_DSC2218-Edit.jpg

 

Andro Giorgadze, MD

​Board Certified  Psychiatrist



Training: Emory University

Clinical Experience: 19 years
 

Research experience: Dr. Giorgadze has been involved in clinical research  of new medications including Ketamine, Esketamine ( Spravato) ,   Rapastinel and other NMDA receptor antagonists/ agonists since 2009. 

 

Private Practice: Dr. Giorgadze opened the first private clinic specializing in ketamine therapy in the southeast in 2012. 

You can easily schedule a consultation using the link: Appointment Request. 

Ketamine Treatment - Commonly Asked Questions

Indications

  •  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

  •  Generalized Anxiety Disorder

  •  Chronic Neuropathic Pain

Contra-Indications

  •  Current manic or psychotic symptoms

  •  Hx of severe psychotic episodes

  •  Current serious substance abuse issues

  •  Intent to get pregnant in the near future

  •  Unstable epilepsy-e.g frequent, severe seizures, not currently medicated

  •  Unstable heart conditions and severe unstable hypertension ( patient with severe and unstable heart conditions must receive a clearance from cardiologist )

Side Effects

  •  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, increase in  anxiety and mood fluctuations

  •  Very short-term- lasting a few minutes: dream-like states of mind, feeling detached from one’s body,  perceptual changes, imaging colorful shapes, 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

  •  Other mechanisms of actions including psychotherapeutic are possible

 

 Treatment Protocol

  •  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

Ketamine treatment cost - $350 per 1 hour treatment. If you are interested in this treatment and would like to schedule a consultation, please book an appointment here: Appointment Request. 

If you have any questions, please email to androg@gmail.com
 

Additional Resources: 

TV interview showing an actual patient getting a treatment.