Category: Depression

Articles about Depression by Lori Calabrese, MD | The Ketamine Blog

The World Health Organization asserts that depression causes more disability worldwide than any other illness. In addition to standing alone as a disabling disorder, it also worsens other illnesses from diabetes, liver disease, heart disease, and brain injuries. We present these articles about depression to show the many ways this disorder is expressed, ways to treat it, and to dispel stigma caused by lack of information.

Causes

Depression and stress create a self-defeating cycle. Prolonged stress prunes the synapses, the dendrites attached to them, and the dendritic spines, reducing the network necessary for optimal signaling in the brain. Consequently, thinking slows and outlook darkens. In addition, creativity all but disappears. Depression follows this process, imposing yet more stress on the these all-important signaling structures.

Other structures in the brain enter the process. These structures in turn malfunction and make the symptoms worse. The lateral habenula, the amygdala, the thalamus, and the hippocampus each play a role in depression. By the same token, depression impacts them, too.

Treatment

Only about a third of people who suffer with depression find relief with traditional antidepressants. These medicines increase neurotransmitters in the brain and eventually increase neuron growth. But the actions of these medicines delay the process and these patients improve slowly. Sometimes, if the first trial with a medication doesn’t help, a different one or combination can help another one third or so of those who didn’t feel better after the first trial. Unfortunately, 33% of people suffering from depression find no relief from these medications. Until recently, they were left with little or no hope of relief for the rest of their lives.

Benefits of Ketamine Treatment

However, ketamine treatment is a novel and advanced treatment that has changed the prognosis for those treatment-resistant patients. Ketamine switches the mRNA to “On” which turns on the DNA to turboboost the brain-derived-neurotrophic-factor (BDNF) that proliferates neuronal growth along with synapses, dendrites, and dendritic spines which play such a vital role in improving signaling throughout the brain.

Another benefit of ketamine is how rapidly it causes the G proteins to slide off the lipid rafts in the cell membrane. This allows them to get back to work enhancing signals. It also causes the cell bursting in the lateral habenula to be dampened. Another process that allows you to experience a sense of reward – and feel better – when something good happens. Basically, ketamine treatment goes to work to help you feel better fast.

Then you enjoy clearer thinking and more creativity. Also a rewarding and upbeat outlook filled with light and joy. Add to that the improved initiative, increased motivation, and hope that makes life worth living again. This remarkable outcome occurs in 65-70% of treatment-resistant patients in general, and much more than that when the treatment is highly personalized. And the results are rapid and robust. Extraordinary.

As you read these articles about depression, keep in mind that there is always hope. Researchers continue to work to find more aspects ketamine’s effects on the brain that can impact the outcome.

  • Worry About His Apathy?  IV Ketamine Treatment Can Help

    Worry About His Apathy? IV Ketamine Treatment Can Help

    Dad worries about Will's apathy, but his son isn't responding.

    Dan and Teresa were worried. It had been going on so long, they couldn’t remember when it started. Their son, Will, had been a good natured boy growing up, and had shown responsibility and good intentions when asked to tend to tasks to contribute to the family. He had always had a sparkle in his eye, enthusiasm for family projects, and did his best to carry his weight. But somewhere along the way, he had become more passive, quieter to some degree…and less interested in conversation with his parents. Or at least it seemed that way. It seemed that he honestly didn’t care about much of anything. Dan’s worry about his apathy was eating a hole in his heart.

    Why Was Will So Apathetic?

    He didn’t have many friends as far as his parents could tell, and showed little interest in inviting them over. He spent a lot of time alone in his room, playing video games or watching TV. He’d been a conscientious student through middle school, but now his grades barely passed. When they set limits on his alone time, and insisted he do his homework, it made only the slightest difference in his overall grades.

    Dan and Teresa tried to talk with him but he just didn’t have anything to say. He just stared at his lap and said, “I don’t know…” over and over.

    Dad worries about his son's apathy and can't seem to get through to him.

    It was maddening, frustrating, and irritating. But mostly they were getting really worried about him. They didn’t seem to know Will any more. That was the worst of it. That and the fear they felt for his future. Their worry about his apathy dominated their minds.

