Headphones or no headphones. Dr. Kyle Greenway shows us how to set the stage for ketamine-assisted

therapy, from the blankets to the playlist.

Welcome to the Carlet Psychiatry Podcast, keeping psychiatry honest since 2003.

I'm Chris Hagan, the editor-in-chief of the Carlat Psychiatry Report.

And I'm Kelly Newsom, a psychiatric NP and a dedicated reader of every issue.

This is part two of our interview with Dr. Kyle Greenway on how to do ketamine-assisted

therapy and practice.

So if you haven't listened to part one,

start there and rewind to last Monday. These are techniques that I think people are going to find

useful whether they prescribe and deliver ketamine directly or if they just have patients who are

going to receive ketamine because they're basically things about how to set up the

treatment in the patient's mind, how to help the patient get the most out of it, and how to

help them change their lives while they're going through ketamine therapy.

Can you walk us through the Montreal model?

One of the lessons that we learned early on working with ketamine that I've alluded to is that I don't think it's the end solution to treatment resistant depression.

I think it's best conceived of as a catalyst.

And so the first thing that we do with our patients is to set goals,

after we've confirmed diagnoses and made sure the fit is going to be good,

is to set goals for the treatment process with a line that is something like,

you know, if we imagine that your symptoms were significantly improved

in one or two or three months from now,

what are the sort of activities we would see you doing to keep yourself well?

...