The Inside Press

Magazines serving the communities of Northern Westchester

anxiety

Demystifying Ketamine Therapy: Take a Look Inside the Treatment Everyone’s Talking About

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NY Ketamine Infusions Westchester Team led by Robert Glatter, M.D.

While images of home breadmaking, disinfecting mail, or finally scoring an N95 mask are common sketches of quarantine life, more serious details about the toll the global pandemic took on our mental health have slowly emerged. The CDC reports that the number of Americans experiencing anxiety or depression today has jumped three times since 2019, while one in five adults live with some form of mental illness. Mental health is deeply personal, and for many, finding an effective treatment can feel like navigating a labyrinth alone.

One approach that’s making waves is ketamine therapy, a treatment that uses low doses of the drug to manage mental health conditions. It can potentially treat a range of disorders, including depression, anxiety, PTSD, and even chronic pain. While recreational drugs, like Special K, may come to mind, you’re going to need to hold the glitter. The doses administered in ketamine therapy are nowhere near what’s used recreationally, and do not send patients on a psychedelic trip. To understand how the drug works and who it might serve, we spoke with Dr. Robert Glatter, Medical Director at the newly opened location of NY Ketamine Infusions.

Dr. Glatter has a long history administering ketamine, first as an emergency room physician at NYC’s Lenox Hill Hospital. Ketamine was originally developed as an anesthetic in 1970, and was widely used during the Vietnam War by surgeons treating soldiers injured on the battlefield. After doctors noticed its ability to treat soldiers with PTSD, depression, and suicidal thoughts returning from the Gulf War, Glatter says that institutions like Yale and NIMH began studying its effects on the brain. “Essentially, they gave the soldiers these infusions, and they noticed that within a day or so, their moods started to elevate. They felt less suicidal,” he says. “They noticed that the medicine was rapid-acting, and led to mood elevation.”

Years of additional research at Yale, NIMH, Mt. Sinai and Columbia University in NYC led to intravenous (IV) ketamine being used “off-label” to treat mood disorders. Ketamine helps to repair and generate new synapses and dendrites. By doing so, the net effect is enhanced communication between nerve cells, in what Glatter refers to as a “structural repair of the brain,” as opposed to a chemical approach using standard antidepressant medications. Ketamine therapy improves connectivity by repairing and enhancing growth of dendrites and synapses, and for some, results in an almost immediate lift in mood regulation and resilience.

Glatter emphasizes that one of the key differentiators in ketamine therapy is that rapid response. Traditional antidepressants, which aim to correct chemical imbalances, may take weeks or even months to produce effects, while ketamine’s restructuring of the brain often works within days. This can be life-changing for patients in severe crisis or who have struggled for years with treatment-resistant conditions.

So who’s it for? Ketamine therapy has shown to be effective in treating PTSD, which includes mood disorders such as depression, anxiety, bipolar disorder, and OCD. That said, ketamine therapy is not a one-size-fits-all solution, and is not for people with high blood pressure or hypertension. It’s recommended to patients who’ve first shown resistance to other treatments, like anti-depressants and therapy. Glatter says certain patient profiles respond best to it, particularly patients under the age of 70, females (due to synergy with estrogen) and those who have experienced childhood trauma.

Patients can receive ketamine through an infusion (via intravenous drip), a nasal spray, or even as a lozenge. Dr. Glatter calls infusions the “gold standard,” and strongly believes they are the best way to receive treatment. At the clinic, patients undergo six infusions over a two-week period. He says most feel results within 3-4 treatments. Patients with positive results return on average three to six times over the following year to receive a booster infusion. “Boosters are important because they prevent people from backsliding,” Dr. Glatter says.

The results speak for themselves. Glatter says among thousands of patients at NY Ketamine Infusions, 84% reported an improvement in mood and function.

