The Ketamine StartUp Podcast

In Part 2 of our conversation with Charles Miller from Scenic City Neurotherapy, we get into the practical side of his controversial "collective lie" thesis from Part 1.Charles walks through his MSKIT (Minimally Stimulated Ketamine Infusion Therapy) approach, explaining when he believes therapeutic integration should actually happen: weeks after treatment during the neuroplasticity window, not during altered states. He addresses how he manages patient expectations around epiphanies and insights, arguing these are retrospective brain noise rather than therapeutic mechanisms.You'll hear Charles use memorable analogies—from cheese obsessions to rollercoaster highs—to explain why he believes the psychedelic experience itself isn't doing the heavy lifting. He makes the case that ketamine is upgrading synaptic function, not providing mystical cures, and that the real work happens when patients are sober and doing therapy afterward.Through detailed audio sidebars, we explore the crucial relationship between BDNF and sleep (and why post-treatment rest matters more than most clinics acknowledge), and examine the metabolite pathway that creates ketamine's addiction potential.Charles also shares his vision for the future of ketamine therapy, advocating for greater scientific rigor and proper medical oversight while critiquing the growing trend of unqualified providers administering ketamine.If you're questioning whether the approaches many of us have been using actually serve our patients best, this conversation will give you a lot to think about.What You'll Learn in This Episode· Patient education strategies - How to remove performance pressure by explaining "you can't make this work better or worse" and framing treatment as physiology, not psychology· Managing epiphanies and insights - Charles's perspective on why experiences are retrospective brain noise rather than therapeutic mechanisms, and how to validate without overemphasizing· BDNF and sleep optimization - The critical relationship between post-treatment sleep quality and neuroplasticity consolidation that many clinics overlook· Ketamine's addiction pathway - Understanding the hydroxynorketamine metabolite mechanism and why "more is not better" with dosing protocols· Pain protocol applications - How he incorporates NAD, lidocaine, magnesium, and anti-inflammatories for comprehensive chronic pain treatment· Future field vision - Charles's call for greater scientific rigor, proper medical oversight, and evidence-based protocols over speculative experiential approachesKey Takeaways· Therapeutic integration may be more effective up to weeks after ketamine treatment when the neuroplasticity window is active, rather than during altered states when processing capacity is diminished· Patient education could focus on removing performance pressure by explaining ketamine as physiological process rather than psychological work, helping patients understand "you can't mess this up"· Ketamine experiences might be retrospective rather than revelatory, reflecting existing knowledge without noise rather than generating new insights, which suggests focusing on post-treatment integration work· Sleep quality in days following ketamine treatment could significantly impact neuroplasticity consolidation, as BDNF release during rest helps lock in synaptic changes initiated by treatment· Ketamine's addiction potential may stem from the hydroxynorketamine metabolite binding to opioid receptors at high doses, supporting protocols that emphasize "more is not better" dosing approaches· Mental health symptoms might represent accurate emotional responses to synaptic dysfunction rather than diseases themselves, with ketamine enhancing processing speed and accuracy rather than changing brain content· Providers could benefit from understanding ketamine's "dirty drug" pharmacology, including sodium channel blocking effects that contribute to dissociation and can be addressed with targeted adjuncts like lidocaineEpisode 53 show notes:00:00:00 - Teaser: This Is Not Magic, This Is Science00:00:17 - Introduction and Part 2 Setup00:01:54 - When Therapy Should Actually Happen: Physical Therapy Doesn't Occur During Surgery00:02:48 - Optimal Timing for Therapeutic Integration: The Weeks That Follow Treatment00:05:31 - The Science Behind Post-Treatment Rest: BDNF Release and Sleep00:07:25 - Audio Sidebar: BDNF and Sleep Connection00:09:29 - Managing Patient Epiphanies: The Cheese Story and Brain Noise00:13:30 - Mental Health as Synaptic Processing Speed00:16:45 - Why Experience-Driven Treatment Would Require Daily Ketamine00:18:04 - MSKIT Protocol: Minimally Stimulated Ketamine Infusion Therapy00:22:12 - Minimally Stimulating Environment: Binaural Beats and Brain Noise00:25:30 - Pain Protocols and the "Dirty Drug" Concept00:26:57 - Audio Sidebar: Ketamine's Metabolite Addiction Pathway00:30:31 - Future Vision: Greater Rigor and Medical Oversight00:34:56 - Rapid Fire Personal Questions00:42:55 - Final T

