Stella

Back

Addressing the mental health needs of Black, Indigenous, and People of Color

Addressing the mental health needs of Black, Indigenous, and People of Color
By stella
28th Jul 2022

Each July, National Minority Mental Health Awareness Month brings awareness to the unique struggles that racial and ethnic minority groups face regarding mental illness in the US. Unfortunately, members of the BIPOC (Black, Indigenous, and People of Color) communities and other minority groups often face disproportionate inequities in care, support, or mental health services in this country.

As a result, they are significantly more likely to develop mental health conditions. One of the significant barriers to mental health treatment is access and the need for understanding mental health support.

Traumas can impact communities as a collective and the individuals themselves and a major barrier to treatment around mental health is the lack of access and understanding of mental health support. 

This BIPOC Mental Health Awareness Month, we sat down with three mental health care advocates to discuss the struggles of their communities, the stigmas they still face and the changes they hope to see.

Ryan Mundy, the founder and CEO of Alkeme Health, founded the company after noticing that there weren’t any health platforms that focused on the trajectory of Black health.

“They were never given permission to talk about it so it’s kind of like a self-fulfilling prophecy. It becomes a stigma because nobody has the language or the education or the space to talk about it.”

Alkeme is a streaming platform that provides therapists, wellbeing courses, guided meditations, and livestream sessions centered around the Black experience. 

“We’re Black today, Black tomorrow. Black forever. And underneath that, there’s a lot of different ways in which people show up as Black. I’m not here to segment or to say you are too Black or not Black enough. If you identify as Black, our aim is to have a space for you within the platform.”

Artist Leo “Lowhi”, mental health advocate from Asian Mental Health Project, discussed how he felt shame and guilt around feeling emotions from an early age. 

“The fear of reaching out and having someone judge me for that, in my mind state at the time, that’s worse than whatever pain that I’m going through.”

Leo educates, empowers and advocates for mental health with the Asian Mental Health Project which provides resources to make mental healthcare more accessible. Join a community wellness group or sign up for Asian Men’s Wellness Check-in today.

And Kathleen, who associates herself with both the Latinx and Middle Eastern Community, discusses how admitting that you need help and that you are not okay is actually the strongest decision you could ever make for yourself. 

“It can be an uphill battle if you’re surrounded by people who don’t believe in mental health and they believe that whatever you’re going through is just made up, that it’s ‘all in your head.’ “ 

Share
Share
mental health
BIPOC
BIPOC Mental Health Awareness Month

Stella

Back

How Ketamine Infusion Therapy Can Benefit Your Healing Journey

How Ketamine Infusion Therapy Can Benefit Your Healing Journey
By stella
19th Jul 2022

The landscape of mental healthcare treatment is vast. Pharmaceutical drugs, the Stellate Ganglion Block (SGB), yoga, talk therapy…. The list goes on. 

The idea of researching available treatments can be daunting. And deciding where to start your healing journey – or what to add to it – takes time and serious consideration. That’s where Stella comes in. 

In this article, we explain what Ketamine Infusion Therapy by Stella is, which conditions it can treat, and how it can fit into your healing journey. 

The History of Ketamine 

How It Started

In 1966, researchers published the first study about using ketamine as an anesthetic, noting that it provides “excellent analgesia” (or inability to feel pain). By 1970, the FDA approved the use of ketamine as an anesthetic. And in 1985, the World Health Organization added ketamine to its Essentials Medicines list. 

Researchers Find a New Use For Ketamine

In the early 1990s, researchers at Yale noted that when treated with pediatric anesthetic ketamine, chronically depressed patients experience “almost immediate – if transitory – relief from [their] symptoms.” This observation sparked researchers’ curiosity about ketamine’s potential to help the tens of millions of people who struggle with depression and other mental health conditions, like anxiety and PTSD. 

In a 2015 study published in the American Journal of Psychology, researchers celebrated ketamine as “one of the most important breakthroughs in antidepressant treatment in decades.” 

Multiple randomized clinical studies find that ketamine infusions can effectively treat major depressive disorder and treatment-resistant depression with a success rate as high as 80%. Patients with suicidal thoughts respond particularly well to ketamine – over 80% report that their suicidal thoughts stop completely after the first infusion. 

How Ketamine Infusion Therapy Works 

Ketamine can enter the body in a few ways: intravenously, intramuscularly, intranasally, sublingually (under the tongue), or orally (by mouth). Stella only administers ketamine intravenously, which is the most common method. 

The amount of ketamine used in Ketamine Infusion Therapy by Stella is much lower than what anesthesiologists administer before surgery. 

How Does Ketamine Affect the Brain? 

Ketamine is an NMDA receptor antagonist that interacts with some of the brain’s neurotransmitters. When ketamine binds to those receptors, it increases the amount of glutamate between neurons. Glutamate then activates connections in the AMPA receptor. When NMDA receptors are blocked and AMPA receptors are activated, synaptogenesis occurs. Synaptogenesis is the process of neurons communicating with each other along new pathways, which can affect mood, thought patterns, and cognition. 