A Typical Treatment

Stereotypical ideas of ketamine might conjure up images of a wild rave, but appointments are more akin to cozying up on a comfy recliner with a blanket. “Ketamine’s action is a delayed effect; it begins to act 12 to 15 hours after the infusion. Nothing therapeutic happens during the infusion,” Dr. Glatter says. “They’re here to get the infusion, and certainly it feels good, but they’re not getting psychedelic.” At NY Ketamine Infusions, after patients check in, they go to a private treatment room. There, they discuss symptoms and progress before a nursing practitioner, under physician guidance, starts the monitored infusion, which can be adjusted at any point during the treatment.

Since opening the doors to their Westchester operation this April, Dr. Glatter wants people to know that ketamine therapy is an option. “We really seek to improve your quality of life and hope you will look at us as part of your mental health care going forward.”

Sources:
https://time.com/6308096/therapy-mental-health-worse-us/
https://www.cdc.gov/mentalhealth/learn/index.htm

The Experience of Being a Single Mom and Going it Solo during COVID-19

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The following was written on April 13, 2020, as an FYI, and edited here for publishing clarity. Three plus weeks later, the feelings are pretty much status quo, although I’ve settled into more of a routine, which helps. Like many, I imagine I’d be in a state of acute despair without Governor Cuomo’s daily briefings or summaries.

 

 

 

 

 

 

I simply wish to bear witness to my personal experience as a Single American, Empty Nest mom staying home solo and doing my best to follow the new COVID-19 rules. 

My 23-year-old son lived with me for Month 1 of ‘all this.’ Renewed bonds, his humor, mine too, all helped ease the transition to this ‘new way.’  I loved having him here, in fact, after two plus years since starting empty nest in earnest (that is, post his graduation from college when he moved into the city permanently). 

It may appear at first glance that I rescued him bringing him home to the burbs after he developed mild symptoms, got diagnosed as positive with COVID-19, and recovered here, but I know the truth now.

A certain household structure of cooking and meal preparation is comforting and calming. Permission to and the ability to take care of a loved one are absolute gifts, too.

Please never take any of that for granted, ever, not for a minute.

So…

This one is for all the single people living in what boils down to, what is amounting to, a stretch of house arrest.

But ok, without the ankle bracelet.

Yes, social media and FaceTime calls with kids, family and special friends help. It has been especially heartening to keep up with my daughter almost daily as I had been feeling we had grown apart. She has taught herself new skills, and I’m planning on blaring about them soon too, if she’ll let me.

Yes, absolutely, a Zoom meeting or the sometimes seemingly infinite number of fitness or meditation classes and musicians and entertainers and political/educational forums online breaks things up and absolutely does help with motivation or to keep spirits up.

I’d have been lost for a stretch without private stretching/exercise sessions with a therapist from New Castle Physical Therapy for a back-related issue.

Laughter has been key to so many getting through this, so trust me that all the funny online posts in goofy Facebook groups or from all the self styled comedians out there are amazing lifelines for me, too.

I marvel at all the ingenuity and entrepreneurship and ponder the transforming future of where we will all land in the realm of real time versus virtual time. 

Still.. I spend a lot of time online for my work, so I look forward to getting off line… so there’s that. Ultimately, online communication is not like having humans in proximity in your home-whether it’s hearing the sound of a voice or seeing the gleam in someone’s eye. If you are a people person, which I am, by and large, the absence of  ‘actual’ time together is felt deeply.

If you don’t own a pet, which I don’t anymore (a long story for another day, perhaps), yes, it’s far worse than that.

I hear a lot: “I can’t imagine not having my dog through this (or dogs, or cat, or cats).”

Well, imagine it. Many single people do not have pets for a variety of reasons. At this juncture, I don’t have a pet. Not even a fish. And that is that, too. I am not looking for leads on getting a pet, so please, dear reader, do not go there. It actually hurts for you to. I’m fully aware of the options, and let’s just say, it’s complicated.

For me, all I know is that today is Day 10 of alone during COVID-19. For many, it’s well into the 20s, 30s or even 40 plus days. I contemplate the continued impact of long-term isolation. 

