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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.

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

or call us at 678-701-7725. 

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

  •  Anxiety Disorder

  •  Chronic Neuropathic Pain

Contra-Indications

  •  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 )

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 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. Intra-muscular injection lacks the precision , smoothness and control of an intravenous infusion. 

  • Nasal ketamine and lozenges could be an option for patients who need long- term ketamine therapy. 

Reasons to choose our practice  

 

Expertise

 

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 had been involved in clinical research  on ketamine and similar investigational medications. We opened this practice because we believed in the significant potential of ketamine therapy  to improve mental health.

 

 

Specialization 

 

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 including therapy and possibly other medications. As a board certified psychiatrist, Dr. Giorgadze is able to integrate ketamine therapy with additional psychiatric treatments. 

 

 

Method 

 

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. 

 

 

Environment 


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. 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  with several patients getting treatment in a large room separated by curtains is not private and too overstimulating for a relaxing experience. 

 

Practical considerations 

 

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 a 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 treatments 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. 

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