In this first part of what became a two-part conversation, we sat down with anesthesia provider Charles Miller from Scenic City Neurotherapy for a discussion that challenged so many assumptions about ketamine therapy.Charles presents what he calls the "collective lie" in ketamine therapy - the argument that the obsession with psychedelic experiences and mystical insights for a growing segment of providers in our industry is not just misguided, but actually making our patients worse. He walks through the neurobiological evidence showing that the real therapeutic action happens days after treatment during the neuroplasticity window, not during those profound moments when patients feel like they're talking to God or having life-changing realizations.You'll hear Charles critique the research methodologies that seem to support ketamine-assisted psychotherapy, explaining why group averages can mask poor individual outcomes and why the frequently cited KAP studies may actually show lower success rates than standard ketamine protocols. He also shares refreshingly honest advice about starting a clinic - including his decision to open with folding chairs rather than go into debt for impressive furniture.We're also trying something new with this episode: audio sidebars. As we talk, we’ll pause to provide additional context about complex concepts like psychoplastogens, research study limitations, and the cutting-edge science behind separating therapeutic effects from psychedelic experiences. Think of these as educational moments designed to help you fully understand and enjoy the episode.This conversation will make you question whether the approaches many of us have been using actually serve our patients - or if we've been chasing the wrong mechanisms entirely.What You'll Learn in This Episode· Charles's entrepreneurial journey - How he started Scenic City Neurotherapy with minimal capital and his advice for keeping overhead low during startup· The "collective lie" concept - Why Charles believes the field's emphasis on ketamine experiences actually reduces treatment success rates· Neuroplasticity mechanisms - Detailed explanation of the NMDA-glutamate-BDNF pathway and why the therapeutic window occurs after, not during, ketamine administration· Psychoplastogens vs psychedelics - Understanding David E. Olson's groundbreaking research on compounds that promote neuroplasticity without hallucinogenic effects· Research methodology critique - Analysis of popular KAP studies and why methodological flaws may be masking poor individual patient outcomes· Evidence-based positioning - How to counter the "ketamine is just anesthesia" criticism with solid neurobiological science· Experience vs neuroplasticity - Why Charles argues that focusing on insights and visions during treatment may be counterproductiveKey Takeaways· Ketamine may function primarily as a psychoplastogen rather than a classic psychedelic, blocking NMDA receptors to trigger neuroplasticity cascades instead of flooding serotonin receptors like traditional psychedelics· The therapeutic neuroplasticity window occur days to weeks after ketamine administration, when BDNF-driven synaptic remodeling takes place, not necessarily during the acute dissociative experience· Research comparing ketamine-assisted psychotherapy to standard protocols could show mixed results, with some studies reporting lower individual response rates despite promising group averages· Providers who overfocus on experiential components during treatment may inadvertently create performance pressure that could reduce patient outcomes and increase perceived treatment failure rates· Startup ketamine clinics might benefit from beginning embarrassingly small with minimal overhead, focusing resources on essential clinical equipment rather than impressive lobbies or furniture· David E. Olson's psychoplastogen research suggests that neuroplastic benefits might be separable from psychedelic experiences, supporting approaches that prioritize physiological mechanisms over experiential componentsEpisode 52 show notes:00:00:00 - Teaser: When Patients Feel They Failed00:00:17 - Introduction and Episode Setup00:02:06 - Charles's Journey into Ketamine Therapy00:04:30 - The Entrepreneurial Leap00:06:00 - Startup Advice: Think Embarrassingly Small00:08:30 - Evolution of the Ketamine Field00:10:00 - The "Collective Lie" Concept Introduction00:12:30 - Neurobiological Mechanisms00:16:30 - Psychoplastogens vs. Psychedelics00:24:00 - David E. Olson's Revolutionary Research00:27:27 - Audio Sidebar: Psychoplastogens & David E. Olson00:30:00 - Research Critique: KAP Study vs Real-World IV Ketamine Data00:34:27 - Episode Wrap-upThanks for listening📋 Professional Education Disclaimer: Content for licensed healthcare providers for educational purposes only. Does not constitute medical, legal, or business advice. Always consult qualified professionals for specific clinical and practice decisions.Connect with Charles Mi

Every ketamine clinic goes through predictable life cycle stages, just like human development. And understanding which stage you're in changes everything about how you make decisions.In this episode, we introduce a framework for understanding the four distinct phases every ketamine clinic experiences: infancy (startup survival), teenage years (identity formation), prime adult years (optimization and scaling), and midlife and beyond (legacy and transition planning).We walk you through what to expect at each stage and the questions to ask yourself to identify where your clinic is right now. This helps you make strategic decisions aligned with your values rather than reactive choices based on fear or pressure.Whether you're contemplating opening a clinic, surviving startup chaos, establishing systems, or considering your exit strategy, this framework helps you anticipate what's coming next and prepare accordingly..This isn't theoretical business advice. We've experienced several of these stages firsthand with our own clinic and have supported many providers as they navigate phases we're still approaching ourselves. What You'll Learn:🔹 The 4 predictable life cycle stages: how to identify which phase your ketamine clinic is currently in and what's normal for each stage 🔹 Stage specific challenges and solutions: understanding whether your current struggles are typical growing pains or signs of deeper issues requiring attention 🔹 Value based decision making framework: how to make strategic choices aligned with your goals rather than reactive decisions based on fear or external pressure 🔹 The "sane survival" concept: how to navigate the intensive infancy stage without burning out or sacrificing what matters most to you 🔹 Community and support strategies: why having the right network is crucial at every stage and how to build relationships that support your growthKey Takeaways・Every ketamine clinic goes through four predictable business stages, though timing varies based on your circumstances and external factors・The "sane survival" approach during the infancy stage helps prevent burnout by making proactive decisions about what you're willing to sacrifice versus preserve・Understanding your current stage helps you distinguish between normal growing pains and actual problems that need different solutions・Value-based decision making works best when you clearly identify both your current stage and your long-term goals・Community support networks are essential at every stage, just like parents rely on extended family and experienced caregivers・Starting a ketamine clinic transforms you personally, not just creates a business entity - as we say, "clinics make entrepreneurs"・Stage timing varies significantly between practices - some owners stay in infancy longer while others move quickly through all phasesEpisode 51 show notes:00:00:00 - Teaser - Clinics Make Entrepreneurs00:00:12 - Episode Introduction00:01:35 - Introduction to the Stages Concept00:03:38 - The Four Stages Overview00:04:03 - Stage 1: Infancy Stage00:08:01 - Stage 0: Pre-Opening Contemplation00:20:55 - Mid-Episode CTA00:21:43 - Stage 2: Teenage Years (Identity Formation)00:23:00 - Stage 1.5: Early Childhood Foundation Years00:28:27 - Stage 3: Prime Adult Years (Strategic Growth)00:32:42 - The Four Seasons Metaphor00:33:36 - Stage 4: Midlife and Beyond00:38:00 - How to Use the Life Cycle Framework00:39:56 - Step 1: Identify Your Stage00:42:29 - Step 2: Clarify What You Want00:43:17 - Step 3: Make Stage-Appropriate, Value-Based Decisions00:45:27 - Stages Recap and Community Importance00:46:37 - Ending and ResourcesThanks for listeningPrefer to Read?This episode covers similar content as our comprehensive blog post, which includes infographics and quick reference tables showing key indicators, challenges, and decisions for each life cycle phase—perfect for quickly assessing where your clinic currently stands.Read the full guide with visual frameworks: What Stage Is Your Ketamine Clinic In? A Complete Guide📝 Complete show notes with resources and  links, please visit www.ketaminestartup.com/podcast/episode-051Follow us onLinkedinKetamine StartUp WebsiteYouTube🚀Want to fast track launching your ketamine clinic? If so, download our free checklist.

