Lori Calabrese, MD

Tag: IV Ketamine Treatment for Substance Use DIsorders

  • Our Response to “I Took Ketamine for Depression. Things Got Pretty Weird.”

    Our Response to “I Took Ketamine for Depression. Things Got Pretty Weird.”

    Why did it get weird? Is that an indisputable element of IV ketamine treatment for depression? We respond with a resounding NO!

    (article from The New York Times, 12/26/2022)

    Every once in awhile, someone publishes a first-hand account of their experience with ketamine as a treatment for depression. (And it goes viral because….well, it’s just so interesting to see what it’s like.) We wrote a blog responding to a first-hand account way back on July 30, 2017 (we’ve been blogging about ketamine for years!) and back then, we were responding to an article in TIME magazine.  Today, let’s chat about a piece in The New York Times (and we’ve done that, before, too!), from December 26, 2021, and the good, the bad, and the ugly experiences that can happen during ketamine infusions. Let’s really talk. Here’s our response to “I took ketamine for depression. Things got pretty weird.”

    In the New York Times article, “I Took Ketamine for Depression. Things Got Pretty Weird”, writer Vanessa Barbara describes her experience with IV ketamine treatment for her depression, which she received in Juiz de Fora, Brazil. 

    A splashy title like that draws a lot of attention — from those who are familiar with ketamine treatment, people who are just curious about it (because it’s all over the news), from doctors, medical experts, business people…. Just about everyone’s been hearing about and reading about the renaissance of psychedelic research exploding in the US and around the world for the treatment of depression, anxiety, trauma, and substance abuse.

    Many people reading first-person accounts of ketamine treatment for depression haven’t received it themselves. So they’re interested in learning all they can.

    The fact is that there’s such a wide variety of patient experiences when ketamine is used in treating psychiatric conditions because there are so many different settings in which it is currently offered, such varied approaches to it in terms of patients and the symptoms they hope it will help, so many ways to prepare for and integrate the treatment experience…. and such a wide range of administration.

    And a negative experience can have to do with the rate of the infusion, the size of the dose, the consistency of flow, the comfort or discomfort of the setting, and even your mindset as the infusion begins…

    There is so much more to the the treatment–and to the experience and your response to it–than just getting the medicine from an IV bag into your body.

    (More on that later because we don’t even use IV bags.)

    Ketamine is recognized as extraordinarily effective for severe depression that hasn’t responded to other treatments or medicines. But the way you might feel during the treatment itself can be hard to predict.

    Since Ms. Barbara’s description pertained to her experience with IV ketamine treatment, let’s focus on ketamine administered intravenously.

    Not all IV experiences with ketamine are equal. For example, just to start with mechanics, if the rate of the infusion is controlled by a precise intravenous pump, ketamine reaches the brain at an even, controlled rate. But if the infusion is monitored and controlled by hand, adjusting a wheel located on the tubing from a hanging bag, the flow of medicine may speed up too fast. And that can result in too much medicine too fast, yielding an upsetting acceleration of ketamine’s effects. 

    When the rate is determined by the thumb on a wheel, a patient can be overwrought. (….or if the cannula inside the vein changes position, the flow can slow.)  A precision pump can ensure a smooth, consistent flow of medicine, and enhance the experience. That’s good, right?

    But the ”right rate” for one person may be too fast for another.

    Or the starting dose for one person may be too much for someone else.

    And — so importantly — there are many ways your own mindset can influence your experience during ketamine treatments and during other psychedelic treatments coming down the road. The dissociation during an infusion can sometimes feel overwhelming because you’re anxious, sensitive, or afraid to experience a non-ordinary state of consciousness. Because it’s not going the way you expected or the way you’ve read about.

    Sometimes the dissociation you feel during an infusion is a little nebulous. Not clear. There’s not a story line. There’s no colors. Things feel strange and unreal but without a clear meaning that you can piece together. You feel gypped–how come everybody else gets blissed out and you don’t? Maybe you’re stuck obsessing and the one thing you need to get out of your life and away from is right there, front and center, during your infusion. (That can be so maddening.) Maybe you’re riled because you had a fight on the way in. (Which is so bad for you, by the way–try to avoid that!) Or maybe, the whole experience is just so strange that it seems like you don’t have any thoughts…. You might feel so out of your body that you’re not sure you’re even a person.

    And this is supposed to HELP you? Really??

    Really.

    Even someone who’s had a negative or challenging ketamine experience can get better and go into full remission. But they’re going to need a little help making sense of how and why it happened…. discerning the meaning and the message…. and integrating that experience so that they can come out on the other side of it and move forward.

    Positively, Creatively. With a new narrative.

    Then consider the problem Ms. Barbara experienced when her partner joked with her and she suddenly thought her daughter was 15 and not 3.

    Words spoken to you when you are deeply dissociated during a ketamine infusion may sound intense, or far away, or frightening because they interrupt you and pull you back into the room, and the dissonance can be…. jarring.

    Before and during your infusion, your mindset and the treatment setting itself help shape the experience.


    Ours is pretty gorgeous, by the way.

    We value the importance of set and setting. Preparing yourself emotionally for your treatment is critically important (and we’ll help you with that!). And making sure that the setting is private, soothing, safe, and that you feel like you have the time you need to come back into your body, and ground yourself at the end. We keep things safe, quiet, meticulously clean…. and soft, warm and inviting.

    During ketamine treatment, you are open and vulnerable.

    It’s easy to misinterpret a kind word or light humor…to think your 3 year old is suddenly 15 and you’ve missed her life.

    We don’t want anything to intrude that triggers stress for you — from disruptive conversation, to joking, to cell phone calls —because it can undermine what can be an extraordinary experience.

    Ms. Barbara spoke of pleasant music. And she was on to something important. We encourage you to bring in instrumental music to listen to during your treatment — music without words reaches you without engaging you cognitively to think about the words in the lyrics. The rhythm and flow of music that you find beautiful can help shape your experience. And we work with ketamine integration therapists who can provide special music tracks specifically for each infusion.

    And a final point. Ms. Barbara signed up for 6 infusions. But experience has taught us that 6 infusions sometimes aren’t enough. In others, it may take a few more. To make this decision requires evaluation of the whole patient and their response to treatment.

    Some people reach remission after just 4 infusions, like the lovely young woman we treated with severe anorexia. Her response was so dramatic, she made a video about it. Others need 8 or 9, and then they turn around dramatically. Imagine the disappointment she experienced when she was not better after 6 infusions if 8 might have done the job?  

    Sadly, there are severely depressed people in the US and around the world who received too few infusions and gave up. They believe ketamine didn’t work for them and won’t work for them in the future. And maybe it won’t. It doesn’t work for everyone.

    Ms. Barbara’s experience is a good example.

    It might be very different if you are given a different approach—preparation, attention, and integration of the infusion experience.

    Let’s be clear. Ketamine treatment is not for everyone. It truly doesn’t help everyone who tries it. But it does help a high percentage of those who need it. Still, for some people it just takes more to achieve the relief and joy they wish for and need. And Ms. Barbara — and thousands like her — has no way of knowing if ketamine is not for her, or if another couple of infusions might have helped her achieve remission and the joy that goes with it?

    There is so much more research we need.

    Our goal is to get you back to your best self, to see you thrive, connect with friends, bubble over with gratitude for the gifts you have in your life.

    We love that. We’ve seen it happen with people we treat. And we know to respect the medicine and the differences in individuals… to administer the medicine and titrate it to work.  

    This is not a one-size-fits-all medical treatment.

    You can find ketamine treatment in clinics, hospitals, and private practices. My private practice is Innovative Psychiatry, and we’ve worked for decades to use innovative methods to help people get better. We never stop learning. And we back everything we do with research and evidence-based outcomes.

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

    When I learned what ketamine could do for my patients I began offering ketamine treatment several years ago for those who were candidates. And we’ve seen exceptional results from our work.

    We continue to go the extra mile, and bend over backwards, to care for our patients through the process.

    If you suffer from severe depression, PTSD, social anxiety, alcohol and substance use disorders, or suicidal thoughts, call us.

    Ketamine can make such a transformative difference in your life. 

    Give yourself the opportunity to find out what remission is like 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,

  • Say My Friend, How’d You Sleep Last Night? Sleep Disturbances and Psych Disorders

    Say My Friend, How’d You Sleep Last Night? Sleep Disturbances and Psych Disorders

    Your answer to that question could quite possibly be a hint to your mental health going forward. 

    Why? Generally, because the more early indicators we can identify and treat, the better the outcomes we see by catching symptoms early… before they turn into real problems. In fact, the more indicators we can identify, the more psychiatric disorders we might be able to prevent from blooming. Sleep disturbances and psych disorders often present themselves hand in hand, with sleep disturbance often being the first sign of a troubled mind.

    Sam was 9 years old, and had shown signs like sleep walking. He would come into the living room where his mom usually decompressed at the end of the day after children were in bed. He would begin talking to her and not making much sense, eyes open and bloodshot. It didn’t take long for Mom to realize he was asleep.

