Category: PTSD

Articles About PTSD from Lori Calabrese, MD | The Ketamine Blog

Our purpose in offering these articles about PTSD is to reduce stigma. It’s also to help the reader better understand the causes and symptoms of PTSD. Better understanding helps each of us to offer support to those in our lives who need understanding for episodes they’re unable to prevent.

Post-traumatic-stress-disorder (PTSD) occurs following a terrifying experience, in some people. It prevents the sufferer from recovering after witnessing a traumatic event. PTSD can last for months or years. In addition, memories of the event can trigger extreme physical and emotional reactions.

Symptoms of PTSD

The scars that remain from active combat or other traumas cause recurring memories that seem as real as when they first happened. Originally known as “shell shock, PTSD was thought to be exclusive to soldiers returning from battle. But over time, it became clear that PTSD was a disorder anyone could develop who’d been through a traumatic experience.

When someone suffers from PTSD can have recurring flashbacks of the terror they experienced during the traumatic event, as well as intense nightmares. They may feel afraid, or intensely frightened, whether there is anything presently threatening or not.  It’s as though their “fight-flight” response malfunctions, and a small stimulus can bring all the horror of the initial experience back instantly.

PTSD affects around 8 million people a year in the US. These people who suffer have been far too often misunderstood and misjudged for their reactions.

Articles About PTSD Treatment

Talk therapy

The most widely used treatment for PTSD is talk therapy. By talking through the traumatic memories, as well as those moments that seem to trigger the flashbacks, the individual can sometimes learn a healthier response to the trigger.

Medications

Medicines are used in some cases to help patients cope with their anxiety and anger in the face of an unrelated situation that stimulates the reaction, i.e., a trigger. Since adrenalin is a hormone that’s released in overabundance with each trigger point, addressing the individual’s hormonal reactions sometimes improves relief.

IV Ketamine infusions

This treatment makes a remarkable difference in many cases of PTSD. The Veterans Administration works with IV ketamine to treat PTSD in combat veterans, and has for years with excellent results. And IV ketamine shows remarkable outcomes for people with a wide variety of PTSD causes. PTSD from major disasters, to domestic violence, assault, battery, and rape, to catastrophic illnesses, transportation accidents, and other disastrous injuries.

IV ketamine isn’t for everyone. No treatment is. But chances are it will help you enjoy a dramatic relief from symptoms of PTSD.

More studies show IV ketamine infusions can also prevent PTSD in combat military and first responders. Extraordinary.

By offering these articles about PTSD, we hope to increase understanding and compassion for those who suffer, and drive back stigma with factual information.

Keep reading…

  • Birth Trauma? Ketamine Treatment Can Help Heal PTSD

    Birth Trauma? Ketamine Treatment Can Help Heal PTSD

    Madison took a deep breath, then let it out slowly. Trying to calm herself, she knew her reaction wasn’t rational. Her husband had gently stroked her arm, but she’d been asleep. That touch triggered panic. She was flailing her arms and kicking before she knew what she was doing. As wakefulness turned on the lights in her mind, she saw it was dark, and she was in bed with Zach. Her slow steady breaths were an effort to calm herself, but she was shaking. Finally, she began to cry. And cry. Her birth trauma had crushed and terrorized her, and she didn’t know ketamine treatment can help heal trauma. Zachary sat up in bed, unsure what to do. His affection had triggered terror in his wife. Why?

    Their 4 month-old baby made some squeaking noises in the bedside crib next to his wife, but thankfully seemed to go back to sleep.

    Trauma Kicks Back

    He whispered, “Mads, what happened? Are you ok?”

    She sighed, desperately trying to calm herself. “I think it was when you touched my arm. I’m sorry… I don’t know what’s wrong with me… But it startled me and I was engulfed in terror. I feel so foolish.” 

    Her hands still shaking, she got up and went to the kitchen for a drink of water. When she returned to the bedroom, her husband was waiting, but unsure what to say. 

    “Do you think you had a bad dream?”

    Madison was still shaking… why couldn’t she calm down?

    I don’t know…I don’t remember. This has never happened to me before. But, ever since Jack’s birth, being out of town with a strange doctor like that, and the horror of all that happened, I’ve been on edge. The healing has been prolonged, and there’s been more pain than I had with the other two. I’m just not snapping back like I did with the first two babies.

    Her birth trauma was deep, and she didn’t know ketamine treatment could help her heal.

    “But what happened, the way the doctor let me labor so long, cut an episiotomy, then changed his mind and did a C-section. It was terrible!  He went about the epidural wrong, or didn’t give it enough time or something, and I felt it! I felt the C-section!! I just feel so angry about it!” 

    By now, Madison was screaming.

    Sometimes during the day…I haven’t known how to tell you this…but sometimes while you’re at work, I feel so vulnerable. Like someone’s casing our house…feeling like they’ll break in! Zach, I know this sounds ridiculous, but it feels so real

    “I feel so threatened a lot of the time. All day, I watch the yard and front porch, and keep all the doors and windows locked, but I start shaking and sometimes I cry, really hard, and can’t stop.

    “Other times, I can get up, dress the kids, and go to the park or the grocery store with them just fine. This seems to come and go. I just don’t understand what’s wrong with me!”

    “When you touched my arm, I honestly felt like I was about to be raped. I don’t get it! I know you weren’t trying to hurt me, but I couldn’t figure that out at the time. I just can’t describe how threatening it felt. Tonight I couldn’t separate who I know you to be, and the terror I felt.”

    “Mads, you’ve been through so much. Let’s try to find ways to help you rest, feel soothed, lighten the pressure…”

    “HOW!!!?? I have two preschoolers and a newborn! How am I supposed to relax?”

    “You’re right. That was a silly thing for me to say. Would it help if we asked your mom to come for awhile and pitch in? Or would that make it worse?”

    “It would not help. I’d be on edge. In fact, I’m already on edge. Let’s don’t make it worse.”

    “Ok, honey. I’m going to take a few days off work. With the weekend maybe it will give us several days to try to reset.”

    Helpful Ideas Rise with the Dawn

    As the sunrise filled the kitchen with a golden glow, they were drinking coffee. Madison told Zach that she found it hard to hug the children…like she was living in a prison of fear and aloneness. She felt — detached — and worried she was no longer able to be a good mother. 

    She felt no affection for anyone. Just sort of frozen. Stiff.

    Zach suggested they call her doctor and see if he had any suggestions. He felt like an utterly helpless husband. So they did, and left a message for him to call.

    The doctor called during lunch. They described what Madison had been going through, and he seemed to understand.

    He said, “You’ve suffered significant birth trauma, Madison. It’s not surprising that you’re still suffering from it all. It sounds like you may be experiencing some PTSD, or post-traumatic stress disorder. It would explain your hyper vigilance, the fear of someone breaking in, terror when you’re touched in your sleep.

    “You were wounded, physically and emotionally. You don’t feel safe. So of course, you feel threatened. After birth trauma like yours, ketamine treatment is a treatment that can help you heal.

    “This is a disorder that happens sometimes to people who experience a severe trauma and can’t seem to recover. I can imagine how terribly distressing this is.

    Her Doctor Offers Hope

    “I want to suggest you call a colleague of mine, who specializes in treating conditions like this. I’ll text you her name and number.

    “Try not to worry. Take it easy, as much as you can. You really can recover from all you’ve been through. Why don’t you come see me in a few weeks? We can see how you’re progressing at that point.”

    Immediately after they ended the call, she received his text message about the doctor he mentioned, and her phone number.

    Turning to Ketamine Treatment

    They promptly called her and made an appointment for the next day.

    The doctor was kind, compassionate, and extremely knowledgeable, which was reassuring. She talked with Madison for an hour, typing notes and filling out forms. Then she closed her laptop, and smiled.

    “Madison, I’m so sorry for all you’ve been through, with the birth of your baby, and ever since in your life. Birth trauma like this can cause your symptoms of PTSD, but we have seen such remarkable recovery from these symptoms with ketamine treatment.

    “It involves an infusion a couple times a week for a few weeks. We’ll evaluate as we go, to see how many infusions you’ll need to feel like your best self again. And that’s our goal. For you to feel like the best you, you can be. Would you like to start today?”

    Ketamine Treatment Begins

    Zach and Mads looked at each other with hope in their eyes, and nodded at the same time.

    “Yes, I would.”

    After the first infusion, Madison felt a strange lightness in her chest…sort of? Was it physical…? Or was it hope..?

    On the way home, Zach suggested that they call her mom and ask if their two preschoolers, Charlotte and Adelaide, could come see Mimi for a week or so. They would love it, and she and Zach could keep little Jack with them and still have opportunities for rest. Just to lower the stress during her ketamine treatment.