    After racking their brains to try to think of something to draw him out of his funk, it occurred to them he might enjoy a family camping trip… and maybe he’d relax enough to talk… even a little.

    Family Camping Trip

    So they scheduled it for a 3 day weekend that was coming up, and packed up his favorite foods for the trip. They also rented a kayak, hoping he might enjoy paddling around the lake.

    Will didn’t fight the idea of going, but he also showed no enthusiasm for it. Even this! Teresa was tempted to feel offended, but she tried to push those thoughts out of her mind. Hoping for the best, the family took off for a state park an hour away.

    Teresa tried to strike up a conversation in the car, but Will only answered her questions with a single word: yes… or no. Finally, she popped in a CD hoping that music would soothe whatever was wrong.  

    A camping trip can help to relieve worry about son's apathy.

    But what was wrong? Why did Will seem so disconnected? Did anything matter to him?

    Dan was tied up in knots about it. He had trouble focusing on his job, or accomplishing much of anything. His intelligent and gifted son seemed to have checked out of life. In a couple years he would need to go to college to try to start to build his future, but Dan knew if something didn’t give, he’d never make it in college.

    His fear for his son seemed to translate to stomach pain. The more he worried, the greater his pain. He knew he should probably talk to his doctor about it, but he just didn’t have time for this right now. It was such a distraction. He feared for Will. And his worry about Will’s apathy made him just want to put his fist through a wall. Would he ever be able to take care of himself? 

    Will Sheds Some Light

    Their camping was uneventful until the second day. Dan and Teresa were cooking fish they’d caught in the lake over an open fire. Will was hungry and enjoyed the aroma of the fish and veggies cooking. He broke the silence.

    “Listen you guys, I know you’re worried about me. I don’t know what to say. Just don’t feel like doing much of anything. I don’t care about school or friends. Really, I don’t care about anything. But I don’t know why. I know I used to when I was a kid. But it’s like something died inside me. I don’t know what happened.”

    Teresa put her arm around her son. 

    Worry about his apathy can be resolved with treatment for both of you.

    “Thanks for opening up about it, Will. We’ll help. If you’re willing, we’d like to pursue some ideas to try to help you. Would you be willing to see a doctor?

    Dan added, “Sometimes pressures and hormones make it really tough to figure things out. Be patient with yourself, son.”

    They ate the smoky food in silence, but some tension had been broken.

    Dan Gets His Own Insight

    Dan realized, in the relief of that breakthrough, that he’d let his own worry for Will overwhelm him and interfere in his life and work.  He’d become irritable with his wife and son…and avoided emotional intimacy with them because he couldn’t face the failure he felt about raising a son who wasn’t OK, who might not be successful. He’d lost faith that his son was going to grow up to be OK. 

    He had to shake himself to remember that life can be messy. It doesn’t always follow a smooth, linear path to a happy ending. And his family needed him to be available, engaged, and caring. He needed to be on his game. But his worry about Will’s apathy was so intense at this point, he felt like he needed some help to be functional again…for his family and for himself.

    After searching the internet to see what might help, he learned that ketamine treatment had proven particularly helpful for depression and anxiety. After studying what he could about doctors in his area who offered it, he settled on a psychiatrist with a strong reputation, and made an appointment to discuss it.

    Dan Takes a Step to Get Help

    Dan was irritable because of his worry about Will's apathy.

    It occurred to him that this same treatment might help Will, but he felt like Will needed some time to accept — and participate in — treatment, and he also knew that he needed help so he could help Will.

    His initial consultation with the psychiatrist revealed he was actually depressed, and that since he had tried a couple different antidepressants (that didn’t help) the previous year, he needed something more.

    IV Ketamine Treatment

    So he was scheduled for IV ketamine treatment, which involved 6 or more infusions over about 3 weeks.

    After each infusion, he felt a change. It was subtle at first, but by the third or fourth infusion he realized he was beginning to feel better about himself and his life. He felt some hope about Will, and began to know that Will was going to be ok with time and support.

    He received 7 infusions in all, and continued to feel better and better over the next few weeks that followed.

    A New Lease on Life

    By then it seemed his patience had grown, as well as his insight into Will’s situation. Dan felt a new lease on life, to tell the truth. And he had more and more energy for engaging with his wife and son. He found ways to talk with Will that his son responded to favorably, and trust began to grow again between them.

