Which injectable nutrients are used at Pacific Psychiatric Intervention & Wellness Centers?
Vit C Ascorbic Acid
MIC (Amino Acids)
Vit D (IM)
How are IV hydration and vitamin/nutrient therapy used in the integrative medicine service?
What is integrative medicine?
How can I find out if ketamine infusions may be appropriate for me?
How many ketamine infusions will I need?
What medical and psychiatric conditions could potentially exclude me from ketamine infusion treatments?
Note regarding blood pressure: The most common medical condition that prevents and/or interferes with ketamine treatments is uncontrolled hypertension, therefore it is encouraged for patients considering ketamine treatments to ensure their blood pressure is well controlled. They should consult their primary care physician if there is any question regarding the status of their blood pressure. Ketamine infusions can not be administered to persons with abnormal blood pressure on the day of the treatment. Our protocols regarding blood pressure are very strict.
Is ketamine safe to use in this setting?
Can I get addicted to ketamine from being treated with it for depression?
Do I need to be referred by a psychiatrist or therapist to be considered for ketamine infusions?
Will my insurance cover the cost of the ketamine treatments?
However, we are contracted with most major health plans (not Medicare), including Aetna, Blue Cross, Blue Shield, United Healthcare, Tricare, HealthNet, MHN, Magellan, and Cigna. Because we are contracted with these companies, we can bill directly to them for psychiatric consultations and follow-ups.
What conditions does Pacific Psychiatric treat with ketamine infusions?
Ketamine is NOT FDA approved for any of the above indications. Prescribing a medication for an indication that it has not been FDA approved to treat, is often referred to as prescribing “off-label.” It is FDA approved only for use as anesthetic.
What is the success rate for treatment of depression with ketamine infusions?
What are the restrictions after I’ve had a ketamine infusion?
Where is your clinic located?
What days are treatments done?
Is Spravato™ the same thing as ketamine?
At Pacific Psychiatric we use ketamine for our IV and IM treatments of depression, which is not FDA-approved for the treatment of depression. Spravato™ is only administered intra-nasally, and is only done in the office, but it is FDA-approved for the treatment of “Treatment Resistant Depression.”
Does insurance cover the cost of Spravato™?
How is Spravato™ administered?
What is Spravato™ (Esketamine)?
Transcranial Magnetic Stimulation
What is TMS therapy?
What is the typical course of treatment of TMS?
Is TMS Therapy Safe?
What are the side effects of TMS?
Am I a good candidate for TMS?
You are a good candidate for TMS if you…
- Have significant depressive symptoms that have not been controlled with antidepressant medication.
- Have not been able to tolerate antidepressant medications because of side effects.
- Are searching for a medication-free depression solution.
- Want the safety of an FDA approved depression solution
- Want to get help.
What is the difference between TMS and ECT?
During TMS, patients sit in a chair and are awake and alert throughout the entire procedure. Since there is no sedation, patients can travel unaccompanied to and from their treatment sessions. TMS is a non-convulsive procedure and has been shown to have no negative effects on memory function. In contrast, electroconvulsive therapy (ECT), also referred to as “shock therapy,” is invasive, requires inducing a seizure to exert its therapeutic effect, and therefore has to be delivered under general anesthesia. Short-term confusion and memory loss are common, but generally mild and transient side-effects. Anesthesia risks, cognitive side-effects, pre-operative fasting and post-operative recovery can all make ECT a less attractive treatment option.
Does TMS cause memory loss?
No; TMS Therapy was systematically evaluated for its effects on memory. Clinical trials demonstrated that TMS Therapy does not result in any negative effects on memory or concentration.
How long do the TMS treatment results last?
The majority of participants are remitted of their depression symptoms for over 12 months.
Can I take antidepressant medication while receiving TMS?
Yes. TMS Therapy can be safely used with or without antidepressant medications.
Will my insurance cover TMS Therapy?
TMS Therapy is covered to treat Major Depressive Disorder by most private insurers, and our staff are experts in the approval process.
Who is eligible for telepsychiatry appointments?
New and existing psychiatric patients who are located in California. TMS and Ketamine consultations can be done for patients located in and outside of California.
Are telepsychiatry evaluations billable to health insurance plans?
Yes, for the patients that have health insurance plans that we are in-network for, we can bill the telepsychiatry evals directly to them.
What are the non-insurance/self-pay rates for telepsychiatry evaluations?
The self-pay rates for telepsychiatry rates are the same as non-telepsychiatry rates. They are $100-150 for follow-ups depending on the time/complexity of visit, and $200 for new psychiatric evaluation and TMS/Spravato/IV ketamine consultations.
Can psychiatric medications be prescribed after a new psychiatric evaluation done via telepsychiatry?
Our policy is that psychiatric medications require at least a face-to-face evaluation by your provider prior to prescription being written/sent. This evaluation can be done in the days/weeks following the telepsychiatry evaluation. In some cases a short supply (72 hours worth) of medications can be prescribed prior to the required face-to-face follow-up.
What are the hours that telepsychiatry evaluations are available?
Telepsychiatry is available from 9-5 M-F currently, but expanded hours of access for telepsychiatry are coming soon.
Where do I go for tech support, should I have problems with the telepsychiatry interface?
There is tech support available on the Chiron Health telepsychiatry website and app.
Can I receive good psychiatry care through telepsychiatry?
Absolutely! Telepsychiatry technology has come a long way over the last several years, and we are able to provide the same quality care that patients receive in the office. Periodically, depending on the circumstances, patients will be required to be seen in-office. Not all cases are appropriate for telepsychiatry, and your provider has discretion to utilize telepsychiatry, and to defer to in-office evaluations.