    Madison agreed it was a good idea, so they called her mom and made arrangements.  Her mom arrived before bed time to pack bags for the girls and take them home for baths and bedtime snacks.

    Just reducing their household numbers from 5 to 3 seemed to make things a little less stressful. Zach encouraged her to enjoy a bubble bath and candles, while he diapered and rocked Jack.

    2nd Infusion

    Two days later, they went back for her second infusion. Afterward, she didn’t feel much more relaxed, but sudden noises didn’t make her jump as badly. Since Jack was born, when something startled her, it felt like she’d been kicked in the kidneys. Extremely jarring and painful.

    But now it was milder. She also noticed she was upset by certain things, but not so extremely outraged. Something was changing…slowly.

    After the third, and then the fourth infusions, she began to realize she was coping a little better. Not a lot…but at least it was some.

    6th Through 9th Infusions

    By the 5th and 6th infusions, her kids were home again and she found she was enjoying them. Her negative feelings were milder, and there were moments when she thought there was a little bit of joy bubbling up. Just a little, but something she hadn’t felt since Jack was born.

    After the 8th infusion, her heart was swelling with love for Jack, Charlotte, and Addy, She noticed it. She was feeling like a mom again. She felt close to her children. And she realized she was enjoying Zach, too.

    Madison had 9 infusions in all, and she continued feeling better and better over the next 2-3 weeks. 

    She experienced first hand, over several weeks, that PTSD caused by birth trauma could actually heal from IV ketamine treatment. She was living proof!

    Traumatic Birth Memories Heal with IV Ketamine

    She called and made an appointment to see her doctor. In the office, she told him she just wanted to thank him in person for referring her to this psychiatrist and ketamine treatment. She was feeling good, enjoying her family, and felt affectionate and stable again. It felt like a miracle, and she was so grateful.

    She had had no idea that she was suffering from PTSD before she called him. But even more, she had no idea there was such effective treatment.

    She thanked him again for helping her get her life back. Where she really felt like herself again.

    He, in turn, thanked her for showing him how effective this treatment could be!

    PTSD can result from a variety of traumatic experiences, but there’s hope.

    If the trauma Madison endured sounds familiar, and her symptoms that followed afterwards plague you too, call us.

    You’re in good company with so many others who have suffered trauma, followed by a host of distressing symptoms, but then found out what ketamine treatment could do.

    You, too, can enjoy peace again…and joy.

    And get back to living your best life. That’s why we’re here.

    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,

  • Has Shattered Trust Caused PTSD? Find Your Joy and Hope Now

    Has Shattered Trust Caused PTSD? Find Your Joy and Hope Now

    Shattered trust in business and friendship can splinter your confidence.

    Kevin recoiled. He put his hand on the wall to steady himself. His business partner of 11 years, Max, informed him that he’d invited a new profit-sharing partner, William, into the business because he had so many fresh ideas. Trouble was, Max hadn’t discussed it with him! Kevin felt shocked, betrayed, and deeply hurt. Ever since Kevin had been on a business trip out of state, Max and William had been meeting and texting without Kevin’s knowledge. He and Max had started this thing with nothing, but over the last 11 years, built a 15 million dollar business supporting security software in Fortune 500 companies. They had hired and trained a team of 22 IT specialists, who traveled around North America wherever they were needed. They had been Best Man at each other’s wedding. Kevin and Max were super close friends — as well as business partners. Shattered trust splintered their friendship, then it got worse.

    A Fox in the Hen House

    William was ambitious and self seeking, and he didn't care whose trust he shattered to benefit himself.

    William was one of the specialists they had hired, but he did stand apart in his own right. He was creative and gregarious, and loved to network with IT guys at gatherings that drew a variety of enterprises. He was a magnet. And he’d made connections that led to more work, which added to his value as a contractor.

    But he was also ambitious, pushy, and self-seeking. He repeatedly pressured Max to make him a partner, because he “deserved” to be a partner and to share in company profits since he had contributed by bringing large contracts.

    Kevin could see the logic, but he had already learned that William was not loyal, except to himself. And by bringing him in as partner, he knew William would find ways to undercut their company… even stab Kevin in the back.

    Still, the greatest loss Kevin felt was the loss of loyalty from his long time friend, Max and — after all they’d been through together — that Max betrayed their partnership and friendship.

    Their entire partnership had been built on trust. They had built the company on their shared sweat and struggle. This business was their baby, and they had leaned on each other, often working through the night together, to make it strong. Kevin’s trust in Max was shattered.

    It had been fun, but suddenly, the fun drained out of it like water out of a broken cup.

    Kevin's trust was shattered by Max's betrayal.

    As weeks and months ran on, Kevin found it increasingly difficult to do the work he was so good at. Max brought his gifted public relations talent to their team, and had only adequate IT skills. Kevin was the technical genius, providing the know-how and support the specialists needed when they ran into difficulties with their own on-site assignments. 

    He was the problem-solver for everyone, including Max. But he was an introvert, and far less adept at networking and building profitable new alliances at conferences. (You know how that goes…. but between the two of them, he and Max were a dynamite pair.)

    Betrayal Magnified

    Then, William came along and drove a wedge between them, exploiting their small, young company to fill his own coffers, no matter whom he hurt. He wanted to be a CEO. No matter what it took, and no matter what it cost.

    Within 4 months, Max and William had withdrawn all their investments in the company and started a new enterprise of their own.

    Taking the best specialist contractors with them, the company Kevin loved had been gutted. Robbed.

    Depression and anxiety can accompany symptoms of PTSD after shattered trust.

    The rage and hurt that billowed inside Kevin was suffocating. It festered for a year… it made him sick …then a dark cloud took over Kevin’s mind. A terrible ache in his chest never relented. He lost his drive to keep fighting for the survival of his business. His shattered trust was destroying his life.

    His creativity that had underpinned everything for 11 years seemed to go silent. He felt ignorant. Useless. Inept. Helpless.

    If he ran into Max or William at a conference or gathering, he’d break out in a sweat, his breathing rapid, and just quake. Immediately, he needed to escape and would walk out and head for his hotel room.

    Then, as cruelty heaped on itself, he was engulfed in shame for his cowardice. 

    Finally, A Talk with His Wife

    He didn’t know what was wrong with him. Why couldn’t he just walk up to them and greet them and move on? Why did he feel so helpless and panicked?

    Finally, he opened up to his wife, Krystal, and confessed his behavior to her, and the shame he felt. She was so relieved he finally included her in his pain. Since the whole nightmare of Max and William had begun, her husband had been shut down, unwilling or unable to talk. Just stuck.

    She had grieved for him, for all the hard work and dreams that were crushed for him, and especially the shattered trust. It was as though when Kevin’s trust in Max was broken, he was afraid to trust anyone…even her.

    Together, they started googling for help…answers to their questions about the misery Kevin was experiencing. They read about broken trust, and how a severe unexpected assault, even one that wasn’t physical — but rather emotional and relational — could cause a condition like PTSD. 

    That such an assault can be a form of trauma that causes psychological damage. They even learned that seeing Max and William triggered the trauma all over again. His sickening feelings, his reaction to seeing Max and William, was a common reaction to deep trauma, an effort to avoid further trauma.

    Thinking about it that way gave Kevin some relief. It relieved some of his shame. His sense of failure.

    He knew all this had shocked him and hurt him deeply.

    But, he beat himself up that he couldn’t seem to go on as if nothing had happened.

    Shattered trust from his best friend caused him to sink deep into depression and PTSD.

    The more shame he poured on himself, the more withdrawn he became. The darker his thoughts grew, the more anxiety he felt around people.

    IV Ketamine Helps

    So they googled “PTSD treatment” and “anxiety treatment” and found a consistent pop was IV ketamine treatment.

    Hmmmm.

    Maybe they should at least look into that. 

    Instinctively, they had no intention of diving into some mysterious treatment without the advice of a doctor. But, Kevin and Krystal were healthy and young, and hadn’t felt the need for doctors at this point in their lives. So, they’d have to find one who could help.

    In the search results, they found a psychiatry practice not too far from them, where IV ketamine treatment was one of the treatments offered for depression, anxiety, and PTSD, among other conditions. 

    Kevin's wife comforted him from his pain after Max shattered his trust.

    It seemed like a good place to start, so they called for an appointment.

    The psychiatrist identified symptoms of depression and anxiety. After discussing what had happened, and his reaction to it, she confirmed that Kevin was suffering from his response to trauma, and that IV ketamine treatment could be very helpful for him.

    Remission is the Goal

    Kevin started treatment right away, and continued twice a week. The doctor explained that the dosage was titrated with each infusion to find a therapeutic dose for him that would bring optimum results.

