WE’RE STREAMING THIS ENTIRE PROCESSION FOR YOU, UNINTERRUPTED. LIVE ON CLICK,
ORLANDO, DOT COM. THE MENTAL
HEALTH CRISIS HAS BEEN IN THE
HEADLINES A LOT THIS YEAR
AFFECTING NOT ONLY ADULTS BUT
ALSO TEENS AND CHILDREN.
THANKFULLY MORE AND MORE
RESOURCES HAVE BECOME
AVAILABLE CONNECTING PATIENTS
TO HELP. BUT THERE’S ALSO
TREATMENT. THERE’S ONE TYPE
THAT’S BEEN PROVEN TO HELP
WITH DEPRESSION AND OTHER
TYPES OF ANXIETY. BRIDGETT
ELLISON IS STANDING BY NOW TO
ASK A DOCTOR.
>> ASK A DOCTOR IS SPONSORED
BY CAN BE PRIMARY CARE
PROCEEDINGS.
>> BRIDGETT: SO TODAY WE’RE
TALKING ABOUT CAN MEAN, IT’S
BEEN AROUND SINCE THE 60’S IS
BEEN USED IN MEDICAL
PROCEDURES AROUND THE WORLD.
HERE NOW TO TALK ABOUT THIS
LATEST ADVANCEMENT IN
TREATMENT OPTIONS AND
BENEFITS. DOCTOR MATTHEW
ANGELA ALI, HE IS DIRECTOR OF
BEHAVIORAL HEALTH FOR ORLANDO
HEALTH IN THANKS FOR STOPPING
IN. A KNOW YOU’RE BUSY. WE’VE
BEEN TALKING ABOUT THE MENTAL
HEALTH CRISIS FOR YEARS IS IT
ENCOURAGING TO SEE THAT, YOU
KNOW, MORE ATTENTION IS BEING
BROUGHT TO THIS? IT’S BEEN
ISSUE THAT IS BEING THAT IS
HELPFUL TO BRING MORE
ATTENTION.
>> WE’RE GETTING MORE SUPPORT.
WE’RE WE’RE ABLE TO EXPAND
SERVICES. IT’S BEEN A GOOD
THING.
>> ARE YOU SEEING A BIG UPTICK
IN, YOU KNOW, PATIENTS COMING
IN, PEOPLE REACHING OUT?
>> WE HAVE LIFE HAS BEEN
STRESSFUL THROUGH COVID AND
PEOPLE THAT WE USE TO NOT SEE
WHO WOULD BE ABLE TO MANAGE
LEVELS STRESS AND IN THE WORLD
THAT THE STRESS IS GOING UP.
SO WE’RE SEEING A GROUP OF
PEOPLE USE TO NOT WHAT’S YOUR
OVERALL ADVICE FOR PEOPLE WHEN
IT COMES TO MENTAL HEALTH
MANAGEMENT? SHOULD WE BE
LOOKING AT THIS?
>> ALONG THE LINES OF, YOU
KNOW, ANNUAL PHYSICALS. AND,
YOU KNOW, PEOPLE GOING TO GET
THOSE OTHER EXAM TO GET EVERY
YEARS. THINK WE SHOULD CHECK
IN WITH REGULARLY.
>> WITHOUT A DOUBT, I THINK
THE PEOPLE SHOULD SEE THEIR
EYE DOCTOR SEE THEIR
DERMATOLOGIST AND SEE THEIR
PSYCHIATRIST AT LEAST ONCE A
YEAR TO GET A CHECKUP.
>> BRIDGETT: WELL, LET’S TALK
ABOUT CAN MEAN, BECAUSE, YOU
KNOW, THEY’RE DIFFERENT RANGES
OF THERAPY AND SO MANY OPTIONS
OUT THERE. WHERE DOES THIS
FALL IN LINE WITH DIFFERENT
LEVELS OF CARE?
