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About Me

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Dinah Miller, M.D.

I'm a psychiatrist and writer with 30 years of experience helping people to overcome challenges.  I have a private practice in Baltimore and have also worked in community mental health centers as both a clinician and an administrator. I am a past president of the Maryland Psychiatric Society. I trained at Johns Hopkins where I continue to supervise and teach residents, and I have a lot of experience with social media. I love new challenges!

Ketamine Assisted Psychotherapy, or KAP, is an innovative way to help people when their antidepressants are just not enough-- symptoms of depression or anxiety are still present, or people are just stuck in life.  KAP may not be a cure, but a way of getting out of negative thought patterns, and finding a new perspective.

My groups are 5 sessions-- three of these include the administration of sublingual (under the tongue) ketamine lozenges, that will take you places you have never been. 

The group experience is powerful and group size is limited to 3 to 4 patients for a safe and individualized experience.

This experience is for people looking for ketamine treatment in a safe environment -- I am a physician and I'm present in the room for all of the sessions,.

 

I have had specialized training in KAP at the Psychedelic Research and Training Institute (PRATI) in Colorado.

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          What is Ketamine Assisted Psychotherapy?

What are Ketamine Assisted Psychotherapy Groups?

Ketamine Assisted Psychotherapy --or KAP--is an innovative treatment that combines the off-label use of ketamine for psychiatric disorders with psychotherapy.  Ketamine has been used for anesthesia (with FDA approval) since 1970. In lower doses, it can be helpful for depression that has not responded to traditional medications.  In combination with psychotherapy, the effects can be powerful.

Ketamine, as a chemical, has an antidepressant effect. It falls under the rubric of psychedelic medicine, and the dissociative state that people experience can open doors that make it easier to talk in psychotherapy, and to facilitate change. After the ketamine experience, there is a period of neuroplasticity -- a 24-48 hour period where old patterns can be unlearned, and new ones can be learned.  This can be very helpful in breaking negative thought patterns that fuel depression, such as feelings of inferiority or the sense that other people are better or deserve more. 

In addition to it's use for depression, ketamine has shown promise in treating anxiety, PTSD, eating disorders, compulsive behaviors and OCD.  While ketamine is safe, it's use for psychiatric disorders is off-label and not evidence-based medicine, so am only offering this treatment to people who have not had an adequate response to conventional therapies.

It is even more powerful to take ketamine and have the psychotherapy in a group setting.  Groups consist of 3 to 4 patients, Dr. Miller, and a second group facilitator, Barb Fowler, Ph.D.  Dr. Fowler recently retired from working in Human Resources at Johns Hopkins. Psychiatric disorders can be very isolating, and this treatment is about finding new ways to heal and grow.  Ketamine does not work for everyone, but our hope is to provide a transformative experience that catalyzes a journey of change.

This is an individualized treatment where safety is the first priority and the patient's treatment team is consulted to get the best possible outcome. 

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