    She said, “When we give IV ketamine, our goal is remission from your symptoms. We don’t always achieve that, but we do everything we can through dosage, rate, and frequency, with that goal in mind. Remember though, that ketamine isn’t for everyone. Some people just don’t get the benefits so many others do. But for those who respond to it, ketamine treatment can bring joy and hope as well as remission.”

    She was honest. Real. Knew her stuff.

    In Kevin’s case, he began to experience relief that was vague — but undeniable — after the 3rd infusion. From that point on, each infusion seemed to reduce that “frozen-with-fear” feeling. Then after the fifth, a faint sense of hope began to emerge inside him.

    After the 7th, he laughed for the first time in well over a year. He finished with the 8th infusion, and decided with the doctor he’d see how things went for a few weeks.

    As it turned out, he went for a booster a month later, because the frozen feeling seemed to be returning. And again a month after that.  

    Healing Begins

    Then, over the following weeks, he continued to feel more and more relaxed and confident. He and Krystal talked often about his grief from losing his friend, Max. The more they talked, the more he was able to let go of his bitterness and pain. 

    With IV ketamine treatment Kevin felt more relaxed and confident.

    Ironically, he got a call from Max about that time. Max apologized for his actions, and told him he deeply regretted what he’d done to Kevin. He told him he missed his friendship terribly, and wished they could try to rebuild it.

    Kevin told him he appreciated his call, and it helped to know that Max regretted his actions. It also helped to know he actually did value their friendship. He wished Max well, but explained that he didn’t know how to rebuild the trust they had. That it seemed pretty impossible. 

    Kevin and Max never spoke again, but Kevin was so glad they had talked. It helped to heal the wounds from the shattered trust, to some degree. And he was especially glad he and Krystal had found out about ketamine treatment. It had given Kevin a new start. Fast. Without wasting any more time. 

    Have you experienced trauma, and feel like a prisoner to depression, anxiety…maybe PTSD?

    IV ketamine treatment can be transformative by restoring connections between brain cells that have been pruned and damaged by stress and trauma. By working in the lateral habenula, it can repair your ability to feel reward. 

    If you can identify with the kind of trauma Kevin experienced from shattered trust — in business, in relationships, or just in lifecall us.

    You can live again, embrace life and challenges again, and ketamine treatment just may be the help you need to embark on that road.

    We’re here to help.

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

    To the restoration of your best self,

  • IV Ketamine for PTSD Symptoms from Severe Abuse Trauma

    IV Ketamine for PTSD Symptoms from Severe Abuse Trauma

    Severe abuse trauma causes PTSD but IV ketamine can relieve it.

    Celeste quivered in the dark recesses of the closet… trying to breathe ever so quietly. She didn’t want to alert her husband to her hiding place. His violent assaults had become more and more severe…she could feel her eye throbbing and her lip swelling, but the worst was the soreness in her neck. He had almost crushed her airway this time. She knew if he found her he might finish her off. So she tried to breathe without making a sound. It was hard. She was terrified — and knew that this kind of severe abuse trauma leads to PTSD, but she couldn’t worry about that now.

    Then, unexpectedly the closet door opened.

    She froze.

    Cam pushed the hanging clothes aside and peered into the darkness. She prayed he wouldn’t see her.

    Trauma from severe abuse causes PTSD but IV ketamine can bring remission.

    Then, with horror, she felt his hand close around her ankle, and he jerked her out of her hiding place by her leg. Her head bumped the wall as she was dragged out. She screamed.

    He dragged her to the cat’s litter box and holding her hands behind her back he forced dirty litter into her mouth and down her throat. Celeste choked and coughed. Then gagged. She scrambled to get her feet under her so she could run, but he tackled her and forced her to the floor. He wrapped his arm around her neck and she could feel her airway closing off. She closed her eyes and tried to relax. 

    She went limp.

    Cam loosened his hold to see what was going on. She took advantage of that split second he was off-guard, then twisted and kicked him in the stomach with all her strength. She spotted her keys on the table and pushed to her feet as she ran for the front door, grabbing the keys on the way. Out the door, into her car, she started it and threw it into gear. Celeste took off with tires squealing.

    She looked in the rearview mirror. There was no sign of him. 

    She turned at one corner, then the next, trying to disappear. Then she turned her car toward the highway.

    Celeste drove and drove, trying to calm down, but she was still shaking. The scenes of the morning played over and over in her mind. Terror that he would find her, pull up behind her on the road, kept her rigid with fear.  She knew this kind of severe abuse trauma wasn’t normal in a relationship. She just couldn’t find a way to escape it, until now.

    She exited at a random exit, and drove west until she reached another highway, then got on it and kept driving. Thank God there was gas in the tank.

    Severe abuse trauma continues to make PTSD worse even after your abuse stops.

    He mustn’t find her.

    After 2 hours of driving, she finally began to become calmer. With no where else to go, she called her Mom’s cell phone.

    The sound of her mother’s voice made her tear up and her voice wavered. 

    “Mom, I’ve left him. Can I come to your house?”

    “Of course, honey!! Where are you?”

    “I’m not sure…I’ve been driving. I thought he was going to kill me this time…”

    “Oh Celeste, honey, how horrible! I’ll help you. I’ll do whatever. I’m so glad you’re taking a stand to save yourself. Would it help if I met you somewhere?”

    “No, Mom. I just want to come to you and be in a safe place. I need to park my car in the garage so if he drives by he won’t know I’m there.”

    “Ok. That makes sense. Stay on the phone with me and talk while you drive so you don’t feel alone.”

    “Yes, that’s a good idea.”

    In 45 minutes, Celeste pulled into her mom’s driveway. 

    She saw the garage open, so she pulled in and her mom, Jill, was there when she got out of the car. They closed the garage door and went into the house and locked all the doors. 

    Over the next few weeks, Celeste cried, slept, ate, and slept some more. For the first time, she described to her mom the violence, fear, confusion, and terror that had been her life for the last two years.  All of the severe abuse trauma seemed to engulf her.

    Her mom had encouraged her to file a report with the police the day after she arrived, so they’d have pictures of her black eye, swollen lip and cheek, and bruised neck and chest.

    It was hard. She loved him, or so she thought. She had not told anyone about the violence… to protect him. Letting go of that protection and loyalty – to take care of herself – was extremely difficult. 

    She didn’t want him to continue hurting her, but she didn’t want to hurt him, either.  

    Still, she saw his car drive by the house a few times over the next few weeks. She hired a lawyer to help her with a restraining order, and she never went anywhere alone. 

    She felt so vulnerable.

    Celeste found herself jumping at unexpected sounds, loud noises, voices when she didn’t realize someone was nearby. When she ran into an old friend in a grocery store, the friend hugged her and patted her back. She froze, broke out in sweat and began to shake.

    She slept very little, lying in her bed tense and wide awake, and plagued by a rapid cycle of thoughts, memories, fears. When she did fall asleep, she had nightmares of Cam and soon woke up again.

    She knew in her head she was living in a safe place now, but Cam seemed all-powerful to her, and she expected he could turn up anywhere at anytime…and she believed he’d kill her.

    She found she was too terrified, more and more, to step outside the house. Walking to the mailbox to collect the mail made her feel terribly vulnerable, so she stopped doing it. Trips to the grocery store became too threatening, so she stayed home.  Severe abuse trauma choked her when she considered leaving.

    Severe abuse trauma causes PTSD but can be treated with IV ketamine treatment.

    After awhile, she found she only felt safe in her bedroom. 

    So she stayed there. All the time.

    Her mom watched her emotional state deteriorate more and more. She brought meals to her room, gave her plenty of time to herself, and sat with her on her bed sometimes to talk and offer moral support.

    Finally, Jill got on her laptop and searched for an understanding of the symptoms she saw in Celeste. The hypervigilance, tension, and insomnia… her reaction to being touched, patted, or spoken to… her fear of leaving the house, then her room.

    She felt gut punched and choked all over again. Apparently, 2 years of trauma had taken a toll.

    PTSD from severe abuse trauma seemed the best explanation.

    Jill talked to her about it and what she learned. She bought a book about it for Jill to read in hopes it would help her understand herself and her fears.

    Jill searched google for IV ketamine treatment for PTSD.

    She also learned there was an effective treatment for PTSD using IV ketamine treatment.

    IV Ketamine for PTSD

    She read one article after another that explained neuroscience studies about how IV ketamine treatment can bring remission to symptoms of PTSD. The jumpiness, the panic, the fear and anxiety, the depression.

    After printing off a pile of articles, she went to her daughter and told her what she’d found. She told her she was also searching for a place where Celeste could receive ketamine treatment.

    Celeste started scanning the articles, writing notes in the margins as she read.

    She began to feel hope that life could be better.