Ketamine causes nerve growth throughout the brain which can lead to long-lasting symptom improvement, even after the drug is no longer in your system.

What Is the Infusion Session Like? 

At the beginning, you might not notice any changes. As the session progresses, you may feel lighter or like you’re floating. Some patients describe this sensation as “a weight being lifted” off their shoulders. Other patients experience a dream-like state or calmness. It’s also possible to have visions of colors and shapes. These types of out-of-body experiences are why ketamine is sometimes categorized as a psychedelic drug. 

Generally, 15 minutes after completing the infusion, patients start to regain their senses and their thinking returns to normal. 

How Long Does It Last? 

The positive effects of a single ketamine infusion can last for up to two weeks. After a series of six infusions, many Stella patients are symptom-free for several months or longer. 

The Benefits of Ketamine Infusion Therapy

It’s Fast-Acting 

Ketamine caused a paradigm shift in the treatment of major depressive disorder and treatment-resistant depression. Many pharmaceutical drugs take weeks to work – if they work at all – whereas ketamine can work within hours of the first infusion. For some patients, it takes multiple infusions to experience relief. In either case, Ketamine Infusion Therapy often yields a successful result before traditional treatments – think pharmaceutical drugs or talk therapy – do. 

This is incredibly encouraging because when someone is struggling with depression, they may benefit from a treatment with a fast positive response. For this reason, ketamine can be an extremely valuable tool in preventing suicide and alleviating major depressive disorder. 

It’s Safe 

Ketamine Infusion Therapy by Stella is administered by highly-trained medical personnel who work under the direction of a Board Certified physician. They deliver the ketamine intravenously very slowly over 45 minutes. During the session, medical personnel will closely monitor your vital signs and adjust the dose as necessary. They are also prepared to manage unpleasant side effects like nausea. 

There Are Minimal Side Effects  

Side effects of Ketamine Infusion Therapy include mild drowsiness, nausea, and increased blood pressure, and they usually only last an hour or two. 

Less common side effects include vivid dreams and agitation. These can be controlled by adjusting the dose during the infusion session. 

There is no evidence that ketamine is habit-forming or addictive when administered intravenously at low doses and frequencies to treat depression. In fact, research suggests that ketamine can help people overcome addictions. 

Please note that a history of substance-use issues will not exclude you from participating in Ketamine Infusion Therapy by Stella. However, it is important to disclose this information to our Care Team before treatment. 

It’s Customized To You

Ketamine Infusion Therapy by Stella includes six infusion sessions. To maximize the positive effects of treatment, patients typically space their infusions out over a two-to three-week period. 

The total number of infusions and need for maintenance infusions varies from person to person. Stella’s Care Team will work with you to create a plan that’s practical and most likely to yield a successful result. 

Most of Stella’s treatment locations let you bring your own music so you can set the tone of your infusion sessions. Many locations also allow a family member or friend to accompany you so you feel comfortable and supported during treatment.

Adding Ketamine Infusion Therapy To Your Existing Care Plan

To help you achieve the best possible outcome, Stella combines cutting-edge biological and psychological interventions. 

Our team understands that there are many paths to healing. Ketamine Infusion Therapy can compliment the work you’re already doing and it’s a great first step. 

The Stellate Ganglion Block 

Treatment by Stella is based on the symptoms that you self-report in our short quiz. Our quiz gauges the post-traumatic stress (PTS) and/ or depressive symptoms you may be experiencing. Our Care Team will determine if you might benefit from the Stellate Ganglion Block (SGB), Ketamine Infusion Therapy, or a combination of the two. 

People with moderate PTS and moderate depressive symptoms may be good candidates for both SGB and Ketamine Infusion Therapy. Our Care Team is prepared to discuss your treatment options with you and will provide the information you need to make an informed decision. 

A month and a half after one of our patients had SGB and five ketamine infusions, they said that they felt like they got their life back: 

“These treatments allowed me to see that my trauma and the abuses were nothing but mere memories. Those fleeting things. Mere floaties, as opposed to hard truths about life and myself. I am able to connect to myself in a way that is incredibly healing! I am alive and healing at incredible speed!”

Other Therapies and Treatments

Ketamine Infusion Therapy by Stella can accelerate the impact of other therapies and treatments, such as talk therapy, pharmaceutical drugs, transcranial magnetic stimulation (TMS) and more. Many of our patients find that after their infusion sessions they can more easily incorporate takeaways from therapy because they are less focused on their symptoms. 

One of our patients reflected on the progress they made after Ketamine Infusion Therapy by Stella: 

“I got six infusions in seven days. The infusions had a huge impact on my trauma and the way my brain was holding on to the moments in my past. The traumatic events were as old as 30 years. The infusions made me feel as if I was the only thing that exists on earth, which is extremely peaceful. My rumination on past events went away, and I was extremely calm and happy. During some of the infusions I felt as if I was dying. The feeling of dying helped me kill the pain that was inside, rather than me wanting to commit suicide. I battled with suicidal ideations for over 30 years with over 20 years of psychological therapy. I made more progress during one infusion than I had in 20 years of therapy and 90 days in inpatient rehabilitation. Ketamine infusions would have given me my childhood and adulthood back, rather than living with a horror film inside of me.”