    Teresa was so relieved to have her husband back, and together they built their relationship stronger and deeper. Plus Will’s outlook began to also improve in that atmosphere.

    Will finally told his parents he was worried about his own apathy, and that he’d like to talk to the doctor about ketamine treatment for himself. Watching the change in his dad gave him hope that maybe there was help for him, too.

    The doctor explained that ketamine treatment wasn’t for everyone, but since Dan and Will were related and Dan had responded so well, chances were good that it could help Will, too.

    As it happened, Will responded very well to his own ketamine treatment. Though he couldn’t tell any difference after the first few infusions, he could feel himself feeling again after the 4th. It wasn’t dramatic at first, but still undeniable.

    After 8 infusions, Will’s motivation grew stronger, and initiative replaced the apathy that had plagued him. He started doing better and better in school, and by the end of the year was making A’s and B’s.  Confusion and brain fog gave way to more clarity. The future began to matter to Will, and he started thinking about what career he might want to prepare for in college.

    Life Takes a Turn

    Dan, Teresa, and Will grew closer after weathering depression, anxiety, and hopelessness together, then recovering together after ketamine treatment. They had forged a bond, and developed insights together they hadn’t had before. They no longer worried about anyone’s apathy — because it just wasn’t there anymore — and were free to enjoy the richer aspects of life.

    They branched out socially, like they hadn’t in years. Will developed more friendships and Teresa and Dan began to get out more, too.

    It’s amazing how restoration of hope and resilience can affect so many aspects of life.

    When father and son weather a difficult time together and learn to trust each other, a stronger bond is forged.

    But it can.

    If you’re worried about a family member, and it’s affecting your performance at home or at work, you can probably relate to Dan. Or maybe you struggle with apathy yourself…?

    Apathy may not be a willful refusal to ignore what’s important. It can be a symptom of depression. 

    If you’re struggling a lot like Dan or Will, and you haven’t found anything that helps, call us.

    As Will’s doctor pointed out, ketamine doesn’t help everyone, but it can be remarkably helpful to most who receive it. 

    Applying your efforts to building a healthy infrastructure, living a lifestyle that supports joy, and eating a diet rich in flavonoids and healthy fats, you can increase the benefits you receive from your ketamine treatment. 

    Let us help you celebrate your best self for a long time to come.

    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,

  • Struggling to Get Your Life Going?

    Struggling to Get Your Life Going?

    When you're struggling to get your life going, the obstacles seem to pop up everywhere.

    Are you a young adult, say between 20 and 35 or so, and find it really hard to get out on your own? Maybe it’s been hard to do well in college, or to hold a job long enough to make real progress toward your independence and future. It can be daunting to know where to start, or start again, after feeling failure from your efforts time and time again. You’re not alone. The pandemic didn’t help. It seemed like it set a lot of people back. The declining economy, closed restaurants, universities reverting to online classes, making it necessary to live with your parents. Jobs fewer and farther between. When you’re struggling to get your life going, small bumps in the road can be like mountains blocking your progress.

    Maybe you feel more defeated with every blow, every setback. Until staying with your parents in your family home is just your natural default existence.

    Zach could sure relate to the way you may feel.  In his case, a series of events kept tripping him up, leaving him discouraged, humiliated, and feeling powerless. He was diagnosed with a chronic illness, Type 1 diabetes, when he was in first grade, and his childhood consisted of special diet, multiple blood sugars daily, occasional hospitalizations, and difficulty fighting infection.

    It seemed as though he’d be going along fine with school work, then he’d get sick again from the latest virus, miss a couple weeks of school, then work on makeup work to catch up what he missed.

    Over and over. 

    There was always pressure from school work, managing blood sugars, sickness, and makeup work.

    It was hard to find time to just relax and be a kid.

    And then life got harder.

    Dark days when you're struggling to get your life going and it doesn't work out.

    His parents’ marriage fell apart following his dad’s infidelity at the beginning of his senior year. He tried to hunker down and hold steady with his classes, but his grades slumped. 

