0:00
someone is experiencing current
0:01
psychotic symptoms those people are
0:04
typically excluded because we don't want
0:06
to trigger a psychotic onset with the
0:08
medication uh someone with uncontrolled
0:11
hypertension would not be a good fit
0:13
again uncontrolled so if there's high
0:15
blood pressure and it's not well Managed
0:17
IT can pose risks uh during the ketamine
0:19
experience however someone with high
0:21
blood pressure with medication
0:23
management that can be uh a safety uh
0:26
experience that makes it possible for
0:28
someone with this condition to
0:30
participate if someone has clinically
0:32
significant substance abuse or a history
0:34
of substance abuse that was um perhaps
0:37
exclusionary it might affect the safety
0:39
or the efficacy of cap in other words if
0:42
they're currently mixing things we don't
0:43
want to deal with that because it could
0:45
be complicating in the body and the
0:48
biology uh as well as perhaps blunt the
0:51
access depending on what people might be
0:53
using or abusing and of course with
0:55
alcohol we don't want any complications
0:58
there because that can actually be
0:59
lethal ing uh alcohol and ketamine so
1:03
these are some things we want to make
1:04
sure we're we're mindful of when working
1:06
with clients or if you're considering
1:08
this treatment for yourself if you're
1:09
pregnant uh there's potential risks to
1:11
the fetus so pregnant people are not
1:14
eligible uh if you have gloma or a
1:16
recent ocular surgery or eye conditions
1:19
from a recent surgery this can be a
1:21
contra indicator because it can increase
1:23
uh blood flow in that area and if
1:25
there's any intracranial pathology so
1:28
conditions that involve a brain am
1:30
abnormality um or like an active
1:33
contusion or something going on it might
1:35
disqualify a a person from receiving cap
1:37
again because of the increased pressure
1:39
so it's important for people that are
1:41
interested in this to consult with a
1:43
healthcare provider to discuss their
1:44
medical history and determine if cap is
1:46
safe for them and if it's an appropriate
1:49
treatment option so this next question
1:51
comes in from another DM do I need a
1:53
referral from my doctor so they wanted
1:55
to know if they could get treatment
1:57
without a referral so this depends on
1:59
the practices policies some might
2:01
require a referral some might not I know
2:03
that here at my company um we actually
2:06
have to send our patients to a
2:08
prescriber for the medication itself and
2:10
an intake is involved for that uh but
2:13
then they actually self- administer
2:15
through sublingual trois and so um they
2:19
get the medication through a prescriber
2:20
and they bring it to us and then they uh
2:23
like I said self administer and then we
2:25
take care of the Psychotherapy while uh
2:28
while they're on the proper
2:30
so every place does it different this
2:32
next question actually came in from an
2:34
email to uh our uh admin and the
2:38
question is how much does cap cost so
2:40
this is a really hard question to answer
2:42
because every place does it differently
2:45
and it can really very widely depending
2:47
on the administration route the medical
2:51
uh staff on site and the modality that
2:54
they're using so are they
2:56
anesthesiologists and medical doctors
2:59
which don't have theal mental health
3:00
background um they might be able to uh
3:04
provide this treatment and have medic uh
3:06
and have insurance cover it um it's
3:09
still considered an off label uh
3:11
treatment for mental health issues and
3:14
so insurance is sometimes do sometimes
3:16
don't cover that treatment but often
3:19
times an HSA or a flex spending account
3:22
would would very much cover a a ketamine
3:24
assisted Psychotherapy experience so
3:26
these are all things you'll need to
3:27
explore depending on the treatment
3:30
uh place that you uh choose to attend
3:33
and the method of um Administration so
3:36
this next question comes in from a
3:38
current client who is interested in
3:40
exploring different psychedelics so the
3:42
question is what other psychedelics are
3:45
being used to treat mental health
3:46
conditions so this is a great question
3:48
there is so much research being
3:50
conducted right now and we're very close
3:52
in some states to being able to use
3:54
different um different psychedelics for
3:57
mental health conditions and some states
4:00
actually already have those approvals so
4:01
it depends on your state but the first
4:04
one I'm going to talk about is
4:04
psilocybin so this is the found in the
4:06
magic mushrooms it's being studied for
4:09
depression PTSD and end of life anxiety
4:12
so that they're finding a lot of benefit
4:13
to that uh medicine in that way LSD
4:17
known for its use in the 60s is being
4:19
researched for various conditions
4:21
including anxiety uh MDMA commonly known
4:25
as ecstasy is showing a lot of Promise
4:27
in treatment of PTSD h specifically
4:30
related to developmental or attachment
4:32
injuries because of the expanse and the
4:34
openness to the safety of connection
4:36
while in the medication experience U
4:39
mesin is being studied which is derived
4:42
from peyote Cactus and it's being
4:44
considered for substance abuse disorders
4:46
and depression and another drug that's
4:49
being researched is DMT which is found
4:51
in iasa and it's being studied for
4:53
depression and addiction this topic has
4:56
come a long way and there's so much
4:57
exciting research out there and so
5:00
hopefully uh within uh not too distant
5:03
future these will be approved for on
5:05
label use for uh practitioners to offer
5:08
these so that people can um heal from
5:12
their experiences and don't necessarily
5:14
need to be an ongoing medication
5:16
management for their issues so these
5:18
substances are typically used in
5:20
controlled clinical settings often
5:22
alongside Psychotherapy to enhance
5:24
treatment outcomes however it's
5:25
important to note that most of these
5:27
substances are not yet approved for
5:29
widespread clinical use and are subject
5:31
to ongoing research to determine their
5:33
efficacy and the safety and the dosing I
5:35
hope that you found this topic
5:36
interesting and that some of your
5:38
questions about cap or psychedelic
5:40
assisted Psychotherapy were answered and
5:43
uh that you can do some research if you
5:45
feel like this is something that is a
5:47
good fit for you in the meantime don't
5:50
forget to lead with love it'll never