What happens when a 20 year mental health veteran has her own existential crisis then undergoes her own psychedelic therapy? In Inna Zelikman's case, it completely transformed how she practices medicine.Inna Zelikman, RN, MS, ANP, PMH-NP, is the Director of Integrative Mental Health at Recovery Without Walls and a MAPS certified MDMA practitioner. Five years ago, her own psychedelic healing journey changed everything about how she sees and treats patients. Now she's challenging the cookie cutter protocols that dominate our field in favor of what she calls an "organic" approach to treatment.In this conversation, Inna shares her comprehensive patient assessment strategies, the medication categories that secretly block healing (even though they're not contraindications), and why some patients have profound psychedelic experiences but can still struggle.From consulting with psilocybin centers in Oregon to treating ketamine addiction, Inna offers a nuanced perspective on the complexities of psychedelic medicine and why proper preparation, support, and integration actually matter for lasting results.What You'll Learn:🔹 Why doing your own healing work changes how you practice: Inna's personal journey and how it transformed her ability to truly see patient needs 🔹 Comprehensive assessment before treatment: evaluating family dynamics, support systems, and trajectory of care 🔹 The hidden medication barries: CNS depressants that don't contraindicate psychedelics but stall healing and integration 🔹 Set and setting beyond the treatment room: why the therapeutic container includes entire support systems 🔹 Real world psilocybin consulting: challenges and solutions for complex patients seeking therapy in Oregon🔹 Psychedelics in recovery landscape - Understanding the historical bias in traditional recovery communities and emerging shifts toward acceptance of psychedelic therapy as legitimate treatmentKey Takeaways:・Healthcare providers who address their own trauma may provide more effective patient care・Ketamine therapy dosed based on individual patient response could benefit patients who don't improve with standard twice-weekly protocols・Sleeping pills and benzodiazepines may prevent psychedelic therapy success even when not contraindicated・Patients may need 1-4 weeks of integration support during the neuroplasticity window for optimal results・Comprehensive patient assessment including family dynamics and support systems may improve treatment outcomes・Traditional recovery communities may be slowly shifting attitudes toward psychedelic therapy, though bias still exists against viewing these treatments as legitimate healing tools rather than drug substitutionEpisode 50 show notes:00:00 Teaser - How Healing Informed Patient Care00:28 Episode Introduction02:16 What Drew Inna to Psychedelic Medicine04:38 The Problems with Modern Psychiatry07:38  Inna's Personal Transformation Story11:53 The Hero's Journey to Healer's Journey16:02  How Personal Healing Transformed Patient Care17:08 Comprehensive Assessment Process20:20 Beyond Cookie-Cutter Protocols22:32 Ketamine Therapy Dosing Philosophy26:00 Psilocybin Work and Vision Story28:52 Oregon Psilocybin Industry Challenges31:33 Set and Setting Beyond the Room33:07 Patient Screening and Assessment Criteria35:17 The Hidden Medication Problem42:31 Managing Complicated Cases 49:33 Patient Examples55:43 Psychedelics in Recovery and AA1:00:04 Rapid Fire Personal Questions1:03:18 Contact Information and Services1:04:49 Closing Thoughts1:05:56 ResourcesThanks for listening📋 Educational Disclaimer: Content for licensed healthcare professionals only. Does not constitute medical advice. Always consult qualified professionals for specific patient care decisions and regulatory requirements.Connect with Inna Zelikman RN, MS, ANP, PMH-NP:[email protected] Without Walls📝 Complete show notes with resources and  links, please visit www.ketaminestartup.com/podcast/episode-050Follow us onLinkedinKetamine StartUp WebsiteYouTube🚀Want to fast track launching your ketamine clinic? If so, download our free checklist.

We're breaking into our regular schedule with urgent news that affects everyone in the ketamine therapy space, not just Texas providers.On January 2, 2026, the Texas Medical Board published proposed regulations in the Texas Register that could fundamentally change how ketamine therapy is delivered in the state. These would be the first comprehensive regulatory rules specifically for ketamine therapy clinics in Texas, and honestly, they could set a precedent for nationwide regulation.Why should you care if you're not in Texas? Because Texas is the second most populous state with one of the largest medical communities in the country. When Texas moves on healthcare regulation, other states often follow.These proposed rules cover mandatory clinic registration, onsite physician requirements, enhanced monitoring standards, a complete ban on take home parenteral ketamine, and enforcement mechanisms that would put ketamine clinics under the same scrutiny as pain management clinics.What You'll Learn:🔹 Mandatory PKT clinic registration requirements: what Texas providers need to know about the new registration process and renewal deadlines🔹 The onsite physician mandate: why remote supervision models would no longer be acceptable under these proposed rules🔹 Enhanced monitoring and training standards: new equipment requirements and airway management training mandates🔹 Complete ban on take home parenteral ketamine: how this would eliminate certain treatment models entirely🔹 National implications: why every ketamine provider should pay attention regardless of locationEpisode 49 show notes:00:00 Teaser - Remote Supervision Is Over00:20 Episode Introduction02:55 Mandatory Registration Requirements03:51 The Onsite Physician Requirement04:42 Enhanced Training and Monitoring Standards05:49 Documentation and Safety Protocols06:37 Complete Ban on Take-Home Parenteral Ketamine06:57 Enforcement Framework07:14 What This Means for Texas Clinics08:10 The Broader Industry Implications09:16 The Access vs. Safety Tension10:01 Who This Favors and Who It Challenges10:34 Public Comment Opportunity10:56 What You Should Do Now11:38 Final Thoughts12:42 Where To Get Further InformationThanks for listeningLinks Relevant To The Episode:Is Your Ketamine Clinic Ready? Texas Proposes Mandatory Registration and What It Means for the Industry includes a Quick Reference TableTexas Register January 2, 2026 Volume: 51 Number: 1Texas Medical Board Rule ChangesChapter 173, Office-Based Anesthesia Services, Subchapter B, concerning Parenteral Ketamine Therapy, §§173.6-173.15.Comments on the proposed rules may be submitted online or via emailFollow us onLinkedinKetamine StartUp WebsiteYouTube🚀 Want to fast track launching your ketamine clinic? If so, download our free checklist.

