Ketamine therapy

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Ketamine Treatment in Southern California

At Neuro Wellness Spa, we are proud to be one of the leading providers of intravenous (IV) ketamine therapy in Southern California. FDA-approved and clinically tested, ketamine can help relieve symptoms of treatment resistant depression, anxiety, PTSD, chronic pain and other disorders.

Our medical director, Dr. Martha Koo, is an active member of the American Society of Ketamine Physicians. A leading authority on psychiatric disorders for over 20 years, Dr. Koo is passionate about using IV ketamine to help her patients.

Under her guidance, our team has helped countless patients in South Bay. We’ve seen the life-changing effects of this therapy, especially for those who suffer from treatment-resistant illnesses.

What is Ketamine IV Therapy?

Millions of people suffer from chronic and debilitating physical and psychiatric disorders, including anxiety and depression. However, many of these conditions may stop responding to medications, like anti-depressants, and other therapies. IV ketamine therapy is a safe and effective treatment option for people who suffer from treatment-resistant:

  • Depression
  • Anxiety
  • Acute suicidality
  • PTSD
  • Chronic pain

Physicians have used Ketamine for over 50 years as an anesthetic. However, new research indicates its effectiveness in other applications too.

Researchers at Mass General Hospital conducted the largest study of IV ketamine therapy. They found that over 70% of patients suffering from treatment-resistant depression experienced symptom relief with IV ketamine therapy. This study, along with a growing number of others, is a major finding that demonstrates the effectiveness of IV ketamine for those who have tried standard treatments but haven’t responded adequately.

What Can Ketamine IV Therapy Treat?

Depression is highly prevalent in the United States, and about 10-30% of patients who suffer from major depression do not respond to standard treatment methods.

If you suffer from a treatment-resistant disorder, or have not been able to tolerate standard treatment medications, you are not alone. IV ketamine therapy could be an effective treatment alternative. It has brought relief to many.

Below we have listed a few disorders for which ketamine therapy has been shown to help. If you or a loved one is struggling with any of these conditions, we encourage you to contact your doctor or our experienced medical team today. Together, we can discuss whether ketamine therapy may be an effective treatment option for you.

Bipolar Disorder

Bipolar disorder causes alternating feelings of depression and elation. IV ketamine therapy can help balance cerebral activity, and may alleviate some of the symptoms of bipolar disorder.

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Fibromyalgia

Ketamine is effective in treating various chronic pain syndromes, especially those that have a neuropathic component, like fibromyalgia.

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Anxiety

Anxiety disorder is highly prevalent in the United States. According to the Anxiety and Depression Association of America, it affects about 40 million Americans, which is approximately 20% of the population. Ketamine therapy plays an important role in the treatment of anxiety. Approximately 30-40% of those seeking treatment for anxiety, do not achieve remission with standard medications and therapies. IV ketamine has been proven to effectively treat anxiety in patients with treatment-resistance.

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Chronic Pain

Ketamine is a powerful pain reliever. It has been used as an anesthetic on the battlefield. It is also used to prepare patients for surgery. Ketamine is safe, especially compared to other anesthetics, because it offers fast-acting pain relief without impairing breathing function. There is growing evidence that long-term treatment of chronic pain with ketamine will provide prolonged pain relief.

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Spinal Injury

Ketamine can provide pain relief for those who suffer from spinal cord injuries. Ketamine works by stimulating brain derived neurotrophic factor (BDNF) and the growth of neurons in the brain. Researchers have also observed increased synaptic connections in patients treated with IV ketamine therapy. This neuronal growth and increased neuronal interconnectivity relieve symptoms of spinal injuries.

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Post Traumatic Stress Disorder

More than 3 million US adults suffer from PTSD each year. It is highly prevalent among military personnel, victims of domestic violence, and those who have suffered an accident or another type of traumatic event. Although PTSD can be disruptive and debilitating, it can also be a difficult condition to treat. IV ketamine has been shown to improve symptoms of treatment resistant PTSD.