    Then he just felt abandoned by his parents who were both in a chaotic tempest of anger, betrayal, humiliation, anxiety, and depression. Over the next couple years, he found himself hunkered in his mom’s house, which had always been home to him. Just holding a simple job seemed to be all he could manage. Struggling to get your life going can be an uphill, near impossible quest.

    He began to feel fundamentally flawed.

    The people he went to high school with were halfway through college now or had jobs on a career path. Zach became more and more reluctant to visit restaurants or other public places where he might run into them. His feelings of shame and failure covered him like a lead blanket.

    His mom worked to make ends meet. When she came home from work she was exhausted, bitter, and heartbroken. Zach avoided her. It had been 2 years since his dad left, and it was just too hard to continue being her sounding board.

    Zach hadn’t felt supported in years, and he was barely treading water himself. Managing his diabetes in terms of diet, blood sugars, insulin, and doctor appointments was all encompassing. Sometimes he let it slide, and then paid a big price. 

    His embarrassment about not going to college, and having a menial job…until he got laid off…made it too hard to face friends.

    Humiliation and shame can be crippling when you're struggling to get your life going.

    He heard about a job opening at the local auto parts store, and put in an application. He hoped it would give him a chance to excel over time and might be more rewarding than fast food preparation.

    Thankfully, he was hired for the job. Surely this could be a new beginning for him. It offered health insurance, which would be a huge help. He felt hope creeping up inside him for the first time in years.

    Zach really tried to make this job work. He was on time every day, and worked hard to learn the manuals, protocols and understand the organization of the store.

    By the time he’d been there 6 weeks, he was beginning to feel like he was doing a good job and proving himself a valuable employee. His struggling to get his life going just might be paying off. Then, he had to be admitted to the hospital for diabetic ketoacidosis, a condition that sometimes seemed to happen no matter how closely he managed his blood sugar.

    He was in ICU for 11 days, and his boss acted like he was skeptical about whether Zach was a good fit for his store.

    Then a month later, COVID happened. His boss laid him off, as he could only support a skeleton crew for the store.

    And once again, Zach’s hope was crushed.

    Zach looked for ways to make income online.  He tried one thing and then another. But nothing really panned out.

    As weeks turned into months, and months gave way to years, he began to realize he may never succeed at anything. He tried to help his mom out by cooking a meal now and then, doing some laundry… using the vacuum every month or two.

    When you're struggling to get your life to work, it's very frustrating.

    But the longer he stayed home, the less motivation he had to change his life.  He just kept trying to get through the days. He read books, watched TV, and posted on Facebook. But he just lost his gumption to get out of the house. He lost confidence that he could accomplish anything.

    Eventually he made some online friends and stayed in touch with them. He could be anonymous but feel some sort of connection.

    Still, it didn’t change the fact that his self respect was shot. 

    Zach so wished he knew how to turn his life around from struggling to get it going.

    After 2 1/2 years of the pandemic, the world seemed to be opening up and he decided to find some way of improving his life.

    He called the boss at the auto parts store to see if he’d hire him again. Nothing came of that.

    So he started researching. His symptoms, his disappointments, his failures.

    It looked like — from what he learned — that he might actually be depressed.  

    That had never occurred to him.  He’d just felt so ashamed. But apparently he wasn’t alone in his struggle to get his life on track. He researched his symptoms of poor motivation, feeling defeated, always struggling with his health, things happening beyond his control, the stress of his chronic illness, trying to hold a job only to be let go due to hospitalization, and on and on.

    He found out he could get help with psychotherapy and possibly even more with ketamine treatment. 

    Researching for answers when you struggle to get your life on track can help.

    It was an eye opener to consider that his feeling of failure was more likely deep and persistent depression.

    Was he really struggling to get his life going, or was he too depressed to succeed?

    And that maybe, just maybe, with therapy and treatment he could still gain the ability and skills to build a life.

    Zach talked to his dad for help with payment and he agreed to help. Zach wanted so much to break out of his “stuck” place in life and build some kind of life he could be proud of. After reading up on psychotherapists in his area, as well as ketamine treatment, he called and scheduled treatment.

    When you struggle to get your life going, ketamine treatment and psychotherapy can help.