    Sometimes his mom would walk by her son’s room and hear him talking. Often, she stopped in to ask why he wasn’t aslee., But she quickly realized his talking was while he slept..  She would gently wake him up, then soothe him back to sleep.  Other times, he would walk into the living room talking …again about something she didn’t understand. His eyes would be open, and he would answer direct questions, but he didn’t seem to understand himself what he was saying.

    In these instances she could gently walk him back to bed and he would willingly go with her, then get back in bed and seemingly go back to sleep.

    What was this ?

    Because sleep disturbances like insomnia are so often associated with psychiatric disorders, researchers look at insomnia as a possible predictor of new cases of depressive disorder. Insomnia is a disorder with ongoing problems associated with going to sleep or staying asleep that affect daytime functions.

     Researchers include daytime and nighttime symptoms to determine whether individual cases were significant.

    But there’s more to sleep problems than just insomnia.

    Like what?

    Parasomnias — Unwanted physical experiences with behaviors that occur while going to sleep, during sleep or awaking from sleep. Easily confused with psychiatric disorders, think of these as out-of-the-ordinary motor or emotional behaviors. (And know that they’re sometimes misjudged as symptoms of abnormal waking experiences.)

    Marcy could tell she was waking up, but she couldn’t seem to open her eyes and sit up.  A demon was chasing her, reaching out to tear off her legs by grabbing her ankle… but she managed to break free and keep running over and over. She knew should could wake up and kept telling herself to wake up…but it wasn’t working.  Then a dark, sinister shadow passed over her and she could feel her legs being pulled off….and suddenly Marcy woke terrified. She couldn’t tell if she was awake or asleep…she couldn’t tell if the dark fog was still ripping her legs off or if it was gone.  So she cried hysterically…then little by little began to realize she was actually awake…and safe. Marcy sat up suddenly and cried each time this happened.

    Nightmare disorder (formerly labeled dream anxiety attacks) — this is distinct from non-REM (NREM) sleep terrors. These are repetitive, extremely long lasting and upsetting, dreams that are easy to recall. They threaten survival, security, and physical well being in the dream state. They occur during the second phase of the sleep cycle. Dreams like this may be herald signs of comorbid sleep disturbances and psych disorders that lie ahead.

    Sydney has experienced odd times when he felt unable to move when first waking up. He felt he was floating above his body, and either his body wouldn’t move or he didn’t care if it moved or not. Sometimes he felt as thorough he must not be awake yet..that maybe he is still partially asleep…or that he had just awakened and his muscle control had not yet returned. In most cases, it slowly returned to normal…so he convinced himself that the key was patience.

    Recurrent isolated sleep paralysis.- sleep paralysis associated with the deficiency of usual or expected tone in the muscles, when sleep has become dissociated. It can intrude when you fall asleep or it can persist as you wake. Experienced often as discomfort-causing or frightening. And more common than you think. The prevalence of this type of sleep experience is between 2.3% to 40%

    Somewhat bizarre experiences like these play a role in countless people’s lives… and they’re often never investigated or treated.

    It’s believed that these experiences may serve as alert for possible psychiatric disorders, and while it’s true that the symptoms can give way to psychiatric disorders, that doesn’t mean that they always do.

    Still there is much to be said for seeking psychiatric evaluation to open up the opportunity to treat a disorder early and hope for faster effectiveness. 

    In the cases listed here, Sam was eventually diagnosed with Bipolar 2 disorder, Marcy was diagnosed with severe adolescent depression, and Sydney was treated for severe adult onset depression. These diagnoses were given years after these sleep aberrations first appeared. (And of course, their names have been changed to protect their privacy).

    At Innovative Psychiatry, we talk with patients every day about their sleep. It’s true that sometimes sleep disturbances are a part of a disorder, and require treatment. Identifying and treating depressive symptoms with IV ketamine can rapidly resolve sleep disturbances — even if the first treatment sometimes keeps people up a bit that night going over their experience, and digesting it. Ketamine treatment can be effective for both major depressive disorder as well as sleep disturbances, and we’re going to be talking about that here in greater depth soon.

    Get ready to her about some great science in the next few weeks.

    Since sleep disturbances often accompany depression, by treating depression symptoms, the sleep disturbances often resolve as well.

    And IV ketamine can help make that happen.

    When you come in for treatment, we’ll meet you at the door and lead you to your private and pleasant treatment room. You’ll be monitored comfortably with state-of-the-art equipment. Your dose and rate will be precisely meted out by a state-of-the-art IV pump. You can bring your own soothing music to listen to in your heated zero-gravity leather recliner.

    We want you to be utterly comfortable to get the most out of your treatment. You may notice an elegant white box on the table that uses plasma cell technology to destroy the DNA of all viruses, bacteria and mold in the room. In fact our clinic was the first ketamine treatment center in the US to use plasma cell technology to constantly destroying pathogens to keep you safe and free from infection. Developed by the Department of Defense and NASA, this technology destroys 99.99% of all pathogens in the air you breathe.

    IV ketamine treatment is the most precisely controlled form of ketamine administration because we can absolutely customize and adjust every aspect of your experience–before, during, and after infusion–to help you get better. No other outpatient psychiatric treatment has ever been so rapidly effective against depression, social anxiety, PTSD, substance and alcohol use disorders, or suicidal thinking.

    Give yourself the best advantages for getting better, without an ER visit or hospitalization. CALL US.

    Make 2022 a new beginning 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,

  • Taking a Closer Look at Neuropsychiatric Discoveries About COVID from 2021

    Taking a Closer Look at Neuropsychiatric Discoveries About COVID from 2021

    As we look back on the discoveries of 2021, we find a collection of enlightening, if somewhat troubling, information.

    Not surprisingly, there was a wealth of research to better understand, and fight, COVID-19 in 2021. For instance, the coronavirus’ impact on the brain and theories for how it gets into the brain, have created shocking revelations. Neuropsychiatric discoveries about COVID give us information for more effectively fighting this invasive coronavirus.

    The current pandemic has presented challenges the likes of which defy memory. The terrible Spanish flu pandemic from the early 20th century lasted for approximately two years. 

    Since we’re looking down the barrel of a possible third year from COVID-19… or longer….we continue to research this illness to understand how it does some of the things it does.

    We were introduced to COVID as a respiratory illness that eventually led to respiratory failure in some patients. That was especially true in those older or with compromised immune systems…or underlying illnesses. And it still is. But at this point, we’re especially concerned about the effect it has on the brain.  Neuropsychiatric discoveries about COVID are vital in this pandemic.

    Illnesses involving the nervous system and psychiatric symptoms are causing researchers to focus on brain damage caused by this virus. Things that have been prevalent are cognitive and attentional symptoms that manifest as brain fog. In addition, psychosis, depression, anxiety, seizures, and suicidal thinking and intent have all become prevalent. 

    Inflammation of the central nervous system is a likely contributor, and we’ll be talking about that soon.

    In an article published in the Journal of the American Medical Association, researchers discussed things like anosmia, which is the inability to smell. (That’s associated with the brain’s olfactory system…) and they’ve also  found COVID-19 proteins in the lining of the brain’s blood vessels. They’ve hypothesized about ways the proteins may invade the brain bypassing the blood/brain barrier.

    The blood brain barrier is a safety barrier to protect the brain from viruses, bacteria, and toxins. But somehow COVID-19 is getting through this and infecting the brain.

    For instance, researchers at University of California, San Diego, published new evidence suggesting how this coronavirus creeps in to access the brain. They discovered that cells called pericytes surround the blood vessels of the brain. These may be acting as Trojan horses, providing a path the pericytes may use to enter the brain. They then multiply and infect the surrounding tissue in the brain.

    This research team found that pericytes contain ACE2 receptors, which is a passageway COVID uses to invade cells in the lungs, heart, kidneys, intestines, and arteries. Not until this research were they found in pericytes.

    Not surprisingly, getting to the bottom of these methods whereby the virus invades the brain is an urgent and intense focus of current research. The more we research, the more neurological and psychiatric discoveries about COVID emerge.

    This team built a living model using nerve tissue from stem cells by which they could study the infection of the brain by COVID more closely, as well as methods by which the virus invades. 

    From autopsies conducted on people who had died from this disease, they learned that the COVID virus had spread through the brain through blood vessels and cells in the immune system. Just one way neuropsychiatric discoveries about COVID are so valuable.

    It’s important to note that inflammation can give way to leakage through the blood vessels in the brain.

    Patients with long COVID (also called long-haulers) often experience neuropsychiatric symptoms, when they never have before. Seizures. Anxiety. Depression. Suicidal behavior. Even strokes. Finding out how the virus works and how to reverse these effects is an emergent need for medical science.

    IV ketamine treatment is an extraordinary treatment for social anxiety, depression, suicidal thinking, substance and alcohol use disorders.

    We can’t treat you if you have an active COVID infection. But, we can treat you once your infection has become inactive. For the sake of our other patients, please wait till you have recovered from COVID symptoms and have a negative COVID test.