What Does Ketamine Infusion Therapy Cost? 

Our package of six ketamine infusions starts at $3,899. Please note that the price of Ketamine Infusion Therapy by Stella varies by location.

Although ketamine can be legally prescribed and administered to treat mental health conditions like depression, anxiety, or PTSD, ketamine infusions are not currently covered by healthcare insurance companies for this use. Today, ketamine is only covered by insurance as an anesthetic. 

To help make Ketamine Infusion Therapy accessible, Stella accepts payment through HSA and FSA accounts. We also offer two financing options: a 24-month plan through CareCredit and an in-house plan for those who qualify. 

If you want to learn why Ketamine Infusion Therapy isn’t covered by insurance and how we set our prices, read Stella’s Co-Founder and Chief Strategy Officer Michael Gershenzon’s article on Cost, Care, and the Need for Transparency. 

Connect With Stella’s Care Team 

Stella has helped thousands of people find lasting relief from symptoms related to depression, anxiety, PTSD, and stress. To determine if you’re a good fit for Treatment by Stella, start by taking our brief quiz. You can also reach our Care Team at 312-448-6502 or care@stellacenter.com.

Share
Share
Ketamine
PTSD
Trauma Symptoms

Stella

Back

Stellate Ganglion Block (SGB): What To Expect & What’s To Come

Stellate Ganglion Block (SGB): What To Expect & What’s To Come
By stella
06th Jul 2022

Many people have questions about Stellate Ganglion Block (SGB). What’s the procedure like? How do you qualify? How do you feel after?

In this blog post, we’ll walk you through Treatment by Stella so you know what to expect before, during, and after SGB.

Qualifying for SGB

We will never ask you to tell your story or justify your trauma to qualify for treatment. 

Treatment by Stella is based on the severity of each person’s symptoms of depression, anxiety, and emotional trauma. It’s common for trauma survivors to feel unworthy of receiving care, these algorithmic-based tests help validate one’s experiences due to their unbiased nature. 

For those who qualify for treatment, the journey to relief begins. 

Before Treatment

For many of our patients, waiting to receive SGB is more difficult than the actual procedure. 

Stella isn’t always the first stop on our patients’ healing journeys. It’s common for trauma survivors to try multiple treatments – like prescription medications, talk therapy, or deep breathing exercises. While every time-tested, research-backed treatment has its merits, none of them can guarantee 100 percent relief. When a treatment doesn’t work, it can feel personal. And that may cause us to lose trust in the healthcare system. 

It’s completely normal to be skeptical or feel hopeless about the possibility of feeling good again. Memories of failed treatments can trigger anxiety and hesitation about SGB and worrying can keep us up at night. Our days may be interrupted by intrusive thoughts like:

What if SGB doesn’t work?
What if I can’t get my heart rate down?
What if my vitamins actually had turmeric in them?
I stopped taking my blood thinners, right?
I can’t wait any longer to feel better. 
Will SGB change who I am?

Here are four ways to help ease your mind and cope with this type of thinking before treatment.

Set expectations:

Some feel nervous talking to their friends, family, and care providers following SGB as they navigate the changes in their bodies in real-time. Some feel “pressure” to show positive results so they don’t let their loved ones down. These are common reactions and may even be tied to trauma responses.

Setting expectations with our support circle beforehand can help alleviate these types of reactions after treatment. 

  • Ask for some “quiet time” to yourself immediately after treatment to allow yourself to “unplug” and focus on resting.
  • Explain that you will share a quick update immediately after your SGB procedure followed by more details the next day.
  • Set boundaries for what types of language you want your support system to use. Many prefer to be asked “How are you feeling right now?” instead of triggering language like “Did it work?”

Sharing this 7 Ways To Take Care of Yourself or Others Before and After SGB resource with our support team can allow for them to look back on this document to help answer any questions they may have.

Review Stella’s treatment documentation:

Once treatment is scheduled, Stella will send you an email with the information you need to prepare for treatment, including: 

  • The location (address, pictures of the facility, parking details, how to check in, etc.)
  • Your doctor (their name, picture, medical training, current Board Certifications, etc.)
  • The procedure (what to wear, type of image-guidance used, companion policies, etc.)

Talk to your mental health care provider:

Many trauma-informed therapists are familiar with SGB, and we recommend discussing your upcoming treatment plan with them. If you do not have a mental healthcare provider, we may be able to refer you to one in our network. 

Talk to the Stella team:

If nervousness or anxiety arises on treatment day, please know that you’re in a safe space and you can openly ask questions or communicate your worries to the team on site. Ask your Stella doctor to walk you through the treatment again, step by step. 

