The Mental Healthcare System Is Broken – Patients Deserve BetterPosted In Neuroplasticity, NeuropsychiatryLet’s cure the Big Pharma stranglehold on our mental healthcare systems. It’s time to break the cycle and put real science to work in service of our patients. By any measure, the system is broken. Traditional models of neuropsychiatry are [Continue Reading]
Ketamine and the Elite AthleteI recently had the opportunity to evaluate and to treat a 24 year old NFL player. He presented with complaints of a feeling of stress, disturbed sleep, reduced appetite, and intense frustration at his circumstances for the last two [Continue Reading]
How Would Your Life Be Different? A Ketamine Patient SpeaksNote: We are grateful to share this young woman’s story with you. Writing this was a generous act on her part, and while her name is hidden to protect her privacy, we will share any questions or comments you have. As always, [Continue Reading]
What About Spravato? Which Ketamine Works BestSpravato (Esketamine) vs. IV Ketamine (Racemic) I’ve been a practicing psychiatrist for over 35 years, with special training in neuroscience and integrative medicine. In the last year, I began offering IV Ketamine infusions paired [Continue Reading]
The Black Hole: Teens & Mental Health“I’m terrified that my 17 year old daughter has a secret life, and might hurt herself – or worse.” Mrs. B called in a panic. Her daughter (let’s call her Rachel) is a senior at a local high school. Her [Continue Reading]- Finding The True Power of Ketamineby Michael Miletic, M.D. Ketamine has reached the medical mainstream, but the majority of ketamine use seems to ignore its true power. Too often it’s use is as a stand-alone therapy, available orally, intra-nasally, by IM or IV. [Continue Reading]
Far From a Magic Pill: The Real Story of Ketamine and Depression“I’m about to lose my son”. Adam’s mother brought him to me as a last resort. They’d tried more psychiatrists than she could count, with the outcome always the same: he felt “drugged and ignored”. A new drug, a new diagnosis, and [Continue Reading]
The Heart of a BoyI have a son who is a cardiac surgeon doing heart transplants and other intricate surgeries. We won’t discuss my fatherly pride, although obviously it is there. He told me a story this week that has burned its way into my brain and I [Continue Reading]
The Trap of the Quick FixThe simple truth is this: someone will always step in to fill the void. In both study and practice, psychiatry and psychology have failed to properly support the need for mental health. This leaves us vulnerable to the ‘quick-fixers’. [Continue Reading]
Redefining Trauma: The failure of the psychiatric system and the way forwardWelcome. I wrote this as a follow up to my great conversation with Lucas Aoun about trauma. We talked about the high performing individuals who have trauma in their early lives, and how this trauma can often become fuel for exceptional [Continue Reading]
Big Goals & Quick FixesDo you want to relieve a pain or transform your life? As a culture, we are saturated with the quick fix. The pill. The hack. The simple answer. As metabolic and functional practitioners, we criticize (and rightly so) the allopathic [Continue Reading]
Inside the HRT BoomHRT (Hormone Replacement Therapy) clinics for both men and women have sprung up and evolved into a multibillion dollar industry. Business analysts estimate HRT at $39.6 Billion dollars and growing, providing a lucrative business target. [Continue Reading]
Is It All In Your Head?Extending the Mind-Body Connection with Dr. Sarno Dr. John Sarno MD was a full professor of physical medicine and rehabilitation at NYU for many years. He began his career treating patients with chronic back pain. He tried all of the usual [Continue Reading]
The Myth of Testosterone and Young MenPosted In UncategorizedAs a culture, we are so comforted by Ockham’s Razor that it has become our way of life. If we accept the simplest explanation in all cases, how much easier our lives are. The danger is that we reduce complex issues to an insufficient [Continue Reading]
Are Men Immune to Depression? Questions from the PodcastMy rather unconventional conversation with @BPakFitness on The Muscle Intelligence Podcast has stirred up comments and questions, and frankly, I’m excited. Ben and I touched on several highly personal topics, including men and [Continue Reading]
Ben Pakulski Podcast – The Backstory from Dr. MileticDr. Miletic Joins Ben Pakulski on ‘The Muscle Intelligence Podcast’ It was such a pleasure to talk with my good friend Ben Pakulski as a guest on his hugely popular ‘Muscle Intelligence’ podcast. As you know, Ben [Continue Reading]
