Experience new perspective and deep inner healing
The discovery of ketamine as a highly effective, treatment for a wide range of mood disorders and neuropathic pain has been hailed as arguably the most significant development in psychiatry during the past few decades. It has been designated as a “breakthrough therapy” by the FDA for its exceptional benefits and fast acting results. There are two main types of ketamine-based therapies:
Esketamine, also known as Spravato, is given as a nasal spray. In 2019, Spravato became the first FDA-approved nasal spray to treat:
- Adults with treatment-resistant depression
- Depressive symptoms in adults with suicidal thoughts or actions
Is Ketamine Treatment Right for You?
The *most* important question.
Find out if Neuro Wellness Spa can help you or a loved one. In-network appointments with our expert care team are available in days, not months. Get started with a consultation, conveniently offered in-person or virtually.
Spravato: Esketamine is FDA-approved for adults with treatment resistant depression (TRD) and major depressive disorder (MDD) with suicidal thoughts. The team at Neuro Wellness Spa can assist you in determining your specific insurance coverage for Spravato and out-of-pocket costs.
IV Ketamine: Although IV ketamine is FDA-approved as an anesthetic, it is used off-label to treat mood and chronic pain disorders. At the present time, ketamine infusions for mood and chronic pain disorders are cash pay procedures.
We recognize that there are financial considerations to take into account when starting any treatment. Our team is always available to discuss and answer any questions you may have about your payment options.
Dr. Martha Koo, M.D.
Dr. Martha B. Koo, M.D., completed her undergraduate studies at Princeton University, where she graduated Magna Cum Laude, and her medical training at the David Geffen School of Medicine at UCLA, where she earned membership to the AOA and Sigma Xi Society for academic excellence. Dr. Koo obtained her psychiatry residency training at the Resnick Neuropsychiatric Institute at UCLA and her subsequent psychoanalytic training at the New Center for Psychoanalysis. She is Board Certified in Psychiatry and Board Certified in Addiction Medicine. For over twenty years Dr. Koo has enjoyed her private practice, providing outpatient psychotherapy, psychoanalysis and pharmacological treatment for individuals, couples and families. A pioneer in the development and application of Transcranial Magnetic Stimulation (rTMS), Dr. Koo opened the South Bay TMS Therapy Center in 2009. She is certified in the application of Neurostar rTMS, Brainsway Deep TMS and MagVenture rTMS Therapy. South Bay TMS has evolved into the Neuro Wellness Spa, where Dr. Koo is Medical Director and offers iv ketamine, iv nutrition and photobiomodulation along with rTMS therapy. She is on the Board of Directors of the Clinical TMS Society. Additionally, Dr. Koo is the Medical Director and Clinical Supervisor at Clear Recovery Center. She is an active member of the American Psychiatric Association, the New Center for Psychoanalysis, the Clinical TMS Society, the American Society of Addiction Medicine, the American Society of Ketamine Physicians, the California Psychiatric Society and the Southern California Psychiatric Society. She is also a guest lecturer at the New Center for Psychoanalysis and the Los Angeles Psychoanalytic Society and Institute.
Dr. Simon Faynboym, M.D.
Medical Director South Torrance
Dr. Simon Faynboym was born in Ukraine and immigrated to California at a very young age. Growing up in California, he had a drive to serve the underprivileged and decided to become a physician. Dr. Faynboym currently practices Psychiatry and TMS at Neuro Wellness Spa. Dr. Faynboym earned two Bachelor of Science Degrees, his first in Genetics and the second in Food Biochemistry. He graduated in the top of his class and continued thereafter to get his masters training in Biomedical Sciences at Midwestern University for a year, before heading off to Medical School.
Dr. Faynboym attended Medical School at SGU School of Medicine with clinical rotations in New York and California. Dr. Faynboym then attended Indiana University School of Medicine-Purdue University Indianapolis Hospital System for his internship and residency in Psychiatry.