Following your treatment

Whether one chooses to stay awake or use twilight sedation, many people experience similar outcomes immediately after treatment. Here are a few of the most common responses:

Sudden urge to cry

Most people report a rush of emotions. We recommend letting out the emotions. This is extremely common and healthy. Your Stella MD partner is familiar with this response and will respect your time and space through this release.

Calmness

While most have difficulty articulating what “calmness” feels like, they know it’s the feeling they are experiencing. We’ll touch on this more shortly.

Lightness

SGB can make people feel like a weight has been lifted off their chest or shoulders. This may make them feel like they can breathe more deeply and in turn feel more rested and relaxed than they’re used to. 

Tiredness

It’s normal to feel tired after a medical procedure. We recommend that our patients take a long nap after they leave get home. Sleep allows the body to heal and feel calm. Many patients find it helpful to turn off their cell phones while resting. 

The Following Days

Be patient with yourself in the days following treatment and revisit the expectations you set for yourself and your loved ones. Depending on how long one’s body has been stuck in fight-or-flight mode, the benefits may be glaring, hard to describe, or difficult to spot. 

Outside of what’s covered within the PCL 5 PTSD symptom tracker, many of the benefits experienced fall under the category of “calmness” and “peacefulness.” 

Calmness | ˈkämnəs,ˈkälmnəs:

the state or quality of being free from agitation or strong emotion.

This comes to life in many forms following treatment:

  • Having a clear head
  • Mind being quiet 
  • Time feels slower 
  • Acting less rushed
  • Feeling comfortable

Over 83 percent of Stella Patients experience lasting relief after one SGB procedure. And, 43 percent of patients schedule two treatments based on the severity of their symptoms.

The Stella Standard of Care was created to meet your needs before, during, and after treatment. 

There are patients that do not receive relief after their first treatment or may not receive as much relief as they were hoping for. In rare cases, some may experience an inability to control emotions, increased anxiety or panic attacks, or worsened sleep. If a second treatment, typically on the left side, is not already a part of the care plan, it will be recommended to those who experience these symptoms.

While the majority of people find relief after they receive the second treatment, Stella will work directly with 10-20 percent who did not experience any benefits from SGB and help navigate them on additional treatment options. 

The Next 14 – 30 Days

You may not notice changes in your symptoms at first but those close to you might observe changes in your behavior. Ask a trusted family member or friend to take inventory of how you’ve changed and have them share their observations with you. This exercise is eye-opening for many Stella patients. You may need to encounter stressful situations to realize that your response to them is different. 

When the body is no longer stuck in fight-or-flight mode, symptoms dissipate, which can positively impact how we move through daily tasks. Many people note that they:

  • Find driving is less stressful
  • See more clearly – colors appear brighter and their vision is sharper
  • Can more easily handle social situations or go out in public
  • Feel more sociable
  • Experience less physical pain
  • Can actively listen and more thoughtfully engage in conversations 
  • Interested in picking up old (or new) hobbies
  • Are a more confident parent and/or partner
  • Are excited about future planning

SGB gives people the ability to feel in a way that they did not think was possible. 

“The final piece to the puzzle. Yes, I needed therapy, meditation & medication, but those things didn’t get me all the way to where I needed to be. It’s like my fight or flight mechanism was stuck in the ‘on’ position and nothing could calm it down. The Stella Center SGB shot did. I’m not constantly triggered or on edge anymore. I can finally enjoy the new perspective and positive outlook that I gained from therapy. Life has its ups & downs but they’re manageable now. Life is brand new.”

Read more of Stella’s anonymous reviews in real-time to hear more about how people are experiencing life after treatment.

How Long Does SGB Last?

The lasting impact of SGB varies from individual to individual. In a study where participants were surveyed 3-6 months after treatment, 70 percent still reported a successful outcome. Many people find lasting results for years after treatment.

On average, 8 to 12 percent of Stella patients return for additional SGB treatment. Many have incorporated ongoing SGB treatments into their mental health care plan based on personal lifestyle, stressors, new traumas and/or response to treatment.

While all of the benefits of SGB treatments are still unknown, Stella sees an increasing number of patients reporting after receiving SGB, they have:

  • Improved handwriting
  • Reduced their use of or stopped taking prescription medications
  • Less PMS (premenstrual syndrome) symptoms
  • More memories from childhood
  • Less face and neck flushing
  • Decreased gag reflex

SGB is not a “cure” for PTSD or emotional trauma symptoms. We believe that the formula for lasting relief is a combination of biological and psychological interventions. 

What’s To Come for SGB

While SGB may seem new to the public, the medical industry has been exploring its capabilities since 1920. SGB has been shown to treat migraines and help women find relief from hot flashes and night sweats. More studies are underway to show its effectiveness for treating vertigo, bell’s palsy and much more.

Earlier this year, Stella Provider Dr. Luke D. Liu published a case study explaining how SGB successfully reduced long COVID symptoms. The result of this study led to Stella and RTHM partnering to provide RTHM’s Long COVID patients with access to Stella’s SGB treatment.

