An Evidence-Based Treatment Option for Individuals Seeking Another Path Forward
At Total Mind Wellness Group, ketamine therapy is offered for carefully selected individuals struggling with treatment-resistant depression, anxiety, OCD, and other mental health conditions that have not responded adequately to traditional treatment approaches.
Led by Duke University-trained Psychiatric Nurse Practitioner Daniel Moldwin, our practice combines specialized ketamine training, psychiatric expertise, extensive experience in IV therapy and patient monitoring, and comprehensive clinical oversight to ensure that treatment recommendations are thoughtful, individualized, and evidence-based.
Schedule a consultation to learn whether ketamine therapy may be right for you.
Why Choose Total Mind Wellness Group?
✓ Comprehensive Psychiatric Evaluation Prior to Treatment
✓ Advanced Training and Certification in Ketamine Therapy
✓ Sedation Monitoring Certified
✓ ACLS & BLS Certified
✓ Extensive Experience with IV Therapy and Patient Monitoring
✓ Safe, Calm, Professionally Monitored Environment
✓ Ongoing Psychiatric Assessment and Follow-Up
✓ Collaborative Care with Existing Providers
✓ Evidence-Based Treatment Guided by Current Research
What Is Ketamine Therapy?
Ketamine is a medication that has been used safely in medical settings for decades. In recent years, research has demonstrated that ketamine may provide meaningful symptom relief for certain individuals struggling with depression, anxiety, OCD, and other mental health conditions, particularly when traditional treatment approaches have not been fully effective.
Unlike many conventional psychiatric medications, which often take weeks to produce noticeable improvement, ketamine works through different pathways in the brain and may provide symptom relief more rapidly for some individuals.
At Total Mind Wellness Group, ketamine therapy is considered one of several evidence-based treatment options for appropriate candidates. Treatment recommendations are based on a comprehensive evaluation of each individual's symptoms, treatment history, medical background, and treatment goals.
While ketamine can be a valuable option for some patients, it is not the right treatment for everyone. Careful screening and ongoing clinical assessment are essential components of determining whether ketamine therapy may be appropriate.
Who May Benefit From Ketamine Therapy?
Ketamine therapy may be considered for individuals who have not achieved adequate relief through traditional treatment approaches or who have experienced difficulty tolerating psychiatric medications. Every patient's situation is unique, and candidacy is determined through a comprehensive psychiatric and medical evaluation.
- Individuals Struggling with Depression - Some individuals continue to experience persistent depression despite therapy, medication trials, or other treatment approaches. Ketamine may be considered for those experiencing ongoing symptoms such as low mood, loss of interest, low motivation, hopelessness, or emotional distress that has not adequately improved with traditional treatment.
- Individuals Struggling with Anxiety - For some people, anxiety symptoms remain disruptive despite medication, psychotherapy, or lifestyle interventions. Ketamine may be considered when excessive worry, nervousness, panic symptoms, or anxiety-related distress continue to significantly impact daily functioning.
- Individuals Struggling with OCD - Obsessive-Compulsive Disorder can be particularly challenging when intrusive thoughts, compulsive behaviors, or mental rituals persist despite treatment. Research has demonstrated that ketamine may offer benefit for some individuals with treatment-resistant OCD when traditional approaches have not provided sufficient relief.
- Individuals Who Have Difficulty Tolerating Psychiatric Medications - Not all patients struggle because treatments have been ineffective. Some individuals experience significant side effects such as emotional blunting, sexual side effects, weight gain, fatigue, gastrointestinal symptoms, or other adverse effects that limit their ability to benefit from traditional psychiatric medications. Ketamine may provide an alternative option for carefully selected individuals who have been unable to tolerate standard treatments.
- Individuals Seeking Additional Treatment Options - Mental health treatment is not one-size-fits-all. For some individuals, ketamine may represent an additional evidence-based option when conventional approaches have provided only partial improvement or when a different treatment strategy may be appropriate.
Our Approach to Ketamine Therapy
At Total Mind Wellness Group, ketamine therapy is approached with the same level of thoughtfulness, clinical oversight, and individualized care that we bring to all aspects of psychiatric treatment.
Unlike many ketamine-focused practices, we approach treatment through a comprehensive psychiatric lens, recognizing that accurate diagnosis, thoughtful treatment planning, and ongoing clinical assessment remain essential components of long-term success. Because ketamine therapy is integrated within an active psychiatric practice, we remain focused not only on the treatment itself, but also on diagnostic accuracy, long-term treatment planning, symptom monitoring, and overall psychiatric wellness.