Whether it’s your kid’s groan when you tell him to get back to his homework, or your spouse or significant other yelling out, “What’s for dinner?”, please don’t underestimate the value and comfort of a voice that’s in proximity to you. I wonder: Will I settle into isolation? Will it get easier? Harder? Impossible to bear?

I am a person who considers my mental health as intact, stable as she goes. But anxiety is taking hold now, and I’m keeping a variety of toll-free numbers handy. 

The days are much easier than the nights. I am intensely grateful to live where there are many neighbors in proximity, at least. I take my near daily walk for the people and pet visuals, for the dose of Vitamin D, too. The sun sustains me like nothing else. I appreciate even a wave from six feet away at the occasional neighbor, or even someone’s puppy or dog wagging its tail. 

Neighbors’ eyes sparkle and even the wrinkles surrounding them ‘speak’ to me from above the bridge of a nose and circumference of a mask. If they are not wearing masks, I keep my distance, wave anyway, and pray they simply stay safe, too. 

I like getting into my car for the reminder of the old normal as I set about to perform only the most necessary errands. I gratefully take in the ‘hum’ and ‘sounds’ of the market, or at the pharmacy, too. Those fill the soul some, too.

When night falls, a certain fear takes hold, a sense of vulnerability that’s hard to explain. Maybe it’s when all these feelings of aloneness peak. Watching TV, binge watching especially, helps a good deal. I mourn the end of any good series! When I turn the net and TV off, though, it’s me again, and… the pockets of dark space. I’ll slog through some darkness, contemplate the dishes in the sink, but usually choose to leave them for the morning. I try to reduce the night hours by going to sleep as early as possible. Sleep is a bit of a messy affair, too, also the subject of a future post. 

I won’t venture too much here into the lack of touch or intimacy and the total weirdness of virtual dating, or rather, foregoing virtual dating, for the most part.  For reasons also best left to another column, perhaps, I will say I don’t feel this is the time to embark on new romance, either. For personal reasons, I wasn’t necessarily ready for new romance before COVID-19, and I don’t believe that has changed. If anything, those feelings are exacerbated. Still, I’ve always been in the never say never school, too. 

I don’t want pity, but compassion and understanding are great. I don’t need advice or suggestions either. Or maybe I do. I don’t know.

I understand my feelings are unique too, and not universal.  An old friend, similarly alone, is not experiencing it this way at all, and even expressed a comfort level with the isolation, so go figure. She describes herself as perhaps always having been an introvert and that somehow ‘all this’ is suiting her.  I would describe myself as more of an extrovert (although a shy one, too, in a way, as contradictory as that may sound), so perhaps we are hit a bit harder. Then again, I always loved my alone time, too, but by design. And choice. So, again, I don’t know.

I am not writing this to compare pain and painful situations. The tragedy is devastating and on some days, beyond all comprehension. The disease has hit terribly hard taking tens of thousands of lives across the country, hundreds of thousands across the world, and threatening the health of family members, roommates, as it devastates nursing home residences, in particular. Prison populations have also been horribly impacted. And so on.  Solo in my otherwise comfortable suburban pad is certainly also better than any domestically violent situation in any socio-economic circumstance.

And yet, what I want to convey, is that pain is relative, and that the pain here is real for me, too.

Human beings are largely social creatures. Our souls are tested, and I believe shrink in any prolonged isolation. I want to erase the stigma too that anyone weathering this solo is similarly feeling. I know that I’m not alone with these feelings, and that they are widespread.

And yes, yes. I am still counting my blessings to be alive and healthy. I was never going to even share these words as I worry  they may sound somewhat self indulgent or morose. But then again, if a pandemic is not the time to feel those things too, then I don’t know what is. You are welcome to search elsewhere for inspiring and uplifting right now.  I have tried to keep busy sharing all the drama and news I possibly can through this press on a most limited budget. I have plenty of work to do to make sure my 17-year-old business survives COVID-19.  I’ll overshare too that it can feel like wading through molasses. I go through all the steps I’m advised to take as a small business and wait for those to bear fruit.  And wait.  I have rooms and a garage I promised myself I could declutter now, but somehow, paralyzed to, since that feels like the ultimate solo punishment.

