Andro Giorgadze, MD
Dr. Giorgadze is a double Board Certified Psychiatrist specializing in ketamine therapy and clinical research.
Dr. Giorgadze received Psychiatry training at Emory University in 2005 and has been involved in clinical research investigating new promising treatments for Depression, Bipolar disorder , ADHD, Schizophrenia and OCD.
While doing clinical research on Ketamine in 2011-2014 , Dr. Giorgadze observed significant benefits of ketamine in the treatment of Depression and started offering this therapy to clients outside of research in 2012.
Since then, we have successfully treated thousands of patients with treatment resistant depression.
You can schedule a consultation here : Appointment Request
Ketamine treatment cost - $350 per 1 hour treatment.
Consultation Fee - $50 ( for New Patients Only )
If you have any questions, please email to email@example.com
or call us at 678-701-7725.
Ketamine Treatment - Commonly Asked Questions
The Case for Ketamine Treatment
Ketamine ( esp. in the form of IV infusion ) remains the most effective antidepressant currently prescribed. Recent studies compared the effectiveness of Ketamine IV to ECT ( Electro-convulsive Therapy ). Historically , ECT has been the most effective treatment for Treatment - Resistant Depression. The results of the studies indicate that Ketamine IV therapy is non-inferior to ECT for Treatment-Resistant Depression without psychosis- study link
Most traditional antidepressants do not work for a lot of patients with Treatment-Resistant Depression.
Recent analysis of Star-D trial ( one of the most significant studies with antidepressants) shows that only 35% of patients with Depression achieve remission ( e.g complete resolution of depression ) even after 4 different medication trials- link
Unlike traditional antidepressants, Ketamine may help address not only symptoms of depression but also underlying causes - e.g unprocessed adverse experiences through life- study link
Ketamine therapy done under a medical supervision is considered to be safe but FDA warns about compounded ketamine being used at home - link
Major Depressive disorder
Chronic Depression , e.g when there are ongoing depressive symptoms over 2 years - Depression not responding to standard antidepressants treatments
Inability to take standard antidepressants due to side effects
PTSD - post-traumatic stress disorder
Chronic Neuropathic Pain
Current manic or psychotic symptoms
Hx of psychotic episodes
Current serious substance abuse issues
Intent to get pregnant in the near future
Unstable epilepsy - frequent, severe seizures
Unstable heart conditions and severe unstable hypertension ( patient with severe and unstable heart conditions must receive a clearance from cardiologist )
Short-term - lasting no more than a few hours: sedation, fatigue, limited concentration, nausea, dizziness, impaired coordination
Longer-term- lasting a few days: restlessness, insomnia, vivid dreams, feeling energized, fluctuations in mood and anxiety symptoms
Very short-term- lasting a few minutes: dream-like states of mind, feeling detached from one’s body, perceptual changes, seeing colorful shapes or patterns, intensification of sounds or lights, sensitivity to noises, feeing spiritual connections, feeling like melting away, slowed down breathing, elevation of blood pressure, dry mouth, feeing numb
Mechanism of Action
The exact mechanism of action is unknown. Current theory is that ketamine treatments when done repeatedly stimulate growth of neurons and connections between neurons — this process is called neurogenesis and neuroplasticity. This in turn may enhance psychological flexibility and ability to change
Other mechanisms of actions including psychotherapeutic are possible
Usually, six initial treatment are recommenced over a period of 3-4 weeks
This may result in complete resolution of symptoms which is called remission
Some patients with severe or chronic depressive symptoms may require additional treatments
Some patients benefit from ongoing maintenance treatment after initial six treatments , frequency is established on a case by case basis and usually tapers off as patients become more stable
Ketamine could be delivered in several different ways . The most effective way is a slow intravenous infusion which provides maximum dose flexibility and control over the experience
American Psychiatric Association advises to receive ketamine therapy in a medical , supervised environment
Reasons to choose our practice
Dr. Giorgadze opened one of the very first in the US practices specializing in ketamine therapy in 2012. Since then, we have successfully treated thousands of patients. Prior to 2012 we have been involved in clinical research on ketamine and similar medications. We opened this practice because we believed in the significant potential of ketamine therapy to improve mental health.
Ketamine has been in use since 70’s in the context of acute pain management or anesthesia.
While many physicians are familiar with ketamine, ketamine therapy for a psychiatric indication is a specialized treatment and requires significant expertise.
It is important that ketamine therapy is integrated with other interventions as part of a comprehensive treatment plan. As a board certified psychiatrist, Dr. Giorgadze is able to integrate ketamine therapy and advise on additional steps as part of a treatment plan, this may include other medications or forms of therapy.
We specialize and focus on infusion (e.g intra-venous administration - IV ) of ketamine as a preferred method of administration. Multiple studies indicate superiority of IV administration of Ketamine. Here is the link to the article discussing this more in depth- article.
While intra-mascular and intra-nasal methods are also viable and require less expertise from the staff administering them, they do not provide the same degree of control, dose adjustment and effectiveness as IV therapy.
Ketamine therapy is very dependent on mindset and setting of the treatment. It is important that the setting is neither too casual ( IV-spas ) or overly medical.
On the casual side, it is important to note that according to regulations a crash cart must be available on site wherever ketamine is administered. Administration of ketamine requires ACLS certification by staff. Spa settings or IV-therapy centers do not carry crash carts, and are not medically equipped to provide ketamine therapy. On the other end of things , busy and noisy hospital environment or pain clinic with several patients getting treatment in a large room separated by curtains is not private and too overstimulating for a relaxing experience.
When looking for a treatment center, it is important to have an easy access to scheduling and communication with the treatment team. All patients are seen by Dr. Giorgadze in person during the treatment and have an easy access to physician in between treatments via phone or email.
We can usually schedule a new patient for a consultation within days and can accommodate an urgent treatment request. We also provide treatment on Saturdays.
We work with several insurance companies and assist with billing which minimizes the out of pocket costs.
Thank you for reading this and if you have any questions , do not hesitate to call us at 678-701-7725.