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Depression

The National Institute of Mental Health lists depression as one of the most common mental illnesses in the United States. In a recent study, around 17 million adults in the US had at least one major depressive episode in the past year.

However, standard antidepressant and therapy treatments do not work for everyone with depression. IV ketamine therapy is a well-established, safe and effective treatment option for those with treatment-resistant depression.

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Phantom Limb Pain

Although there is still a lot unknown about phantom limb pain, it is clear that PLP involves both central and peripheral neural factors that activate N-methyl-D-aspartate (NMDA) receptors. Ketamine is known to block these NMDA receptors. Because of this, IV ketamine is considered to be a potentially effective treatment for many neuropathic disorders, including PLP.

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Neuralgia

Neuralgia is a mild to severe, shooting pain felt along a nerve pathway. Although are different types of neuralgia, they all can affect the ability to perform everyday tasks and can reduce quality of life. If medications and nonpharmacological interventions don’t work, IV ketamine therapy may be a treatment option for neuralgia. IV ketamine is known for its ability to help relieve therapy-resistant chronic pain syndromes, especially those syndromes that have a neuropathic component, including neuralgia.

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How Does Ketamine IV Therapy Work?

Ketamine is an FDA-approved anesthetic that has been used for decades in the United States. Research shows that the drug is effective at treating both neuropathic pain and treatment-resistant psychiatric disorders.

In 2016, the Society for Neuroscience published a major breakthrough explaining how ketamine causes new nerve cells to mature extremely quickly in the hippocampus. Dr. John Krystal, MD, the chief psychiatrist at Yale Medicine, even called this drug a “game changer”.

Ketamine is a very unique drug because of how it works. Medications like Valium, for example, only provide anti-anxiety effects for as long as the drug is in the system. Once Valium wears off, the symptoms of anxiety will typically return. With ketamine, on the other hand, the drug triggers a biological reaction in the cortex that allows the brain’s connections to regrow. Therefore, it’s the brain’s reaction to the drug that provides relief, rather than the drug itself.

Ketamine is known to stimulate the growth of neurons in as little as one hour. Further, its powerful anti-inflammatory properties can improve neural activation and elevate mood.

What to Expect from IV Ketamine Treatment

At Neuro Wellness Spa, our expert medical team administers IV ketamine treatments in a controlled environment using clinically established methods.

Consultation

If you are interested in learning more about IV ketamine, our medical team will schedule you for a consultation. One of our incredible psychiatrists will review your medical records, discuss your needs and preferences, and together you can decide whether IV ketamine therapy may be an effective treatment for you.

Determining a Treatment Plan

The dosage of ketamine used in your treatment will vary based on your body weight. The guideline for ketamine dosage is 0.5mg.kg body weight. The drug is administered at a slow and controlled pace to the patient by a trained clinician. Patients do not experience any respiratory effects during or after the treatment.

IV Ketamine doesn’t have any long-lasting associated side effects. Although some people may experience sensitivity to light and/or sound and disorientation while the treatment is administered, these feelings subside quickly when the treatment is finished.

IV Ketamine can cause feelings of dissociation while the treatment is being administered. However, many patients report that these feelings of dissociation can help them develop an objective perspective about past experiences.

Ketamine is administered through an IV infusion

At Neuro Wellness Spa, we administer ketamine treatments through an IV. Sessions typically last between 40-50 minutes on an outpatient basis. We want you to be as comfortable and relaxed as possible during your session, so your physician may dim the lights, play music, or take other measures to make sure you’re comfortable.

Your physician will also monitor your blood pressure, pulse, and oxygen saturation during your session as a precaution.

Be aware of mild side effects

There are very few side effects with ketamine, however, a small number of patients experience:

  • Dizziness
  • Nausea
  • Confusion
  • Loss of appetite
  • Fatigue after the first session. In some cases, fatigue in subsequent sessions.

We recommend that you have someone available to accompany you home after your treatment.

How Does This Therapy Feel?

At Neuro Wellness Spa, we administer low levels of ketamine in a controlled environment.