I write this simply to self-express (that helps me, so forgive me if my oversharing causes you any discomfort). Finally, I share also to express that I do feel empathy for everyone weathering this storm. My heart goes out to all of you, to those single and to those in semi full or very full houses (maybe we can trade places for a day?) and all your own unique challenges.  And yes, I must believe that we too can get through this, #AloneTogether, and #NewYorkTough. Or when you’re not feeling so tough sometimes, too. 

 

Northern Westchester Hospital Suggests Ways to Keep a Cool Head Amidst Coronavirus Fears

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Mount Kisco, NY – The Coronavirus (COVID-19) pandemic is affecting virtually every aspect of our lives, including how we work, learn and connect with one another. You cannot watch, listen or read the news without hearing the latest coronavirus news.

“All of this has many of us feeling scared, nervous or anxious, which can make things worse and take a toll on our mental health,” says Rachel Merchan, LCSW, a social worker a Northern Westchester Hospital (NWH). “However, there are simple steps people can take to lower their fear level, reduce anxiety and keep calm.”

Here are Merchan’s tips to support your emotional health and wellbeing, and help you, and those you love, cope:

Consider a news detox

A never-ending stream of information and misinformation from a variety of sources may contribute to the rising sense of panic we feel when thinking about coronavirus.

  • Consider taking a break from, or reducing, the number of updates you consume.
  • See how you feel after taking a pause from the news for a few hours, or a day, and go from there.
  • If you must search, seek trustworthy sources – the Centers for Disease Control and Prevention (CDC) gov, or your local health department.

 Make decreasing stress a priority

Find ways to de-stress, such as listening to music, a deep breathing exercise or guided meditation, stretching, or a walk outside.

Understand the root of your concerns

Ask yourself: What am I most worried about? Fear often stems from the unknown. Try to understand why you are afraid, and then seek reliable sources of information to address your concerns, such as the CDC, or your healthcare provider. This can also be an important starting point when discussing the coronavirus with loved ones who are afraid. Open and honest communication can go a long way in helping us feel heard and understood.

Ask for support

If you’re feeling overwhelmed, unable to manage your emotions or struggling to function, it’s time to seek help. Let friends and family members know you’re having a hard time and seek professional support.

Acknowledge what you can control

There’s still a lot we don’t know about coronavirus. It’s okay, normal and expected to feel uncertain and scared. However, staying in that scary, uncertain space long-term isn’t good for us.

Think about taking action in a safe way:

  • Learn the facts
  • Share your knowledge with others
  • Let loved ones know you are available for support
  • Treat others with respect, whether you are a patient, care provider or community member
  • Acknowledge that we’re all in this together

“We will get through this as a community and become stronger, together,” says Merchan. “Take care of each other, take care of yourself, and wash your hands.”

Information in this post is courtesy of Northern Westchester Hospital.  For more information, please visit www.nwhc.net 

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What You Should Know about Bioidentical Hormone Pellet Therapy

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Courtesy of Living True Wellness

1. 90% of menopausal patients obtain relief from hot flashes and night sweats

2. Nearly 75% of all women receive relief from their symptoms of irritability, anxiety, and depression

3. Sexual libido or desire is restored in 75% of women

4. Good cholesterol (HDL) rises in about half the time

5. Estrogen levels are more consistent than with use of a transdermal estradiol patch

6. More success in losing weight

7. Improved muscle and joint pains

8. Migraine relief

9. Increase in energy levels

10. No “rollercoaster” rides of good days and bad days as compared to oral/topical/injectables

Visit us at LivingTrueWellnessNY.com