A new clinical trial sponsored by NYU Langone Health is leveraging Dr. Lipov’s modified SGB method, the Dual Sympathetic Reset, and Stella’s New York Provider to test SGB’s efficacy on PTSD symptoms through the use of brain scans. Researchers hope will help destigmatize PTSD as an illness and add to the public’s understanding of SGB as a potential treatment. 

Primary care and functional medicine practices, like Cornerstone, are now offering SGB to their patients through Stella’s Certified MD network.

There are many findings that remain unexplored, like SGB’s impact on Tinnitus or its positive impact on Roman/Ward syndrome.

The possibilities around SGB are endless. We won’t stop championing this treatment and providing you with the care you deserve.  

Share
Share
SGB
PTSI
Trauma Symptoms
stellate ganglion blog
emotional trauma

Stella

Back

Coffee or Die: Shot In The Neck Offers Some Relief to PTSD Veterans

Coffee or Die: Shot In The Neck Offers Some Relief to PTSD Veterans
By stella
01st Jun 2022

Michael Ergo struggled with post-traumatic stress for more than a decade following that deployment to Iraq in 2005 with 1st Battalion, 8th Marines. But he says he finally found peace last year through a treatment known as stellate ganglion block, or SGB.

While SGB has been used to treat pain for about a century, its use for treating post-traumatic stress is still relatively novel.

After about half an hour of observation after receiving SGB, Ergo was free to leave. He said he noticed the effects right away. He likens the feeling to the immediate aftermath of a good open-water swim in the Pacific Ocean — he felt calm and refreshed.

He half expected that feeling to go away, but a year later, he says he hasn’t experienced a single panic attack since.

“It wasn’t like I was totally blasé,” he said. “I’ll feel the appropriate amount of fear when a situation isn’t right or I need to act immediately. I just don’t sweat the things I used to sweat.”

Researchers hope a newly approved study at New York University will increase understanding of the treatment and help more patients like Ergo find relief.

“Mental health support, familial support, community support are really important around any intervention, including SGB,” Michael Gershenzon said.

While both Ergo and Stella Co Founder and Chief Strategy Officer Michael Gershenzon hope the study will ultimately make it easier for those suffering from post-traumatic stress disorder to try SGB, we emphasized that the treatment shouldn’t be seen as a silver bullet or one-and-done deal.

“This is the closest thing we have to a magic pill,” Ergo said. “But you have to do the supportive therapy with it afterwards to make the changes in your life.”

Read the full article on Coffee or Die

Share
Share
PTSD
PTSI
Trauma Treatment
News
Press
Symptoms
Trauma Symptoms
veteran
Military
Marine Corps

Stella

Back

What's All The Talk About Trauma Response?

What's All The Talk About Trauma Response?
By stella
24th Mar 2022

If you are a trauma survivor, a mental healthcare worker, or know someone who has experienced trauma, you have noticed the rise in trauma awareness, especially during the pandemic. 

Data from YouGov.com finds that nearly a quarter (23%) of 18-to 24-year-olds say they’ve sought mental health counseling during the pandemic. This is a noticeable increase from April 2020, when 13% of adults under 25 reported that they had turned to a mental health professional during the COVID-19 crisis. 

The last 2 years have brought critical paradigm shifts in our views on trauma. There has been increasing acknowledgment of trauma, post-traumatic stress, and the solutions that need to be taken to support those that have experienced it. Awareness has been influenced by musicians, actors, and popular personalities.

Lady Gaga created and expanded her Mental Health First Aid for teenagers in high schools across the country. Prince Harry joined BetterUp, which provides coaching and mental health services to businesses and individuals. And, in his memoir Over the Top, Van Ness describes his experiences with addiction, depression, trauma, and being HIV-positive.

Over the past 18 years, Google searches for “trauma” have steadily risen, peaking in 2021, according to Vox.com’s article How trauma became the word of the decade. These spotlights are important to the growing awareness of mental health and trauma but we must continue to educate ourselves, and others, as we push forward on destigmatization.

What Happens if We Don’t Know We Have Trauma or Leave Our Trauma Untreated?

When trauma remains untreated, signs, symptoms and responses may begin to appear.

Some recognizable symptoms following trauma are agitation, nervousness, anxiety, trouble concentrating, depression and headaches. There are many more, which you can explore on our previous blog, Signs and Symptoms.

Outside of the gaining an understanding of the signs of trauma symptoms, there has been a growing movement happening right now on TikTok where users are having tough conversations around trauma and information sharing with one another. With over 110.8M views on the hashtag #traumaresponse, more and more people who have unknowingly experienced trauma are recognizing their own personal symptoms and responses for the first time.

What most don’t know is that there can be a difference between a trauma symptom and a trauma response.

What is Trauma Response?

Trauma Response is the unconscious response style we can develop in the wake of untreated trauma that shifts our previous way of relating to others or our situations. 