Dr. Faynboym has been politically involved in Indiana State Medical Association leading to his service as a Trustee for several years. He has been chosen to sit in the House of Delegates for the American Medical Association, is part of the American Psychiatric Association and is part of the Pain and Palliative Caucus.
Dr. Faynboym enjoys being active out doors, in his free time, he likes to go hiking, mountain biking, and doing water activities.
Dr. Josh Lichtman, D.O.
Medical Director North Torrance
Dr. Josh Lichtman has been practicing psychiatry for almost two decades. He is dual board certified in both adult psychiatry and addiction medicine.
He is passionate about mindfulness practice and psychiatry and is constantly trying to blend the two. Although he primarily focuses on TMS and psychopharmacology, he is trained in various modalities of psychotherapy including CBT, DBT, EMDR, and Psychodynamic Psychotherapy. He is a clinical instructor at UCLA, and has been selected to be on the list for Southern California Super Doctors for 2021, 2020, 2019, 2018, 2017, 2016, and 2015.
Dr. Todd Hill, D.O.
Medical Director Manhattan Beach
While Dr. Hill may be new to Southern California, he has been practicing psychiatry for nearly 20 years and is board certified in General Psychiatry by the American Academy of Psychiatry and Neurology.
Dr. Hill received his undergraduate degree from the University of Kansas and a Master’s in Biology from the University of New Mexico. After meeting his wife Viola, and starting a family of two daughters, Dr. Hill came back to the Midwest where he received his medical degree from the University of Health Sciences-College of Osteopathic Medicine Kansas City. He then attended and completed his residency in General Psychiatry at the University of Kansas Medical Center.
Throughout his medical career, Dr. Hill owned his own private practice for 10 years, was on staff as a consultation psychiatrist for multiple Kansas City hospitals, and served as the Medical Director of Psychiatric Services at one of the largest hospitals in the Kansas City Metro area. Additionally, Dr. Hill served as Assistant Professor and Department Chair of Psychiatry at his alma mater, Kansas City University of Medicine and Biosciences.
Dr. Hill believes in common sense psychiatry and cutting-edge treatment alternatives, which includes providing patients with as much information as possible about their illness. His own personal philosophy when approaching patient care is “with more education, there would be less medication.”
Dr. Hill is passionate about removing the stigma that surrounds mental health and has often had the opportunity to spread his message through local television appearances and a recent PBS documentary about mental health in the Midwest titled The Hidden Pandemic. In his free time, Dr. Hill can be found spending time with his family as well as playing and performing music.
Dr. Alexa Hall, MD
Medical Director Santa Monica
Dr. Alexa Hall was born and raised in New England. She obtained her B.S. in Biology from Providence College and her M.D. from Saint Louis University School of Medicine. She then completed her general psychiatry residency at Harvard South Shore in Massachusetts with clinical training throughout many affiliated hospitals of Harvard Medical School and the Veterans Affairs Boston Healthcare System.
During her residency training, Dr. Hall developed a strong interest in providing high quality, evidence-based care for her patients and spent significant time mentoring and teaching peers.
Her passion for outpatient psychiatry has led her to the West Coast and Neuro Wellness Spa.
I was amazed that Spravato relieved my symptoms after a lifetime of struggle. Today, I’m leading a class in mental health, working in my greenhouse & spending time at the beach with my dog, Oshi.
My life has completely changed with ketamine therapy. My therapist even said she had never seen such incredible progress in such a short amount of time.
In the past 20 years, I’ve not seen anything like this. Studies have shown that 60% to 70% of people with treatment-resistant depression respond to ketamine.
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Why choose ketamine therapy?
For many years, the initial response to mental health treatment has been psychiatric medications and therapy. Although these conventional treatments can be effective, they don’t work for everyone and medications can take weeks or months to exert their full effects. If you’re experiencing symptoms, unwanted side effects, or if you want to supplement your current treatments, you might consider ketamine therapy.