    Zach had read that there were better outcomes when ketamine treatment and psychotherapy were scheduled in conjunction with each other, so he began therapy, then began to incorporate ketamine infusions. After about 5 infusions, he began to notice changes in his outlook. As they moved forward with infusions and therapy sessions, Zach realized his hope was growing. His courage to reach out for job interviews grew. Finally, he realized he wanted to go to school and study to be a therapist himself.

    So he enrolled in the local university and, with his parents’ help, he took a full load to help him earn his degrees sooner.

    With the help of ketamine treatment and psychotherapy, Zach laid a new foundation for building his life. The struggle to get his life moving had become more manageable. He decided he was just a late bloomer, and felt deeply grateful for the changes he was able to make, the better footing he established, and that he completed his degree in 3 years. Years that would have just been more hanging out at home without the treatment he had received.

    What about you?

    Do you feel like you’ve been stuck? Has it felt like you were thwarted at every turn as you tried to build a life for yourself? Did the pandemic make it all that much harder?

    If Zach’s story sounds familiar and you’ve been unable to get on track in your life, call us.

    Ketamine treatment may give you the boost you need to overcome depression and anxiety, and invest yourself in your future.

    We’re here to help you get better and experience the hope to change your life.

    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 Aging Parents Need Your Help, Who Will Help YOU?

    When Aging Parents Need Your Help, Who Will Help YOU?

    When your aging parents need your help, it can take a toll on you as caregiver.

    When you google “top 5 stressors for marriage,” you get a lot more than 5 stressors. Things like finances, a new job, moving, in-laws, children, health crisis, poor communication, and major changes are just a few. But when you combine in-laws, health crisis, finances, moving, and major changes into one avalanche, like moving an aging parent into your home, the stress and impact can be crushing. Tom and Jannette knew this first hand. They’d been married 17 years, their children were teens, and they had a pretty full life. Until Tom’s mom seemed to be growing less steady on her feet, and displaying some confusion. When aging parents need your help, you do what you need to do. But who will help you?

    Tom’s dad had died 6 years before after a sudden heart attack, and his mom had been doing ok trying to get through her grief and rebuild her life. Then the confusion started. And after that, she had a couple falls. So, Tom and Janette began to worry about her in a real way.

    It wasn’t like their life was relaxed or leisurely.

    With 3 teenaged children they were always on the go. Attending parent teacher meetings, soccer practices (and games on weekends),  gymnastics, church, and choir practice. Plus both Tom and Janette worked, and the kids had school projects and daily homework. Their lives were full to the brim.

    When your aging parent needs your help, your presence can transform their life.

    But when Gran started falling, they realized they had to do something to help her and keep her safe. They couldn’t afford a nursing facility, and she had always been adamant she’d never want to live in a place like that…she insisted she’d die of loneliness. So they cleaned out the guest room, and moved her in. Aging parents need your help sometimes. You can’t ignore it. After all the love they’ve given you, you feel like you have to find a way to help.

    Within the first couple weeks, they noticed things about Gran they hadn’t seen before. They probably hadn’t been around her enough to realize it, but she was showing signs of more confusion than they expected.

    She would wake up in the morning and put on her clothes over her pajamas. They soon realized they needed to help her dress. A few months later, after they helped her dress she would take everything back off. By that time she started losing control of her body functions and required a diaper.

    They would empty the dishwasher only to find she had reloaded it with clean dishes.

    Then they’d notice the washer running, and look inside to find it stuffed with her clean clothes.

    Their full-to-the-brim life reached a pinnacle of overwhelming and crushing futility. The simplest routine task became ten times harder, more complicated, and time consuming. Jannette often reached a point of tears, as she plodded through her responsibilities. Tom was doing his best to help with everything, but his efforts continued to fall short, too. With the changes they’d made since Gran moved in, it was becoming harder and harder to make ends meet. But when aging parents need your help, you give it.

    Getting the kids to their various activities was overwhelming. Gran had begun slipping out of the house when no one was looking, and had gotten lost once. It required the help of the police department to find her and bring her home. So to keep her safe, she could not be left alone — ever. 

    The result was that they bundled her up in the car every time they left, ran an errand, or took kids to their activities. More time. More arguments.