Trauma can change our personality. It’s response patterns reflect what trauma has taught us and how we apply these lessons to increase our feeling of being safe. However, trauma also changes our sense of identity and our relationships over time, and may themselves cause additional loss and further trauma in our lives. 

What Can Trauma Responses Look Like?

Hyper Independence 

Trauma can make us feel that our safest path is to work and live alone. We may feel like the only person we know we can rely on is ourselves and it can make us feel undeserving of connection with others. We can feel ashamed of who we have become and avoid social contact and interdependence for this reason as well. 

Overworking 

Overworking ourselves can be an attempt to outrun our trauma. It is a distraction from our trauma symptoms. When we are not working, symptoms increase because we longer have the focus of work to distract our intrusive memories. 

Lack of Memory

Cognitive changes are part of the trauma response, including memory and concentration loss. Think of unaddressed trauma as a “file” on your mental computer that slows the whole system down. While it is unaddressed, it is always running in the background. Then all of a sudden, it sends a “pop up” into your mental space – which impedes the ability to focus and remember things with clarity. 

There may also be a conscious or unconscious suppression of disturbing memories. When we suppress one thing,  we often suppress other memories as well since our memories often interlock in our memory network. 

Apologizing Constantly

Apologizing constantly can be a behavior designed to “keep the peace” and “socially appease” someone else. If our trauma is interpersonal, this behavior can develop in response to an attempt to avoid dangerous interactions. The same can happen with People Pleasing (Fawning) and Over Explaining (Fawning) trauma responses. 

Isolation 

Many trauma survivors have said for years that trauma shrinks their world. We may feel overwhelmed or unsafe in groups, quick to anger, misunderstood, or just uninterested in being around people. 

Oversharing 

Oversharing can be part of lacking boundaries when we have been violated in traumatic ways and can also be part of the anxious-ambivalent attachment style 

Body Dysmorphia 

Body dysmorphia and past trauma are only just beginning to be understood. Nevertheless, a growing body of research suggests that trauma is strongly associated with the development of BDD.

Approaching Trauma Treatment

Though many people have experienced or are now recognizing exposure to trauma, awareness surrounding trauma is growing, and that’s a good thing. Signs, symptoms and responses to trauma can come in many different forms. The more access we have to care, the better the chance of us finding relief when needed. 

There are many highly recommended treatments for trauma. In recent years, the Stellate Ganglion Block (SGB) has emerged as a promising treatment option for symptoms of trauma. Stella founders Dr. Eugene Lipov and Dr. Shauna Springer recently published a study with other trauma experts that you can read more about here or learn more about SGB on our “How It Works” page.

Share
Share
PTSD
PTSI
Trauma
Post-Traumatic Stress

Stella

Back

Can Stellate Ganglion Block (SGB) Help Prevent Suicide?

Can Stellate Ganglion Block (SGB) Help Prevent Suicide?
By stella
03rd Mar 2022

Stella co-founder and leading trauma expert Dr. Shauna Springer spoke with Mission 22 to discuss the power of Stellate Ganglion Block (SGB). Mission 22 is a national community supporting active service members, Veterans, and family members through three key areas of focus:

  • Support and Treatment Programs— addressing Post-Traumatic Stress, Traumatic Brain Injury, suicide risk and other challenges.
  • Social Impact— uniting civilians and the military community to raise awareness of issues active service members, Veterans, and their family members face.
  • Memorials— remembering and honoring service members and Veterans through large scale installations and digital initiatives, while raising awareness for issues faced on home soil.

Stella believes that when biological interventions – like the Stellate Ganglion Block (SGB) and ketamine infusion therapy – are paired with psychological interventions, like Mission 22’s Recovery and Resilience Program, the result can be life-changing.

In recent years, the 17 most common symptoms following trauma have been identified. On this list includes suicidal thoughts or attempts.

We can be so overwhelmed by our symptoms that we sometimes consider harming ourselves or suicide. When we’re experiencing trauma symptoms, we can also experience depression, panic attacks, anxiety, and substance abuse and are at higher risk for suicide. In fact, people diagnosed with trauma symptoms are 9.8 times more likely to die by suicide.1 

SGB has emerged as a promising treatment option for symptoms of trauma. Stella founders Dr. Eugene Lipov and Dr. Shauna Springer recently published a study with other trauma experts that indicates that the SGB is an effective treatment for trauma symptoms regardless of gender, trauma type, PTSD-related medication use, history of suicide attempt, or age.2 

  • Sleep Difficulties
  • Chronic Hypervigilance
  • Startle Response
  • Difficulties Concentrating
  • Floods of Anxiety
  • Irritability or Anger/Rage

Dr. Springer also explores a couple common misconceptions about SGB.

The first misconception is that SGB “blocks you.” This misconception is tied to the assumption that SGB is a nerve blocker, which it is not. If you’re asking yourself, “What Is SGB?” you can learn more about how it works here.