Ketamine’s response rate is more than double that of traditional antidepressants and ketamine works rapidly, in hours to days, compared to antidepressants which take weeks to exert their full effects.For most patients, ketamine also has transformative effects on an individual’s worldview. Ketamine produces a sense of disconnection from one’s ordinary reality and usual self that may induce or enhance feelings of creativity, purpose, perspective, serenity, insight, inspiration, gratitude, empathy, connection with others and the world, openness to new ideas, psychological rebirth, and traveling outside of one’s self, among others.
Following treatment, patients report beneficial shifts in awareness or perspective and identify more strongly with positive self-images and values and often describe a newfound sense of meaning or purpose. IV ketamine therapy has also been found to increase compassion, reduce fear of death, and increase joy in living.
How does ketamine therapy work?
Ketamine is an NMDA receptor antagonist that works by stimulating brain derived neurotrophic factor (BDNF), activating the limbic system, and strengthening the interaction between the conscious and subconscious levels of the mind. In patients treated with ketamine therapy, researchers have observed increased neuronal growth and connectivity in as little as one hour after treatment that improves mood, cognition and the ability to disengage from routine thought patterns, heal unhealthy neural pathways and achieve clarity.
What do the experts say about ketamine?
Extensive research and highly-effective treatment outcomes have greatly contributed to several notable publications about Spravato and IV ketamine therapy, with more being published every day:
- NPR Ketamine for Severe Depression, ‘How Do You Not Offer This Drug To People? 3 Minute Listen.
- NPR From Chaos to Calm: A Life Changed by Ketamine. 6 Minute Listen.
- BBC News Ketamine Has ‘Fast-Acting’ Benefits for Depression. Read More.
- New York Times Johns Hopkins Opens New Center for Psychedelic Research. Read More.
- New York Times Fast Acting Depression Drug, Newly Approved, Could Help Millions. Read More.
- NIMH New Hope for Treatment Resistant Depression: Guessing Right on Ketamine. Read More.
- Washington Post One Time Party Drug Hailed As Miracle for Treating Severe Depression. Read More.
- TIME New hope for depression. Read More.
- Bloomberg How ketamine opens a new era for depression treatment. Read More.
- Forbes Ketamine may reduce depression, suicidal thoughts within hours. Read More.
- Psychiatry Advisor Ketamine: a promising novel therapy for anxiety and PTSD. Read More.
- PsyPost Ketamine may ease depression by restoring the brain’s sensitivity to prediction error, study suggests. Read More.
What to expect during ketamine treatment?
IV Ketamine Therapy: Each ketamine infusion lasts about 40 minutes, after which patients should have someone available to accompany them home safely. During the infusion, patients experience deep relaxation and typically wear an eye mask in a dimly lit room with aromatherapy.
Ketamine is delivered at a slow and controlled dose and a registered nurse is present for the duration of the infusion. Blood pressure, heart rate and oxygen saturation are monitored. Typically, patients receive a course of 6-12 ketamine infusions over 2-4 weeks. The frequency and number of sessions are individualized. Most patients experience positive results from ketamine after their first infusion. Subsequent infusions help prolong the positive effects.
Spravato: Each Spravato treatment session lasts about 2 hours, after which patients should have someone available to accompany them home safely. During the treatment, patients administer the Spravato nasal-spray themselves under the supervision of a healthcare provider.
After patients administer Spravato, there is an observation period of at least two hours during which patients can rest comfortably. Blood pressure is monitored. Typically, patients receive Spravato twice weekly for weeks 1-4 followed by once weekly for weeks 5-8. Week 9 or thereafter, Spravato may be administered once every other week for maintenance. The frequency and number of sessions are individualized.
What about insurance?
IV ketamine infusions for mood and chronic pain disorders are currently cash pay procedures.
For Spravato, patients may receive insurance coverage for the medication cost. Additionally, there is a cash fee for the two-hour Spravato observation.
Our phenomenal clinical team is always available to help prospective patients understand their coverage options as well as any out-of-pocket costs. We know how important it is that those seeking help are able to get the treatment they need. Not to mention, at Neuro Wellness Spa, we handle all the paperwork. To learn more about ketamine therapy, or to schedule a consultation, contact us with our online form or give us a call at (877) 847-3984.
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