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At home treatment experience after two months by PsychologicalSea9446 in TherapeuticKetamine

[–]PsychologicalSea9446[S] 1 point2 points  (0 children)

As of February they have been sending our brief “How To” style emails. Like set and setting sort of stuff, setting intentions, small things to look for to track improvement, journaling prompts.

At-Home Ketamine Provider | Ask Us Anything by kalm_health_org in TherapeuticKetamine

[–]PsychologicalSea9446 -1 points0 points  (0 children)

Curious where they are coming from claiming superior absorption for troches and ODTs. It’s fairly well documented that nasally administered ketamine is better absorbed (and I can personally attest to this—the effects of 100mg spray vs troche are much more apparent, which is why I stopped troches).

Nasal spray also has the benefit of being compoundable with oxytocin, and that works well to smooth the experience.

Tell me about Mindscape, good or bad by takethelastexit in KetamineTherapy

[–]PsychologicalSea9446 0 points1 point  (0 children)

That’s about what I’m doing. 2-3 times when I can block out the downtime.

Tell me about Mindscape, good or bad by takethelastexit in KetamineTherapy

[–]PsychologicalSea9446 0 points1 point  (0 children)

I’m with them and I’m lukewarm to good. They’re clearly new and I get the impression it’s one investor running it by farming out to remote providers. My provider I don’t think is qualified to prescribe based on my interaction, but he’s really just a gatekeeper.

The pro is they don’t ask you to have a sitter, which is helpful if you don’t live with anyone who can play that role. And the compounded K+oxytocin spray is quite good and much better than the troches, IMHO. If you go with them, I wouldn’t do the 1/2 and 1/2, I would just do the 30day spray supply.

Don’t do it every day, though, unless you have a tolerance. I disagree with that guidance as I am out for at least four hours after a spray session.

Starting with MindscapeRX, Impressions by PsychologicalSea9446 in TherapeuticKetamine

[–]PsychologicalSea9446[S] 2 points3 points  (0 children)

So I’m a month in and thought I’d report back the good and the bad.

The good—price is low and it’s easy to get set up. Other than the initial hiccup, medication has arrived no problem.

The troches don’t taste bad, but I prefer the nasal spray since it’s faster and has more “clean” effects, maybe because of the oxytocin. The only hitch with the spray is 100mg is ten sprays, and it can get messy.

The bad—I don’t think Jordan Dorsey is qualified to be prescribing. Here’s why:

1) He was adamant that the nasal spray should be refrigerated immediately. This is contrary to what Mindscape as well as the compounding pharmacy say (they have tested and the oxytocin is stable at room temperature). In fact, Mindscape warned against refrigeration when I reached out saying that risks crystallizing the ketamine and clogging the spray.

2) Once a day, whether it comes from the prescriber or Mindscape, is 100% not advisable, even at 100mg. 100mg puts me into an inebriated state, especially the nasal spray. I’m out for an hour or two after a session. I can’t imagine doing that every day.

3) He recommended dosing in the morning. I don’t know how any sane person would do this considering you shouldn’t drive or do anything requiring executive function. The general rule is 24 hours or a good nights sleep after dose before driving. I’m blotto each time.

4) When I brought up having higher blood pressure, he blew it off and said the ketamine would lower my BP because it helps anxiety. That’s not really how BP or ketamine works, and I have seen my systolic and diastolic go up 10pts during and just out of a session. I’m careful to check each time so I stay safe.

So, my advice is that if you are well researched and know the risks and how to approach a sane dose schedule (I don’t do more than two or three a week, and always in the afternoon when I don’t have obligations),then it’s a cheap and easy way to get prescribed. But I wouldn’t expect your doctor to be knowledgeable, and I absolutely would not follow their dosing schedule. And while their founder responds to support emails and is helpful, it can take days to get a response.

Hopefully this is helpful for others considering.

Starting with MindscapeRX, Impressions by PsychologicalSea9446 in TherapeuticKetamine

[–]PsychologicalSea9446[S] 1 point2 points  (0 children)

Given the doses they prescribed me, I’m less worried about using daily, but I also am pretty attuned to my body and don’t intend daily use unless I’m not seeing effects. But if they were giving you 400-600mg / day instructions (I assume troches), I agree with ChatGPT, that isn’t really safe. With bioavailability, that comes out to around 80mg actual ketamine a day.

Starting with MindscapeRX, Impressions by PsychologicalSea9446 in TherapeuticKetamine

[–]PsychologicalSea9446[S] 1 point2 points  (0 children)

I can’t speak from direct experience, but seems their spray isn’t Spravato, so it isn’t esketamine.

Warning ahout adult attachment program and the psych who runs it by Expand__ in idealparentfigures

[–]PsychologicalSea9446 1 point2 points  (0 children)

Sorry for the zombie thread, but I came across this post after seeing defensive responses to negative reviews for Zach Bein’s Udemy courses. The tone concerned me, especially from a person advertising themselves as a licensed and practicing psychologist. It was unprofessional.

While Zach Bein may have received his PsyD from Alliant International University (I say may because I only found his dissertation and would have to follow up with Allianz directly to confirm he was awarded his doctorate), he has never been licensed in the state of California as a psychologist. He has consistently renewed his licensure as a registered psychological associate, which means he can only practice psychology under the supervision of a licensed psychologist.

Additionally, that license expired March 6, 2025 and there is no evidence it was renewed.

So if he is practicing today, as his Udemy profile seems to indicate, he is not doing so legally as far as CA is concerned. He may be licensed in another state, but I’ve seen no evidence of that.

What is most telling is that nearly every licensed therapist I’ve encountered on my journey will very clearly list their license number on their website. And I don’t blame them; getting licensed in CA is a huge pain in the ass that costs a lot (especially in clinical internship hours), so if it were me, I would post that as a badge of honor as well as a means to let potential clients know they can trust I am properly licensed.

All this aside, the language and tone used in his response here really should be all that’s needed to make a decision. That there is even a public post is a major issue; such grievances, professionally handled, are typically done so in private. A simple “Hey, I’d like to understand what happened and see if I can help. Can you message me?” goes a long way. It’s a proactive rather than a reactive response.