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KETAMINE

Ketamine is currently the only FDA-approved legal psychedelic medication. Research has shown that using ketamine under supported supervision may have profound therapeutic capabilities for mental health and chronic pain.

Dr. Michelle Weiner’s team is trained in Pain Reprocessing Therapy (PRT) and Mindfulness-Oriented Recovery Enhancement, which help get to the root cause of one’s suffering using a bio-psycho-social model to heal the whole person.

Have questions?

Pain Reprocessing Therapy

PRT is a system of techniques rooted in neuroscience to reduce or eliminate chronic pain, based on the premise that physical problems in the body do not cause most forms of chronic pain but instead learned neural pathways in the brain and the misfiring of pain circuits.

Mindfulness-Oriented Recovery Enhancement

Mindfulness-Oriented Recovery Enhancement is an integrative therapy for Pain, Stress, and Addiction that unites Mindfulness (self-control), Reappraisal (psychological flexibility), and Savoring (reward and meaning) to increase resilience and restore sensitivity to natural pleasures while decreasing suffering.

Ketamine-Assisted Therapy: Ketamine IV & Ketamine IM

Treatment Options & Pricing

Please note: pricing does not include initial consultation. Initial consultation can be covered by insurance.

Insurances Accepted

Please contact the office for details about your insurance plan’s coverage, as all plans vary.

TREATMENT PROTOCOL

INITIAL CONSULTATION
Includes screening for eligibility, diagnosis assessment (chronic pain vs mental health conditions), and preparation including preferred route of ketamine administration: intramuscular or intravenous or oral microdose during therapy.

PATIENT & THERAPIST MEET
Patient meets with therapist/coach to establish a therapeutic alliance and goal setting including teaching self-regulation tools, cognitive/ behavioral and lifestyle skills. If a patient has their own therapist or coach, we are open to case coordination with our team.

KETAMINE SESSIONS
First ketamine session occurs, with meditation/breathwork before and brief integration discussion after to help process the experience. Most require 4-6 ketamine sessions total, to steer the neuroplastic changes in the brain. Objective measures help guide the overall treatment plan (phq9, BPI).

Maintenance ketamine sessions may be warranted after the initial 4-6 sessions.

Ketamine FAQs

Can Ketamine Help with Your Sex Drive?

Dr. Michelle Weiner, featured in Giddy

For some people, ketamine treatments can help with the symptoms of depression and improve libido. Depression carries with it many symptoms, including decreased libido and erectile dysfunction (ED), and ketamine therapy is becoming an increasingly popular treatment for depression. Ketamine helps patients break out of these harmful patterns by providing new perspectives through generating new neuronal pathways within the brain.

READ MORE

Ketamine-Assisted Therapy Treatment of Comorbid Depression & Chronic Pain: A Pilot Study of Two Different Approaches

Daniella Batievsky, Michelle Weiner, Shari B. Kaplan, Michael Edward Thase, Domenick Nicholas Maglione, Denise Christina Vidot

(University of Pennsylvania, Spine and Wellness Centers of America, Cannectd Wellness, Perelman School of Medicine, US Dept of Veterans Affairs, Univerisity of Miami)

Principal findings support ketamine-assisted therapy’s efficacy for the treatment of depression and chronic pain comorbidity and indicate its potential use for anxiety and trauma-informed indications. Results suggest that the psychedelic approach may be superior to the psycholytic approach, which implies that larger doses and intramuscular routes may be optimal.

VIEW THE POSTER PRESENTATION HERE

RESEARCH

RESEARCH

Dr. Weiner’s Keynote Presentation at Wonderland Conference, Miami (December 2023)


Dr. Weiner had the pleasure of participating in multiple panels this last Wonderland conference, with one highlight being her keynote: Chronic Pain & Ketamine Assisted Therapy. In this presentation, she reviewed everything from how pain works to how ketamine works in the brain to create a “window of opportunity” to reduce pain, and how the biopsychosocial approach and therapeutic alliance are keys to successful pain management.

DOWNLOAD THE PDF HERE

From MMJ to Special K: How Federal Cannabis Patients Use Ketamine to Escape pain

Dr. Michelle Weiner discusses how, at high doses ketamine, produces anesthesia; at lower doses, it relieves pain and causes hallucinations - and how patients are utilizing it to alleviate pain.

READ

Cognitive Behavior Therapy May Sustain Antidepressant Effects of IV Ketamine in Treatment-Resistant Depression

Psychotherapy and integration with ketamine will enhance the outcome.

READ

The Effects of Therapy-Guided IM Ketamine Treatment on Chronic Pain & Depressive Symptoms for Individuals with Fibromyalgia or Other Chronic Pain Syndromes and Comorbid Depression

READ

Assessment of Initial Depressive State and Pain Relief With Ketamine in Patients with Chronic Refractory Pain

Oral ketamine for 6 weeks showed an alleviation of depressive symptoms in chronic pain, and ketamine improved both depression and pain.

READ

Time to Relapse After a Single Administration of Intravenous Ketamine Augmentation in Unipolar Treatment-resistant Depression

Of the 60 randomized participants who received a single ketamine (0.1, 0.5, or 1.0 mg/kg) infusion, 19 (34%) met criteria for remission and 27 (48%) for response, on day 3 post-infusion.

READ

Cognitive Behavior Therapy May Sustain Antidepressant Effects of IV Ketamine in Treatment-Resistant Depression

CBT may sustain the antidepressant effects of ketamine in TRD. Well-powered randomized controlled trials are warranted to further investigate this treatment combination.

READ

Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Acute Pain Management From the American Society of Regional Anesthesia and Pain Medicine, the American Academy of Pain Medicine, and the American Society of Anesthesiologists

READ

A Randomized Controlled Trial of Repeated Ketamine Administration for Chronic Posttraumatic Stress Disorder

This randomized controlled trial provides the first evidence of efficacy of repeated ketamine infusions in reducing symptom severity in individuals with chronic PTSD.

READ

Ketamine’s antidepressive effects tied to opioid system in brain (Stanford Medicine)

Ketamine’s antidepressive effects require activation of opioid receptors in the brain, a new Stanford study shows. The surprising finding may alter how new antidepressants are developed and administered in order to mitigate the risk of opioid dependence.

READ

Ketamine Assisted Psychotherapy (KAP): Patient Demographics, Clinical Data and Outcomes in Three Large Practices

Aa view of KAP’scurrent status combining data from three different related centers, with attendant outcomes with correlations.

READ

"The psychedelic effects may occasion mystical experiences, a sense of awe, and changes in the way intrapsychic conducts and possible solutions to them are perceived. Ego defenses are altered and with the expertise of a skilled psychotherapist the experience may yielded insights and improvement in maladaptive patterns of behavior."

Raquel Bennett
Ethical Guidelines for Ketamine Clinicians