The next misconception discussed is the assumption that SGB “takes your edge away.” On the contrary, people who have received SGB by Stella have come back and reported that SGB had improved reaction time.

Listen to the full piece here:

If you are thinking about suicide or need emotional support, please text “HOME” to 741741 for free, 24/7 crisis counseling from Crisis Text Line. We want you to know that you are not alone and that there is hope. 

  1. National Center for PTSD. PTSD and Death from Suicide. Retrieved 9/28/21 from https://www.ptsd.va.gov/publications/rq_docs/V28N4.pdf 
  2. Lipov, E. G., Jacobs, R., Springer, S., Candido, K. D., & Knezevic, N. N. (2022). Utility of Cervical Sympathetic Block in Treating Post-Traumatic Stress Disorder in Multiple Cohorts: A Retrospective Analysis. Pain Physician, 25(1), 77-85. Available from: https://www.painphysicianjournal.com/current/pdf?article=NzM5Nw%3D%3D
Share
Share
SGB
PTSD
PTSI
Treatment
Trauma
Mission22
Suicide
Trauma Symptoms

Stella

Back

What Is PTSD?

What Is PTSD?
By stella
14th Feb 2022

If you’re asking yourself, “Do I have PTSD?” (which Stella refers to as PSTI) and think that you may be experiencing symptoms, take this PTSD test online. Or, contact our Patient Care Team directly by calling 1-866-497-9248 or emailing care@stellacenter.com.

Everything You Need To Know About PTSD

What does PTSD stand for? PTSD is an abbreviation for Post-Traumatic Stress Disorder.

And what is PTSD? In the field of psychology, PTSD is thought to occur in response to experiencing a traumatic or stressful event that creates feelings of horror or helplessness. What most don’t know is that PTSD isn’t always caused by one big traumatic event. Years of cumulative trauma can cause PTSD as well. PTSD can last for months or years, and we can experience a range of physical and psychological symptoms – we’ll explore this a little later.

When we experience trauma, our body’s fight-or-flight response turns on, and sometimes it stays on long after the traumatic event. Many researchers agree that the amygdala (also known as the brain’s “fear center”) becomes overactivated after trauma, causing nerve growth.1 This nerve growth may prevent the fight-or-flight response from returning to a normal level. Brain imagery data suggests that trauma symptoms cause changes that are visible in the brain.2

How Common Is PTSD?

Before the COVID-19 pandemic, it was estimated that 6% of the U.S. adult population would struggle with trauma symptoms at some point in their lives.3 The additional burden of psychological trauma beginning in 2020 is hard to calculate. Not only has COVID-19 impacted physical and mental health, but it’s also had serious repercussions on jobs, access to basic resources, relationships, and more.

Post-Traumatic Stress Disorder vs. Post-Traumatic Stress Injury

A growing number of trauma experts have advocated to “drop the D” in PTSD. And as of 2015, the Pentagon, government officials, organizations, and advocates have stopped using “disorder” to describe Post-Traumatic Stress (PTS).4

Dropping the D in PTSD highlights the fact that PTS may be an injury rather than a disorder.5

There are two key reasons why dropping “disorder” is essential:

  1. “Disorder” connotes a sense of permanence which is misleading because PTS is treatable.
  2. “Disorder” has a stigma that can prevent those who need help from asking for it.

The language we use to describe human experiences matters. Words have the power to make us feel isolated and stuck or understood and empowered. That’s why, at Stella, we replaced “Disorder” with “Injury.” We encourage you to adopt the term Post-Traumatic Stress Injury (PTSI), too.

What Causes Post-Traumatic Stress Injury?

Traditionally, PTSI has been linked to events such as war, sexual assault, or natural disasters. But when we consider the definition of trauma – a deeply distressing or disturbing experience – it becomes clear that many events can be categorized as trauma. Think workplace abuse, reproductive challenges, divorce, loss of a loved one, or a sports injury.

We also know that LGBTQ+ community members and/or ethnic minorities are often mistreated and/or oppressed. As a result, may experience traumas like bullying, physical violence or threat, and homelessness. These are the most common – but certainly not all – causes of PTSI today:

  • Adoption
  • Bullying or hazing
  • Childhood trauma or abuse
  • Childhood neglect
  • COVID-related trauma (e.g., hospitalization for COVID, post-COVID health challenges)
  • Combat and/or warfare
  • Death or injury of a loved one
  • Divorce
  • Domestic abuse
  • First responder trauma (for healthcare workers, EMTs, and LEOs)
  • Homelessness
  • LGBTQ+ trauma (e.g., harassment, rejection, identity crisis)
  • Loss of pregnancy
  • Natural disaster
  • Non-physical interpersonal abuse (e.g., emotional abuse by a narcissistic individual)
  • Personal health issues
  • Physical violence or threat
  • Political/ national refugee-related trauma
  • Racial trauma
  • Reproductive challenges/ infertility
  • Secondary PTSD
  • Sexual assault
  • Sports injury
  • Victim of crime by a stranger (e.g., mugging, break-in, robbery)
  • Witnessing a traumatic event
  • Workplace injury or job-related accident
  • Workplace abuse, loss, harassment, or other related workplace trauma

What Does Post-Traumatic Stress Injury Feel Like?