    Jannette grew more and more run down, exhausted, and hopeless. She was doing the best she could to keep the family functioning — and her mother-in-law safe — but it never seemed to be enough. She cut back on her hours at work to try to accommodate the needs at home. Less money now.

    Futility. Overwhelming futility.

    Aging parents often reach the point they need help, but giving it can take a toll on you.

    Jannette felt like she was drowning

    When she saw she just couldn’t seem to get up anymore and do what she needed to do, she saw her doctor to see if he could help. It wasn’t hard for him to connect the dots after listening to her story, and realize she needed to see a psychiatrist. She was in crisis and treatment was necessary.

    He referred her to a psychiatrist he trusted, who brought her in for an appointment the next day. They talked about her situation at home, about her kids’ lives, and about her mother-in-law’s pressing needs. She asked her if she ever thought about ending her life.

    She looked her in the eye…held her gaze.

    “Yes.”

    She explained stress, and the damage it can do when you’re under the kind of intense stress that doesn’t let up. How it can lead to compelling, overwhelming suicidal thoughts. And how ketamine treatment can stop those thoughts to give you the freedom to seek treatment, and give you the time you need to get better, without the life-threatening thoughts.

    They agreed to begin infusions the next day. Jannette didn’t know what to expect but so hoped this would help.

    Then, Jannette realized the following afternoon that she hadn’t thought about dying all day.

    She went back for another infusion that week and realized she wasn’t thinking about, or visualizing, herself dying like she had been…so many times every day she couldn’t count them.

    But she also noticed something else. There was a sort of lifting inside her… an elevation where her heart was… she wondered if it was the beginning of hope…

    A sad aging parents may need your help when health and lucidity fail.

    As a result of her treatment, she was able to talk with Tom about what she’d been going through. They realized that as much as they loved Gran, they had to find a different solution.

    In going through her papers, they found she had provisions for long term care that would help pay for her to be admitted to a memory care facility, so she could be kept safe. She would have support, and would eat nutritionally balanced meals, and they could visit her often.

    They faced that Gran’s needs combined with the needs of the family were too great a cost for Jannette, so they set out to make hard decisions, and follow through with changes, that would help Jannette get strong and healthy again. 

    Sometimes you can have the best intentions, but the cost can be too high.   

    Their oldest child, Jason, had a driver’s license now, so the family sat down to make a schedule that would lighten the load on Jannette. They scheduled 3 visits a week with Gran at her new home. One visit to be made by Tom on the weekend, one made by Jannette on Tuesdays, and one by their son Jason with his sister Chelsi on Thursdays. When your aging parents need your help, you find ways to give it. This schedule gave Gran lots of family contact, while allowing their son to participate in activities of his senior year, and allowing Jannette some down time. 

    Jason would take Chelsi and their sister Heidi to gymnastics, cheerleading practice, and choir.  

    Within a month or two, the family’s life began to calm down, and become more rewarding, while allowing the time and freedom for healing, and peaceful contemplation occasionally.

    After Jannette’s ketamine infusions were completed, she found she was feeling better and better, as time went by.  She received 7 infusions in all, and began seeing a therapist, too, to help her make progress more efficiently. She also read that she could progress more effectively if she really invested her effort when she had the urge to do something productive or to show care for herself.

    All the steps she took were working together to help her improve.

    When your aging parent needs your help, it can bring joy to your whole family.

    Jannette experienced hope seeping in, and over time, she got her feet under her again.

    She began to visit Gran on the weekend with Tom. They noticed Gran was sometimes not recognizing them, but they did their best to make her feel loved, and they would do that going forward. When your aging parent needs your help, there is a way to help if you look for it.

    Tom told Jannette that he was sorry she had gotten so run down before they took steps to support her. She explained that she was thankful that while Gran was still lucid they could keep her in the heart of their family. And yet…she was so thankful they had an alternative when it got to be too much.

    If you have been helping a family member, and are experiencing burnout, or the symptoms of major depression and/or suicidal thoughts, and if nothing has helped…call us.

    We understand how hard it can be to overcome the stress of a difficult life, and overcome the exhaustion…and depression.

    Sometimes a caretaker has to take a time out to restore and heal. And sometimes they need more than that.

    We specialize in providing ketamine treatment, and are here to help.

