Ketamine Therapy

A rapid-acting intervention to address treatment-resistant depression, PTSD and OCD

Please call (303) 260-9685 to learn more or to setup your Ketamine consultation.



Is Ketamine Right for You?

  • Do you struggle with chronic depression that doesn’t seem to budge no matter how many medications have been tried?
  • Have you spent years paying for therapy and yet you’re still not seeing the improvements you want and need in your life?
  • Are your relationships and career stalled out until you figure out a way forward?

If this is the case, we want you to know that you are not alone and you have come to the right place. Millions of Americans are suffering from unnecessary levels of depression and are not getting the help that they deserve. But that is all changing now, thanks to a cutting-edge medical treatment called ketamine.

What is Ketamine?

Ketamine is a medication that has been used since 1970 as an anesthetic. The World Health Organization has it on their list of essential medications. It is used in emergency medicine and minor surgical procedures for pain relief. Ketamine can be easily dosed and injected, reliably produces anesthesia with dissociation, and is safe with proper medical supervision.

Here’s what’s so exciting that’s relevant to you…

Ketamine is a rapid-acting extremely effective intervention to address treatment-resistant depression and shows promise for Post Traumatic Stress Disorder (PTSD), as well as Obsessive Compulsive Disorder, with a mechanism completely different from all other antidepressant medications. Ketamine remains off-label for the treatment of depression.

First of all, ketamine enhances neuroplasticity by significantly increasing Brain-Derived Neurotrophic Factor [1] , a key brain hormone which can promote reversal of the loss of connectivity between neurons caused by chronic depression. Second, ketamine normalizes activity of the default mode network [2] , the brain network responsible for obsessive negative thinking in depression, creating an opportunity to get unstuck and regain hope. Third, ketamine blocks receptors for glutamate [3] , a neurotransmitter associated with brain excitotoxicity and inflammation. All of these mechanisms appear to play a significant role in the rapid antidepressant effects of ketamine.

How Effective is Ketamine?

When antidepressant medications work well, they can literally save lives. Unfortunately, the largest study ever done on depression, the STAR*D study, has shown that most people who were prescribed antidepressant medications most of the time do not get significant benefits. Even more discouraging was the conclusion that the more antidepressants a person tries, the less likely the drug is to succeed. [4]

The Game Changer: IV Ketamine Infusions

Most ketamine studies gave people with treatment-resistant depression one or more IV ketamine infusions. These studies have reported that IV ketamine reliably produces, in about 70% of people, a significant reduction in symptoms of depression [5] . This is groundbreaking…no medication has ever touched depression with this level of efficacy.

“Recent data suggest that ketamine, given intravenously, might be the most important breakthrough in antidepressant treatment in decades. First and most important, several studies demonstrate that ketamine reduces depression within six hours, with effects that are equal to or greater than the effects of six weeks of treatment with other antidepressant medications. [6] Second, ketamine’s effects have been noted in people with treatment-resistant depression. [6] This promises a new option for people with some of the most disabling and chronic forms of depression, whether classified as major depressive disorder or bipolar depression. Third, it appears that one of the earliest effects of the drug is a profound reduction in suicidal thoughts. [7]”

Tom Insel MD

former Provost of Harvard University and former Director of the National Institute of Mental Health [8]

Benefits of Ketamine with Psychotherapy

In 2019, a large study using Ketamine-Assisted Psychotherapy reported a significant decrease in depression and anxiety. [8] This study is important because it shows that combining psychotherapy with ketamine is very effective.

Additionally, ketamine comes with a dissociative experience that can be disorienting and bring up a lot of psychological material for people. Having a trusted guide next to you makes the experience more relaxing, while also taking the opportunity to generate new insights into your depression. At IPC, we stand by Ketamine-Assisted Psychotherapy for all of these reasons.

 

  • Personal Outcomes

    Imagine waking up in the morning with the energy to show up for family and friends, feeling strong and vital for exercise, or being ready to jump back into work. People have reported this kind of experience after going through our Ketamine-Assisted Psychotherapy program. We’ve even had many patients leave feeling more connected to the world and feeling aligned with a higher purpose for their lives. It’s possible to have consistently productive, upbeat and grounded days where you feel able to express your potential. We understand that these things might currently feel impossible, but Ketamine Assisted-Psychotherapy, can make these types of experiences a reality. Individual results may vary.