    At Innovative Psychiatry, we go the extra mile to protect you from the COVID virus. When you come in for treatment, you’re protected from infection and can relax.

    We’ll meet you at the door and take you directly to your treatment room. Settle into a comfy recliner. Feel free to bring your own soothing music to listen to during your infusion.

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

    We’ve equipped our offices with a plasma cell technology that destroys the DNA of viruses, bacteria, and mold in the air. It’s contained in that little white box you’ll see on the table in each room, and it’s world class. Developed by NASA and the Department of Defense, it’s a no-nonsense method of keeping the environment clean and pure for you during this pandemic.

    If you suffer from anxiety, depression, or suicidal thinking, please call us.

    But if you also suffer from social anxiety, PTSD, substance or alcohol use disorder, then do call. 

    IV ketamine treatment is the most effective rapid outpatient treatment available for depression, and is extraordinary in its benefits with these disorders.

    Start the New Year feeling good, with burgeoning hope. 

    Reach out for life-transforming IV ketamine treatment.

    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,

  • Navigating COVID Delta and Omicron As the New Year Dawns To 2022

    Navigating COVID Delta and Omicron As the New Year Dawns To 2022

    We’ve been doing COVID’s version of life on this planet for close to 2 years. We’ve done what we’re told, but this coronavirus just keeps dumping more on us. When will this be over?

    About the time we think we’re pushing the delta variant back, who should step up to bat but omicron? We hope you’ve enjoyed Christmas and the winter holidays. Now as we look to the New Year, so many are asking, “When will it end?” How long must we continue wearing masks, testing, avoiding crowds, and getting boosters? Navigating COVID delta and omicron requires tenacity and determination going forward.

    As we move into 2022, we face a new highly contagious variant: omicron. For example, omicron, has caused a startling surge in cases in New York City… and is so contagious that it’s expected to become the dominant strain of COVID in just weeks, compared to delta’s timetable of taking months to do the same thing.

    One epidemiologist, Dr. Jay Verma, warns that if lightning speed adjustments aren’t made now, the danger of omicron taking over with record-breaking hospitalizations and death is irrefutable.

    And that’s the risk with navigating COVID delta and omicron.

    Every few months we seem to hear about another variant of COVID-19, and are given new instructions. 

    We’re tired of it. But even so, you can’t get millions of people to comply with new instructions all that quickly… People as a whole tend to resist change. At first, COVID gave symptoms like cough, shortness of breath, and fever. Now a “loud” symptom to watch for is a scratchy throat.

    So what do we do?  We get a scratchy throat and worry.  And worry.  We go for testing.  At any other time in our lives, a scratchy throat meant a cold or flu (or maybe just allergies), was starting. We knew what to do with it. But, a scratchy throat now means “get a COVID test.”

    And unlike the past symptom alarms, it also means it can get worse and worse if you haven’t been fully vaccinated. (Fully vaccinated used to mean two shots, but now it means two “plus a mRNA-based booster.”)

    Will it EVER Stop? Will COVID be with us forever?

    And, by the way, what on earth is an mRNA – based booster?  Well, specifically, It’s a booster supplied by Moderna or Pfizer.

    We’re at war.

    As to the question of whether the pandemic will ever end, there is no answer yet. There are experts who question whether we’ll ever see the end of COVID-19, and get back to normal. More experts suggest we should accept that we’re at war with this virus, and accept the adjustments that are inevitably part of wartime.

    We keep assembling our “antiCOVID troops” and so far that includes 3 vaccinations, masks, hand washing…and social distancing. (Been to UPS to ship gifts recently? The social distancing pushes people right out the door! This is December. And it’s cold out there…)

    Yes, we’re hoping for things to get better. But some experts believe these variants will keep reproducing ad infinitum. We’ll see. But what about in the meantime?

    It’s tough to make adjustments in war time.

    Meanwhile, we don’t want to isolate. We want to get out, mix with friends, gather for weddings, and we want to enjoy ourselves. 

    While we sympathize — we’re all in the same boat, right?—to keep our families well, to keep our children in school uninterrupted, we have to participate in these latest requirements put forth last Tuesday.

    We have to just do it.

    If we don’t, omicron is going to spread faster than we can imagine. And those without all three vaccinations (including a booster), are likely to be the ones who get seriously sick in the coming year. Boosters offer additional protection against delta and omicron. They’re a necessary part of our arsenal.

    We’re told that those with all three vaccinations are less likely to get seriously sick if they’re infected. However, those without all three vaccines are most at risk for critical illness and death if they’re infected.

    So navigating COVID delta and omicron requires a few pointers for preparing for the new year and with it, the growing wave of omicron. 

    Are you playing tug o’war?

    Now let’s talk about you, and how this may affect you. Stress happens when you want a situation to be different than it is. Picture the rope in a tug-of-war. When someone’s stationed at each end, the tension in the rope is tight. Now picture yourself at one end of the rope and the COVID war at the other end. 

    As long as you pull on your end of the rope, and COVID pulls on the other, with the necessity of masks, hand washing, and social distancing that you may resent, stress is the result for you. That rope is tight. Your stress heightens, and anxiety takes hold …and maybe even depression.  

    But if you let go of the rope by deciding to accept that you can’t change the situation—by complying with the adjustments you’re asked to make in this war—your rope goes slack, and your stress is relieved over this issue.

    Over-simplified? Maybe. But clear.

    You could just stop tugging.

    You might want to evaluate your approach to the next leg of the pandemic that lies before us in the new year, navigating COVID delta and omicron. Your peace and emotional balance is worth more than your resistance… don’t you think?  

    And …if your anxiety and depression, or your substance and alcohol use, are already bad—and you can’t change your mind or make decisions that improve your frame of mind—then you may need treatment.

    If you’ve taken other medications and treatments that haven’t helped, IV ketamine treatment may be just the thing to not only relieve the symptoms of stress, but actually help you achieve remission.

    Imagine having your resilience restored, your outlook on life brightened, the strength and resolve to build meaningful, healthy relationships, the creativity and motivation to excel in your job. And the peace, freedom, and hope to build a rewarding life.

    Just Imagine.

    Ketamine isn’t for everyone. But odds are that you’re squarely in the middle of those whose lives can be transformed by this extraordinary treatment. 

    At Innovative Psychiatry, we work with people every day struggling with these same symptoms. They come in bearing up under the burden of these symptoms, and complete treatment with a new lease on life, new hope, new freedom from symptoms.

    IV ketamine treatment can reverse symptoms of these disorders, replace them with joy, motivation, initiative, and confidence.

    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 comfy, heated recliner you can settle into, and relax. A little white box on the table will be quietly running, destroying (not filtering, but destroying) viruses and bacteria in the air. This little miracle worker uses plasma cell technology to destroy the DNA in the microbes in the air, making the air pure for you to breathe. And it’s efficient. It destroys 99.99% of all microbes in the air, including viruses like flu and COVID with all its variants like omicron and delta.

    We go the extra mile (in every way) to ensure you’re safe from infection and able to focus on getting the most from your treatment.

    IF you suffer from these symptoms and nothing else is helping, call us.

    What else has you in a tug of war? Depression? Apathy? Anxiety that doesn’t let up? Trauma? PTSD symptoms? Bipolar depression? Suicidal thoughts? Or worries about suicidal thoughts in someone you love?

    We’re here to help. With all the tugs. With all the wars you may be fighting…

    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,

  • If Holiday Depression Crushes Your Spirit, There’s Hope

    If Holiday Depression Crushes Your Spirit, There’s Hope

    Yes, it’s the Holidays, but that doesn’t mean it’s a time of comfort and joy for everyone…

    Depression is soul crushing at any time of year. But the stressors that pour out during the holidays can magnify the misery. Here is Tom’s story about how holiday depression crushed his spirit. There is hope for relief.

    Tom was finding the stress of the holiday season building inside him, till he felt he was reaching the breaking point.  Holiday depression was crushing his spirit. With working at home, the noise of the family outside the study door, his reduced income indirectly related to the pandemic, and kids wishing for expensive gifts for Christmas, he was wringing his hands.

    Add to that the car needed new tires, and now with snow on the ground, the risks were heightened all the more. He would have to get those tires.

    And yet…this was the season of giving. A season of good will, and sharing cheer. Tom didn’t feel cheerful… He felt worried… and depressed.

    In fact, he’d been depressed since the beginning of the pandemic…doctors had prescribed medicines that didn’t help.  He felt trying to treat this was hopeless. It must just be this pandemic, and he knew there were people all over the world who had it tougher than he did.

    And what about his job?  Just how secure was it?  His job required some creativity, and Tom didn’t feel creative. In fact, he felt like a rock. A smooth rock that lay at the bottom off a river, one that the trials of life rushing over him all the time had worn away his rough edges… leaving,…well, not much.

    Tom had read that people everywhere were more depressed than they’d ever been, so what made him so special..?  He’d just have to keep plodding, and try to get the gifts the kids wanted, and hope for the best. 