    May 2023 be a year of new beginnings for you and those you love.

    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,

  • Sometimes You Just Need a Full Life Makeover, Right?

    Sometimes You Just Need a Full Life Makeover, Right?

    A full life makeover can restore a home or restore your hope.

    A ramshackle two-story house leans in the distance, behind a rusty, crooked gate. Passersby hardly notice it anymore…it’s just become part of the landscape. But when an investor looks at it, he sees the potential. A life makeover for that house is called for. He buys the property and sends in designers and remodeling crews. With tender care, workers replace damaged and rotting beams and roof shingles, upgrade the 3 grand fireplaces, and turn the kitchen into a gourmet’s haven. Wood working and carvings are stripped, stained, and polished, and floors are restored to their gleaming origins. Rugs, furnishings, and lavish window treatments adorn every room, crowning the grand ol’ girl with the appeal of her former splendor. The house in the distance people had ignored… becomes the gem of the surrounding region. 

    This “life makeover” process can happen for people, too.

    Meet Regina.

    You can benefit from a full life makeover with ketamine treatment.

    In her twenties, she felt like she had her ducks in a row. She worked at an upwardly mobile job, her career was strong, she met with friends on most weekends and enjoyed their company. She worked out at the gym 4 times a week, managed her finances within her means, and planned for the future. All of this gave her a feeling of confidence about her life.

    Until the accident.

    Regina was on her way to the grocery store when an SUV flew through a stop sign and T-boned her car. Regina was rushed by ambulance to the hospital where she underwent two surgeries for her left arm and left leg. Thankfully most of the damage was to her limbs and ribs… and she only suffered a mild concussion to her head. It could have been so much worse.

    She had to take a leave of absence from work for her leg, arm, ribs and brain to heal. Regina found herself snacking, which she never did normally.  She did get physical therapy every day to get her leg and arm functioning again, but it wasn’t like working out at the gym. Her body became flabby, and she gained weight… a little here and a little there.

    The concussion made it hard to think clearly for awhile. Even after the swelling in her brain subsided, she still felt groggy and sluggish. With her pain, she just didn’t feel like doing more than she had to do.

    The whole experience interrupted her life.

    Her every-other-day workouts fell by the wayside, her income dropped. Regina felt herself sinking into listlessness. She was tired of trying so hard. Tired of working so hard in physical therapy. She missed the culture of her job, the friends, the activity, the energy.

    An injury can be the end, or it can be an opportunity for a life makeover.

    It took 3 surgeries to get her leg functional, and two for her arm. By the time she had healed from the surgeries, her ribs were doing better…hurting less.

    But her emotions weren’t keeping up. She also felt like she just couldn’t think anymore cognition. Regina, or Regi as her family called her, just couldn’t seem to think creatively anymore.  How could she go back to her job?  How could she compete?

    Her best friend, Quinn, made the observation that she was just not her usual self. That all this had taken a toll. Regi knew what she was referring to.  The dull, sluggish thoughts. Ugh. Where was the electric energy?  

    She had to admit, it was gone.

    How would she ever earn a living again?  How could she compete among her co-workers?

    Quinn suggested she talk to a therapist or even see a psychiatrist.

    All these sounded like big steps — and extreme measures, but maybe these desperate times were calling for something extreme. Like a life makeover.

    Regi started by seeing a therapist who was highly recommended. They talked about how the fallout from the accident had led her to here: out of shape, weak on her feet, low on energy, embarrassed about her appearance, and deeply discouraged about who she was. She struggled about her lack of energy, lack of creativity, lack of sharpness and that sense of leadership she felt she had lost.

    Her therapist Mika asked her what she felt she could control.

    A life makeover requires more than physical exercise.

    Regi thought for a few. “Not the accident. I had no control over that. But I can do something about my weight and energy by working out again. I don’t have the mental energy for the life I used to have but maybe if I could start to work out, the stamina will return.”

    Mika thought that was astute and insightful and said so. “I also encourage you to see someone about IV ketamine treatment.  Here’s the card for a practice I really trust. You may need to try a couple antidepressants first to see if they’ll help. But if they don’t, IV ketamine treatment may make a real difference.