Welcome back to the Ketamine Startup Podcast! It's great to be back with you for our first new episode of 2026. After sharing a couple episodes from the vault in December, we are excited to dive back into fresh content.In this episode, we tackle the most frequently asked question we get: "Do I need to be present in the room during every ketamine infusion?"This isn't just about regulations. It's about balancing autonomy, patient safety, business scalability, and your personal values as you transition from traditional healthcare to private practice.We explore the complex regulatory landscape across different states, the tension between wanting professional freedom and providing exemplary patient care, and the practical considerations every clinic owner must navigate. We share our own philosophy and approach while acknowledging the legitimate business and personal factors that influence these critical decisions.What You'll Learn:・The "loved one test" for making staffing decisions: a simple framework to determine your comfort level and standards・State by state regulatory variations: why Texas, Utah, and California have different requirements and what that means for you・The business reality of scaling vs. safety: how to balance growth aspirations with quality patient care・Building reputation in a small community: why integrity matters more than short term profit in the ketamine fieldEpisode 48 show notes:00:00 Teaser - The most common question…02:25 The "loved one test": What would you want for your family member receiving treatment?04:23 Balancing autonomy vs. quality care: The tension clinicians face06:32 Federal vs. state regulatory landscape: How regulations vary across different states09:37 Scope of practice considerations and corporate practice of medicine laws12:01 Philosophy behind practice decisions: What's right for you and your patients13:28 Sam's approach: Why he's always present and recommends starting that way16:56 Balancing physician wellbeing with high-quality patient care19:26 State-specific research requirements: Medical board, legal, and insurance considerations21:05 Malpractice insurance requirements and how they affect your practice decisions23:03 Final recommendations: The decision framework based on your values24:44 Closing thoughts: What would you want for your loved one?Thanks for listeningWant to go deeper on some of these topics? Check out these related episodes:Episode 007 - Who Can Open A Ketamine Therapy Clinic?Episode 034 - Ketamine Clinic Insurance: Expert Insights with Canyon CliftonFollow us onLinkedinKetamine StartUp WebsiteYouTube🚀 Want to fast track launching your ketamine clinic? If so, download our free checklist.

We're continuing our holiday break from regularly scheduled programming to bring you another foundational resource: the patient communication strategies that transform ketamine therapy from a clinical procedure into a truly healing experience.This episode originally came from one of our mastermind sessions with students from our Ketamine Startup 101 course, where we dove deep into patient preparation and emotional safety protocols. It's become one of our most popular episodes..Whether you're building a ketamine practice, looking to elevate your current patient communication, or trying to understand what separates exceptional clinics from those that simply provide treatment, this episode gives you the complete framework. This is part of our "Episodes from the Vault" series, bringing back content that continues to serve as the go-to resource for healthcare providers focused on patient experience excellence. For those who may recall, this was originally released as Episode 33. The mastermind format allowed us to go deep on each communication strategy while keeping everything immediately actionable for real-world implementation.This episode is especially valuable if you're training staff members, standardizing patient communication protocols, or seeking to create the kind of trust and safety that enables true therapeutic transformation. The strategies we share bridge clinical excellence with emotional intelligence which is exactly what ketamine therapy demands.What You'll Learn in This Episode • The four essential communications every ketamine patient needs before treatment• Specific language and techniques for normalizing anxiety and fostering trust• How to prepare patients for non-ordinary experiences while ensuring emotional safetyEpisode 47 show notes:00:00 Teaser - Why presence matters00:49 Episode introduction 01:59 The Patient Communication Framework - The four essential things patients need to know and why therapeutic experience begins before treatment06:14 #1: Feeling Nervous is Normal - Acknowledging patient anxiety, pre-framing concepts, and diving board metaphor for first treatments10:59 #2: They May See, Feel, or Realize Big Things - Preparing patients for non-ordinary states of consciousness and ensuring they understand experiences will end15:08 #3: Physical Sensations May Happen - Managing nausea, dizziness, and physical side effects with proactive medical interventions17:31 #4: Emotional Releases Are Possible - Creating safe space for tears, anger, and grief while normalizing emotional expression27:31 Practical Implementation Tips - Team training strategies, consistent language protocols, and creating emotionally safe clinical environments30:19 Episode wrap-upSelected Links From the Episode: This book link in these show notes is an Amazon affiliate link. If you purchase through these links, we may earn a small commission at no additional cost to you.📗Book mentioned  - Never Split The Difference by Chris Voss If you’re interested in learning more about creating a healing and therapeutic space definitely check out these other episodes:• Episode 20 - Unlocking Transformation: Exploring Set, Setting, and Integration in Ketamine Therapy• Episode 9 - Healing Journeys: Ayahuasca, Ketamine Therapy, & Spirituality With Dr. Joe TafurFollow us onLinkedinKetamine StartUp WebsiteYouTube🚀Want to fast track launching your ketamine clinic? If so, download our free checklist.Disclaimer: This podcast is for educational purposes only and is not intended as medical or business advice. Always consult with qualified professionals for your specific situation.

We're taking a break from our regularly scheduled programming for the holidays to bring you something a bit different: a foundational episode that covers everything you need to know about ketamine therapy in one comprehensive resource.Sam originally delivered this presentation to the UCLA and Betty Ford Addiction Medicine Fellowship, and it's become one of those episodes that medical professionals, curious physicians, and anyone seriously exploring this field have come back to. It covers ketamine's complete story, from its fascinating medical history to current research and real-world implementation protocols.Whether you're considering ketamine therapy for your own practice, trying to understand this rapidly evolving field, or just want a solid clinical foundation, this is your starting point. We bridge the gap between academic research and practical clinical application, breaking down complex pharmacology and patient selection in a way that's actually accessible.This is part of our "Episodes from the Vault" series, bringing back content that continues to serve as a go-to resource for healthcare providers across specialties. For those who may recall, this was originally released as Episode 31. The presentation format lets us go deep on each topic while keeping everything practically relevant for actual clinical decision-making.This episode is especially valuable if you're evaluating ketamine therapy integration, seeking to understand the evidence base, or looking to enhance your patient education and staff training.What You'll Learn in This Episode・Ketamine's journey from battlefield anesthetic to breakthrough mental health treatment・Evidence-based mechanisms of action and clinical research findings・Practical patient selection criteria, dosing protocols, and safety considerations for clinical practiceEpisode 46 show notes:00:00 - Teaser - Mental health crisis statistics and ketamine's role00:27 - Introduction to Episodes from the Vault series01:19 - Sam's presentation introduction and off-label use disclosure01:52 - Presentation Overview: Three-part structure: mental health/history, mechanisms/studies, patient selection/protocols02:19 - Part 1: Current State of Mental Health - Depression, PTSD, anxiety statistics and the need for ketamine therapy04:07 - The Need for More Treatment Options: Healthcare arsenal expansion with ketamine04:20 - A Brief History of Ketamine: From phencyclidine to FDA approval and Vietnam War battlefield use09:36 - Part 2: How Ketamine Works - NMDA receptor mechanisms and neuroplasticity effects12:11 - Types of Patient Ketamine Experiences: Four levels of non-ordinary states of consciousness14:49 - A Review of Scientific Studies: Yale study through recent research and meta-analyses22:43 - Part 3: Ideal Patient Selection, Dosing & Scheduling: Contraindications, protocols, and safety considerations32:33 - Episode wrap-up with YouTube resources, and moreThanks for listeningSelected Related Links:・For original Youtube version featuring slides during the presentation, go to https://youtu.be/u9XOQ2xnwsg・For references and studies mentioned in this episode, go to www.ketaminestartup.com/podcast/episode-046Follow us onLinkedinKetamine StartUp WebsiteYouTube🚀Want to fast track launching your ketamine clinic? If so, download our free checklist.