    Boy he could sure benefit from Sara’s presence right now. She’d always had a way of finding a silver lining that he could never see, God rest her sweet soul. He so needed her right now.

    “Sara, why did you have to go..?? I need you. The kids need you!!”

    Tom stood up, shuddered, and decided a quick walk to the mailbox might help his doldrums.

    Good grief, he was talking to his dead wife now. He had to get a grip!!

    As he walked through the kitchen, he grabbed an apple and took a bite. Ugghhh…not very good, so he chucked it in the trash.

    Life tasted like sawdust these days.

    Charlotte rushed into the room, and said, “Daddy, can I get a dress for the Winter dance at school? Pleeeeease…?”  (Oh no…more expenses.). 

    Tom offered a weak smile, said, “Sure honey, but try to keep the cost down…” and shuffled back to his study. When it rains, it seems to not only pour but deluge. Holiday depression crushes your spirit.

    Just as he sat down at his desk, he heard a shrill shriek, and adolescent male shouts.  Oh no.

    Tom ran downstairs, and saw quickly that the dishwasher was pouring soap suds into the floor of the kitchen and front hall.  He called for, “Towels!! Lots of towels!!” 

    Kids came running with bath towels and hand towels and a mop. Before too long they had sopped up the water, mopped the kitchen, and started a load of towels to wash. He knew he needed to replace the dishwasher...sigh….

    Back in his study, Tom noticed he had an email from his boss, asking that he call him.  Tom’s stomach dropped to the floor. What could it be? He couldn’t lose his job, he just couldn’t. Not right now.

    Like a man walking to the gallows, Tom picked up the phone and called his boss.  The man answered the phone right off, and Tom braced himself.

    “Hi Tom, thanks for calling me back.  I have some news and wanted to give it to you right away, so you can plan.”  (Oh no…plan… for unemployment?)

    “That project you took Lead on last summer drew a lot of attention from the C suites, and they are very impressed.  You’ll be receiving a bonus next week that I think will please you, and they’re prepared to offer you a promotion if you’re interested. It will mean more responsibility and higher pay that might help you get a sitter for your kids while you work.  I know it’s been a challenge at home.”

    Tom was numb. They weren’t firing him.  They were giving him a bonus and a raise. What?

    He was shocked.

    But he gathered his composure and thanked his boss. Made an appointment to discuss the changes and demands of the new position, and hung up.

    Then, he leaned over his desk and put his head in his hands. He would be able to get the dishwasher fixed AND put new tires on the car. Why wasn’t he excited?  At least, relieved.

    He felt nothing. Bland.

    Even though things had a way of working out, it didn’t change the way he felt. He felt empty, flat, emotionless… hopeless. Why??

    All he could think was, Who cares..? It doesn’t matter….

    This time of the year is intended to bring people together, give a sense of joy and celebration. And it does for many.

    But there are those, like Tom, who can’t experience much joy…or pleasure.

    Those for whom holiday depression crushes their spirit.

    Because the pathology of stress is such that it strips your ability to ENJOY. It all comes down to the dendrites and dendritic spines on the neurons in your brain…as well as the lateral habenula. 

    Stress pathology results in the thinning and pruning of those dendrites and dendritic spines, leaving them ineffective for transmitting signals effectively. The lateral habenula sports a mechanism that prevents your ability to feel pleasure, unless the cell bursting there is tamped down. 

    IV ketamine builds up the dendrites and they become dense and healthy, restoring the broad communication of signals around the brain, dendritic spines, proliferating them using BDNF (brain-derived-neurotrophic-factor).

    Our quiet, private treatment rooms allow you to relax to receive your IV ketamine treatment.

    At Innovative Psychiatry, we see people every week experience joy, hope, and resilience through IV ketamine treatment. Because of its broad action in the brain, ketamine is bringing relief of symptoms to so many who suffer from severe treatment resistant depression, bipolar depression, PTSD, social anxiety, suicidal thinking, substance use and alcohol use disorders.

    When you come in for treatment, a white box may catch your attention where it graces a table. That little box is a powerful tool for keeping you safe and healthy while you’re with us.

    Labeled Novaerus, this instrument uses plasma cell technology that processes the air in the room and destroys the DNA of viruses, bacteria, and mold — even COVID and its variants. All these pathogens are destroyed, leaving the air clean and pure for you to breathe, so relax.

    Our air purifying technology was developed by the Department of Defense and NASA and is 99.99% effective in destroying viral DNA. Because we go to every extent to keep you safe, so you can focus on your treatment and get the most from it.

    After all, you’ll be with us 6 or 8 times…maybe more…and you need the assurance that you’ll stay well while you’re here.

    Treatment resistant depression can be devastating, but if holiday depression has crushed your spirit, call us.

    Let’s talk about whether IV ketamine treatment is an option for you.

    If it is, you need to give yourself the opportunity to live the best life you can live, while you discover, and enjoy being, 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,

  • Your Painful Experiences Can Provide Hope for Others If You Share Them

    Your Painful Experiences Can Provide Hope for Others If You Share Them

    “…You know, I’ve been there. It was a tough time, and I have no doubt it’s tough for you. Here’s what I did to get through it …“

    If you’ve been through a great deal of sadness, angst, difficulty, and struggle, it doesn’t need to go to waste. While you can’t go back and erase the experience as if it never happened, there really is something better. And that is to share with others who are hurting, showing them how you weathered the storm. Your painful experiences can provide hope for others.

    Have you ever been against the wall with no way out? Struggling to find answers and solutions?  You KNOW how alone you can feel at a time like that. The fact you feel so alone seems to make finding solutions that much more bleak.

    Eventually, you probably did find a solution, or else if you didn’t, you survived it and are now here to talk about it.

    Others are facing the struggle you were, and haven’t survived it yet. They need to have someone to talk to just as you wished you did. When you allow that, your painful experiences can provide hope for others … IF you’re willing to share them. It’s not all that easy to expose yourself, but you can do so much good if you’re willing.

    Take Melanie, for example.

    She struggled with depression, and her daughter is diagnosed with bipolar II disorder. Melanie has so many stories to tell… For instance, her depression was untreated at the time she married. Her husband, Jim, was in medical school, and was always gone, studying with his study group. It was a great weight on a new marriage, and she tried to overcome her despair.

    But she couldn’t shake the feeling that her husband had become apathetic about her as his wife. The pain she felt about it was more than she could bear. She’d close herself in a blanket closet and scream into the blankets so no one would hear her. It felt so hopeless. 

    Years later, after he finished his training, he continued to be extremely busy and away from home. A dark cloud pervaded her mind and outlook, and it seemed obvious it would never get better. She even considered suicide…

    As one year bled into another, children were born and growing up. Melanie settled into a complacent frame of mind. One that helped her to not expect more from her husband than he was giving to her and the family. She knew she had married a future physician, and that his time would be in demand. 

    But she didn’t know his time was never going to be his own. Or hers.

    Still, she hadn’t expected to be this lonely. But she had to put on her big girl panties and accept the life she was living. It took awhile of ups and downs. Getting up, falling down, and getting up again. But little by little she was able to find things to involve herself in to contribute.

    By the time the kids were in high school, he agreed to see a marriage counselor with her. A friend had suggested that she be cautious about blaming him, if she wanted good to come from the counseling. 

    Taking her friend’s advice, she approached couples’ counseling as an opportunity to find out what her husband needed, and to endeavor to contribute to meeting those needs. She hoped that he would want to know her needs, too, eventually.

    The couples’ therapy seemed to be progressing fine, until he admitted that with the distance between them he had considered pursuing women he worked with, but had never taken the first step.  He truly wondered if she was involved with someone else due to her distance from him.

    At a time like this, exposing your pain is harder than retaliating… but it’s still far preferable, and somehow Melanie sensed this.

    But, she was devastated. The idea that he had looked at any other woman besides her–really looked, seriously thought about it–just seemed to break some aspect of their marriage vows in her mind. She wondered how they could possibly go forward from here.

    With hard work, tears, and pain, the counselor and her husband helped her see that it was because of their vows that he had never acted on those thoughts. And that, if they were both willing, they were in a strategic place to begin a new level of commitment…. one that included time together, caring for each other in ways the other needed, and working every day to nurture love between them.

    Well, it worked.

    They planned a trip to Italy to study Melanie’s favorite artists while the kids were still in high school. After the youngest graduated, they took a second honeymoon to Denmark, to see where her husband’s grandparents had lived and to search out other relatives. 

    By the time Melanie was 50, she was enjoying life in ways she never had before. And she discovered she had much to share.

    While they were enjoying a cruise in Alaska, she met a young woman whose husband was in medical school. This new friend seemed to be having some struggles similar to those she and her husband had so many years ago.

    Since painful experiences can provide hope for others in pain, she decided to open up and talk about her own story to this young woman… and later to both of them together.

    So they met for dinner as a foursome and talked about the problems that plagued their early marriage. and how close they had come to losing each other. They talked about ambition and how sometimes physicians lose sight of their family’s needs because of the demands of their practice. They spoke about her problems with depression and how her unrest fed the depression, and prolonged it.