Every patient undergoes a comprehensive psychiatric and medical evaluation prior to treatment. We carefully review symptoms, treatment history, previous medication trials, medical considerations, and treatment goals to determine whether ketamine therapy is an appropriate option. Not all individuals will be candidates for treatment, and recommendations are always tailored to the needs of the individual.
Daniel has completed advanced training and certification in ketamine therapy and sedation monitoring and remains committed to staying current with the latest research surrounding ketamine treatment. Prior to becoming a psychiatric nurse practitioner, he worked as a registered nurse in a Cardiothoracic Intensive Care Unit caring for critically ill patients requiring advanced monitoring and IV therapies. He maintains current ACLS and BLS certifications and brings extensive experience in IV administration, patient assessment, and clinical monitoring.
Our team is committed to providing treatment in a safe, supportive, and professionally monitored environment. Patients are closely observed throughout treatment, and potential risks, benefits, alternatives, and expectations are reviewed thoroughly before treatment begins.
For patients referred by psychiatrists, psychiatric nurse practitioners, therapists, or other healthcare providers, we value collaboration and continuity of care. We do not seek to replace a patient's existing treatment team. Rather, our goal is to work alongside referring providers whenever appropriate to help patients achieve the best possible outcomes.
As a psychiatric practice, our focus extends beyond the treatment session itself. We remain committed to careful assessment, ongoing monitoring, and individualized treatment planning throughout the course of care.
Frequently Asked Questions
Is ketamine therapy safe?
Ketamine has been used in medical settings for decades and is generally well tolerated when administered under appropriate medical supervision. Every patient undergoes a comprehensive evaluation prior to treatment, and risks, benefits, and alternatives are reviewed in detail before treatment begins.
How quickly does ketamine work?
Response varies from person to person. Some individuals report improvement relatively quickly, while others may require additional treatments before noticing meaningful changes in symptoms.
Will ketamine replace my current medications?
Not necessarily. Treatment recommendations are individualized, and ketamine may be used alongside existing psychiatric treatments when clinically appropriate.
Can I continue seeing my therapist or psychiatrist?
Absolutely. For patients referred by outside providers, we value collaboration and strive to work alongside existing treatment teams whenever appropriate.
What conditions do you treat with ketamine therapy?
Ketamine therapy may be considered for individuals struggling with depression, anxiety disorders, OCD, and other mental health conditions when traditional treatment approaches have not provided adequate relief or have not been well tolerated. Treatment recommendations are individualized and based on a comprehensive evaluation.
Is ketamine right for everyone?
No. Not all individuals are candidates for ketamine therapy. A comprehensive psychiatric and medical evaluation is completed before treatment to determine whether ketamine is an appropriate option.
Do I need to stop my current medications?
In most cases, patients can continue their existing psychiatric medications during ketamine treatment. Medication recommendations are individualized and will be discussed during the evaluation process.
Can I continue working with my current psychiatrist, psychiatric nurse practitioner, or therapist?
Yes. We frequently collaborate with outside providers and do not require patients to transfer their ongoing psychiatric care. When appropriate, we are happy to coordinate with existing treatment teams to help ensure continuity of care.
Does insurance cover ketamine treatment?
Insurance coverage for ketamine treatment varies by plan and treatment type. While many insurance plans cover psychiatric evaluations and medication management visits, ketamine treatment itself is often considered an out-of-pocket service. We recommend contacting your insurance carrier to verify your specific benefits.
Do I need to be an existing patient to receive ketamine treatment?
No. Individuals may schedule a psychiatric evaluation specifically to determine whether ketamine treatment may be appropriate for their symptoms and treatment goals.
Am I guaranteed to receive ketamine treatment after my evaluation?
No. Ketamine treatment is recommended only when clinically appropriate. Treatment recommendations are based on your symptoms, treatment history, medical history, safety considerations, and overall clinical presentation.
How many treatments will I need?
Treatment recommendations vary from person to person. Some individuals experience meaningful improvement after only a few treatments, while others may benefit from a longer course of treatment followed by periodic maintenance sessions.
Take the Next Step
If you are struggling with persistent symptoms despite traditional treatment, have experienced difficulty tolerating psychiatric medications, or are interested in learning whether ketamine therapy may be appropriate for your situation, we encourage you to schedule an evaluation.
Every patient receives a comprehensive assessment to determine whether ketamine therapy is an appropriate option based on their unique symptoms, treatment history, medical considerations, and treatment goals.