Dr. Randy Frederick isn't your typical ketamine provider. As a former military flight surgeon and EM physician, he's spent nearly several years developing a "psychospiritual" approach to ketamine therapy. And his perspective challenges a lot of the conventional thinking in this field.In this conversation, Randy shares his evolution from following traditional clinical protocols to building something completely different. He talks openly about viewing ketamine as a catalyst rather than a cure, and why that distinction fundamentally changes how he works with patients.What makes this episode different? Randy doesn't just talk theory. He shares his own transformation journey. From losing his spiritual connection in college to rediscovering it through his own healing work, he's transparent about how his personal growth directly shapes the way he cares for patients. His focus on mind-body-spirit integration and helping patients reconfigure their relationship with their own minds comes from lived experience, not just clinical training.What You'll Learn in This Episode・ Why ketamine should be viewed as a catalyst, not a cure and how that philosophy changes everything about treatment・ The real challenges and rewards of transitioning from physician employee to clinic owner・ How meditation and awareness practices actually complement ketamine therapyEpisode 45 show notes:00:00 - Teaser - Ketamine is not a cure…00:28 - Episode introduction01:43 - Welcome Dr. Frederick to the show02:30 - Dr. Frederick’s background: ER medicine, social media discovery moment, initial research phase05:20 - The stories that convinced Dr. Frederick: patient transformations and life-saving impact08:00 - Dr. Frederick’s evolution from clinical to psychospiritual approach over the years12:00 - Why ketamine is a facilitator/catalyst, not a cure - the consciousness perspective16:30 - Dr. Frederick’s personal spiritual journey: losing faith in college, rediscovering spirituality19:30 - Military background: Navy flight surgeon, Iraq deployment, veteran mental health insights22:30 - The broader psychedelic landscape: psilocybin, MDMA, stakeholder challenges26:30 - Harvard Law School psychedelic summit and Zero L course experience29:30 - Reality of clinic ownership: wearing many hats, constant challenges, HR difficulties34:30 - The five types of wealth: choosing time and lifestyle over maximum income37:30 - Bombing story discussion, perspective shifts, and choosing growth over victimhood42:00 - Mind-body-spirit integration: ego dissolution, mindfulness practice, meditation49:00 - Advice for aspiring clinic owners: having your why, mentorship, team building50:30 - Rapid fire questions: desert island choices, relaxation rituals, hidden talents57:00 - Contact information and closing remarksThanks for listeningConnect with Dr. Frederick at:WebsiteInstagramMetaSelected Links From the Episode:  These book links in these show notes are Amazon affiliate links. If you purchase through these links, we may earn a small commission at no additional cost to you.📗 The 5 Types of Wealth: A Transformative Guide to Design Your Dream Life by Sahil Bloom   📘 Being Ram Dass by Ram DassFollow us onLinkedinKetamine StartUp WebsiteYouTube🚀Want to fast track launching your ketamine clinic? If so, download our free checklist.

What happens when an ER physician and a psychologist both hit burnout at the same time? In Dr. Jack Hay and Dr. Harry Pepper's case, they decided to build something different together.In this episode, Dr. Hay and Dr. Pepper share the real story behind opening Oberlin Ketamine Clinic in Ohio. Including their unique physician-psychologist partnership model, how they've made personalized music a core part of their ketamine therapy approach, and why they're so intentional about trauma-informed care.This isn't a polished success story. They walk us through their first-year challenges, the difference between integration coaching and traditional therapy (and why that distinction matters), and their philosophy of empowering patients to choose their own music playlists instead of prescribing one-size-fits-all soundtracks.What really stood out? How they've built their practice around their core values instead of just copying what other clinics are doing.What you’ll gain🔹 How to maintain passion, patience, and perseverance through inevitable obstacles🔹 Simple techniques that create profound patient experiences (whiteboard intentions, personalized playlists)🔹 How to distinguish between coaching and therapy in integration work Episode 44 show notes:00:00 - Teaser - A shamanic transfer of energy00:26 - Episode Introduction02:30 - Dr. Hay's background: Emergency medicine to ketamine therapy journey, COVID burnout experience05:20 - Dr. Pepper's background: 30 years in psychology, psychedelic therapy insights08:45 - Pivotal moments: Dr. Pepper's continuing education revelation and personal experience with long COVID12:15 - Dr. Hay's decision point: Leaving ED directorship, timing with Harry's proposal15:30 - Major obstacles faced: Timeline underestimation, patient education challenges, Midwest ketamine awareness21:40 - Safety protocols and patient process: First contact approach, trauma-informed care, continuous monitoring26:50 - Integration coaching philosophy: Present-moment forward orientation vs traditional therapy32:20 - Music curation innovation: Challenging conventional wisdom, personalized playlists, patient choice40:30 - Intention setting technique: Colored whiteboard process, embodiment practices44:15 - Advice for new clinicians: Dr. Hay's "Three P's" - passion, patience, perseverance47:30 - Dr. Pepper's advice: Don't give up, staying connected to values during challenges50:45 - Personal questions begin: Desert island books/movies/food56:20 - Hidden talents: Dr. Pepper's music performance background, Dr. Hay's artistic abilities1:00:30 - Time travel question: Future space exploration vs MLK's "I Have a Dream" speech1:02:45 - Contact information and closing remarksThanks for listeningConnect with Dr. Hay and Dr. Pepper at:Oberlin Ketamine WebsiteInstagramMetaInfinite LeadershipSelected Links From the Episode: These book links in these show notes are Amazon affiliate links. If you purchase through these links, we may earn a small commission at no additional cost to you.📕The Elevated Leader: Level Up Your Leadership Through Vertical Development by Ryan Gottfredson📗The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma by Bessel van der Kolk📘You Are Enough: Revealing the Soul to Discover Your Power, Potential, and Possibility by Panache Desai🎶Explore more about music in Episode 032 - Music & Psychedelic Therapy: A Conversation with Author Steve GelbergFollow us onLinkedinKetamine StartUp WebsiteYouTube🚀Want to fast track launching your ketamine clinic? If so, download our free checklist.