    It turned out that the younger couple wanted to have dinner with them every night for the rest of the cruise–yep!–and Melanie and her husband took them under their wing to warn them of the pitfalls ahead and how they would do it differently if they could do it over.

    And even now, years later, the two couples are still friends, and have helped each other through a number of ups and downs.

    When Melanie’s daughter was diagnosed with bipolar II disorder, she and her husband needed lots of support. They were doing all they knew to do to help their daughter, but her condition had a way of bringing them face to face with their own powerlessness.

    The young couple from the cruise stepped up to offer their support to Melanie’s and Jim’s daughter and to let her know she had friends who supported her no matter what. They wanted to give forward the kindness her parents had shown them — because painful experiences can provide hope if we share them.

    So beautiful. So generous.

    To say they lived happily ever after is a bit of an exaggeration… but what is happily ever after anyway, but loving and being loved, facing obstacles and tragedies together, and knowing you have each other’s back?

    (Wish we all had that, right?…. we sure need it.)

    At Innovative Psychiatry, we see patients with stories like Melanie’s. People whose lives and their frustration with it contributes to their depression and anxiety. We encourage them to face the truth about themselves and the other players in their life’s story and find out how to embrace their lives head-on and realistically. 

    Sometimes a change of circumstances can help a great deal.  Other times, treatment is needed. For severe depression and anxiety, PTSD, substance use, social anxiety, alcohol use, and suicidal thinking. If the symptoms are too severe to fix through counseling and talk therapy, or don’t respond to other treatments, there may be an opportunity for a whole different approach. IV ketamine treatment may help them manage circumstances more effectively.

    It’s amazing what solutions can be found when symptoms of a disorder lift.

    We treat people with IV ketamine for these specific disorders, and find the treatment extraordinarily helpful in most cases.

    When you come in for treatment, you’ll see we’ve taken every care care to create a space that is calm, serene, welcoming. It’s like a spa. Heated, leather recliners that adjust perfectly to let you really realx.

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

    And while you’re here, settling in, you’ll notice an elegant little white box on the table. That unassuming box is more valuable than you might have guessed. The word Novaerus graces the front of it, as it quietly works away. And what is it doing? Well, since we’re committed to always go the extra mile, those white boxes serve as investments in your health. Using plasma cell technology, they destroy viruses, including all the COVID variants, as well as bacteria and mold. When you’re in our offices, you’re protected from pathogens that would make you sick.

    Developed by NASA and the Department of Defense, these units were designed to destroy pathogens in the Space Station, and are more than sufficient for destroying those pathogens in our office. What’s important is that you’re safe from infection while you’re here, so you’re free of anxiety about flu or pandemic fallout. Focus on your treatment, and the insights you gain. It’s all part of the healing process.

    You’ve lived too long with the nagging wounds and symptoms that have installed obstacles all through your life. It can be so much better for you.

    If you have symptoms like we’ve described, and no other treatment has helped, call us.

    Step up to embrace your freedom and hope.

    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,

  • Loss of a Loved One by Suicide is a Great Grief for Loved Ones

    Loss of a Loved One by Suicide is a Great Grief for Loved Ones

    On November 20, we observed International Survivors of Suicide Loss Day. While a single day dedicated to observe such loss is a meager effort, it’s not nearly enough.

    Few losses magnify the sense of powerlessness like the loss of a loved one by suicide. Many times the loss comes after an extended period, months or years, of suicidal attempts. Sometimes the family and friends are surprised by this event. When they are, it’s natural for denial to protect them for a time from the reality of the loss. What could I have done to prevent this? How could I have saved him? If only…

    Crystal, at 45, felt deeply spent. Since her son, Jake, was in first grade, she’d worried about him and how to help him find more joy in life. To experience the day to day routine with joy and contentment. To feel proud of his accomplishments. And to want to improve. 

    Instead, he was a loving, sweet child who seemed overwhelmed by life. He carried a massive weight of inferiority on his shoulders.

    In the early years, a child with a psychiatric disorder may show dramatic signs of it. Signs that make it easier to diagnose. Or he may have more subtle signs. He may feel heartbroken much of the time for reasons that are difficult to identify. 

    He may be often corrected by his teachers. And he may feel like the class dunce because he fails to win their favor. He may tell himself he’s fundamentally flawed and not worthy of approval. Such a philosophy about himself can be deeply damaging.

    Jake became increasingly symptomatic as he moved through his teens. He was admitted to psychiatric units multiple times, with complex diagnoses of comorbid conditions.

    With each hospitalization, Jake learned more about himself and his illness, and so did his mom.

    But once he was discharged from the facility, he might function more smoothly for awhile, then nosedive into another traumatic and painful episode of depression, anhedonia, and mixed states.

    He began to talk about dying in elementary school, but his first attempt happened in junior high.

    For the rest of his adolescence… his attempts and trips to the ED, multiplied. During his twenties the attempts became more frequent and more traumatic for him and for his mom.

    For some people, knowing someone who regularly attempts suicide is tiresome. They accuse their suicidal friend or family member of seeking attention. And when that person dies by suicide, their response is sometimes, “What a relief for the family.”

    This response lacks understanding of this person’s condition, and lacks compassion both for him and his family and friends.

    Loss of a loved one by suicide is heartbreaking. Devastating. Suffocating.

    While we want to focus today on Crystal, you can’t fully grasp her loss without understanding her son.

    Jake’s life was full of pain, desperation, and despair. He didn’t understand his pain, or why it lasted like it did. 

    By his late twenties, his suicide attempts were frequent and severe. He had resolved the only way he’d succeed in ending his life was to use sharp edges, so his family hid all the knives from him. Then he found arrowheads that were sharp and continued to mutilate his wrists. Still, someone always found him in time.

    When he finally ended his life at the age of 28, his mother was devastated. It seemed to her he’d had a heart attack… which was shocking at his young age. 

    That was heartbreaking enough. 

    But little by little, as time went by after his death, she kept reliving his last weeks, and remembered something his friend had told her. That Jake was using some manmade concoction that had been reported to give a high in small amounts but when overused, it caused death.

    Finally, Crystal had to face that he had been methodically trying to end his life; not out of rebellion, or rage, or revenge, but out of desperation to escape the misery he felt. 

    It wasn’t that he didn’t want to live, but he was certain he didn’t want to live like THAT any more. Without hope of peace, of building a life, of enjoying lasting relationships. He felt he was a prisoner in his own skin. A prison caused by his disordered mind.

    After all the struggles, all the pain, all the times he got in trouble, all his heartbreak, all his desperation…do you think Crystal was relieved when he died?

    No…nothing could be further from the truth.

    Crystal spent his life looking for the right doctor, the best treatment, some sort of hope that would help him live a quality of life that rewarded him for surviving all he’d endured. When she realized he had died, all she could think of was that they never found his peace. None of their efforts paid off. The latest treatment wasn’t given to him in time. 

    She felt sorrowful that their lifelong quest was never realized. She felt guilt that she hadn’t tried hard enough, although she had given it all she had.

    That she had to give up her quest to find help for him. It was hard to grasp that the search was over. That they never conquered the torment.

    Each person’s grief is his own, and each grieves for different reasons. Grief is so personal, but its impact is multiplied when the cause is suicide, and especially if the loved one was a child, a spouse, or the parent. 

    During the first month or two, friends of Crystal were sympathetic and offered her love and support. But as the months went by, they encouraged her to “move on.” Their well meaning “encouragement” only applied guilt and pressure Crystal didn’t need. She knew she couldn’t move on. She guessed that someday it might not hurt so much, but she had no interest in forcing herself to stuff her pain and memories to make others around her more comfortable.

    Unfortunately, Crystal began to withdraw from some of her friends, because she knew she needed space to grieve at her own rate. To come to terms with all her efforts to save her son and the fact that they failed.

    It was a LOT to swallow.

    She told herself that he knew she loved him, he knew she fought for him and his hope.  Crystal found hope and peace in knowing he KNEW he was loved deeply by her, in spite of his treatment by others. The more she let that knowledge sink deep into her heart and memories, it allowed her anguish to decrease.

    And Crystal learned that healing from the loss of a loved one by suicide, that her son’s life ended at his own hand, in a way that was indirect, required time. She needed time.

    Yes, while it’s true that some people grieve and never move forward to live rewarding lives again, Crystal knew instinctively that wouldn’t be her. She knew she needed to heal so she could enjoy life again at some point. So she guarded her heart, and her memories, and opened that part of herself only to those who had the capacity to understand and not pass judgment.

    On the first anniversary of his death, Crystal joined with her adult children and they reminisced about Jake and the things they loved about him. They shared an upbeat time together honoring Jake’s memory, and Crystal found she breathed easier in the days that followed.

    Eighteen months after Jake’s death, Crystal missed him terribly, but was beginning to feel a little gleam of life in her heart again from time to time.  The more she healed, the easier it was to talk with trusted family members about Jake, his illness, his beauty, and his mistakes. The more openly she talked about him with trusted loved ones, the freer she felt.

