|What board certifications do you hold?
||American Board of Psychiatry and Neurology; American Board of Integrative and Holistic Medicine; Board Certified Research Investigator: Addiction Medicine
|How many years have you been in ketamine practice?
|What percentage of your work is clinical versus research?
|Please describe any connections you have to major universities, research institutions and pharmaceutical companies, both financial and advisory/board?
||Clinical Professor Psychiatry Medical College of Georgia; Prinical Investigator PsychAtlanta Research Center
|What are your views regarding desirability and appropriateness of including and fostering the variety of practitioners who presently administer ketamine for mood disorders?
||I advocate for integrating psychotherapy, utilizing evidence-based holistic and integrative medicine practices, encouraging lifestyle changes including diet, exercise, and stress reducing practices, as well as optimizing one’s physical health during and after the ketamine experience to maximize the benefit. I also strongly adhere to understanding the patient’s spiritual background and beliefs/practices and incorporating them into their ketamine therapy. As a psychiatrist, researcher, intergrative practitioner, and open minded religion major/hobbiest, I have a unique set of skills to incorporate all those into my day to day practice and believe they all need to part of treatment. Ketamine as a stand alone drug therapy without lifestyle changes and without understanding the patient’s spritual and psychological background is insufficient for many and underutilizing the full potential of the treatment.
|What is your preferred route of administration of ketamine for mood disorders. What are your thoughts about the appropriateness or therapeutic value of other routes?
||I have no preferred route. Depends on the patient, goal of treatment, medical condition, diagnosis, psychological makeup, past experience with ketamine/hallucinogens/dissociative medications, finances, etc. Our practice uses all routes including IV, IN, IM, oral, suppository, and Spravato.
|How do you approach the problem of integrating the transient altered state we induce into the patient’s overall psychic economy? What is the practitioner’s responsibility in this regard?
||First is establishing the baseline of the patient’s psychological makeup, history, spiritual/religious background, and past experience with altered states either trauma induced, drug induced, or through natural methods i.e meditation, prayer, etc. We make sure the patients have the right set and setting for administration and have the right staff person alongside if and when needed.
|Please describe your present clinical practice. How will it look different in 5 years?
||We have private, calming rooms with well trained staff and therapists on hand. We use outcome measures with all patients and are publishing our results. Our practice hopes to use more ketamine assisted therapy and more groups in the future. We hope to be able to utilize other dissociative/hallucination inducing therapies in the future as they prove safe and effective. Also, would like to incorporate more integrative therapies in the future with ketamine. I foresee safe home monitoring in the future for maintenance.