    The idea that she didn’t have to live in a prison of fear and panic opened a window in her mind and light and fresh air streamed in.

    She learned about how the stress of severe abuse trauma wears down the synapses or connections between brain cells, called neurons. That the neurons rely on those connections to send signals around the brain, communicating from one region to another. When those connections are lost, the signals can no longer be transmitted, and depression grows.

    IV ketamine treatment can help you achieve remission from PTSD.

    Cognition, courage, creativity, and hope all rely on those connections. The result is poor concentration, fear, panic, despair, and hopelessness… a cluster of PTSD symptoms. A cluster in general.

    Celeste asked her mom to help her find a psychiatrist who treat her with IV ketamine treatment. 

    IV Ketamine Treatment

    With her mom’s help, they found a practice within a couple hours drive and called to make an appointment.

    There were other clinics closer to her home that offered ketamine treatment, but she wanted a prominent psychiatrist who understood her condition and could guide her as she received treatment. It felt safer.

    After the first three infusions which were 3 days apart, Celeste couldn’t really feel any difference, and she began to worry. She read more articles about how long it should take to feel better, went online, started panicking that it wasn’t going to work….and then learned that everyone is different. Some feel a little better the first day, others after a couple treatments, others later than that… so she told herself to be calm and patient. It was hard to hold on to hope.

    After the 5th treatment, it was as if a light began to turn on inside her. She felt slightly less nervous, less fearful, less panicky.

    After that, with each treatment, she felt better and better. After 8 treatments, she felt remarkably better and noticed in the following couple weeks the improvement continued. 

    She decided to attend a therapy group of others who had suffered from PTSD. And it helped for awhile, then she didn’t feel as well as she had.

    IV ketamine treatment can bring you to remission from PTSD

    Sometimes a booster is the ticket

    About a month after her last treatment, she seemed to be feeling shaky again, as the severe abuse trauma seemed to begin to surface again. So she called for a booster infusion. Once again, after that she improved dramatically again until she felt more like her old self than she had in a number of years.

    Cam was arrested for assault, evidence was collected, and the case was built with her help and numerous visits to the D.A. Without ketamine, she could not have left the house, much less gone to his office for meetings to build the case.

    As it happened, Cam was sentenced to 3 years in prison, which gave Celeste time to rebuild her life to some degree.  But most importantly, she could live in peace with her surroundings, and her emotions. 

    The panic attacks subsided, her hope grew, and she decided to go back to school to get her law degree so she could help people who have been through what she had. 

    She could breathe again, and she looked forward with joy.

    Do you know someone who suffers from PTSD?

    IV ketamine treatment can take you from severe abuse trauma to remission.

    IV ketamine treatment can do wonderful work in your brain cells and their synapses to soothe PTSD symptoms. In fact, it can help you achieve remission. 

    If you’ve been diagnosed with PTSD, or can identify with Celeste’s symptoms, and nothing you’ve tried has helped, call us.

    One of the most effective treatments for PTSD today is IV ketamine treatment. We’ve been watching people like you recover from PTSD symptoms for years with the IV ketamine treatment we provide.

    If you’ve been through severe trauma and fear has made your life feel like a prison, let us help you receive this remarkable treatment, so you can find freedom from the symptoms that keep you from living the life you deserve.

    We’re all about helping you move forward 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,

  • Devastating Divorce?  You CAN Recover and Live Well Again

    Devastating Divorce?  You CAN Recover and Live Well Again

    A devastating divorce can rob you of the energy to function.

    Jenn was stunned. She read the text message again, to be sure she had not misunderstood. Her husband of 13 years said, “I don’t want to be married anymore.” Her stomach knotted, she felt herself go pale. She was driving, so she pulled the car over for safety, because she couldn’t see what was in front of her. Shock, hurt, humiliation… her ears were ringing, her hands felt numb. It was as if her heart stopped. How could she love him so much and be cast aside like yesterday’s garbage? She lived to support him, comfort him, and bring joy to his life. Everything she was and had to give …well, he was spurning her heart… her value. To make matters worse, she had been through a devastating divorce once before. It couldn’t be happening again. It just couldn’t.

    Kids struggle and need to talk following a devastating divorce.

    She didn’t WANT to start over. Jenn had invested her heart and soul to build their life together, to unite their blended family of teenagers, help them work through their anger, and feel a warm, secure place in their family. While her husband, Rick, slept for his job the next morning, she sat up and listened to teenagers who didn’t seem to get the urge to talk until it was pushing midnight.

    Night after night. 

    It just seemed to be a fact of life with kids of this age. But it seemed to be all up to her.

    With the late nights Rick was keeping, she knew this wasn’t out of the blue. She knew in her gut that the young woman with a child their family had been helping, supporting, and encouraging had become more than a charity case for him. Even though he wouldn’t admit it, this woman had become an obsession. Divorce was devastating.

    And now he wanted to leave.

    Jenn was devastated. Heart-broken. She had believed in their marriage, their communication, their shared commitment. She had believed they were both grateful for the other, and all they had accomplished in building their family and their future.

    Devasting divorce can strip you of your self respect.

    With her support, Rick had grown in his abilities in his job, and had received a string of awards, recognition, and promotions since they’d been married. He’d never known such success before, and expressed his awareness — told her often! —of the important role she played in his life.

    What happened to that?

    As days and weeks passed, she felt hollow, disillusioned, utterly flabbergasted. When she looked at herself through Rick’s eyes, she seemed to come up short. She seemed to have no value. Nothing to contribute that mattered. This devastating divorce was gutting her.

    Jenn knew she had to find a place to live. She couldn’t bear to be in this house where all the memories of their love, their work together, their battles, and their triumphs oozed from the walls and furniture. She felt suffocated by it all.

    This lady needed a break.

    A safe place with fresh new associations … so she spent the days while he was at work packing her belonging and the household items that meant the most to her. Then found a house to rent and moved in with her boxes and a couple of blankets. 

    A devastating divorce can make it hard to face life day by day.

    They could sort out the division of property through their lawyers, but she needed to not wait at home like a sitting duck for him to come and go at will with that woman in tow. Divorce was devastating. She had to be proactive … for her own survival.

    Once her boxes were empty, she ordered a bed, a sofa, and a kitchen table to be delivered.

    Then she sat in her new place, with her stuff all around. She cried. And sobbed.

    And she wailed.

    “So this is what it feels like when your heart is breaking,” she thought.

    Devastating divorce can cause you such agony you wonder if you'll ever recover.

    She felt her insides were tearing apart and exploding. The pain was unbearable. She knew she had to pull herself together, and see an attorney. But she didn’t want to. She didn’t want to do anything.

    For the next week, she spent a lot of time in bed. Crying. Staring at the wall. Thinking of a thousand memories from the last 13 years. Thinking about Rick betraying her with someone else. This devastating divorce threatened to destroy her sanity, it seemed.

    Not just anyone else. That young woman they had been “helping.”

    Jenn may have looked idle on the outside to a bystander, but inside her head she was in utter chaos.

    The pain. The rage. The betrayal.

    White hot rage was so intense, she understood for the first time what it was like to want to kill somebody. She was alarmed by the intensity, and looked for ways to calm herself, and avoid contact with her husband or his “girlfriend” … shopping for groceries at a different grocery store, using different gas stations and restaurants, the best she could.

    Then she saw the attorney and filed for divorce.

    The rage you feel during a devastating divorce can feel too great to contain.

    Her attorney could see she was struggling with more rage than she could cope with, as well as shattered self esteem. He recommended a psychotherapist he knew to be skilled in working with clients suffering from the trauma of divorce.

    During her first session with the psychotherapist, the therapist spoke of her symptoms of depression and the trauma she had experienced. He gave her the name of a prominent psychiatrist who offered metabolic interventions to target her symptoms with therapeutic nutritional ketosis and exercise.

    Jenn was traumatized alright.

    She needed all the help she could get. So she called and made an appointment.

    She also had to get a job, somehow. She hadn’t worked in years, and she didn’t know if she could think well enough at this point to produce something significant enough at a job and actually get paid. But she had to try. She called her boss from years ago, to see if the department had any openings. 

    A New Opportunity

    Not only did they have an opening, but her old boss offered her a supervisory job, which paid more and would help her get on her feet.

    So even though she felt emotionally crushed, Jenn started the job, and scheduled appointments with her therapist and the psychiatrist he recommended to her. It seemed it was all she could do to put one foot in front of the other — but instinctively she knew that if she didn’t push through and at least try, that she’d sink into a hole she might never escape. She couldn’t let this devastating divorce destroy her.

    Psychotherapy can help you manage a devastating divorce.

    The psychiatrist talked about new understanding in the field of psychiatry that involved metabolic interventions to improve metabolism and brain function. 