    She realized that healing was coming. She knew the loss of her son by suicide was not something she would ever get over or put behind her. Crystal knew she was forever altered by his death as anyone would be after the loss of a loved one by suicide. But she also knew she needed to heal from the shock and trauma and guilt she suffered, so she could live again.

    At Innovative Psychiatry, we conducted a study about the use of IV ketamine for suicidal thinking. We have found IV ketamine to be remarkably effective in stopping suicidal thoughts in as little as an afternoon. This allows you to work toward getting help while avoiding hospitalization or a trip to the E.D.

    With the tragic loss of life and suffocating grief of loved ones that suicide causes, to be able to stop suicidal thinking… is priceless. You can seek further treatment, counseling, and improve your quality of life with the valuable time ketamine can buy for you.

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

    When you come for treatment, you’ll be led to a private treatment room with a comfy recliner to receive your infusion. A pretty white box on the table will alert you to the safety of your environment. This box applies plasma cell technology to destroy all the viruses (including COVID variants Beta, Delta, lambda, and omicron), plus bacteria and mold, too. In fact, when we say all, we mean 99.99%.

    You can be assured you’re as safe as possible from infection while in our offices, so you can focus on getting the most from your treatment.

    If you suffer from suicidal thoughts, or know someone who does, reach out for the treatment that can stop them. IV ketamine treatment is lifesaving, and you deserve to be relieved of those awful thoughts and urges.

    There is an answer that can give you hope and peace.

    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,

  • Thanksgiving’s About More than Food… Think About It…

    Thanksgiving’s About More than Food… Think About It…

    Thanksgiving isn’t just turkey and dressing. Shocking…right? But it’s not about the food.

    Thanksgiving's not just about food, but about gratitude, forgiveness, generosity, and kindness.

    It’s about being thankful. Appreciating every good thing in your life. Expressing your appreciation, recognizing you can’t do this life alone. Thanksgiving’s about more than food, and it’s worth the effort to focus on what gratitude is really about.

    You may feel alone in the world, but there’s an army of faithful workers who make your life function. From those who work for utilities companies, to those who farm your food and those grocers who sell it to you, the list goes on…and on.

    It’s an attitude of gratitude that empowers you to live in joy. Without gratitude, you may be left with dark resentment twisting into bitterness and anger deep in your gut. But it’s amazing how allowing yourself to choose gratefulness and appreciation can transform bitterness to joy. Watch what happens when Grace tries out an attitude of gratefulness:

    Grace walked along the sidewalk, grumbling to herself. She was a graphic designer for a marketing firm, and when the decorations went up at work…her outlook plunged. The holidays had arrived again, and she wasn’t happy about it.

    She felt so alone in the world, and holidays were a time for sharing with loved ones. Grace knew she’d burned her bridges, but how she wished her family and friends would forgive her failures and welcome her back into their gatherings.

    Grace knew why they ignored her. Because she had caused scenes at so many gatherings in the past. She either stomped about in a rage, or drank too much and ended up breaking something or making an utter fool of herself.

    She didn’t like herself very much because she knew others didn’t like her either.

    She’d been going to AA, and the leader talked about doing the next good thing. That you didn’t have to have all your life and future figured out…that was overwhelming to anyone. Just do the next good thing. Maybe load the dishwasher, or wash a load of clothes. Then, there was walking the dog. Or maybe making brownies for the elderly lady next door. If you keep doing the next good thing, it keeps your hands busy and your heart engaged. 

    And it’s easier to not drink.

    Even so, Grace could’t seem to stay focused on the next good thing. She was angry, resentful, bitter. Her other siblings were loved and admired by her parents. They were invited to every gathering.

    They were the crown jewels of the family…she was yesterday’s garbage.  At least that was the way it seemed to her.

    And when she had been invited to the family gathering, the feelings of inferiority she had led to her drinking before she arrived. Just to get the courage. But that’s what caused the problems.  

    Grace couldn’t seem to have a single drink of wine, beer, or “special” eggnog. She always wanted another. The more she drank the better she felt and the easier it was to blend with everyone.  

    At least, that’s how she felt.

    Because Thanksgiving’s about more than the food. It’s about a loving gathering of people. She wanted to fit in. Still, she always seemed to mess up.

    And then, they began ignoring her, resenting her behavior… and showing their disrespect of her. 

    By the time she felt woozy, she realized the family was offended, and she’d failed again.

    Now the family didn’t speak to her anymore. And she resigned herself to going to AA everyday to get through the holidays without a binge.

    At the meeting that day, someone talked about how important it is to come to peace with your feelings toward the people who have hurt you. To face that you’ve also hurt them. And to turn it over to your higher power while you practiced forgiving them and expressing gratitude for the power to forgive them.

    Grace hadn’t looked at it that way before … the power to forgive them. She didn’t have to live with the bitterness that was eating her alive.  She had the power to forgive them.

    Because again, Thanksgiving’s about more than food.

    After the meeting,  a friend told her about a treatment that can make it much easier to not drink, so she can put these forgiveness lessons into motion more effectively.

    She told Grace about IV ketamine treatment, and how it can remove the desire to drink.

    It sounded too good to be true, but her friend said she had received this treatment herself, and actually felt transformed. That she’d been sober for five months so far.

    She said the treatment actually makes you feel better.  That it hadn’t occurred to her that depression had fueled her drinking, but she didn’t feel depressed anymore and actually felt a lot of joy…and hope for the future.

    Grace decided then and there, she would find out how to get this treatment. She also decided she would adopt an attitude of gratefulness and give it a chance to change her angry bitterness.

    What a delight it was to realize that what she was learning from AA and her friend about IV ketamine treatment was creating new expectations for her holidays going forward. Thanksgiving’s about more than food now, and she was learning to live with freedom, gratitude, and sharing.

    So Grace expressed her gratitude for the people she met at AA, and all she was learning.  She was grateful that she had people with good hearts to spend her time with when she felt so alone. She was thankful she didn’t have to face the holiday season alone, and that there was a way to have gratitude…and peace…at a time when she had seethed with bitterness in the past.

    She realized she needed to ask forgiveness of her family for creating the scenes she’d made before, and she needed to make every effort, partake of every solution she could, to stop the drinking, and all that went with it.

    She called the psychiatry practice her friend had told her about to learn more about IV ketamine treatment. And she made an appointment.

    Three days later, she walked into the practice wearing her mask for the pandemic. The nurse led her to a long consultation with the doctor, and then later, a private treatment room and she settled into the comfy recliner.

    The treatment lasted about 45 minutes and she went back for a few more over the next couple of weeks. By the time she received her 4th treatment, she was feeling so much better. She felt hopeful. After she’d had 7 treatments, her desire to drink had become very weak.

    She found it was so much easier to forego offers of alcohol, and her hope kept growing.

    Grace decided to write a letter to her family right before Thanksgiving, so they could read it together. She told them she was receiving treatment for her drinking, and was also attending AA.  That she hoped they could all forgive her for the messes she had made during previous holidays. She was also hopeful that she’d be able to join them some year for holiday gathering—but she wasn’t pressing for that to happen

    She set about making a Thanksgiving meal for the AA group, and experienced such joy doing it for those who had nowhere to go and no family to share with. Grace was astounded at the joy flowing inside her as she chose gratitude to hold in her heart through the holiday season. 

    While she was sad to miss her family time, she was grateful she had the wherewithal to provide Thanksgiving dinner for her AA “family” and anticipated sharing her effort with excitement.

    She knew in her heart that the time would come when she’d be with her family again, but meanwhile, she was learning to bloom where she was planted.

    And she did bloom, didn’t she? Gratitude, forgiveness, and a generous heart combined with IV ketamine treatment transformed her holiday, didn’t it?

    And the same can happen for you.

    We talk about the infrastructure that helps you maintain the benefits of ketamine treatment, like forgiveness, joy, generosity, and kindness. Practicing gratitude and joy…practicing forgiveness, can pave a smooth pathway for ketamine treatment to take hold and continue working. 

    The stress of anger, bitterness, and resentment can make that road rough and difficult…and can weaken the benefits of your treatment.

    IV ketamine treatment is a safe and extraordinary treatment for depression, bipolar depression, PTSD, social anxiety, substance use disorder, alcohol use disorder and suicidal thoughts.  And while it’s treating and relieving one disorder on the list, it may also treat others you’re suffering with.

    Like with Grace’s friend, it relieved her depression along with her alcohol misuse.

    Ketamine turns on mRNA which switches DNA to ON, signaling the brain-derived-neurotrophic-factor to trigger dendrites and dendritic spines to flourish in the brain cells. The result is a bumper crop of connections to move signals around the brain fast.

    You feel energized, motivated, full of initiative, joy…and hope. You can excel in your job, build strong, healthy relationships, enjoy life!

    While ketamine is amazing, it’s not for everyone. It works best in those with severe treatment resistant disorders. For whatever reason, it seems to be at its best in those with severe illness, and sometimes has a less dramatic effect in those with milder symptoms. While we don’t understand why this remarkable treatment isn’t equally effective for everyone who needs it, the percentage of those for whom it’s not effective is small. For this reason, chances are that it could be transformative for you.