Great Performance Begins With Your Mind: Tools from Ben Pakulski PodcastFollow-Up Tools from my talk with Ben Pakulski Although I spoke with Ben Pakulski on the Muscle Intelligence Podcast for over an hour, we didn’t scratch the surface of the depths we can and have gone in our past conversations. As an [Continue Reading]
The Power and Mystery of the UnconsciousPosted In NeuropsychiatryWilliam James, widely considered to be the father of modern psychiatry famously spoke in 1890 of an unconscious system in our brain/body. He postulated that if he were to take an Eskimo and put him on the plains of the Serengeti, having [Continue Reading]
Happy New Year! (PS: You’re About to Fail)Posted In UncategorizedWhat makes the New Year so special? It’s the only time of the year when people around the globe are united in celebration. Marked by an outpouring of good cheer, revelry, and connection, we feel connected in a joyous celebration. [Continue Reading]
The Real Danger of MasksPosted In Coronavirus, StressThe latest thinking about mask-wearing in the time of Covid. Let me start by saying this is not a political discussion. I’m a scientist and a neuropsychiatrist, not a politician. And like many of you, I’m trying to put the divisive [Continue Reading]
Can We Handle the Truth?Posted In CoronavirusDebunking a COVID Myth Can a myth put your life at risk? In this case, yes. The stress of COVID makes us all susceptible to seeking out comforting ‘truths’ even when the facts don’t support it. You’ve likely seen this ‘truth’ [Continue Reading]
You Are In Control – Even When You Feel Out Of ControlPosted In StressI have been talking about dealing with the chronic stress of everyday life for some time now. Just because it is commonplace does not mean it is without consequence. In fact, your stress is constantly driving up your cortisol and your [Continue Reading]
Get Yourself Ready for What Comes NextImagine a roller coaster climbing the tracks. Click by click it gets higher and higher as the stress and fear build. This is an apt description of our last 6 months. Stress and fear building day by day with little relief in sight. But [Continue Reading]
The Kids Are Not Alright.Amidst a generation-defining trifecta of scary stuff, the kids are NOT alright. Kids see and hear everything — especially the stuff you don’t want them to. And right now, many kids are trying their best to process a [Continue Reading]- Neurosomatic Therapy: Can Massage Make a Profound Difference in Your Health & Immunity?In a word – Yes. Neurosomatic Therapy is massage – but better than you’ve ever experienced. This is body therapy as part of an integrated plan for your total health. We are disrupting the broken traditional medical model by fully [Continue Reading]
- The Flip Side of Freedom is ResponsibilityPosted In UncategorizedWe’re Done with COVID… But COVID’s Not Done with Us. As we celebrate the July 4th Holiday, let’s take stock of where we are and what’s next. Over 50,000 new US COVID cases are being reported daily. Scientists agree the number is already [Continue Reading]
- The Two Things You Need to Survive These Troubled TimesLet’s begin by asking what makes THIS time of stress so difficult and toxic? After all, we have been through many disasters before – 9/11, countless wars, natural disasters, etc. – without nearly this degree of emotional and [Continue Reading]
- No One Is There To Make You WholeThere have been real losses over the last few months, and more lay ahead. People you know may die. Businesses will close. Clients have disappeared. Years of gains have evaporated from the market. This is not your fault. You work hard. You [Continue Reading]
- The Pandemic Paradox: What Keeps Us Safe Also Hurts Us DeeplyA Way Forward Our current situation presents us with a unique opportunity for learning and growth. It also presents us with dangerous pressures for which we are not prepared. I call it the ‘Pandemic Paradox’, because the very behaviors [Continue Reading]
- Traumatized by Coronavirus: Part 3Part 3: Your 10 Step Plan So now you are familiar with trauma and you are starting to understand how this pandemic is impacting your emotional, mental and physical wellbeing. And those around you as well. One key takeaway is that what [Continue Reading]
- Traumatized by Coronavirus: Part 2Part 2: Taking Back Control Welcome to Trauma. Yes, You. It’s time to build a new mental game. I’m going to share some of the mental skills I’ve used through the years to help athletes to win Super Bowls and Stanley Cups, and high [Continue Reading]