Head Well

Head Well

Integrative Psychiatry & Wellness

 Head Well Integrative Psychiatry

Ketamine Treatment in Eugene

Explore Ketamine Therapy in Our Eugene Clinic

If traditional treatments for depression, such as medication and talk therapy, haven’t been effective for you, Head Well Integrative Psychiatry & Wellness offers an alternative: ketamine therapy. Led by April Dvorak, PMHNP-BC, our team specializes in this innovative treatment, which includes Spravato (esketamine) and other personalized mental health care strategies. We currently provide ketamine therapy exclusively by referral from other healthcare providers or for our existing patients.

    Tailored Treatment for Meaningful Outcomes

    Head Well, a mental health and integrative psychiatry practice in Eugene and Portland, Oregon, is led by April Dvorak, PMHNP-BC, and her dedicated team. We provide personalized care that prioritizes overall well-being and meaningful outcomes, striving to overcome the challenges faced by the traditional mental health care system. Head Well’s solution is based on three core principles: practical services, meaningful outcomes, and value-driven care, offering streamlined mental health care with easy scheduling and flexible virtual appointments. The clinicians at Head Well collaborate with every client to establish tailored treatment goals and strategies that align with their personal needs, ensuring that every client’s experience is effective and fulfilling.

    Discovering New Horizons in Mental Health Treatment

    Understanding Ketamine Therapy

    Ketamine, a medication initially used for anesthesia, has shown promise at sub-anesthetic doses for treating psychiatric conditions like depression, anxiety, PTSD, and OCD, particularly those resistant to standard treatments.

    How Ketamine Works

    Ketamine works differently than conventional antidepressants. By targeting glutamate, the most abundant neurotransmitter in the brain, ketamine promotes the growth of new neural connections and helps the brain to “rewire” itself. This unique mechanism of action allows ketamine to provide fast-acting relief from symptoms of depression and anxiety, often within hours of treatment. The promotion of neuroplasticity, or the brain’s ability to form new neural connections, is another key benefit, offering the possibility of long-term improvement in mental health conditions when combined with appropriate therapeutic and behavioral interventions.

    Personalized Treatment Options

    We understand that every patient is different, which is why we offer a variety of ketamine administration methods to suit your preferences and needs:

    • Lozenges/Troches or Rapid Dissolve Tablet (sublingual)
    • Intramuscular (IM): Ketamine is injected into the arm
    • Intravenous (IV): Ketamine is delivered directly into the bloodstream
    • Intranasal: Ketamine is administered as a nasal spray

    Our experienced medical professionals will guide you through the process and monitor your progress to ensure your safety and comfort throughout your treatment journey.

    Insurance Coverage for Esketamine (Spravato)

    Esketamine (Spravato) is an intranasal version of specific configuration of the ketamine molecule that is administered as a nasal spray in medical settings. Clients must be observed for at least 2 hours following administration and cannot drive themselves home from treatments. Spravato received an FDA indication for treatment resistant depression in 2019, helping to establish the role of ketamine in managing psychiatric conditions.

     Spravato

    Though FDA approved, insurance coverage can be limiting, as each insurer as specific criteria for approval (including specific requirements for past medication trials and failure of alternative treatments like psychotherapy).

    Ketamine Q&A

    Currently, we provide sublingual, intranasal and intramuscular (racemic) ketamine and Spravato treatments at our Eugene clinic. Though we help guide and process patients through treatments, we do not provide Ketamine Assisted Therapy at this time. Treatment is only provided at our Eugene location, not in Portland.

    Given its distinct properties and the potential for side effects such as dissociation or elevated blood pressure, ketamine therapy is administered under close supervision in our clinic. It’s essential for patients to undergo a comprehensive assessment to determine if ketamine therapy is a suitable option for their specific condition

    A treatment course is usually 6-8 total treatments every 5-10 days. We encourage patients to use this time to engage in meaningful lifestyle changes and require engagement in therapy outside of sessions during the treatment period. Maintenance treatments may be necessary for sustained improvement.

    Usually, ketamine treatments last about 60 minutes. The dissociative experience starts between 5-15 minutes after administering the medication. We developed specific audio to support the ketamine experience. The audio starts with support and guided meditation recorded by a local breathwork practitioner to help you transition into the treatment experience, then the following tracks are designed to support your exploration and journey.