>> WELL, IT’S A IT’S A NEW
IT’S IT’S AN OLD MEDICINE WITH
A NEW PURPOSE. SO WE FOUND
THAT IT’S HELPS WITH THE
SUICIDAL DEPRESSION. AND SO
IT’S A VERY SEVERE TYPE OF
DEPRESSION. THIS IS NOT
SOMETHING THAT THE AVERAGE
PERSON WHO STRUGGLES WITH A
MILD TO MODERATE DEPRESSION
WOULD USE.
>> BRIDGETT: SO THIS IS MORE
LIKE ALONG THE LINES OF AN
INTERVENTION LEVEL. THIS IS
LIKE FOR MORE SEVERE WHEN
THINGS OF OTHER THINGS HAVEN’T
BEEN WORKING OR THAT. THAT’S
CORRECT. SO
>> WHEN PEOPLE STRUGGLING WITH
SEVERE DEPRESSION, IF YOU GIVE
THEM MEDICINE, THE FIRST OR A
3RD OF PEOPLE RESPOND TO THE
FIRST MEDICINE. ANOTHER 3RD
RESPOND TO THE SECOND MEDICINE
AFTER THAT RESPONSE IS
DIFFICULT TO I SEE A LOT OF
PEOPLE WHO HAVE HAD 10 OR 15
TRIALS AND THAT’S WHERE
KETAMINE CAN COME IN.
>> I WAS READING UP ON HOW
THIS ALL CAME ABOUT AND IT WAS
PARTIALLY WITH SOME CLINICAL
TRIALS. BUT OTHER TIMES GIVEN
TO PEOPLE WHO HAD MAYBE BEEN
RESCUED IN A SUICIDAL
SITUATION AND GIVEN SOMETHING
LIKE THAT AND HAD A LONGER
TERM EFFECT THAN ANTICIPATED.
>> IT SO WE STUMBLED UPON THIS
AND THEN PEOPLE DID RESEARCH
ON THIS PEOPLE THAT ARE
DEPRESSED. WE START GIVING
THEM MEDICATIONS AGAIN.
RESPOND TO THE MEDICINE. SOME
DON’T. WHEN KETAMINE WAS
GIVEN, IT WAS NOTED THAT IN A
DAY THEY WERE BETTER AND THE
SUICIDAL THOUGHTS WERE GUN THE
EFFECT WERE OFTEN 7 DAYS. AND
SO THERE IS A LOT OF RESEARCH
DONE AND THE WAS GIVEN TWICE A
SO THERE IS A LOT OF RESEARCH
DONE AND THE WAS GIVEN TWICE A underdiagnosed disease WEEK FOR 4 WEEKS AND THEN THEY
FOUND A PERMANENT RESPONSE.
AND THEN SOME PEOPLE JUST NEED
SOME MAINTENANCE THAT MAYBE
EVERY 2 TO 4 WEEKS GET ANOTHER
DOSE. SO WHAT DOES THAT LOOK
SAW SOMETHING ABOUT IVS. I SAW
SOMETHING ABOUT NASAL MIST. SO
>> HOW DOES THAT BREAK DOWN?
>> RIGHT. SO THE STUDIES AND
USE WAS IVS IN A CITY ALL JUST
BEEN USING KETAMINE FOR MANY
YEARS. IT WAS STARTING TO BE
INFUSED AN OUTPATIENT CENTERS
TO HELP PEOPLE WITH
DEPRESSION. JANSEN, TRYING TO
FIGURE OUT HOW THEY COULD GIVE
IT DIFFERENTLY. THAT’S WHEN
INTER NASAL WAS GIVEN. AND
IT’S BEEN HELPFUL.
>> BRIDGETT: AND SO THERE’S
SOME DOWN TIME WITH THE DOSES
BEFORE YOU’RE ABLE TO LIKE GO
HOME BECAUSE IT IS SOMEWHAT OF
A SENATE, RIGHT? THAT’S
CORRECT.
