Start with what life feels like now
What should you weigh before ketamine for PTSD?
We help people with a body that stays on alert by connecting physical symptoms with their recovery needs so that they can work toward easier sleep and daily routines.
How we look at the whole picture
You know you are safe, yet your heart races, your muscles tighten or a small sound puts you on edge.
It can be hard to sleep, concentrate or feel present with the people you care about.
You do not need to know which treatment to ask for. Start with what has changed and what you want to be able to do again.
The 7 Domains of Recovery™
Your symptoms may belong in the same conversation.
Stress responses, sleep, concentration and physical symptoms can overlap. The seven-domain approach considers those connections without reducing every symptom to a psychological explanation.
Neuregen's proprietary 7 Domains of Recovery framework organizes that conversation around seven connected parts of your life and health. We consider all seven, then focus the evaluation on the questions your history raises.
Explore our clinical framework- 1Brain function & neural networks
What has changed in your memory, concentration, balance or sensory tolerance?
- 2Autonomic & nervous system regulation
What happens when you stand, move, rest or encounter stress?
- 3Immune function & neuroinflammation
What immune history, reactions or symptoms need a closer look?
- 4Brain energy & metabolic health
What affects your energy through the day and after activity?
- 5Structure, stability & body-to-brain signals
How do pain, posture, movement and stability affect what you can do?
- 6Psychological flexibility & behavioral recovery
How are mood, stress and patterns of coping affecting your day?
- 7Life, relationships & environment
What demands, relationships and support shape your recovery?
A plan starts with the things you want to do again.
We discuss your current symptoms, what feels safe to talk about, and the support you already have. The evaluation helps us agree on priorities and a pace you can participate in.
01
Tell us what you want your life to look like
We start with what has changed, what you have tried, and the activities you most want to return to.
02
Answer the questions the history leaves open
We review prior reports and select relevant assessments. You should understand what each assessment is meant to clarify.
03
Agree on the priorities and the first steps
We discuss the findings, possible approaches, costs and practical constraints. The plan sets an order that fits your situation.
04
Check what changes and adjust together
We compare your response with the starting point, including daily function. If something is not helping, we discuss what needs to change.
Only then do we discuss which therapies, if any, belong in your plan. The choice depends on the findings, the evidence, your preferences and how you respond.
Talk through your situationKetamine Therapy · Indication
Ketamine for PTSD & Trauma
When a nervous system has been stuck in the same protective patterns for years, ketamine can open a window where real change becomes possible — and we make sure that window is used well.
Conceptual artwork for the care discussion. Individual findings and treatment options require clinical evaluation.
PTSD as a nervous-system problem
PTSD involves a nervous system that has reorganized itself around a persistent threat state. Sympathetic dominance, hypervigilance, and intrusive re-experiencing are not simply psychological — they reflect measurable changes in autonomic function, HPA axis regulation, and the fear circuitry of the brain. Treatment that addresses only the psychological layer, or only the pharmacologic layer, leaves the underlying physiology intact.
At Neuregen, ketamine for PTSD is delivered within a broader context that includes autonomic assessment and, where indicated, SGB (stellate ganglion block) — which targets the autonomic substrate of the PTSD state. The pairing is not required, but it reflects the integrated approach: address the psychology, the pharmacology, and the physiology together.
Domains most involved:
Every plan starts from the same map: the 7 Domains of Recovery.
How it fits your plan
PTSD care begins with your current symptoms, treatment history and support. Any ketamine option is discussed in that context, including its evidence, risks and alternatives.
Mood, sleep, concentration and physical symptoms can affect the same parts of your day. We consider them together before discussing a specific psychiatric approach, so psychotherapy or medication decisions fit the wider care plan.
We review your history, explain the findings, agree on next steps and check how you respond.
Potential Therapies
We use established medicine where it works, and emerging medicine where it makes sense.
These are options to discuss after evaluation, not a predetermined treatment plan. Each label refers to the condition or indication described beside that therapy; evidence can differ for another use. An evidence label does not mean FDA approval.
- Sub-anesthetic IV ketamineEvidence: Emerging
EMERGING for PTSD — promising controlled trial data, active investigation, not yet a standard of care for PTSD specifically.