    At Innovative Psychiatry, we love seeing people like Grace — who’ve been unable to stop drinking or using substances — find the kind of relief ketamine can provide. To see their hopelessness changed to hope is extraordinary. and sometimes breathtaking.

    When you come for treatment, we’ll meet you at the door and lead you to your private treatment room where you can settle into your comfy recliner. Because we go the extra mile, you’ll see a white box on the table that’s busy destroying all the viruses (including COVID and its variants), bacteria, and molds that are in the air. We also have surfaces disinfected in a similar way. 

    We want you to rest in confidence, knowing you’re as safe as possible from infection while you’re with us… so you can focus on getting the most from your treatment.

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

    IV ketamine treatment can restore the synapses — nerve connections — in your brain to such thorough function that it’s as if they’ve been turbo boosted. In addition, ketamine tamps down the bursting cells in the lateral habenula so you can feel pleasure, experience joy, and rise above depression. Ketamine also moves the G cells off lipid rafts so they can get to work helping your thoughts and feelings to move around your brain.

    You deserve to feel better, to function at your best, and to share your hope with others. 

    Reach out and embrace gratitude. Revel in hope.

    If you suffer from the symptoms we’ve talked about here, call us.

    Hope, gratitude, and a rewarding life are yours for the taking.

    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,

  • Grieving Loss as the COVID Saga Drags On…

    Grieving Loss as the COVID Saga Drags On…

    If you’ve known someone who’s had COVID-19, you may have also known someone who died from this coronavirus. Hundreds of thousands have died since January 2020, but your loved one was not just “part of the crowd.” Death of your cherished love one is life changing for you. What do you do with the grief?

    Since nearly 750K people have died in the US alone from COVID, most of us have known someone who died. Some of us know several people who’ve died. And beyond COVID-19, many have died from heart disease, cancer, accidents, suicide, and scores of other causes. Starting in January 2020, few people are left who’ve been untouched by the loss of a loved one. The death of someone significant in your life leaves you empty, bereaved, even angry. And you’re left to do something with belongings, and find a way to move forward. Let’s talk about the grieving… grieving loss as the COVID saga drags on. Since death is part of life, grieving those we’ve lost is a very real part of living…

    Stephanie walked along the walkway, mask firmly in place. She was armed with hand sanitizer in her purse, and a spare mask. She and her family had complied with the protocols for protection from COVID-19 all along.  So much time alone in the house — so she’d learned to play music all the time so she wouldn’t feel so alone.  

    Text messages and phone calls filled in spaces through the day that would have otherwise felt like isolation, and overall, she was doing pretty well.

    Her husband, Dan, had worked from home, but his company had been transitioning workers back at a rate of a handful a week. Today was his first day back in the building. 

    But, he came home feeling bad… aching and exhausted. Fever was 102.3. Now that was alarming. 

    She got him settled in bed, gave him some Tylenol, and started thinking. This was his first day. The coronavirus would not have already shown symptoms if he got it at work that day.

    So where else had he been in the last week?

    Nowhere. He’d been home. Who was he exposed to?

    Oh wait. He’d gone across the street to borrow gas for the lawnmower. That took about 10 minutes. Surely not.  

    The more she thought about it, the more she realized she was right. He’d been at the neighbor’s house ten minutes. She decided to call over there to ask if anyone in the house is sick.

    So she did, and wouldn’t you know… their son had gotten COVID at school. She felt sick. He wore his mask, used hand sanitizer, but still got the virus from someone at school. So… he brought it home. And in a quick ten minute visit, Dan was exposed.

    Within 5 days, Dan’s breathing was alarmingly labored. Stephanie called 911 and Dan was rushed to the hospital. In ICU, he was quickly placed on a ventilator and IV medications were started. 

    For reasons that baffled Stephanie, her husband’s condition worsened fast. 

    Dan died 3 days after his admission.

    Stephanie and her son, Jacob, felt lost. In shock. Surely she would wake up and this would be a terrible dream.

    Shock and denial engulfed her.

    They went through the motions of moving Dan to the funeral home and making preparations. They arranged a memorial service over Zoom and let all Dan’s friends know when to tune in.

    She didn’t want to see anyone, but knew she was grieving the loss as the COVID saga drags on. She had to pull herself together to respond — to her son, to their family, to their friends.

    The tragedy was senseless. Heartbreaking. For a week or two, she felt like she was in a fog. She kept expecting Dan to walk through the door and tell her it was all a mistake. That he was fine.

    But he didn’t walk through the door. And Stephanie was angry.

    Eventually, as the reality sank in, Stephanie felt angry. Angry that Dan was gone, angry that he’d left her, angry she had to rear their son by herself. She found she was short tempered, irritable, quick to retaliate with clerks, the checkout person at the grocery store, her son, and her parents.

    The longer that went on, the more she blamed herself for making life hard for her son, and others. She loathed herself for being unpleasant with everyone. But she was just so mad.

    She felt guilty for snapping at those around her, and for Dan’s death. If only she’d been more helpful that day when he was mowing and ran out of gasoline.

    She found herself bargaining.

    How much better it would have been if she had taken the gas can in the car to the gas station and brought him home some gasoline. Then he would not have gone to the neighbor’s house. Maybe it would have saved his life…and they never would have even known he might have died. Their life would still be stable and good.

    Why didn’t she? If only she had!!!!!!

    She knew she was just grieving…grieving loss as the COVID saga continued…still it felt real. But so futile.

    Was she being lazy..?  What WAS she doing that day when Dan needed that gas?? If only she could bring him back. If only he was still alive….and life was normal.

    If only…

    Depression began to take hold

    Stephanie found she lost interest in being with her friends. She just wanted to nap. She took her son to school, then went home and went to sleep. Life had lost its luster. The appeal was gone.

    She had lived her life for Dan and Jacob. They were everything to her. All the things she used to enjoy — like watercolors, hiking, school board meetings…it was all so empty now. In fact, it was miserable. Anything that involved people made her feel like she was on display… the single mom, the woman whose husband died. She couldn’t bear being in that atmosphere so she didn’t go. 

    The days and weeks wore on. She tried to be cheerful for Jacob. She tried to talk to him and listen to him about his feelings of loss. But she didn’t feel she was very good at it because she felt so broken inside.

    So she called in pizza, or Uber Eats — she didn’t have the energy to face cooking — and they ate and talked some, or she put on a movie they could watch together.

    Grieving loss as the COVID pandemic continues… well, it takes its own path. Grief has a life of its own…

    After a couple months of this, Stephanie began to see her situation in a new light.

    Acceptance rises ….

    Her thinking became more realistic when she thought about Dan’s death…more logical.  And the more she looked at it all realistically, the better she felt. As if a lead blanket was lifting off her.

    She heard someone say that the answer to “Why me?” is Why not me? That life is made up of good times and hard times. And this pandemic has made millions of people sick. Not just Dan. 

    That hundreds of thousands of people have died in this country as a result. Including Dan. And just like her, hundreds of thousands of families are shattered because of loss. Not just Stephanie and Jacob. Of course, this was months after Dan died. It seemed that grief just had to take its course, but she felt she was beginning to see light between the clouds…

    She could see there was no shame in grief. But she could also see she must not stay tied up in grief forever. She could see she needed to rise up, shower, dress, and take Jacob somewhere up lifting.  

    As the days and weeks passed by, and Stephanie dove into all the tasks she needed to tend to, she found she could feel the sunshine again. She felt hope beginning to bubble up inside her.

    At times, a wave of grief would over take her and she had to excuse herself and sob over how much she missed Dan. But then it would subside, and she could function again, to some degree. 

    Have you lost a loved one during the pandemic? Do you find yourself in a swirl of confused emotion, and feeling guilty to boot?

    Since depression can creep in and take over during grief, how long should you let the depression continue without seeking treatment?

    You’ve probably guessed the answer… “It depends.”

    Grieving loss as the COVID pandemic continues takes courage. But it’s not permanent.

    If you find yourself stuck in grief that turns into depression for an extended period of time, say several months…and it’s not getting better… maybe you should consider IV ketamine treatment.

    At Innovative Psychiatry, there is no magic cure for grieving a loved one. It’s something we each go through after a terrible loss from death or divorce, for example. And while there there is no official time stamp that determines when your grief should be complete, it is possible for you to get stuck in anger…or depression…and feel helpless to continue moving forward.

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

    In addition, depression can become complicated with other problems like substance and alcohol misuse. IV ketamine can be a great help with those, and make it less difficult to move forward and reach the point of acceptance and peace with this loss.

    We offer IV ketamine treatment for those who are candidates and would like to give themselves the best opportunity to get better. When you come for treatment, we’ll meet you at the door and take you straight to your private beautiful room where you can get comfy in your zero gravity recliner. You’ll be monitored with state-of-the-art equipment to so we can ensure you’re at your best during the infusion.