    She said that those interventions could include a low carbohydrate/high good fat diet to fuel mitochondria in the cells, regular moderate exercise, psychotherapy to help her change her thinking to enhance her peace and help her heal, and ketamine treatment to enhance that change.

    Keeping it simple, she described how providing the mitochondria with ketones, a more efficient fuel for cells, can bring balance and reduce the hyper-excitability — the hypervigilance — that trauma can create.

    Overall, she explained that psychiatry was broadening its understanding about how psychiatric disorders—like neurological disorders—are related to alterations in energy processes at a cellular level. (Actually at an intracellular level–at the level of the mitochondria.) And that improving metabolism by upgrading your food choices changing can dramatically change your body, calm your brain, improve your frame of mind, and eliminate your symptoms. It’s Food as Medicine.

    Getting your brain to run on diesel instead of gas can change everything.

    And so they began.
    You can triumph in a devastating divorce with IV ketamine treatment and psychotherapy.

    Over the coming weeks and months, she noticed the brain fog, that had made it hard to think or focus, dissipated. Her mind became much sharper on running on ketones. Her thinking improved. Emotions (that had been so volatile) calmed, and she was able to respond more rationally as divorce proceedings moved forward.

    Meanwhile, she was building a new life and a new sense of herself. She made new friends at work, and rediscovered her social skills by nurturing friendships she had enjoyed for years.

    She continued her relationship with her therapist for a year and a half.

    Feeling like a victim had plagued her when she and Rick first separated, but now she had forgiven herself for her own shortcomings, had let go of her resentment toward Rick, and saw herself as independent, capable, and worthy.

    Life was moving forward.

    You can recover with ketamine after a devastating divorce.

    Her thoughts came and went, but she embraced her freedom to choose or redirect them. To live… and love herself and others

    She had hope again, and so much to give when others she cared about struggled.

    Can YOU relate to Jenn?

    Has a great loss caused you to doubt yourself, your ability, and your worth? Life has its blows, and no one can avoid some of them. What you can do is to equip yourself to respond in ways that are good for you and your sense of yourself.

    You can rebuild your self, your skills, and your confidence. You can have hope again.

    If you suffer like Jenn did, and nothing you’ve tried has helped you move through it, call us.

    We can help you get on your feet again with an intervention that jumpstarts your metabolism, kicks up your energy, and reduces the rapid-firing of anger and and anxiety using metabolic treatments like a ketogenic metabolic therapy.

    It’s like getting your brain run on diesel instead of gas.

    You can be your best self again, live well again… and enjoy your best 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 Trauma Sabotages Your Life – You Can Overcome It!

    When Trauma Sabotages Your Life – You Can Overcome It!

    When trauma sabotages your life, overcome it with ketamine.

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

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

    Infidelity Shatters Trust in a Committed Relationship

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

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

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

    Cold. Without compassion or mercy. Brutal. Cruel.

    Trauma sabotages your life and strips your joy.

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

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

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

    Dinner Out is Ruined, Groceries Abandoned

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

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

    The heartbreak of betrayal and trauma leave you heartbroken.

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

    Maybe There’s More To It than Grief

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

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

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

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

    IV Ketamine Treatment Emerges as Her Solution

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

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

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

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

    A Supplement that Can Enhance Outcomes

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

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

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

    It May Take More Than 6 Infusions

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

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

    And she did.

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

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

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

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

    To the restoration of your best self,

  • PTSD Permeates Our World with a State of Post Traumatic Stress

    PTSD Permeates Our World with a State of Post Traumatic Stress

    Since the Uvalde, Texas shooting at Robb Elementary on May 24 where 22 people were killed and 18 wounded, 40 more mass shootings have occurred in this country. As we spoke about in our post Shooters are Terrorizing Us, people who hear or read about these terrible events struggle to make sense of them, and in many cases feel the rise of PTSD. Traumatic events like this are all around us. PTSD permeates our world.

    This is National PTSD Awareness Month, and you can help those with PTSD with your awareness and by understanding their pain.

    PTSD isn’t limited to soldiers who’ve survived active combat. It’s also a risk for people in domestic violence situations and those who’ve been assaulted. It can also develop in people who’ve survived transportation accidents, those who have survived a vicious divorce, horrible bullying, and so many other terrible and damaging experiences.

    Some say the whole world is living in a post-traumatic era.

    I say we’re living in an era that’s currently traumatic. There is so much that threatens to fill our lives with trauma. From the deaths and severe illnesses of people we knew and loved related to the COVID pandemic —which is still happening! — to the wildfires, natural disasters, wars and shaken refugees pouring into any country where they can be safe… to the cruel murders carried out by marginalized people who have a hate crime or score to settle.

    We’re seeing it all.

    Hypervigilance creates a prison of trauma

    PTSD permeates our world. Why is that? Maybe because our world is increasingly permeated by experiences that lead to post traumatic stress …. changes within our bodies and our minds characterized by hypervigilance, fear, and hopelessness.

    When we speak of hypervigilance, what are we describing? It’s that exaggerated condition of constantly looking around you for potential threats…something or someone who might hurt you. If you experience trauma, the impact of it can stay with you, always threatening to rear its ugly head again.

    This state can prevent you from relaxing, enjoying the circumstances you’re in, because of the danger of missing a threat. Your subconscious is constantly scanning for danger. Because it feels like it can be anywhere.

    It can make you feel on edge, tense, fearful, and overwhelmed. Post traumatic stress can keep you frozen in fear.

    The stress of PTSD that permeates our world wears down and prunes the nerve connections (synapses) in your brain, making it difficult to think of other things, or focus on the people you love. It’s as though you’re on high alert and ready to jump to defend yourself at the smallest surprise or noise.

    IV ketamine treatment has proven especially effective with PTSD. It causes those synapses to rebuild and reconnect to give you the ability to relax and enjoy the moments in your life with loved ones and friends.

    How does ketamine work?

    By triggering RNA to turn DNA “ON,” and to produce BDNF, a growth factor for brain cells that works like fertilizer to get those synapses growing, flourishing, and connecting…. filling your brain with new, robust connections. It’s as though the lights turn on as the signals in your brain transmit feelings of calm, relaxed enjoyment… and you can feel lighter and infused with hope. Resilience returns (or begins) for you and patience becomes part of you as you find new ways of enjoying your life.

    Imagine waking up in the morning with a song going through your mind, or even waking up singing…! (I know, right? when was the last time?) Imagine not reacting when someone playfully slaps you on the back. That you can go about your business without scanning the crowd for some threat…

    You can live free of those restraints and painful symptoms, and actually focus on your child’s birthday party, or conversation with your partner at dinner.

    At Innovative Psychiatry, it’s a joy to see people freed from PTSD symptoms after ketamine treatment every week. (Makes working so late into the evening doing infusions so worth it!) The robust impact ketamine wields on PTSD is a marvel to witness and can be — hands down — life changing. Whether the trauma is from exposure to tragic events, or verbal or physical assault, or injuries from accidents, or a catastrophic disease.

    Even though PTSD permeates our world — and maybe permeates yours — know that there is hope.

    If you suffer from symptoms we’ve described here and nothing has helped, call us.

    We’re here to help you receive your ketamine infusions in the best possible healing environment. You’ll have a beautiful treatment room where you can relax in a zero-gravity heated recliner while we monitor your heart rate and blood pressure. Your infusion of ketamine will be by a precise infusion pump that measures your dose to the tenth of a milliliter. We don’t hang a bag on a hook, cross our fingers, and let gravity take over, or run a bag in fast because we have to leave. (You wouldn’t believe the stories!) Your recovery is too important for that so we do our absolute best for you.

    And while you undergo your infusion, you’ll be safe from infection from the COVID virus, as well as bacteria and molds. Because 99.99% of all viruses, bacteria, and molds in our air are destroyed by the plasma cell technology we’ve installed in our offices. This is that system we’ve talked about before that was developed by NASA and the Department of Defense for the International Space Station. While our technology works to protect you, you’ll be free to focus on your treatment and getting better.

    We know that there are lots of ways to administer ketamine — lots of ways to administer IV ketamine… and most practices just don’t do what we do. Your journey starts with me—and with an incredibly thorough diagnostic evaluation—not a checklist, not a quick referral form, or a phone call where someone (medical? not medical? a closer?) just sets up an appointment. We don’t run a clinic with one size fits all…we do the very best we can possibly do to foster your recovery and remission.

    Get in touch with us and let’s talk it through.

    We want to see you enjoying your life — and you want that, too.

    So let’s do this! You have nothing to lose and a bright future to gain.

