Our Blog:  Reflections on Psychiatry & Psychology

A clinical case study on how integrated ketamine therapy and psychiatric care at Point Loma Clinic enabled early detection of a shift from depression to bipolar disorder. Patient Background: Treatment-Resistant Depression and a History of Mood Instability Joe is in his mid-fifties, an accomplished attorney who has been suffering from recurrent depression since his early adulthood. The depression was difficult to treat; many different medications have been tried, including mo

Bipolar II disorder alternates between depression and hypomania but is hard to diagnose because patients often enjoy or fail to recognize hypomania and seek help only during depression. Recollections may be distorted, so collateral history from others is often crucial for accurate diagnosis.

One of the advantages of Ketamine being administered in a general psychiatric practice is that it is easy to catch changes in the clinical presentation, changes that may necessitate reevaluating the feasibility of the Ketamine treatment on the spot.