Remember when you were a hospital employee and licensing was just... someone else's problem? Yeah, those days are over.When you open a ketamine clinic, you're suddenly responsible for every license, permit, and regulatory checkbox that used to magically get handled by administrators. And here's the thing, get this stuff wrong and you can expect delays.In this episode, we break down the exact licenses and permits you need to open a ketamine clinic, the specific order to tackle them (yes, order matters), and why trying to DIY this process is a terrible idea.We share what we learned opening Reset Ketamine in Southern California plus insights from helping dozens of physicians navigate licensing requirements across different states. Because here's what we've learned: every state is different, and the details matter more than you think.What You'll Learn in This Episode:・The medical licenses you probably already have - and why you might need a second DEA license・Business permits that confuse physicians - FNP vs DBA and when you can skip them・The order of operations - 10 sequential steps that prevent costly delays・Why AI and Google aren't enough - the critical role of state-specific professional guidanceEpisode 43 show notes:00:00 Teaser - The DEA License Address Rule00:30 Episode Introduction01:42 Why You Need Professional Guidance03:48 Active Medical License & NPI04:50 DEA License: The Tricky One07:03 Order of Operation - The Foundation: Entity & Location09:11 City Business License10:22 Fictitious Name Permit (FNP)12:33 DBA (Doing Business As)15:27 EIN (Employer Identification Number)16:39 Summary: The Complete Order of Operations17:28 Key Takeaways & Closing Advice18:30 The Medical Consult Analogy20:50 Closing & ResourcesThanks for listeningSelected Links From the Episode:Get your DEA related questions answered in Episode 023 - Mastering Clinic Compliance: Insights from Retired DEA Agent Dennis WichernFollow us onLinkedinKetamine StartUp WebsiteYouTube🚀 Want to fast track launching your ketamine clinic? If so, download our free checklist.

Running a ketamine clinic? Clinical skills alone won't cut it. You also need to protect your practice from regulatory and financial landmines.In this compilation episode, two experts break down the complex world of DEA compliance and insurance coverage for ketamine clinics. Whether you're about to open your doors or already treating patients, understanding what triggers regulatory scrutiny and how to properly protect your practice isn't optional - it's critical.Our guests reveal the most common mistakes clinics make and share practical strategies to keep your practice safe, compliant, and protected. We've combined insights from two full-length episodes to give you concentrated wisdom on the business foundations every ketamine clinic needs.DISCLAIMER:  This episode is for educational and informational purposes only. The views expressed by our guests do not constitute legal, regulatory, or professional insurance advice for your specific practice. Insurance and compliance requirements vary significantly by state and individual circumstances. Always consult with qualified professionals before making decisions for your business or medical practice.Featured ExpertsDennis Wichern - Retired DEA Special Agent in Charge and founder of Prescription Drug Consulting. Dennis spent over three decades with the DEA, including ten years focused specifically on pharmaceutical controlled substance compliance. He now helps healthcare providers understand DEA regulations and maintain proper compliance.Canyon Clifton - CEO of Clifton Insurance Agency, a professional liability and high-risk niche market insurance corporation founded in 1982. Canyon has spent over two decades designing elaborate professional liability and medical malpractice policies for healthcare providers across the US.What You'll Learn in This Episode:・The 3 red flags that trigger DEA audits and how to avoid them・The #1 insurance mistake ketamine clinics make (and how to verify coverage)・Real claims data: What actually happens when things go wrongEpisode 42 show notes:00:00 Teaser - The DEA are Humans too.00:20 Introduction & Episode Overview01:51 Dennis Wichern02:01 The 3 Red Flags That Trigger DEA Audits05:16 State-Level DEA Enforcement Differences08:37 Biannual Inventory Requirements & What to Do If You Missed Them09:39 The DEA's Human Side10:48 Witnessing Requirements for Small Clinics13:47 Canyon Clifton13:57 The #1 Insurance Mistake Ketamine Clinics Make14:59 Where to Find Coverage Details in Your Policy17:03 Why Insurance Applications Matter (They Become Part of Your Policy)18:39 How the Insurance Landscape Has Changed for Ketamine Therapy20:00 Admitted vs. Non-Admitted Insurance Carriers Explained23:29 The Top Insurances Your Ketamine Clinic Needs25:54 Ending & ResourcesThanks for listeningListen to each of their full conversations:Episode 023 - Mastering Clinic Compliance: Insights from Retired DEA Agent Dennis WichernEpisode 034 - Ketamine Clinic Insurance: Expert Insights with Canyon CliftonConnect with the experts:Prescription Drug Consulting WebsiteLinkedInEmail: [email protected]: (312) 859-2430Clifton Insurance Agency Website - Mention “Ketamine StartUp” and receive FREE quotes & exclusive policy discounts.Phone: 877-212-4368Clifton Insurance Agency | LinkedInClifton Insurance Agency | Instagram Follow us onLinkedinKetamine StartUp WebsiteYouTube🚀Want to fast track launching your ketamine clinic? If so, download our free checklist.

Starting a ketamine clinic can mean challenging the status quo - and that can feel isolating when colleagues question your vision or patients don't understand the treatment. But here's what's reassuring: every major breakthrough in medicine started with physicians who were willing to stand alone and persist through doubt.In this compilation episode, we're featuring three remarkable doctors who faced the exact same resistance you might be experiencing. Each was told their ideas wouldn't work. Each had colleagues who doubted them. And each proved that individual practitioners can create massive change when they refuse to take "no" for an answer.Dr. Howard Kornfeld revolutionized addiction medicine by advocating for buprenorphine years before anyone believed in it. Dr. Joe Tafur bridges traditional healing with modern ketamine therapy despite skepticism from both sides. And Dr. Mel Herbert transformed global medical education from a single idea that everyone initially dismissed.These aren't just inspiring stories - they're road maps for how to navigate the challenges in the medical space. If you're building a practice or considering taking the leap, their experiences will show you that the resistance you face isn't a sign you're wrong - it's often a sign you're onto something important.What You'll Learn in This Episode・ How medical pioneers overcome institutional resistance and persist through years of colleagues doubting their vision・  Revolutionary approaches to addiction medicine including Dr. Kornfeld's early advocacy for buprenorphine treatment・ Bridging traditional and modern healing through Dr. Tafur's integration of ceremonial medicine with ketamine therapy・ Global medical education transformation and how Dr. Herbert built a company impacting training in 160+ countries despite never wanting to be an entrepreneurEpisode 41 show notes:00:00 Teaser - “I didn’t want to be an entrepreneur…”00:23 Welcome To The Podcast01:36 Dr. Howard Kornfeld: The Power of Small Groups & Early Mentorship02:37 Buprenorphine Breakthrough & Early Adoption13:09 Dr. Joe Tafur: His perspective on colleague resistance21:11 Bridging Worlds: First Ketamine Ceremony21:34 Dr. Mel Herbert: The Birth of EM:RAP Vision22:51 Overcoming Initial Rejections23:21 Building Global Impact30:01 Finding Meaning in Simple Medicine30:23 Ending & ResourcesThanks for listeningListen to each of their full conversations:🛡️Episode 039 - Pain, Addiction, and Medical Practice with Dr. Howard Kornfeld🌿Episode 009 - Healing Journeys: Ayahuasca, Ketamine Therapy, & Spirituality With Dr. Joe Tafur🎓Episode 025 - Breaking the Stigma: Ketamine, Forgiveness, & Mental Health with Dr. Mel HerbertFollow us onLinkedinKetamine StartUp WebsiteYouTube✅ Want to fast track launching your ketamine clinic? If so, download our free checklist.