    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,

  • Shooters Are Terrorizing Us

    Shooters Are Terrorizing Us

    Shooters are Killing People

    We have a tradition in this country of excusing and explaining away the actions of a terrorizing shooter by declaring him mentally ill. We’re talking about shooters—the ones who open fire in a crowded public space and gun down the innocent. I hesitate to enter this dialogue but I feel compelled to today. The reason? Because those who truly suffer from conditions I specialize in treating — like trauma, PTSD, depression, bipolar disorder, obsessive thinking, and so many other conditions I specialize in treating are gentle, peaceful, empathic …. and would never become a shooter. The kind of rhetoric in the news these days (and dripping from loud-mouths) that “explains away” terrorizing shooters fuels fear surrounding psychiatric disorders. Shooters are terrorizing us, that’s for sure, they’re terrorizing our sense of security, curtailing our freedom, robbing us of peace. They are stealing our futures.

    So let me be clear and speak loudly: we desperately need to get away from “explaining away.” Because the simplistic way of thinking “they must be mentally ill” (a phrase I loathe) also feeds the stigma that can surface when someone admits he or she is depressed, or has bipolar disorder, or PTSD, or autism or an addiction.

    An Attack on a School or Church Requires Cognition and Strategy

    The person who would plot and plan to enter a public place and shoot as many people as he can is a murderer. Full stop. His cognition is working well enough that he can plan clearly, strategize his actions, and craft his response to resistance. No wonder shooters are terrorizing us.

    It’s not a game.

    They kill without conscience.

    Think about what that means for a minute.

    Are We “Making Excuses” for Shooters by Calling Them Mentally Ill?

    It’s difficult to imagine in a civilized world that anyone would purposely hurt defenseless children, or worshippers, or a family gathered at a barbecue. We can’t conceive of someone with a balanced mind setting out purposely, deliberately, and carefully to make sure that the mass killing is actually a mass killing. Unreal, right? So some people explain it with something else they don’t understand, such as mental illness. (“It must be….”) But it’s most likely that the tipping point for shooters who carry out their despicable acts happens because they’ve been radicalized by their associations, what and whom they listen to…. and eventually decide to act on it.

    This is terrorism…not mental illness.

    Shooters are terrorizing us and killing the innocent. That’s not to say that some of these shooters don’t have a psychiatric disorder. They might and they often do. But that’s not what motivates them. It’s who they listen to in many cases. Voices in their friendship circles, podcasts, or online … the ones they wake up to, fall asleep with, and dial into all day long. The ones who draw them into a marginalized way of thinking related to ideologies, race, hatred, and other dangerous concepts.

    Trauma Caused for Thousands by These Events when Shooters Are Terrorizing Us

    These events are upsetting and heartbreaking for all of us. Far more people suffer beyond the grieving families, friends, first responders and communities affected directly by the deaths that have been exploding around us. Everyone who reads about these incidents, or hears about them on the radio…or on TV or online…suffers with the horrors.

    As a nation, we shudder. And we cry.

    The trauma of these events causes damage not easily repaired.

    But here’s the thing.

    When these incidents draw attention, we’re flooded by footage, news clips, firsthand accounts. Just hearing about and seeing these events—and the shooters who perpetrate mass killings—results in trauma.

    Big T and little t trauma depending on how close you are to it, and what it reactivates.

    What can be done about these wounds to people like you?

    Let’s focus on that.

    Brain Cell Damage from the Trauma People Suffer Over Such Events

    Most of us start out in life with brain cells that are flourishing and abundant, resembling well developed oak trees. Happy Trees!! Then a stressful, traumatic event comes along and creates pruning. It’s as if shears are cutting away the branches from the brain cell, limiting what it can do drastically.

    What had been a great oak among the brain cells, dwindles to a twig with very little function. Then, suicidal thinking often enters, cognition deteriorates, mood tanks, and joy (what’s that?) is reduced to anhedonia…or the inability to feel pleasure.

    IV Ketamine Restores Signals Between Cells and You Feel Better

    shooters are killing people, but to recover from the trauma they causes, IV ketamine can heal the scars of PTSD.

    But when you receive IV ketamine treatment, it creates a cascade which turns on the production of BDNF to act like fertilizer so your brain cells can flourish again. Branches — we call them dendritic branches — grow and reach out and multiply until that pruned back twig is like the mighty oak again, remodelling synapses, setting up new connections, allowing new possibilities, removing suicidal thoughtseven in teens — improving mood dramatically, doing away with anhedonia, and sharpening cognition ….and you feel good again.


    Just imagine for a moment feeling good again after years of feeling bad…or if that’s hard to imagine, read about it in real people who tell their stories.

    But IV ketamine isn’t perfect.

    It doesn’t ALWAYS do all these things — no treatment works 100% of the time for everyone — but it’s so effective and revolutionary in psychiatry because in the right hands, it can operate like this nearly all the time, transforming people like you so you can function at your best. To help you be your best self.

    We can say this because we live it and see it every day. We think deep and long, have the guts and the courage (and the circles under our eyes!) to write up our findings and publish them, travel to teach our colleagues nationally and internationally. It’s why people drive in or fly in from far away to see us.

    At Innovative Psychiatry, we love to see people like you rise above painful symptoms and flourish. Seeing your resilience restored, your hope and energy renewed, your courage and ability to adapt strengthened, makes everything we do worthwhile. (Even the dark circles!)

    Our Treatment Setting is Calm and Relaxing

    When you come for ketamine treatment, you'll have a comfortable, quiet room to get the most from your treatment.

    When you come in, you’ll find a comfortable, gorgeous, private room to create a wonderful setting for healing. The environment is kept pure and clean using Plasma Cell Technology we’ve installed in each space—actually designed and installed for the square footage of your treatment room. (Tell me: who else does that?) Developed by the Department of Defense and NASA, our technology was first created for the International Space Station and removes 99.99% of all viruses, bacteria, and mold from every square foot of the environment by instantly destroying its DNA and RNA. (We’re not talking about a filter here.) It’s the best technology available and it’s kept us —and you — safe since 2020. So you can focus on your treatment and get better.

    Just know that this is your place to get better. To receive infusions of ketamine, integrate them with therapy, work on your infrastructure and your mindset… and achieve remission. We’ll talk about that more soon.

    We’re here to help you on your path to healing, so call us and come in.

    Better days are waiting 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,

  • Feeling Anxiety About Ukraine? How Long Will It Last? What Will Putin Do Next?

    Feeling Anxiety About Ukraine? How Long Will It Last? What Will Putin Do Next?

    Remember what you were doing when the planes crashed into the World Trade Center? Or when President Reagan was shot? Well, what about when Putin invaded Ukraine..?

    Which time, you ask? For real. That’s a good point. When world changing events occur, they make a lasting impression that stays with us, often for the rest of our lives. And when Vladimir Putin’s forces attacked Ukraine, destroying military bases, airports, and captured Chernobyl, it may have had this kind of impact on you. You likely are feeling anxiety about Ukraine.

    Now there’s talk of a great war coming to Europe, and that’s scary to think about. It’s been 80 years since we’ve seen anything like that. And now nuclear warfare is so threatening, we can’t afford a “Great War.”

    You may feel angry. Most of us do.

    Do you know someone who’s in Ukraine now, huddling in a bomb shelter, or evacuating on a train? Or someone standing in line at a border country, trying to cross over? The helplessness you feel when you have no idea from minute to minute if they’re ok…whether they’re safe…

    As the leader of a world power, when Putin invaded the beautiful, peaceful country of Ukraine, he had to know full well the peace-loving countries of the world would would not be passive, right? It leaves us all to wonder, “What’s he thinking?” “What’s next?”

    Ok, so what’s the recipe for fear? Create uncertainty, have everything ride on it, rip away supports and familiarity…and attack relentlessly and without warning. Sound familiar? Sounds like Putin’s tactic, doesn’t it?

    That’s why you’re afraid. As are people around the world, and especially in Ukraine.

    First: our compassion and horror for the citizens of Ukraine rises high as we worry about them. 

    How far will he go?  How long will the bombs continue to be launched and explode?  Already he’s attacked not just city centers, but kindergartens, orphanages, a Holocaust massacre site, and hospitals. It’s understandable that you feel anxiety about Ukraine. Right?

    This guy breaks all the rules of humanity…and that makes us feel anxiety about Ukraine. And anger. So much anger.

    Will the people have food?  What about uncontaminated water, when infrastructure is being destroyed? Will they survive? What can you do to help? Those thoughts swirl through your mind around and around.

    They do in mine, too.

    Peace loving countries will mobilize means of offering aid to the citizens of Ukraine. Surely. Somehow.

    But there is so much we don’t know. Outcomes we can’t foresee. And that causes anxiety. The handwringing worry that can rob us of the freedom to live our lives in peace.