    After the treatment, patients are encouraged to reflect and journal on the experience. Patients receiving Spravato must be observed for 2 hours after administration. For other ketamine treatments, patients are monitored for until the medication experience has ended, and the patient can safely leave. Patients be driven home from appointments with someone trusted who will remain with them. Patients cannot drive themselves home or take a Uber/Lyft.

    A provider is on-site during the whole process, though not in the room with the person being treated. The provider is available if the patients needs anything or becomes confused or anxious.

    We usually recommend six to eight treatments every five-to days. You may not experience significant benefit from your first or second treatment. Several treatments may be required, and some people may not respond. Depending on the person, the antidepressant effects of ketamine can wear off in hours, days, or a couple of weeks for those who only get a single treatment. A series of treatments may have longer-lasting effects*.

    We encourage patients to use this time to engage in meaningful lifestyle changes and require engagement in therapy outside of sessions during the treatment period. Maintenance treatments may be necessary for sustained improvement.

    *Results may vary from person to person.

    At this time, we only provide ketamine treatment by referral from other practices or clinicians, or to our current patients. Ketamine is not recommended for all patients or conditions. Additionally, there are several medical and psychiatric contraindications for therapy including pregnancy, unstable high blood pressure or cardiac issues, and acute mania and/or psychosis. Patients must have a support person for transportation and access to our clinic in Eugene.

    Before ketamine therapy begins, April and the team will perform an initial consultation and mental health evaluation. They work with you to design a treatment plan for your mental health needs and goals. There is no guarantee that Ketamine will be recommended as a part of your treatment plan.

    Ketamine therapy is only provided for current patients or those referred by other healthcare providers. We emphasize a collaborative approach, ensuring that each patient’s care is coordinated effectively.

    For Current Patients: If you are currently under our care and interested in ketamine therapy, please reach out to discuss your options and potential next steps.

    For New Patients: Those not currently under our care but interested in ketamine therapy should seek a referral from their primary care provider or mental health professional. Upon receiving a referral, we will schedule an initial consultation to evaluate your suitability for ketamine therapy and discuss the potential benefits and considerations.

    A consultation is required to determine if ketamine therapy is indicated and to establish a treatment plan. Ketamine treatments are only provided at our Eugene clinic. We do not provide treatment in other parts of Oregon at this time.

    It’s important for patients to understand that ketamine therapy is typically not covered by health insurance plans, given its designation for conditions often considered beyond conventional treatment scopes. Spravato (esketamine) may be covered by your insurance if certain criteria are met (you can try contacting your insurance or our clinic can assist at the time of consultation).

    Other types of ketamine therapy are generally considered non-covered services, and you would be responsible for payment. Our fees range from $400-550/session and additional fees may occur. We will review fees with you prior to initiating treatment.

    Our clinic is committed to transparency regarding the costs associated with ketamine treatment, and we offer detailed information and support in navigating these financial considerations.

    For more information on ketamine therapy, including the referral process and financial considerations, please contact our clinic. Our team is here to assist you through each step of the process, ensuring you have the support and information needed to make informed decisions about your mental health care.

    Client Testimonials

    I am really happy with the experience I have had working with April. April actually listened to my concerns and struggles and validated my feelings; which hasn’t been the experience I have had with my other providers. April took the time to explain available treatment strategies, answered my questions, and explained the process moving forward. I walked away feeling confident in my decision to contact the team at Head Well and excited to start treatment.

    Extremely knowledgeable and compassionate, flexible about scheduling in person appointments for me as well. I recommend April Dvorak to anyone seeking help with psychiatric/mental health concerns without reservation.

    April has hands down exceeded my expectations. She’s been nothing but empathetic/understanding, knowledgeable, kind, non-judgemental, resourceful, and just on top of it with responses and scheduling. Not exaggerating, I’m truly grateful to be her patient.

    I am really happy with the experience I have had working with April. April actually listened to my concerns and struggles and validated my feelings; which hasn’t been the experience I have had with my other providers. April took the time to explain available treatment strategies, answered my questions, and explained the process moving forward. I walked away feeling confident in my decision to contact the team at Head Well and excited to start treatment.

    April has been fantastic at listening to my needs and responding with care and confidence in our next steps. She uses data from surveys I take before each session to drive our conversation and see specifically how I am improving or not in certain areas of my mental health. I love this method because it allows us a clear picture of what is working and what isn’t working that isn’t subjective to how I’m feeling that day. I would recommend her to anyone seeking help from a psychiatrist!

    Very comfortable space, and Natalya was super easy to talk to. Didn’t feel like a list of questions, more like an evolving conversation getting to know my background.