Most doctors dream about leaving the ER grind, but here's what's remarkable: Dr. Nico Grundmann didn't just escape - he built something that's actually changing how we think about mental healthcare at scale.In this conversation, Sam sits down with Dr. Grundmann, an emergency physician who took his systems-thinking background and created something unprecedented: a five-location ketamine practice that's generating the kind of data insurance companies actually pay attention to. We're talking about going from solo practitioner to managing 30 team members while maintaining the clinical rigor that makes this work sustainable.What makes this conversation essential listening? Dr. Grundmann's approach shows exactly how individual practices can drive policy-level change - but it requires thinking beyond your patient panel to the broader healthcare system. His story proves that with the right framework, you can build something that's both profitable and positioned to influence national coverage decisions.If you've ever wondered how to scale beyond a single clinic without losing clinical quality, or if you're curious about what it really takes to collect data that insurance companies respect, this conversation will give you the roadmap you need.What You'll Learn in This Episode🔹 The mindset shifts required when moving from ER medicine to longitudinal ketamine therapy practice 🔹 Clinical evidence behind protocol decisions including the 4 vs 6 infusion debate and IV superiority data  🔹 Systematic approach to scaling from single pilot site to five-location practice with team management insights 🔹 Insurance advocacy through data collection and the long-term strategy for coverage expansionEpisode 40 show notes:00:00 Teaser - Ketamine isn’t Treat-And-Release00:22 Welcome to the Ketamine Startup Podcast00:29 Interview with Dr. Nico Gruman01:42 Dr. Gruman's Background and Journey04:28 Founding Ember Health05:50 Scaling the Practice06:29 Challenges and Strategies07:24 Building a Collaborative Care Model09:10 Pilot Site and Early Days16:45 Navigating Insurance and Policy19:10 Advice for Aspiring Clinic Owners27:01 Longitudinal Care and Patient Relationships32:35 Hands-On Training and Patient Care33:47 The Importance of Patient Trust35:14 Patient Onboarding Process36:54 Treatment Protocols and Success Rates38:12 Long-Term Care and Maintenance40:17 The 4 vs 6 Treatment Debate43:07 Mechanisms of Ketamine47:10 Route of Administration and Safety51:59 Advice for New Practitioners54:07 Personal Insights and Hobbies01:00:02 Final Thoughts and Contact InformationThanks for listeningListen to the episode on Apple Podcasts, Spotify, Overcast, or on your favorite podcast platform. Watch the discussion on YouTube here.Connect with Dr. Grudmann at:Ember Health WebsiteLinkedinInstagramSelected Links From the Episode:McIntyre RS, Rodrigues NB, Lee Y, Lipsitz O, Subramaniapillai M, Gill H, Nasri F, Majeed A, Lui LMW, Senyk O, Phan L, Carvalho IP, Siegel A, Mansur RB, Brietzke E, Kratiuk K, Arekapudi AK, Abrishami A, Chau EH, Szpejda W, Rosenblat JD. The effectiveness of repeated intravenous ketamine on depressive symptoms, suicidal ideation and functional disability in adults with major depressive disorder and bipolar disorder: Results from the Canadian Rapid Treatment Center of Excellence. J Affect Disord. 2020 Sep 1;274:903-910. doi: 10.1016/j.jad.2020.05.088. Epub 2020 May 26. PMID: 32664031.Wilkinson ST, Rhee TG, Joormann J, Webler R, Ortiz Lopez M, Kitay B, Fasula M, Elder C, Fenton L, Sanacora G. Cognitive Behavioral Therapy to Sustain the Antidepressant Effects of Ketamine in Treatment-Resistant Depression: A Randomized Clinical Trial. Psychother Psychosom. 2021;90(5):318-327. doi: 10.1159/000517074. Epub 2021 Jun 29. PMID: 34186531.🤖 OpenEvidence📗 Stranger in a Strange Land by Robert HeinleinLinkedinKetamine StartUp WebsiteYouTube✅ Want to fast track launching your ketamine clinic? If so, download our free checklist.