Ketamine can be used an anesthetic during surgery. However, the dosage we use during therapy is much lower.

At Neuro Wellness Spa we use FDA-approved doses and closely monitor our patients to make sure they are comfortable and relaxed.

What can I expect during IV Ketamine Therapy Treatments

One-on-One Consultation with an Expert Psychiatrist

A physician will begin by reviewing your medical records and consulting with you about your needs and preferences for treatment.

You will be asked some important questions.

Such as height, weight, age, and medical history as part of your treatment assessment. This information helps the physicians and medical staff prepare your treatment plan.

 

Ketamine infusions are administered on an outpatient basis.

Ketamine is administered through an IV, and the infusion lasts between 40-50 minutes.

Your treatment environment can have a large impact on your experience of the infusion.

Your clinician may lower the lights, offer an eye mask or aromatherapy, or take other measures to make the setting more comfortable. You might also choose some relaxing music to help you through the onset phase.

Ketamine is administered through an IV.

You will receive treatment in a private room, accompanied by a trained healthcare professional for the duration of the infusion. As the ketamine is delivered at a low and controlled dosage, your blood pressure, pulse and oxygen saturation will be monitored.

IV Ketamine therapy is fast-acting.

Although you remain aware of your surroundings, you will experience deep relaxation. It is important to enter each infusion with a positive mindset and a tranquil setting.

Some patients may experience dizziness, nausea, dissociation or fatigue.

A complete list of possible side effects will be discussed with you prior to treatment. After a treatment session, it is important to have someone available to accompany you home safely.

Your mindset and emotional state before treatment can impact your experience of the infusion.

Prior to every ketamine infusion, we help our patients prepare intentions for their therapy. The stronger and clearer the intention, the more profound it may help the therapy to be.

Contact Neuro Wellness Spa

We specialize in a number of services and take a holistic, personalized approach to healing.

If you’ve tried other treatment options unsuccessfully, you are not alone. Many patients with treatment-resistant illness have found success with IV ketamine therapy.

IV ketamine therapy is an evidence-based treatment option and has helped many people find relief from depression, anxiety, chronic pain, and other conditions. It may be able to help you or a loved one too.

At Neuro Wellness Spa, we want to share wellness solutions with the South Bay. Every day, we strive to educate our patients about this emerging therapy and offer care to those in need. Our mission is to help those who suffer from depression, anxiety, chronic pain, and mental illness with the full spectrum of available and effective treatment options.

If you would like to learn more about ketamine therapy, or one of the other wellness services we offer, contact our professional team today.

We accept insurance from the following providers

• • Frequently Asked Questions • •

Additional Information on TMS Therapy

  • Why Choose TME Therapy?

    The initial response for mental health treatment is with psychiatric medications and therapy. In many cases, psychiatric medication does not prove to be effective. The severity of side effects from medication can drive people away from medication.

    Because TMS is FDA-approved, it has been proven as an alternative to medication. Medication has proven to not be right for everyone. TMS might be a better option.

    Neuro Wellness Spa is able to discuss treatment options with you. We can discuss if you’re a suitable candidate for TMS in depth – contact us today to get started on your treatment plan.

  • Effectiveness of TMS Thedapy

    Since 2009, Neuro Wellness Spa has found a remission rate of 82% in treating patients through TMS for depression. The numbers are great. But the positive effect of this treatment on a patient’s life cannot be captured in numbers.

    Depression is a chronic illness. There is no cure. That means remission is not for life. Data shows about 15% of patients see a relapse into depression in the first year after treatment. TMS is a sustainable treatment option to combat this relapse. Remission periods will depend on certain factors.

    Remission factors include:

    • Diet
    • Exercise
    • Continued therapy
    • Severity of illness
    • Lifestyle
    • Continued use of medication if needed

    At Neuro Wellness Spa, we strive towards 100% satisfaction after sessions. We welcome clients who are experiencing a relapse after treatment to make another appointment and begin again. If you’re currently in a depression relapse, we’re ready to treat you. Call to make an appointment today.