    Feel free to bring a playlist (without words) that can run for about an hour and earbuds or headphones.

    You’ll notice an elegant white box labeled Novaerus on the table. This unassuming box is quite a hero in our offices. Developed by NASA and the Department of Defense, this plasma cell technology is busy working 24/7 to destroy and remove from the air all the viruses, bacteria, and mold. So the air you breathe is fresh and cleaned continuously, and your lungs are not exposed to pathogens that cause disease. (All COVID variants included.) You can feel safe from infection when you come for treatment, and you can focus on getting the most from your infusion.

    Grieving loss as the COVID saga drags on is challenging, but you will survive it.

    Grief can be complicated. In addition to the loss of your loved one, the loss may include major changes to your life that also must be managed. Isolation. Loneliness. Perhaps reduced income. To manage difficulties you were unprepared to face, it helps to have the benefit of remission giving you a clear mind to address all you need to.

    The loss of someone you care about can be devastating, but as you proceed with support through the stages of grief, and get treatment if you need it, you can recover, rise again, and move forward in your life.

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

    To the restoration of your best self,

  • Anxiety vs. an Anxiety Disorder: What’s the Difference?

    Anxiety vs. an Anxiety Disorder: What’s the Difference?

    Anxiety is a part of all our lives. Feeling nervous before a test, or before a meeting with the boss. But for some, anxiety continues to get worse until it is a disorder…and needs an intervention because it’s interfering in your life. How can you know the difference?

    For example, a time of life when anxiety is so thick in the air you can cut it with a knife… is middle school.  And it’s true that most middle schoolers struggle with some amount of anxiety on a regular basis. Does he like me? Am I ugly? Did she talk to me because I’m a charity case, or does she think I’m worthwhile..? It goes on and on. Self doubt and insecurity is part of the backdrop at that time of life. But there is a difference between anxiety vs. an anxiety disorder.

    Britney and Analise were both 13, and cute boys filled their thoughts. The dreams they carried in their hearts of being swept off their feet by their fellow 12- and 13- year old classmates were just that — dreams. But their hearts swooned when they thought about certain boys in their class. 

    As the girls walked home from school, they talked about the upcoming 8th grade graduation dance. “Has anyone asked you to go to the dance?” Analise asked. 

    Britney said, “No…, you?”

    Analise looked at her feet…”No…. I sort of doubt anyone will. So if no one asks you, will you go anyway?”

    Britney lit up. “Yes I think I will. I mean really, Analise, we could ask some boys to go, you know?  We don’t have to wait for them!”

    “Would you do that? I know people do that…but I just don’t think I could… Just getting my nerve up to call would be so hard…I don’t think I could do it. Look at my hands…they’re shaking just thinking about it.”

    “Analise, lots of girls will ask boys to the dance. You wouldn’t draw attention to yourself if you did, too. It’s scary to ask someone, knowing you can be turned down. But honestly, it’s what boys go through all the time. Even though it scares me to ask somebody too, I still think girls should carry some of the load.”

    (Britney had some anxiety vs. an anxiety disorder…? Not so much of a disorder.)

    Tears filled Analise’s eyes. “Thank you for the vote of confidence, but there’s just no way. I’d rather not go at all…”

    Twenty Years passes….

    Britney walks into the City Library, and stops at the head librarian’s desk. “Ahem… I’m looking for the librarian. Is she here today?”  

    Her eyes met with the woman at the desk. “Britney!!” Analise was elated. “I haven’t seen you in years!! What have you been doing???”

    “Analise, I would have known you anywhere!!!  I’m in town for a conference for women lawyers. I have to speak, which I don’t mind. But I just had to make time to come see you!  How long have you worked here?”

    “I was hired straight out of college and have been here ever since. A few promotions and I’m head librarian. I love my job.”

    “Ana, this is perfect for you. Remember when we talked about asking boys to the 8th grade dance??  You didn’t go, and I did. I realize now that I shouldn’t have pushed you. It just wasn’t your thing.”

    (Anxiety vs. an anxiety disorder: the difference is that Britney was motivated by hers…and Analise was blocked by hers.)

    “Honestly, Britney. It turns out I have an anxiety disorder and I take medication that helps but it doesn’t wipe it away. I felt so much shame as a teenager. But it’s been a revelation to understand that I have a disorder, that it’s not that I’m a coward. Gosh, life is hard for kids. Have you experienced any difficulty with anxiety since then?” Analise looked at Britney intently.

    “Sure, I’ve had anxiety, but nothing hard to deal with. I’ve been nervous about one thing or another along the way. Asking a boy to that dance was really tough. I felt humiliated and my hands were shaking. But he went with me, and we had a pretty good time. I think that through the years, I’ve been able to just go ahead and do things that were hard, and most of the time it helped me gain confidence. 

    “Which is a good thing because I’m in the public eye so much now for my job. It’s just the path my life took.” Britney scratched her forearm thoughtfully.  

    “Brit, I’m really glad for you. So glad that you have been able to keep pushing through in what you wanted to do. Glad you’re enjoying the life you have. Glad for you that you’ve been promoted along the way. Your job sounds perfect for you. I can clearly see that the anxiety you’ve experienced has been part of your growth rather than a disorder requiring treatment. And I’m also so glad that a job like this one was available for me to enjoy and follow my own path. We’re both “following our bliss” as they say.”

    Britney smiled her winning smile, and looked at her watch. “I wish I didn’t have to rush off, but I need to get to the conference. It’s wonderful to see you again, Analise, and to see how well your life is going.”

    Ana and Brit discuss the difference between anxiety vs. an anxiety disorder.

    “I’m thrilled I got to see you too, Britney. And by the way, I’m getting married this summer. You’ll get an invitation. He’s a chemical engineer and my best friend. If you can make it to the wedding, I’d love it. Now hurry and run! You mustn’t be late! “

    The two women hugged, kissed cheeks, and Britney took off.

    Analise sat back down at her desk and thought about their conversation. She smiled to herself when she thought of how far she’d really come.

    …

    Both Analise and Britney felt anxiety in 8th grade.  The anxiety seemed to motivate Britney to overcome it and make the call to a boy. But it stopped Anallise in her tracks.

    Anxiety is a part of life for everyone. Many experience it in small manageable doses like Britney did. Over her life, she came to see the anxiousness she felt before a challenge as an opportunity to overcome. So she just kept stepping up to overcome it.

    Britney saw anxiety as a motivator.

    In Britney’s life, anxiety built a fire under her to accomplish more, overcome more.

    Analise, on the other hand, felt blocked by the anxiety she felt about that dance. Her anxiety was too intense for her to move forward. It didn’t motivate her, it made her feel crippled. Frozen. Incapable of meeting the challenge. As Ana’s life continued, she never felt motivated by anxiety, but had to get it under control just so she could function at all. 

    She had headaches, GI upsets, and aches and pains she couldn’t explain. She’d be invited on dates, and spend the date in the restroom of the restaurant, unable to enjoy the opportunity. And it was so embarrassing. She felt out of control of her life.

    Anxiety vs. an anxiety disorder… Britney managed the former well, and Analise found treatment for the latter. And they’re both doing well now.

    So in her late teens she sought psychiatric care and took medication. With the help of the medication, she could push forward in her education.  

    However, after college, it became clear that Analise’s main anxiety issue was social. It prevented her having fun at the 8th grade dance, it made it hard to date in high school and college.  But she learned about IV ketamine treatment and what it could potentially do for social anxiety.

    So after college, once she was working at the City Library, she saw a psychiatrist who offered IV ketamine treatment, and it changed everything for her.

    She became comfortable attending librarian meetings, or talking at length to scholars who came to the library for research. And she began to date again because her fear was gone.

    She was so thrilled to share with Britney her upcoming marriage. Oh sure, the wedding would be fun, but it was the aspects of marriage that require deep communication that excited her the most.

    At Innovative Psychiatry, we see people with anxiety disorders all the time. We get to enjoy the pleasure of watching people receive IV ketamine treatment and lose their fear of social situations. With the anxiety gone, they’re able to let their true personality emerge in a variety of situations. No longer do they stare at their feet.

    Ketamine treatment has demonstrated great results for social anxiety, treatment resistant depression, PTSD, substance and alcohol use disorders, and suicidal thoughts.

    If you suffer from symptoms of disorders like these, call us.

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

    When you come for treatment, we’ll will meet you at the door and lead you to your private treatment room where you’ll find a comfy recliner. The room is in a constant state of disinfection from a plasma cell technology developed by The Department of Defense and NASA to destroy viruses (including COVID-19 related forms like the delta variant and the lambda and mu variants), bacteria, and mold in the air and on surfaces. Designed for the Space Station, this technology is powerful and wipes out these invaders. So you’re safe from infection when you’re with us. That leaves you free to focus on getting the most from your treatment.

    Remember, most people struggle with some anxiety now and then, but if you suffer with symptoms that are persistent and that interfere with your life, causing you to miss important opportunities, you may benefit from treatment. It can make all the difference 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,

error: Content is protected !!