    We wonder why something like this is happening, and we sit in front of the TV watching news to try to understand, or we scour the internet. In a situation like this — when a world leader doesn’t share our values — there can only be theories as to why he’s doing this. We may or may not guess his motives. Or how far he’ll go. But we’re feeling anxiety about Ukraine… and feel helpless to change the situation.

    It’s safe to say that we’re probably all horrified at what we’ve heard and watched and read about Putin’s attacks on Ukraine this past couple weeks. Unprovoked attacks on the peaceful people of that country has probably made you wonder how this could happen…to try to make sense of it. 

    And to worry what all this might lead to? Broader acts of war in more of the world?  Genocide is already happening. How much worse will it get? It’s also so hard to watch something so heinous being imposed on innocent people. Of course you’re feeling anxiety about Ukraine.

    But if worry, anxiety, and fear dominate your mind and mine, they can rob our ability to help others.

    In the midst of it, you still have to live your life, take care of yourself and your family.

    Too much much worry can backfire.

    We’ve dedicated our lives to the prevention and treatment of suffering—however we find it. For some people  ketamine can provide relief—when their nightmares kick up… when they can’t sleep because new trauma activates old trauma … when they sit glued to their news apps, the TV, Sirius.

    So let’s talk about how you can be better for those closest to you. It doesn’t mean we forget what Ukrainians are going through.  It just means giving yourself breaks from the TV and internet — and perhaps from the inappropriate guilt you feel because you’re safe and surviving — and maybe just go outside for a little while, go for a walk….  bake or barbecue something for your family. 

    Breathe.

    Find ways to seek balance emotionally when you’re feeling so bombarded with a despot’s unthinkable crimes.

    When there are opportunities to send aid to the people there, do that for them. Participate in drives for the people of Ukraine when you see an opportunity. Do something today that is meaningful and purposeful.

    Spread goodness.

    Acute anxiety about the war can lead to other serious conditions. It can also make your symptoms worse if you already suffer from past trauma with PTSD, for instance. Brooding and obsessing about the war can cause your anxiety to rise.

    In fact, even if you’ve never experienced anxiety before, you may be feeling it now for the first time with symptoms like worry, brooding, a rapid heart rate and perspiration that can actually be bad enough to feel like you’re having a heart attack.

    What we need in the face of what is going on is resilience, hope, strength, a sense of belonging, a sense that we are not alone, and a generosity of spirit that will give us the courage to do the right thing.

    Our heart goes out to innocent people and their families in Ukraine and everywhere where there is suffering.

    Receive your ketamine treatment in a comfy recliner to erase memory triggers of alcohol use.

    When you think about Putin’s invasion of Ukraine, feeling horrified is palpable. But what if you find yourself growing angry, worrying about what will happen next, whether WW3 is around the corner…just feeling so helpless? What if you have loops of worry spinning around in your mind?

    If you have anxiety that is off the charts, and nothing you’ve tried has helped, call us.

    The IV ketamine treatment we offer can be a game-changer for you — even when the world is turning upside down. It can give you the power to think productive thoughts that aren’t so dominated by anxiety and fear. It’s remarkable, even extraordinary, what IV ketamine treatment can do for some types of anxiety… for depression… for hopelessness.

    We have to be careful and make sure we’re clear: not all the time and not for everyone. But for MOST of the people we see.

    We want you to enjoy the freedom to live your life, free of crippling fear, or handwringing worry. After all… you have good things still left to do — for your family and in your life.

    Let’s work together to make your life better 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,

  • Some Wounds ARE Invisible… But There’s HELP… IV Ketamine Treatment Can Crush PTSD. FAST.

    Some Wounds ARE Invisible… But There’s HELP… IV Ketamine Treatment Can Crush PTSD. FAST.

    June has been National PTSD Awareness Month. And June is nearly over. But PTSD awareness shouldn’t end with June. If you have PTSD, it can go on day after day…after day.

    During flashbacks, Harry suffers from traumatic memories

    Something terrible happened. Over time, it seemed you slowly got past it. You hardly thought about it anymore. Then, in a split second, you’re there again. Something happens that triggers the memory, and you’re fighting all of the sickening feelings that just well up inside. You’re determined to break free and run. Turns out a friend is hugging you…. And you come back to yourself and feel embarrassed about your “over-reaction.” Some wounds appear invisible. But they run deep, and wide. And when they do, PTSD can be crippling, and it can take you captive in a moment.

    National PTSD Awareness Month gives us an opportunity to realize that PTSD exists — more often than you imagine, and in people you’d never suspect… that it’s sometimes surprising in the way it’s triggered… and (so importantly!) that those who suffer from it have experienced severe trauma. While it’s true that two people can suffer the same kind of car crash or the same horrible domestic violence, and only one of the two develops PTSD, that doesn’t mean one is weaker than the other. The impact of PTSD has NOTHING to do with how tough someone is. There are a lot of factors that come together to predispose you to PTSD. Genetics can play a big role. And one huge new mind-blowingly transformative treatment — IV ketamine — can be exceedingly effective.

    It’s important for you and for the people you know and love to learn the signs and symptoms of PTSD — for your own health and wellbeing, and to help others who suffer from it. Because since some wounds are invisible, so also the symptoms are sometimes only visible to those closest to the person suffering from them.

    You may have symptoms of depression, anger, rage, irritability, suddenly becoming startled… or feeling numb and disconnected. There may be flashbacks or nightmares, or you may just find yourself reliving the terrible experience over and over. You also may have increasingly aroused emotions and mental thoughts, which can make it tough to sleep.

    Ok, but there’s more to think about and watch for. Like the types of PTSD. Because all PTSD cases aren’t alike. 

    PTSD doesn’t accumulate traumas like depression can accumulate “reasons to be depressed.”

    Comorbid  PTSD – symptoms of trauma combined with symptoms of other disorders.

    It’s not at all uncommon for people with comorbid PTSD to also have substance use issues. Because most people who suffer from PTSD typically suffer with more than one disorder, comorbid PTSD is probably the most common form of PTSD. Some disorders that often occur with PTSD are panic disorder and depression.

    Normal Stress Response – This occurs during and following an experience that’s traumatic and stressful but before PTSD begins.

    Not all people who experience a normal stress response advance to PTSD. 

    Acute Stress Response – Typically, someone experiences an acute stress response after a huge stress, like being frightened by a perceived predator, a near miss auto accident

    …or even a frightening accident where all parties survived. But if acute stress symptoms keep coming back for a month or more, they may be transitioning to PTSD.  Symptoms of acute stress response may include headache, sweating, chest pains, palpitations, nausea, and stomach pain. Acute Stress Disorder can be treated using support groups or therapy …and medication. IV ketamine treatment has shown great promise in treatment.

    Complex PTSD – This describes a condition associated with more than one traumatic event.

    A cluster of events, each driving its own response. And the responses can interfere with each other, drive each other, and complicate each other. Because some wounds are invisible… but still present and exhibiting deep trauma, which causes more of its own.

    So… how can you know if you have PTSD?  Maybe you feel anxious in the moment, or sudden sounds cause you to jump.  Is that PTSD?

    When most people go through a shocking or traumatic experience, they feel shaken, and off balance for awhile, but in time and with the kind of self care that helps them feeling their own pain and loss, they usually move on. Certainly they keep a memory that never leaves, but they don’t experience the torment and flashbacks of PTSD. 

    The memories of that terrible day crash down upon Sarah, because some wounds are invisible.

    However, some people are deeply injured by a terrible experience, and may not improve without intensive treatment. As we’ve said before, while we don’t understand all the intricacies to explain why one person suffers so much more extensively than another, we do know there is a genetic link to this process.

    If it happened to someone you love, or even to you, would you recognize the symptoms and know what to say in support?  If you’re not informed and prepared in advance, you may be tempted to be irritable, dismissive, or annoyed.

    First, of course, there has to have been a traumatic event. Something has happened that terrified you, you felt threatened to the point of death, and what you saw in the process was shattering.

    Symptoms may emerge within a month…or they may not erupt for years. But once they emerge, they can cause severe problems socially, at work, and in relationships. Because PTSD symptoms show. Whether it’s a sudden panic attack in front of others, and you’re far too disrupted to explain, or in some other way, they make it close to impossible to go about your daily routine. Basic tasks can be impossible.

    These symptoms fall into roughly 4 groups:

    Intrusive memories, avoidance, negative changes in thinking …or mood, and changes in your physical and/or emotional reactions.

    The symptoms you suffer may vary in intensity. With time, they may seem to disappear, then out of the blue you may be confronted with a moment that mimics that first trauma, and suddenly you’re in it. You’re terrified.  You’re fighting for your life. Except that nothing dangerous or life threatening is happening. It just “feels” like it’s the same.

