Today, The Frontier Psychatrists welcomes back my friend Ben Spielberg. He’s been a reader for a long time and has contributed to the newsletter in the past. It was on Clinical Trial design, a perennial favorite around these parts.
With only light edits, what follows is his work, narrated by me, for the Audio Version.
I would invite you to the live class today on working as an out-of-network provider, but it sold out last night, so you’ll have to wait for the next one.
My prior article on Spravato is available here.
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The year is 2024. OpenAI has just launched its latest update to ChatGPT, promising more natural and less artificial-sounding language. Donald Trump has won the nomination for President of the United States. Another chain of ketamine clinics has engaged in a corporate reorganization . There is conflict in the Middle East. Are we sure that we’re not living Groundhog’s Day?
I am the founder of Bespoke Treatment, an integrative mental health facility with multiple locations that has at times been referred to as a "ketamine clinic." I have also seen countless so-called "ketamine clinics" sell for pennies on the dollar and go bankrupt seemingly overnight. In this case, Numinus, a company that was publicly traded in Canada and owned a number of psychiatric clinics specializing in ketamine in the US and Canada, has sold its clinics to Stella (a company that has stealthily become one of the larger mental health providers in the country and is the first to bring the awesome SGB treatment to scale). It’s not the first time this has happened. It’s not the second, nor the third, nor even the fourth time this has happened. But yet, the common consensus is that ketamine clinics are a cheap, easy business with recurring revenue. So, what gives? Figure 1. A reddit user asking anesthesiologists if they should start a ketamine or Botox clinic for easy cash on the side. Does this make you feel gross? Should it? The Ketamine Clinic Model 101
The most basic outline for a ketamine clinic is as follows: a provider rents […]
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