  • Side Effects of TMS Therapy

    TMS does not have the same side effects as a systemic treatment. The brain is treated directly. Unlike medication, it does not enter the bloodstream. Without an invasive procedure or use of anesthesia, there are no effects on cognitive function.

    Overall, patients tolerate TMS treatment very well. A common side effect might be a headache following the first few sessions. This is the result of neuron stimulations. This can occur if the neurons have not been utilized during the depressive phase. There could also be slight discomfort at the site of stimulation, lightheadedness, or even spasms and twitching of facial muscles. With every session, these symptoms lessen and eventually disappear.

    Serious side effects are rare. They depend on other factors, such as certain mental health issues not treated through TMS. Possible serious side effects include mania, hearing loss, or seizures. The mania tends to be triggered in people with bipolar disorder who undergo TMS therapy.

    At Neuro Wellness Spa, we take care of all of our clients during each session. We monitor how their body is responding to treatment. If the treatment is not working, we stop sessions and find an alternative that’s suited for our client. Contact us today to learn more about the TMS process and how it might feel for your body.

  • Does TMS Only Work With Depression?

    As mentioned before, TMS therapy has been proven to help treat anxiety as well. Currently TMS is also used to combat cognitive decline, alleviate chronic pain, and treat autism.

    TMS is still in an extensive research phase. It can be used to diagnostically test connections between the skeletal muscle and neurological system. This determines the progression of different diseases and potential damage. It is particularly useful for movement disorders, stroke, multiple sclerosis, and motor neuron diseases. Over time, more research discoveries will lead to the expansion of TMS therapy treatment options.

    You might have a condition that can be treated with TMS. To find out if Neuro Wellness Spa can help with your symptoms or disorder, contact us.

  • Preparing for TMS Therapy

    Prior to TMS therapy, a patient would take part in a psychiatric and physical exam. Since this is an alternative treatment option, a patient should be able to show proof of attempts at treatment through depressive medication or counseling.

    With the use of magnets in this therapy, it is important to disclose implanted or metal medical devices. The magnets may interfere with the function of devices like:

    • Pacemakers
    • Stents
    • Cochlear implants
    • Electrodes monitoring brain activity
    • Aneurysm clip/coil
    • Bullet fragments

    You’ll have an appointment to discuss physical and mental history with your provider. This is the opportune time to disclose important medical history. In addition to interference from the above listed devices, there are other elements to report. These include a family or personal history of seizures, other medications, frequency of headaches, and any other severe medical issue.

    Have a question about your medical history? Get in touch with us.

  • What to Expect During TMS Treatment

    This outpatient procedure takes place in a doctor’s office. FDA has certain requirements around the number of sessions a person should have if using TMS to combat depression. This normally involves 36 daily appointments, 5 days a week over a period of 4 to 6 weeks. After the initial period, there will be 6 taper sessions. All of these sessions last somewhere between 18 to 24 minutes.

    During the session, an electromagnetic coil is placed on the skin on the scalp. You will feel this close to the forehead. That coil discharges magnetic pulses to stimulate nerve cells in the prefrontal cortex. This is done continuously throughout the session with intermittent pulses.

    In the first appointment, you can expect to be taken to a treatment room. From there, the process begins. The administrator conducts mapping to determine the level of magnetic energy that will be necessary. You determine the threshold – so pay attention to when you reach the threshold by noting if your hands or fingers begin to twitch. This serves as an indicator that you have found the right level of magnetic energy for treatment.

    At Neuro Wellness Spa, we understand you might be nervous about experiencing TMS for the first time. We can make you feel more comfortable by answering any lingering questions you may have – make an appointment with our office.

TMS Therapy Treatment Process

01

When you arrive for your first TMS session, you will initially be greeted by a trained TMS technician.

They will then lead you to your treatment room, where you will rest on a comfortable chair that has the ability to both recline and elevate your legs. You will be fitted for a cap that the treating psychiatrist will use to mark your TMS treatment areas. You will wear this cap for every TMS treatment.