How We Are Different

Choosing a medical provider can be a stressful experience. We want to help you find the right ketamine provider for your needs. Although there are an increasing number of places offering ketamine, there are several key things that make our clinic different which are important to consider when determining if IPC is the right place for your care:

  • Medical Team:
    Our founder and medical director, Dr. Will Van Derveer, is a nationally recognized educator, researcher, and author who is one of the leaders of this emerging field. Additionally, our medical team is one of the most experienced groups of ketamine providers in the country.
  • Investment:
    At IPC we understand that patients who choose to pursue Ketamine Assisted Psychotherapy are making a significant financial investment in their long term health and we take that seriously. We are committed to keeping our costs as affordable as possible without compromising any aspect of the quality of care. We do not take medicaid, medicare or insurance, however, we can provide out-of-network claim forms if you want to seek reimbursement.
  • Integrative Psychiatry:
    Our clinic believes in assessing and treating root causes of mental health conditions. Unlike most ketamine clinics, you will be evaluated for your ketamine consult by an Integrative Psychiatrist. Rest assured, if we believe ketamine is not the right or only course of action, you will be recommended other treatments that go after the root of the problem.
  • Ketamine-Assisted Psychotherapy:
    Ketamine’s dissociative effects offer a unique opportunity to uncover new ways of understanding your depression. Most ketamine centers place multiple patients in one room without any psychotherapist. We have treated a number of people who felt very disturbed by the experience of being left alone on ketamine. Each patient in our clinic has a private room and a highly skilled therapist throughout the ketamine treatment. 

  • Physician On Site:
    Some ketamine centers do not provide a physician on site. Additionally, there are therapists who will provide psychotherapy for clients in their office who have received sublingual ketamine without medical staff present, even though the FDA recently mandated that a newly approved version of ketamine cannot be administered outside of a medical office. Although medical emergencies are an extremely rare outcome of ketamine, we stand firmly for safety first by having a physician and nurse on-site, and we do not condone the use of ketamine outside a medical office setting.
  • IV Ketamine:
    There are several different ways of administering ketamine and at IPC we prefer IV infusion because it is the most studied route of administration. If for some reason IV is not best for a specific individual we also have other routes of administration which can be discussed between a patient and their individual provider. Unfortunately, sublingual ketamine research is not compelling and scant, therefore, we do not generally recommend this route of administration.

Get in Touch

Please call (303) 260-9685 or email info@psychiatrycenters.com to learn more or to setup your
Ketamine consultation.

References:

1. Huang YJ et al. New Treatment Strategies of Depression: Based on Mechanisms Related to Neuroplasticity. Neural Plast. 2017; 2017:4605971.
2. Hamilton et al. Depressive Rumination, the Default-Mode Network, and the Dark Matter of Clinical Neuroscience. Biological Psychiatry. 2015 Aug 15;78(4):224-30.
3. Andrade, C. Ketamine for Depression, 1: Clinical Summary of Issues Related to Efficacy, Adverse Effects, and Mechanism of Action. J Clinical Psychiatry 2017 Apr;78(4):e415-e419.
4. Gaynes BN et al. What Did STAR*D Teach Us? Results From a Large-Scale, Practical, Clinical Trial for Patients With Depression. Published online 1 Nov 2009. https://doi.org/10.1176/ps.2009.60.11.1439.
5. Zarate CA, et al. A randomized trial of an N-methyl-D-aspartate antagonist in treatment-resistant major depression.Arch Gen Psychiatry. 2006 Aug;63(8):856-64.
6. Aan Het Rot M et al. Ketamine for depression: where do we go from here? Biol. Psychiatry. 2012 Oct 1;72(7):537-47.
7. DiazGranados N et al. Rapid resolution of suicidal ideation after a single infusion of an N-methyl-D-aspartate antagonist in patients with treatment-resistant major depressive disorder. J. Clin. Psychiatry. 2010 Dec;71(12):1605-11.
8. https://www.nimh.nih.gov/about/directors/thomas-insel/blog/2014/ketamine.shtml
9. Jennifer Dore et al. Ketamine Assisted Psychotherapy (KAP): Patient Demographics, Clinical Data and Outcomes in Three Large Practices Administering Ketamine with Psychotherapy, Journal of Psychoactive Drugs, 51:2, 189-198, DOI: 10.1080/02791072.2019.1587556.