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  • Does Spruce Mental Health Take Insurance?
    Not at this time. We provide you with a bill that contains all the codes necessary to make an out-of-network claim with your insurance.
  • What age range does Spruce Mental Health cater to?
    Spruce Mental Health specializes in providing care for late adolescents and adults, specifically catering to individuals aged 16 and up. Our services are tailored to meet the unique mental health needs of this demographic.
  • What is your cancellation policy?
    To efficiently manage our schedule and accommodate all our patients, we require a 48-hour notice for cancellations. Appointments canceled less than 48 hours in advance will incur the full charge of the session.
  • How does billing work at Spruce Mental Health?
    For convenience, we keep a credit card on file. Billing occurs either after each session or monthly for therapy patients, based on individual preference, ensuring a seamless experience.
  • What types of  services does Spruce Mental Health offer?
    Our clinic offers a comprehensive range of mental health treatment services, including consultation, psychotherapy, medication management, and innovative treatments like Ketamine Assisted Psychotherapy (KAP). We specialize in evidence-based integrative psychiatry, combining traditional and alternative approaches.
  • How does Spruce Mental Health incorporate nutritional psychiatry into treatment?
    Integrating dietary and nutritional strategies into our mental health treatments, we consider the impact of nutrition on brain health and emotional well-being, offering personalized dietary recommendations.
  • Is Spruce Mental Health right for me?
    If you're seeking comprehensive and integrative mental health care, Spruce Mental Health may be the right choice. We offer personalized care for various conditions, focusing on innovative and evidence-based treatments. An initial consultation can determine how our services can meet your needs.
  • Do you offer virtual therapy sessions?
    Yes, we offer virtual therapy sessions for those preferring or requiring remote consultations, ensuring access to our services from any convenient location. How do I schedule an appointment? Scheduling is simple and can be done by contacting our clinic directly. Our team will assist you in finding a convenient time for your consultation.
  • What should I expect in my first session?
    Your first session involves assessing your mental health history and current challenges, and discussing potential treatment approaches, laying the foundation for your care plan.
  • How can I prepare for my first visit?
    For you first evaluation session, you'll be asked a lot of questions about your current state as well as your past mental health concerns. Sometimes people don't know exactly why they are seeking help and clarifying what is going on and some possible treatment options. Consider your mental health goals and any specific concerns for your first visit. Bringing relevant medical records, lab results or other notes can be helpful. Come with an open mind and readiness to share what's on your mind.
  • How do we use ketamine in treatment, and are other psychedelics administered?
    Spruce Mental Health utilizes ketamine in our Ketamine Assisted Psychotherapy (KAP) for its therapeutic potential in a controlled environment. Currently, we do not administer other psychedelics, as our focus is on treatments supported by current medical research and legal frameworks.
  • Do you offer group therapy sessions?
    Yes, we provide group therapy sessions, which can be a powerful complement to individual therapy. Group sessions offer a supportive community environment, allowing for shared experiences and collective healing. Dr. Jeff Greenbaum and Amy Lane are accepting new members for Men's and Women's Groups.
  • Introduction to Ketamine Assisted Psychotherapy (KAP)
    Ketamine Assisted Psychotherapy, or KAP, is a cutting-edge treatment at Spruce Mental Health, combining low-dose ketamine—an established anesthetic—with psychotherapy. This innovative approach aims to help patients access and process difficult emotions, foster therapeutic breakthroughs, and alleviate symptoms of depression, PTSD, and other mental health conditions.
  • What is Ketamine Assisted Psychotherapy (KAP)?
    KAP integrates the use of ketamine in a controlled and monitored setting with psychotherapy to help deepen the therapeutic process and accelerate healing.
  • How Does Ketamine Work in KAP?
    At low doses, ketamine creates a “psycholytic” mildly dissociative state, which may enhance the psychotherapeutic process by aiding patients in accessing and confronting difficult emotions. Higher doses can induce “psychedelic” experiences, including visions, distortions of space and time, ego dissolution, death experiences, and spiritual experiences.
  • Is KAP Safe?
    Administered by trained professionals in a controlled environment, KAP is considered very safe. However, as with any treatment, there are potential side effects. At Spruce, psychiatry and emergency room physicians ensure safety, with all patients screened psychiatrically and medically prior to KAP work.
  • Who is Eligible for KAP?
    KAP is not FDA-approved and is used off-label in mental health setting. Spruce does not administer inhaled nasal esketamine (Spravato), which is FDA-approved for major depression. Research indicates potential benefits of KAP for patients with treatment-resistant depression, depression in bipolar 2 disorder, PTSD, and trauma-based concerns. Eligibility is determined via our thorough mental health and medical assessment.
  • How Many Sessions are Required?
    The number of sessions varies. Some patients experience relief after a single session, while others may benefit from a series of sessions. Research for depression treatment suggests four to six sessions with regular boosters. Ketamine is known for providing rapid mood imporvement for some patients.
  • What Should I Expect During a Session?
    Patients will be in a comfortable, relaxed setting. After ketamine administration, a therapist guides through the session, lasting a couple of hours.
  • Are There Any Side Effects?
    Possible side effects include nausea, dizziness, or heightened emotions during or after the session. Patient are encouraged to take zofran, and anti-emetic medication prior to initial and oral medication sessions.
  • Can I Drive After a KAP Session?
    No. It's essential to arrange for transportation after your session, as driving under the influence of ketamine is unsafe. Preferably patients are picked up by a trusted friend or relative.
  • How is KAP Different from Traditional Psychotherapy?
    KAP integrates the use of ketamine to potentially deepen therapeutic insights and breakthroughs, compared to traditional talk therapy.
  • Is KAP Covered by Insurance?
    Not generally. Spruce Mental Health is a fee-for-service provider and does not accept insurance, Medicare, or Medicaid. Scholarships are offered, and individual clinicians may be able to reduce fees. Discuss “Out-of-Network” mental health benefits with your insurance provider. Also, please make note of your annual out-if-network deductible.
  • How Do I Prepare for a Session?
    Preparatory steps include dietary recommendations and other precautions. Fasting for 4 hours prior to the session is advised.
  • How Soon Can I Expect to See Results?
    Some patients report immediate insights or relief, while others notice changes over multiple sessions.
  • Is Ketamine and/or KAP Addictive?
    While ketamine has a low potential for addiction, especially when used in controlled medical settings, patients with a substance use history should discuss concerns with their provider. Spruce offers judgment-free, harm-reduction oriented care.
  • Are There Any Contraindications to KAP?
    Yes. Patients with certain medical or psychiatric conditions may not be suitable candidates. A comprehensive assessment is conducted prior to any treatment.
  • Can I Combine KAP with Other Treatments?
    KAP can often be safely combined with most medications. Discuss concurrent treatments or medications with your provider to ensure safety and efficacy.
  • What is the Procedure Before a KAP Session?
    Medical Assessment: Comprehensive review of medical history, current medications, and any contraindications. Preparatory Integration Sessions. Dietary Precautions: Refrain from eating large meals 4-6 hours prior to the session. Light snacks are permissible. Stay Hydrated: Drink plenty of water the day before and the day of the session. Limit Caffeine: Reduce or eliminate caffeine intake 24 hours before the session. Arrange Transportation: Ensure you have transportation arranged for after the session. Clothing: Wear comfortable clothes and consider bringing a light jacket or blanket. Communication: Discuss any fears, concerns, or questions with your provider before the session. Touch: Discuss safety contact and touch along with concerns and preferences. Sexual touch is not part of KAP. Details: Music, Aromatherapy, Cards, Offering

Traverse. Transform. Transcend

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