Integrated Treatment Strategies

INTEGRATED TREATMENT STRATEGIES

KETAMINE + TMS

For selected patients with difficult-to-treat depression, CNY Psychiatry may consider combining IV ketamine with TMS.

Ketamine and TMS influence the brain through different but potentially complementary mechanisms. The evidence for combined treatment is promising but preliminary. Published reports, observational studies, pilot studies, and reviews have described improvement in some patients, but available evidence does not establish that the combination is consistently more effective than either treatment alone.

We do not routinely add ketamine to every TMS course or TMS to every ketamine treatment.

The objective is not to provide more treatment. It is to determine whether combining treatments offers a better path toward recovery.

KETAMINE + WRITTEN EXPOSURE THERAPY (WET)

CNY Psychiatry has developed a collaborative program for selected patients with PTSD that coordinates IV ketamine with Written Exposure Therapy provided by trained community therapists.

WET is a brief, structured, trauma-focused psychotherapy with an established evidence base for

PTSD.

CNY Psychiatry does not provide WET directly. We partner with WET-trained therapists while providing psychiatric evaluation, ketamine treatment, and medical oversight.

The patient’s therapist remains the therapist.

WET itself is established; the specific strategy of coordinating IV ketamine with WET remains an evolving approach.