thought about it, the more hopeless and worthless she felt. Eventually, she felt like she was drowning in her own worthlessness …and that there was no hope of improvement. This wasn’t realism, it was pessimism and hopelessness. Self flogging. Despair. Jayne had no idea she could actually promote optimism and slash depression with the help of IV ketamine.

    When things were difficult, Jayne would spiral in her thoughts about her own failures. She felt she would never be able to create solutions because of her own worthlessness. Surely her family would be much better off if she were gone. She felt like a dead weight they had to carry. She could see no value in herself. Her focus on her failures —rather than understanding the wonderful value she had to those who loved her — blinded her.

    Ben saw that IV ketamine would promote optimism and slash depression for his wife.

    Her husband, Ben, read about IV ketamine treatment in a magazine. He decided to research it more deeply on his laptop. He learned it could dispel hopelessness and replace it with hope and a bright outlook.

    Ben talked to Jayne about it at length, and she agreed to meet with a doctor who could give her IV ketamine treatment. She understood there would be at least 6 infusions, maybe more.

    Her thoughts of suicide dissipated after the first treatment. That was a relief. After the second treatment, she began to feel initiative. She got things done. It made her feel better about herself. After the third, hope began to seep in. By the time she had her 7th infusion, she felt joy and pleasure…and began to believe in herself. Her outlook was surprisingly optimistic, after years of pessimism. 

    Jayne was so grateful to her husband for seeking answers and finding a treatment she didn’t realize she needed. She felt transformed.

    Worthlessness, hopelessness, and pessimism are negative beliefs that characterize major depressive disorder and the depression that is part of bipolar disorder. These beliefs and feelings color the outlook and perception, and influence the way you interpret experiences and events in your life.

    IV ketamine can promote optimism and slash depression.

    They cause a negative view of yourself, everyone around you, and your future. Healthy people tend to have a stubbornly optimistic view of life. There is a stark contrast between the two.

    Beliefs about the likelihood of future outcomes are regularly “updated” after new and interesting experiences. This most often happens after a positive experience in healthy people, and most often occurs after a negative experience in depressed people.

    These updating experiences change the way they expect a new situation will turn out.  If he’s healthy, he’s most likely to expect good things to follow. But if he’s depressed, he’s likely to ignore positive updating experiences and overfocus on negative ones. He’s likely to derive a pessimistic view and just expect that bad things that continue to happen.  

    This way of looking at life tends to maintain depressive symptoms, just as a healthy outlook serves to maintain optimism.

    IV ketamine has demonstrated a rapid antidepressant effect that peaks in 24 hours. It promotes optimism and slashes depression.

    We know that ketamine alters the belief updating process. It alters the mechanism you use to update your beliefs when exposed to new experiences and information. This is what happens in healthy people.

    But if you have treatment resistant depression, it hasn’t been so clear when and how ketamine can impact your belief updating, and it’s important that we understand that.

    So a team led by Hugo Bottamanne, M.D. conducted an incredibly elegant study recently to show how IV ketamine affects belief-updating. Because if ketamine can shift belief-updating to be more positive than negative in patients with treatment resistant depression, it can prolong a healthy outlook. Published in JAMA Psychiatry September 2022, the study worked with 26 patients with treatment resistant depression, and 30 who were healthy, who served as the control group.

    The participants received three ketamine infusions and during this treatment period, they were asked to make educated guesses as to the likelihood they’d experience certain adverse events. The details of it all are quite complex.

    On an ordinary day, IV ketamine can promote optimism and slash depression for you.

    If they expected it was likely that a catastrophe would happen to them, they had a pessimistic outlook. (Of course, right?) If they expected it was unlilkely a catastrophe would happen to them, they had a more optimistic outlook. (At baseline, they expected the worst.)

    Belief Updating Goes Positive

    But even after just one ketamine infusion, the depressed participants showed a strong shift in their thinking from pessimistic to optimistic. Their natural depression-related bias (leaning more towards the negative) actually shifted towards imagining positive outcomes in a significant and measurable way. One treatment. This accounts, in part, for why they started to feel better within just 4 hours of their infusion.

    It just happened. Without trying too hard. Without having to work at reframing anything.

    Just like it happens in our own patients.

    It’s so exciting to see this studied in such a careful way, because it underscores and begins to explain how it is you can actually feel your depression lift. It’s because, in part, your thinking automatically changes and you lean in more towards the positive.

    Ketamine promotes optimistic thinking…and hope. The mechanisms that promote pessimistic, depressed, and hopeless thinking can be reversed by ketamine.

    Don’t just take my word for it (although I say it all the time). This latest research now shows it. We are all about bringing you innovative treatments, and helping you understand the brain science, the mechanisms, and the evidence base that underlies them. So that you can change your mind.

    For the better.

    The way you think has a strong impact on your outlook and state of mind. Ketamine can instill hope and a positive outlook for the future.

    If you feel your realistic thinking (or, let’s just say, your pessimistic thinking) is contributing to depression, and if nothing has helped, call us.