02

The treating psychiatrist will then come in and use the TMS machine to locate your proper treatment area, in addition to finding your motor threshold.

Based on your psychiatric history, the treating psychiatrist will also decide the type of TMS treatment and which side the coil attached to the TMS machine should be placed in order to provide the most effective treatment for your needs.

03

After, the treating psychiatrist finds the proper placement and answers any additional questions you may have.

Your TMS technician will then prepare you for your first full treatment. Generally, we allow between 18 and 30 minutes for each session, depending on the type of TMS treatment the psychiatrist prescribes. The technician will then make sure you feel as comfortable as possible, situating the chair to your liking and offering blankets and water.

04

Each treatment room is equipped with a flat screen TV connected to our Neuro Wellness Spa Netflix account.

Where you can choose from a variety of TV shows, movies, or meditative scenery to watch during your treatment. You may also choose to use your phone or iPad, or you may use the time to meditate; however, it is important that you do not sleep during the treatment as it may decrease the efficacy. If you prefer, the technician will offer you earplugs, but they are not required. In order to ensure that your head doesn’t move during treatment, a pillow behind you will then be wrapped around the sides of your head.

05

Once you are comfortable, the TMS technician will place the TMS coil on your head in the space that the psychiatrist has marked and will start your treatment.

If at any time you require a break, feel pain, or believe the coil may have accidentally moved, your TMS technician can pause your treatment to make sure you are comfortable.

 

Alternative to Antidepressant Drugs – Try TMS

Some people who suffer from depression are able to achieve symptom remission with medication. However, it may take up to 10 weeks after starting an antidepressant to notice improvement, and even then, symptom improvement only occurs in about one third of patients.

Many people experience symptom relief with medicants, but others may find that their conditions are resistant to medication. For those with treatment resistant mental health disorders, there is a need for alternative treatment options – like TMS. With durable, long-lasting treatment efficacy, TMS is a safe and effective treatment option for those who have not experience satisfactory relief from traditional treatments.

Research shows 1 in 10 Americans utilize some form of antidepressant medication. However, antidepressant medications are not effective and tolerable for everyone. Side effects of antidepressants may include:

  • Nausea
  • Weight gain
  • Constipation
  • Sexual dysfunction
  • Insomnia
  • Fatigue

At Neuro Wellness Spa, over 93% of patients have experienced noticeable improvement with TMS treatment. Typically, TMS has no side effects. However, some patients report mild scalp discomfort and mild headache during active treatment. During TMS treatment, patients remain awake and alert and are able to return to their daily activities immediately following a treatment session.

Since TMS received FDA indication for depression in 2008 and OCD in 2018, many health insurance providers have opted to provide coverage for TMS therapy. At Neuro Wellness Spa, we work with insurance companies to get our clients covered for their TMS recovery therapy. Contact us today to find out if your insurance will cover TMS.

Future of Transcranial Magnetic Stimulation Therapy: Advances Since 2009

From 1881 until now technological advancements and extensive research has greatly contributed to several notable developments in the application of TMS:

  • Efficiency & Speed. As TMS device technology has improved, TMS treatment sessions have become shorter. Theta burst stimulation (TBS), or express TMS, was FDA cleared in 2018. Express TMS uses a 3-minute treatment protocol, whereas standard TMS uses a 20-30-minute protocol. Shorter treatment times have made TMS more accessible and convenient for patients.
  • Expanded Research. Since 2008, TMS has been the focus of numerous studies for various mental health disorders. As a result of its efficacy, TMS was indicated and FDA cleared for the treatment of OCD in 2018.

Since its FDA clearance in 2008 for depression and 2018 for OCD, emerging research has suggested TMS may also be a promising treatment for a broad range of psychiatric conditions.

Neuro Wellness Spa recognizes the benefits that TMS offers. Contact us today to learn more about TMS or to schedule a consultation.

For more information about the services we offer or whether TMS treatment is covered by your insurance provider, contact us today.

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