Medicine has come a long way in the past 50 years, but here's what's fascinating: many of the breakthrough treatments we use today for pain, addiction, and mental health started with a handful of doctors who were willing to go against the grain.In this conversation, Sam sits down with Dr. Howard Kornfeld, a triple board-certified physician whose career reads like a roadmap of medical innovation. We're talking five decades of pushing boundaries - from emergency medicine to nuclear war prevention to being at the ground floor of psychedelic research.Dr. Kornfeld doesn't just share stories (though he has plenty). He walks us through his transformative experiences at Esalen Institute, his pioneering work with buprenorphine treatment, and his connections to the key figures who literally shaped modern psychedelic medicine as we know it.What makes this conversation essential listening? Dr. Kornfeld's journey shows exactly how questioning established medical practices - while still maintaining rigorous, evidence-based standards - can lead to treatments that actually change lives. His story proves that individual physicians can drive real systemic change, but it requires persistence, innovation, and the willingness to work outside conventional healthcare systems.If you've ever wondered how breakthrough treatments actually make it from "experimental" to mainstream, or if you're curious about what it really takes to challenge medical orthodoxy, this conversation will give you the historical context you need.What You'll Learn in This Episode・How questioning medical orthodoxy led to breakthrough treatments and career-defining insights・The evolution of pain medicine from the 1920s through today and lessons for modern practice・Dr. Kornfeld's journey from emergency medicine through nuclear activism to integrative practice・Historical context for psychedelic medicine's current renaissance and key pioneering figuresEpisode 39 show notes:00:00 Teaser - Physicians as Shamans of Our Culture00:34 Welcome Back To the Podcast 03:04 Challenging Medical Orthodoxy: The Mastectomy Story 07:04 Triple Board Certification Journey 09:41 Cook County Hospital vs Prestigious Academics 12:55 Esalen Institute: A Medical Education Like No Other 17:37 Three Mile Island and Nuclear War Prevention 31:08 Meeting Sasha Shulgin and Early MDMA Research 35:32 Entering Addiction Medicine36:43 The Esalen Psychedelic Research Conference 49:05 From Nuclear Activism to Addiction Medicine 53:037 Buprenorphine: Years Ahead of Everyone Else 1:00:14 The Pendulum Swings of Pain Medicine 1:14:15 Recovery Without Walls Clinic Model 1:17:37 Ketamine's Paradoxical Nature in Addiction 1:20:38 Treating Ketamine Use Disorder 1:22:20 Starting Your Own Practice: Practical Advice 1:28:21 Advice from Your 100-Year-Old Self 1:31:52 Contact Information and ClosingThanks for listeningConnect with Dr. Howard Kornfeld at:Recovery Without Walls👉 Disclosure: Some of the links in these show notes are affiliate links. If you choose to make a purchase through them, we may earn a small commission—at no additional cost to you. Thanks for supporting the podcast!Selected Links From the Episode:Esalen InstituteStanislav GrofUC Berkeley Center for the Science of PsychedelicsMultidisciplinary Association for Psychedelic Studies (MAPS)Elisabeth Kübler-Ross📕Tripping on Utopia: Margaret Mead, the Cold War, and the Troubled Birth of Psychedelic Science by Benjamin Breen📗Person/Planet: The Creative Disintegration of Industrial Society By Theodore RoszakFollow us onLinkedinKetamine StartUp WebsiteYouTube🚀Want to fast track launching your ketamine clinic? If so, download our free checklist.

Making the jump from hospital employment to opening your own practice? We've been there, and we know it's terrifying.When we first started talking about leaving our stable salaried hospital jobs to open a ketamine clinic back in 2018, everyone thought we were crazy. And honestly? Some days we wondered if they were right.In this episode, we're sharing the real story behind Reset Ketamine and how Ketamine StartUp came to be. This isn't the polished version you see on LinkedIn - we're talking about the sleepless nights, the family members who didn't understand, the financial fears, and all the messy details that actually go into building something from scratch.We'll walk you through our complete journey: why we left secure hospital positions, how we navigated the skepticism around ketamine therapy when it was still "experimental," the mistakes we made (there were many), and the strategic decisions that actually moved the needle.If you're feeling stuck in traditional employment, curious about what it really takes to open a ketamine practice, or just wondering if entrepreneurship in healthcare is actually possible, this one's for you.Fair warning: we're not holding anything back!What You'll Learn in This Episode:・The Breaking Point: Sam's realization that he was "climbing a ladder against the wrong building" when offered a medical director promotion・The Five Types of Wealth: Why financial wealth alone wasn't enough to justify staying in traditional hospital employment・Social Pressure Paradox: Why colleagues asking "When will you open?" created both motivation and resistance・The Lean Launch Strategy: Starting with only four treatments while maintaining sustainability through minimal overhead・Strategic Risk Management: How they maintained safety nets while taking calculated entrepreneurial risks👉Note: Some links in these show notes are Amazon affiliate links. If you purchase through these links, we may earn a small commission at no additional cost to you.Episode 36 show notes:00:00 Teaser - Climbing the Wrong Ladder00:23 Introduction05:29 Why Leave and Start A Clinic10:18 The Random Article That Sparked Everything18:13 Breaking Out of the Shell23:38 The Physician Safety Net25:55 When Social Pressure Helps40:35 From One Patient to Thousands41:54 "You're Creating Competition!"45:23 Skills That Transfer EverywhereThanks for listeningSelected Links From the Episode:📙 The 5 Types of Wealth: A Transformative Guide to Design Your Dream Life by Sahil Bloom   📗 The 4-Hour Workweek by Tim Ferriss 🍎 Co-Active Training Institute (CTI)🎙️ Archetypes episode - Episode 5: Three Types Of People Who Open Up A Ketamine Clinic 📖 Blog Post - Why You Need A Strong Why To Start A Ketamine Clinic Follow us onLinkedinKetamine StartUp WebsiteYouTube🚀 Want to fast track launching your ketamine clinic? If so, download our free checklist.

Running a private practice is challenging, but ketamine clinics face unique complexities that amplify every difficulty. Navigating regulatory hurdles, staffing challenges, supply chain disruptions, and shifting public perception about ketamine are just a few of the obstacles you'll encounter. These aren't anomalies - they're the norm. The question isn't whether you'll face difficulties, but how you'll respond when they inevitably arise.In this episode from one of our mastermind sessions in the Ketamine Startup 101 course, Kim and Sam share four powerful mindset mnemonics that have guided them through everything from social media account shutdowns to a bomb explosion that damaged their clinic.These tools aren't theoretical concepts from business books; they're battle-tested strategies from practitioners who've faced the same challenges you're experiencing.What You’ll Gain:・Four essential mindset mnemonics that help you navigate delays, staff turnover, and unexpected setbacks ・How to reframe challenges as competitive advantages that eliminate weaker competitors ・Practical tools for maintaining resilience when building your ketamine practice feels overwhelmingEpisode 37 show notes:00:00 Teaser - Overcoming Challenges in Business00:38 Welcome to the Ketamine Startup Podcast01:18 Navigating Clinic Challenges04:26 Mindset Mnemonics for Success05:08 FMA: Focus, Meaning, Action08:54 MIT: Most Important Thing11:33 WIN: What's Important Now14:26 ANT: Automatic Negative Thoughts17:13 The Power of Your Why20:13 Conclusion and RecapThanks for listeningDisclosure: Some book links are Amazon affiliate links. If you purchase through these links, we may earn a small commission at no additional cost to you.If you enjoyed today's episode, here are some books you may want to explore:"Man's Search for Meaning" by Viktor Frankl - Finding purpose and meaning in the face of adversity"The Power of Now" by Eckhart Tolle - Developing present-moment awareness and mindfulness"The Obstacle Is the Way" by Ryan Holiday - Learning to turn trials and challenges into triumphsFollow us onLinkedinKetamine StartUp WebsiteYouTube✅ Want to fast track launching your ketamine clinic? If so, download our free checklist.