>> SO YOU’LL GO INTO THE
OFFICE. WE NEED TO CHECK YOUR
BLOOD PRESSURE BECAUSE IT CAN
MAKE YOUR BLOOD PRESSURE GO
UP. YOU’LL SIT DOWN IN HIS
CHAIR YOU ADD MINUTES, YOU’LL
BE GIVEN THE MEDICINE YOU
DON’T WALK IN WITH THE
MEDICINE WILL BE GIVEN THE
MEDICINE, YOU THE MEDICINE UP
IN EACH EACH NOSTRIL IN YOUR
NOSE AND YOU HAVE TO SIT THERE
FOR 2 HOURS JUST TO MAKE SURE
EVERYTHING GOES WELL, YOU
CAN’T DRIVE HOME. WHAT WE
RECOMMEND IS THAT YOU HAVE A
GOOD NIGHT’S SLEEP BEFORE YOU
DRIVE AGAIN. OKAY.
>> BRIDGETT: ONE OF THE OTHER
THINGS THAT WAS INTERESTING
ABOUT THIS IS WE SAY IT’S BEEN
AROUND SINCE THE 60’S AN
ANESTHESIOLOGY, BUT THERE WAS
ALSO. I GUESS, THERE DURING
THE 90’S WHEN THERE WAS NO
TALK ABOUT DIFFERENT TYPES OF
DRUGS BEING USED IN, YOU KNOW,
DATE, RAPE AND THINGS LIKE
THAT. WHAT WAS THE BACKGROUND
ON THAT? BECAUSE I MEAN,
ISSUES ALL THE TIME. THAT’S
CORRECT. AND WE SEE THAT WITH
FENTANYL AND OTHER OPIOIDS,
OPIOIDS. WHAT YOU GUYS COVERED
JUST TALKED ABOUT THIS RIGHT.
>> AND SO CAN A MAN USED
APPROPRIATELY, ESPECIALLY
UNDER THE GUIDANCE OF A
QUALIFIED HEALTH CARE
PROFESSIONAL IS VERY SAFE.
PEOPLE ABUSE IT, IT CAN CAUSE
A LOT OF VERY DIFFICULT
RESULTS AND THAT’S WHY YOU
DON’T WANT TO GO BY THIS
SOMEWHERE. THAT’S RIGHT. OVER
THE COUNTER AS THAT’S AND I
DON’T KNOW WHAT YOU’RE AND
MOST OF THE KETAMINE COMES IN
FROM MEXICO. WHY? IT’S NOT
FARMERS FROM IT’S NOT DEVELOP
BY PHARMACY COMPANIES. AND SO
THAT’S SOMETHING TO BE AWARE
OF AS WELL. YES, MA’AM.
>> BRIDGETT: ANY OTHER ADVICE
IN TERMS OF PEOPLE LOOKING AT
THEIR MENTAL HEALTH CARE, A
REGIMEN OR, YOU KNOW, THINGS
THAT THEY STEPS THEY CAN TAKE,
YOU KNOW, TO MANAGE THAT
BETTER.
>> YES, SO DEPRESSION IS
CAUSED BY CHRONIC STRESS. SO
START MANAGING YOUR STRESS,
PAY ATTENTION TO IT THINGS
THAT YOU CAN DO FOR YOUR
DEPRESSION. FIRST THING
EXERCISE, MODERATE EXERCISE IS
PROBABLY BEST SO EXERCISE SOME
WORK ON YOUR RELATIONSHIPS
WITH THAT ARE SUPPORTIVE TO
YOU. GET INVOLVED WITH YOUR
COMMUNITY RELATIONSHIPS BUILD
A NETWORK. LIFE IS NOT AN
INDIVIDUAL SPORT. IT’S A TEAM
THAT THAT’S RIGHT. NO MAN IS
AN ISLAND. ALL RIGHT. WELL,
THANK YOU, DOCTOR. ANGELA,
EARLY BECOMING OF THAT
INFORMATION. SO IT’S ALWAYS