    IV ketamine can promote optimism and slash depression, giving you hope and joy for the future.

    We want to help you experience how bright your life can be.

    Lori Calabrese, M.D. is on the front end of the race to stop PTSD in its tracks using IV ketamine treatment.

    To the restoration of your best self,

  • Did You Know Alcohol & Substance Misuse Increase Suicide Risk?

    Did You Know Alcohol & Substance Misuse Increase Suicide Risk?

    Alcohol and substance misuse increase risk of suicide.

    Tom woke up, his head pounding, and he ached all over. The dark cloud that followed him everywhere was back. The partying last night gave him a brief reprieve, but it was over. He slowly dragged himself out of bed and thought about how disappointing it was that he woke up. He didn’t realize he was playing with fire, or that alcohol and substance misuse increase suicide risk.

    He just wanted relief.

    The nagging wish to stop living like this wrapped itself around him and through him to his core. It wasn’t the booze and pills that he wanted to be free of. It was the darkness, the pit, the vacant emptiness, the ache.

    A lifetyle of over indulging increases risk of suicide.

    His lifestyle of repeatedly over indulging, getting high, and oblivion was the one thing that gave him minutes of relief. 

    Minutes when he felt good for a change.

    Tom drank a couple mugs of coffee to try to clear his head, took a shower, and headed to his job. He had a degree in business management, but since the depression and anxiety had gotten so much worse, it flattened his ambition. He was just hanging on. Trying to get through the day. In fact, he held on to get through the hour…the slow, dragging minutes.

    By lunchtime he didn’t know if he could get through the day, but he needed this paycheck. So he had to endure…and thought about what he would do after work to feel better. He started planning in his head to occupy his mind. That was a whole lot better than just slogging through work.

    That night, Tom met up with friends he sometimes partied with. He contributed a bottle of bourbon, malt whiskey, and a case of beer he put on ice. The other two friends brought more of the same, plus some pills. 

    Alcohol and substance misuse increase risk of suicide.

    Tom hated the morning after. He always did. But the whole purpose was to construct relief. Respite from his misery. And this time was no different. He wanted to drown his pain. So he popped pills, guzzled beer and slammed shots with abandon.

    However, this time he didn’t wake up with his head pounding. The “blackout” that followed all that he swallowed pulled him into a coma. One of his friends woke up from his own stupor and couldn’t wake Tom or his other friend. He called 911.

    Their friend was pronounced dead at the scene, and Tom was rushed to the hospital where emergency personnel fought for his life. 

    After 2 weeks in the ICU, Tom began to gain consciousness. They told him his alcohol poisoning was nearly fatal, which was really hard for him to grasp. But it was even worse realizing his friend William had died that night.

    Were they trying to end their lives? Had they tried to die before and — since it hadn’t happened — did they think they were indestructible? Was it really “partying” or was it flirting with death, in hopes of escaping their misery..?

    These are questions that surround the growing numbers of people who misuse alcohol and substances… and die as a result.  Do they realize that alcohol and substance misuse increase suicide risk?

    Is an overdose suicide or an accident?

    Self medicating depression symptoms increases risk of suicide.

    September is National Suicide Prevention Month. Research has illuminated the complicated relationship between alcohol use disorder, substance use disorder…and suicidal thinking, suicide attempts, and suicide deaths. The purpose of National Suicidal Prevention Month is to inform society and equip you to recognize risk factors among your own friends, family, and coworkers.

    For a long time we’ve recognized that alcohol and substance use disorders are associated with suicide risk. And when substance use is combined with alcohol use, there is a much higher risk of fatalities by suicide.

    When you consider that alcohol and substances are widely used to self medicate symptoms that may not have been addressed and treated, it makes sense to treat the symptoms and talk openly about suicidal thoughts that can be stopped by IV ketamine.

    Alcohol and substance misuse are not the only risk factors for suicidal thinking or fatalities —but they can increase risk of suicide a hundred fold.

    A hundred fold greater risk. That’s staggering.

    When you identify these risk factors in the life of someone you care about, you can save a life by opening up conversation about suicidal behaviors and thoughts.

    IV ketamine can give you remission from depression and suicidal throughts.

    Talk about the symptoms that lead to self medication — because there is hope through treatment of those symptoms.

    And IV ketamine can stop suicidal thoughts in a few hours. And allow you time to seek the treatment that will make your life better.

    If you’re experiencing suicidal thoughts or plans, call 988, the National Suicide Hotline. 

    Someone who understands what you’re feeling is waiting to talk with you.

    If you’re plagued by thoughts of suicide and want to seek IV ketamine treatment to stop those thoughts, call us.

    IV ketamine can stop those thoughts in an afternoon, and buy you time to seek treatment and counseling for a more rewarding life.

    We’re here to help.

    Lori Calabrese, M.D. is on the front end of the race to stop PTSD in its tracks using IV ketamine treatment.

    To the restoration of your best self,

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