by Dr. Diana Ghelber, MD | Oct 4, 2026 | Blogs, Patient Guides
Most people who ask have already answered it: ketamine regrows synapses, it acts on glutamate rather than serotonin, and that is why it works in hours, not weeks. That version is everywhere, it fits in three sentences, and it leaves out everything the researchers...
by Dr. Diana Ghelber, MD | Oct 4, 2026 | Blogs, Patient Guides
The prescription has been in your bag for three weeks. You carried it to the pharmacy counter once and walked back out, because someone told you that once you start you never get off it. So you have been managing. Are antidepressants addictive? It is a question we...
by Dr. Diana Ghelber, MD | Oct 4, 2026 | Blogs, Patient Guides
Someone says it before you finish the sentence. “Wait. Isn’t that shock therapy?” It is usually a spouse or a parent picturing a scene from a movie. Suddenly the treatment you worked up the nerve to mention is off the table. So, plainly: is TMS the...
by Dr. Diana Ghelber, MD | Oct 4, 2026 | Blogs, Patient Guides
A psychiatrist has just told you something that sounds like good news and lands like a problem. Several antidepressants have not done enough. You could be a reasonable candidate for either Deep TMS or intravenous ketamine infusions. You are paying out of pocket....
by Dr. Diana Ghelber, MD | Oct 4, 2026 | Blogs, Patient Guides
You answered every email. You hit the deadline. You were in the meeting, and nobody in that room had any idea. Then you sat in the parking garage for twenty minutes, hands on the wheel, because you could not make yourself drive. That distance, between what people see...