    You can see how these moments could be upsetting to friends or co-workers.  And eventually embarrassing for you.

    The image of Sarah's abuser hitting her returns over and over in her mind, because some wounds are invisible.

    You may wonder if you need to see a doctor. If these disturbing moments have been happening for more than a month since the original incident, then it is wise to see a psychiatrist. He or she can be very useful in directing your treatment, or referring you to additional treatment. Your psychiatrist is a specialist. Some wounds are invisible but he or she knows how to find them and treat them, to help you find your way back to a rewarding life.

    If you should have suicidal thoughts, call a friend, family member, or a neighbor to spend time with you. Call your doctor to reveal the severity of your symptoms. In a crisis, call the National Suicide Prevention Lifeline (800) 237-TALK or text CONNECT to 741741, or call 911. Remember this has nothing to do with your mental strength or courage. The fact that you reach out for help is a great step of bravery for you to protect your well-being.

    And if the thoughts are persistent, know that IV ketamine treatment can be dramatically fast working and can stop those thoughts in an afternoon. That reprieve will give you time to seek out more treatments.

    IV ketamine treatment can relieve PTSD symptoms quickly.

    At Innovative Psychiatry, we have seen IV ketamine treatment provide a wonderful lifting of symptoms and relief from PTSD to many patients. It’s nothing short of remarkable to see what this treatment can do for someone caught in the throes of trauma. Many patients find talk therapy and other forms distinctly more liberating after ketamine infusions. We like to work with your healthcare team to learn how we can help the process of restoration in your life.

    IV ketamine treatment ferrets out the painful memories and thoughts and can dramatically relieve them. Just because some wounds are invisible doesn’t mean they can’t be healed.

    Since we know that new strains of COVID are still emerging (and because frankly, we’re a health care office!) we wear masks, and have installed of the top plasma cell air disinfection at a level designed by NASA to remove viruses, bacteria, molds, and pollen from the air in our offices. So you can feel safe when you’re here, and you can focus on receiving treatment and getting better.

    You’ll have a zero-gravity, soft leather recliner to make your experience feel well supported and secure, and heat at the touch of a button. We want you to get better, and want to help that happen any way we can.

    To the restoration of your best self,

    Lori Calabrese, M.D.

  • Feeling Lost?  How To Move Forward

    Feeling Lost? How To Move Forward

    In this pandemic environment that’s slowing down and losing its teeth, if you just graduated from high school or college, you’re entering the work force at a time when the work force is topsy turvy. And if you’ve been out of work, it can feel even more fickle.

    But at least they’re hiring again. (Maybe not for your specialty but for some.) Recovery takes some time. Do you feel super charged to get out and build your life and future?  Or do you shake your head and want to hide under a rock? Maybe you’ve been through a traumatic event, and it’s left you stripped. Confused. Fearful. Maybe your loved one has died. When that happens it just leaves such a hole in your life. You can’t imagine your life without that person in it. What do you do when you’re feeling lost?

    Let’s talk about what you can do to get through this time in your life. Because you will get through it. Even though you may feel scared, empty, and adrift, you will find the traction to move forward.

    At the top of the list of things you can do is: Be kind to yourself. 

    Be honest and supportive of yourself…. be accepting of who you are and how you’re managing right now at this minute. No brow beating. No self-hatred or self-lecturing. This stuff is painful. Really painful. Be your own best friend.

    What you’re feeling is valid, and you’ll find your way through it. There is NOTHING wrong with you. This time will usher growth… it’s not a sign of failure!

    Identify and accept the way you feel. Don’t hide from it. You might need to take a little breather. Maybe rest a bit, knowing that when you’re ready, you’ll rise up and choose your path from there.

    Show yourself compassion and patience.

    Seek Social Support

    Sound like a big order?  Maybe too BIG? After all, we’ve been wearing masks for nearly a year and a half, we’ve been social distancing, and keeping our families home. Getting effective social support may sound like a serious obstacle. But honestly, you do need it, especially in crisis. 

    If you’re fully vaccinated, find others in your world who are also, and meet them at a park and talk. And tell your closest friends to get their vaccinations…because you actually need them! Isolation has a way of tearing you down without your realizing it. Two weeks of isolation you can survive just fine. But a year and a half ?? It gets hard. When you’re feeling lost, you need some face-to-face interaction SAFELY. You may be amazed and the lift it gives you to spend an afternoon face to face with a friend.

    Change your environment.

    It can wear down your resilience, your ability to bounce back after loss, frustration, or trauma, to stay cooped up, looking at the same 4 walls. One lady drove to the beach, took her aunt with her, and they walked and talked and listened to the waves. 

    They avoided crowds, and wore masks when they drove through restaurants for food. They kept it simple and safe. But it gave both of them a shot in the arm. Smelling the salt air, hearing the pounding waves, watching them crash on the beach one after another. Waking up with the surf while drinking coffee. (We love our coffee.) If only you  could bottle it! Changing your environment…even for a little while…can be so refreshing and help you think more clearly.

    Feed your brain green leafy vegetables, eat reds, oranges, yellows, in fruits and vegetables, wild caught salmon, eggs, walnuts

    When you’re feeling lost, stay away from fast food… fuel your brain for restoration.

    Give your brain a BREAK!!

    Your brain overloads when you’re stuffing it with data, problems to solve, crises, diagrams, statistics. You have too much on your mind in this world, but depending on your job, you may need to reduce the mental clutter by… about 85%. 

    You heard that right.

    The world (your job, your spouse, your children, your utilities and internet, your car, your co-workers….) Take a break and unplug in a quiet place often. Just turn off the noise. Allow yourself to restore. No one can serve constant demands 100% of the time. You are your own gatekeeper.

    Remember Focus??

    At some point in your life, you knew how to focus. Whether you turned music on or turned it off, you took the steps you needed to enhance your ability to focus your attention where you wanted it. Maybe you liked to work at the kitchen table where all the family noice and activity was non-stop. For some people that’s ideal. 

    Or maybe you needed to be far from outside conversations, the sounds of phones ringing, the television noise, laptop noise others were a part of. But you knew what you needed to maintain attention on important work. 

    But with life hammering around you in your house, with the kids schooling at home, the pets flying through the house, the kids needing you to fix one thing or another, it’s been different. And if you find yourself in a swarm of humanity and activity from which there is no escape? 

    So you think and think (and think!) and get the idea you need to write… and a child bangs on your door and the retriever comes running through and jumps on so happy to see you…  so you answer Timmy’s question, then shoo Timmy and dog out the door. What were you about to write? You search all over your desk for a clue and find nothing. Can’t remember. Then you hear a crash. 

    Your frustration is building… where’s the babysitter???  

    May be time to disconnect from electronics, people, road noise… Give yourself peace. Then find a place to focus.  

    And finally, when you’re feeling better, TAKE ACTION.

    Step up to the plate and do something…whether it’s riding your bike, taking a walk, visiting a fully vaccinated friend.

    The day after that take an even bigger action.

    Then… something bigger…that invests in your future on some level. 

    TAP INTO HOPE

    If all your effort gets you no closer to feeling yourself, you may want to run it by an expert. Seek evaluation. Seek treatment. All of these things are so good for you. But if you’re past feeling lost and actually suffering from symptoms that have spiralled out of control–depressive symptoms, anxiety symptoms, trauma that keep replaying, hopelessness–maybe you should consider IV ketamine treatment.

    If these suggestions have not helped you find some traction to move forward, you may want to consider IV ketamine treatment.

    At Innovative Psychiatry, we invite you to consider IV ketamine treatment if none of the advice, exercises, or medicines have helped. We love to work with your healthcare team for continuity of care. So we welcome communication from your own doctor or therapist. And we spend time with you to evaluate whether you’re a candidate for IV ketamine treatment.

    We have a quiet comfortable private rooms for you to relax, recline, and receive your IV ketamine treatment for each infusion. (Can we say they’re gorgeous?) You may need 6, or 8, or a few more infusions to achieve the full antidepressant benefit of ketamine.

    Understand that ketamine’s not for everyone, and we’ll talk about that with you when you come in.

    Meanwhile, we’re vigilant about maintaining an infection-free environment here, with exciting plasma cell technology which destroys viruses, bacteria, and mold in the the air so you can come for treatment without concern for contaminants. Including COVID.

    If you struggle with symptoms of depression, trauma or PTSD, substance use disorder, alcohol disorder, or suicidal thinkingplease call us.

    If you’ve felt lost… and also have no appetite (or you’re eating too much), or you’re not sleeping (or you’re sleeping too much) — or that feeling of being lost is getting bigger and bigger and just keeping you stuck, call us for an appointment.

    And let us help.

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

    To the restoration of your best self,

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