- KAP (ketamine-assisted psychotherapy) componentEvidence: Emerging
The psychotherapy integration layer — particularly relevant for trauma, where the therapeutic structure around the dosing window matters for lasting change.
- SGB (stellate ganglion block)Evidence: Emerging
Addresses the autonomic substrate of the PTSD state; offered as a complementary intervention within the program.
- PCL-5, PHQ-9 outcome tracking
Validated trauma and depression symptom measures used to track response.
Where the evidence stands
Ketamine for PTSD is supported by promising controlled trial data and is an active area of clinical investigation. It is not yet a standard of care for PTSD specifically, and is offered at Neuregen as an emerging but clinically justified intervention within a structured program.
Sources and what they support
- VA/DoD clinical practice guideline for PTSD
Recommendation 24 finds insufficient evidence to recommend for or against stellate ganglion block for PTSD. A proposed mechanism is not proof of benefit.
How we grade evidence
Pricing
| Service | Price |
|---|---|
| Ketamine therapy, single session | Confirmed in writing at your Strategy Consultation |
| Ketamine therapy, 6-session series | Confirmed in writing at your Strategy Consultation |
| Ketamine-assisted psychotherapy (KAP) sessionIncludes the psychotherapy component; priced separately from infusion-only sessions | Confirmed in writing at your Strategy Consultation |
| Ketamine maintenance sessionBooster sessions after a completed series, scheduled by response | Confirmed in writing at your Strategy Consultation |
Ketamine therapy is typically not covered by insurance. Spravato (esketamine) is sometimes covered when prescribed under its approved indications; we will tell you which applies to you before you commit.
Financing options are reviewed at your Strategy Consultation before any plan is finalized.
The training behind this care
Neuregen combines integrative psychiatric care with nervous-system rehabilitation. Our team can discuss psychological and physical concerns in the same clinical context, while explaining the qualifications and role of each treating clinician.
Dr. David George: Board certifications and training in functional neurology, integrative psychiatry, and mental health; certified brain injury specialist.
Training most relevant to this area
- Certified Clinical Trauma Professional (CCTP)
- PMHNP-BC
- Active Psychotherapist
- Certified Hypnotherapist
- CBT-I (Cognitive Behavioral Therapy for Insomnia) trained
These are the founder’s qualifications. We confirm the treating clinician and their role when discussing your plan.
See Dr. George’s full credentialsFrequently asked questions
Is ketamine approved for PTSD?
Racemic ketamine is not FDA-approved for PTSD; esketamine (Spravato) is approved for treatment-resistant depression and MDD with acute suicidal ideation. For PTSD specifically, ketamine is used off-label based on a growing evidence base. Neuregen labels this use EMERGING and discusses the evidence at the Strategy Consultation.
How does ketamine help with PTSD?
PTSD involves sustained alterations in the brain's threat-detection and memory-consolidation circuits. Ketamine can disrupt the neural patterns maintaining those alterations and open a neuroplastic window where new associations can form. Used within a structured clinical context, this window can support restructuring of threat-response patterns.
What is the role of SGB alongside ketamine for PTSD?
SGB (stellate ganglion block) is a separate intervention that targets the autonomic substrate of the PTSD state — the sustained sympathetic overactivity that keeps the nervous system in a defensive posture. Ketamine and SGB address different parts of the same problem; combining them within a single program is a clinical decision made after reviewing the patient's full autonomic and psychiatric picture.
How long before I see results with ketamine for PTSD?
Response timelines vary by patient and are not guaranteed. Some patients notice change within the first infusion course; others do not. Neuregen uses validated outcome measures (PCL-5, PHQ-9) to track response objectively and adjusts the plan based on what the data shows.
Start with a Strategy Consultation
When distress or poor sleep keeps affecting relationships and everyday responsibilities, putting off a conversation leaves those concerns unresolved. You can ask about next steps without committing to medication or a procedure.
8090 N. 85th Way, Suite 100, Scottsdale, AZ 85258 · Mon–Thu, 9:00 AM – 5:30 PM