    “It’s fair to say that your life took a wrecking ball when that SUV crashed into you all those months ago. That accident didn’t just hurt your arm or leg or ribs. It wrecked the fabric of your life… everything that you relied on to function in this world.

    It is what it is…but you’re now on the threshold of reinventing your life. You could do a full-on life makeover. And well you should. You need just the type of makeover that will infuse new energy and direction into your soul.  Clarity and creativity into your thinking. And hope.”

    Regi thought about it and realized that was exactly what she needed. A makeover.

    The next morning she called the psychiatrist on the card, and made an appointment with her to talk about —everything. And she did. She wanted to know about IV ketamine treatment vs. antidepressants. The psychiatrist asked if she’d ever taken other antidepressants. Regi said no, not recently, but she had taken a couple different ones the previous year when the pandemic had started.

    “Did they help?”

    The comfort of a friend or therapist can help your life makeover thrive.

    “Not really. After a few months on each one, I just stopped taking them. Eventually I just got better on my own, I guess.”

    “OK,” the doctor replied. “Since you’ve been failed by two antidepressants, it’s probably a good idea to try IV ketamine treatment and see what it can do for you. That past experience may indicate you could have had “treatment resistant” depressive episodes.”

    They agreed to start ketamine infusions.

    Exercise and meditatiion can help with a life makeover, but it's not enough without ketamine treatment.

    During and after the first 4 infusions, Regi felt no different. She worried that if she was “treatment resistant” she would be resistant to this treatment, too. (She didn’t understand that she wasn’t treatment resistant, the depression was.) Then after the 5th infusion, she cried and wept all afternoon. That left her feeling relieved, and lighter. 

    “Hmmm…” she thought.

    The next day she felt better, and laughed easily. Another surprise. She asked the doctor if crying was part of the ketamine experience. 

    And her doctor responded softly, “Every brain is unique. Your life experiences are unique to you. Some people laugh, some cry, some giggle, some have vivid dreams, some feel floaty, some feel like they’re in outer space during the infusion. Some notice changes afterwards deep within themselves. Let’s consider that weeping was something you needed and ketamine treatment helped.

    “As you work on your ‘life makeover’ you may find there are some things that you want to incorporate, and some that you just need to shed…like in the makeover of a beautiful home. This is so much more than a house. It’s your personhood — without depression, the restoration of your best self. As you invest in various things important to you, those things will find their place in who you are.”

    Your life makeover is a chance to open your heart to new perspectives and hope.

    “That’s a whole new way of looking at myself, my future…even my hope,” Regi said. “I guess I expected the depression to just lift and disappear… and maybe it does for some people. But I can see the value in rebuilding myself with more love, more acceptance, more hope, and with an appreciation for my own gifts. I hope ketamine treatment will help me do that.

    “What a revelation it all is.”

    Regi continued until she’d had 8 infusions. It was getting close to Christmas and this was a good time to stop. By that time she was feeling some hope, and some calmness, and some wellbeing. She had the feeling the good emotions would continue to grow for awhile, especially as she continued to work with her therapist and her makeover. 

    It was empowering to consider that Regi had some role in all this. That looking for ways to establish and grow her “makeover” while she was also going to physical therapy and working out in the gym were all parts of the remaking of her as a whole person.

    A life makeover can give you a new beginning to celebrate your life.

    Within a few weeks, Regi was thinking much more clearly, and getting lots of creative ideas. Her outlook was bright again, and she decided it was time to go back to work. The new year had begun. What a perfect time to roll out her new best self!

    As she attended her first meeting after so many months, she realized she was ready to be in this electric and energetic environment again. She seemed to hit the ground running, in spite of having been out of the loop for months. 

    Regi felt like her old self, only better.

    Does the makeover of a new house — or a new life — sound like what you need? Have you had some blows and long term stress that seemed to wear down the life that worked so well in the past?

    If you’re having symptoms of depression and anxiety, and a life that isn’t holding together anymore, and especially if nothing else has helped, call us.

    Let’s team together to help you get your life functioning again. 

    It thrills us to share in the process of helping you find your best self, and participate in your own life makeover…if that’s what you need.

    We’re here to help.

    Wishing You and Yours Joy, Health, Love, and Loads of Hope in 2023!

    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,

  • 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 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,

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