Anxiety is one of the most common symptoms following trauma exposures. While it’s normal to feel anxious from time to time, when we experience PTSI, anxiety often persists. We feel our worries and fears intensely. In addition to thinking about what could go wrong, we also experience a faster heart rate, heavy breathing, sweating, and feeling tired.

Intrusive thoughts, hypervigilance (or feeling constantly unsafe and on-edge), nightmares, flashbacks, and guilt can add to the sense of uneasiness we feel when experiencing trauma symptoms.

Depression is also common and is frequently identified through changes in mood. When we have PTSI and are depressed, we may withdraw from the activities we used to take pleasure in. Sometimes this is because we struggle to enjoy ourselves and other times it may be to avoid a trigger.

While the symptoms often develop immediately after the trauma or stressful event, they must persist for more than 30 days to receive a diagnosis of PTSI. Before 30 days, the symptoms are classified as “Acute Stress Disorder.” While many mental healthcare resources highlight the 17 most common symptoms of trauma, there are actually more:

  • Agitation
  • Anxiety
  • Crying spells
  • Depression
  • Dizzy spells
  • Flashbacks
  • Headaches
  • Hypervigilance
  • Nervousness
  • Nightmares
  • Obsessive-compulsive tendencies
  • Panic episodes
  • Paranoia
  • Problems with concentration or thinking
  • Problems with memory
  • Shakiness
  • Sleep disturbances
  • Substance abuse
  • Suicidal thoughts or attempts

At Stella, we work with those who have experienced a wide range of traumas. With the right insights and the right support, healing is possible.

Post-Traumatic Stress Injury Treatments

Contrary to popular belief, symptoms of trauma is treatable. Pharmaceutical drugs and talk therapy are two of the most popular treatment options. Stella is ushering in breakthrough treatments for PTSI that can rapidly relieve the worst PTSI symptoms and lay the foundation for game-changing outcomes and long-lasting healing from trauma.

You can learn more about Treatment by Stella by attending our weekly webinar, SBG 101: A New Model for Trauma Treatment. Join us on Thursdays at 1pm PST/ 4pm EST to learn about what the Stellate Ganglion Block (SGB) is, how it works, patient outcomes, and Stella’s approach to continued healing.

  1. Eugene G.LipovaJaydeep R.JoshiaSarahSandersaKonstantin V.Slavinb A unifying theory linking the prolonged efficacy of the stellate ganglion block for the treatment of chronic regional pain syndrome (CRPS), hot flashes, and posttraumatic stress disorder (PTSD) https://www.sciencedirect.com/science/article/abs/pii/S0306987709000413
  2. Alkire, M.T., Hollifield, M., Khoshsar, R., Nguyen, L., Alley, S. R., and Reist, C. (2015). Neuroimaging suggests that stellate ganglion block improves post-traumatic stress disorder (PTSD) through an amygdala mediated mechanism. Presented at the Anesthesiology Annual Meeting, October 24, 2015.
  3. U.S. Department of Veterans Affairs. (2018, September 13). How Common is PTSD in Adults? U.S. Department of Veterans Affairs. Retrieved February 2, 2022, from https://www.ptsd.va.gov/understand/common/common_adults.asp
  4. Itkowitz, C. (2021, October 28). Dropping the ‘D’ in PTSD is becoming the norm in Washington. The Washington Post. Retrieved February 2, 2022, from https://www.washingtonpost.com/news/powerpost/wp/2015/06/30/dropping-the-d-in-ptsd-is-becoming-the-norm/
  5. Ochberg, F. (2012). An injury, not a disorder. Dart Center for Journalism and Trauma. Retrieved 8/25/21 from: https://dartcenter.org/content/injury-not-disorder-0

Share
Share
PTSD
PTSI
Treatment
Trauma
Symptoms

Stella

Back

Do I Have PTSD?

Do I Have PTSD?
By stella
14th Feb 2022

*The following article refers to PTSD (Post-Traumatic Stress Disorder), whereas at Stella, we use the term PTSI (Post-Traumatic Stress Injury). We encourage you to adopt this language to break the stigma against Post-Traumatic Stress.  Read more about the shift from PTSD to PSTI here.

If you’re asking yourself, “Do I have PTSD?”, this is a great place to start. In this article, we answer the following questions: 

  1. How does trauma affect the brain? 
  2. What is PTSD? 
  3. How common is PTSD? 

We also share a free PTSD quiz and explain how to interpret the results to help evaluate each individual’s situation. 

While only mental healthcare professionals can provide a diagnosis, we can help explain the symptoms we may be experiencing in response to a traumatic event or ongoing stressors.

How Does Trauma Affect the Brain?

Did you know that the body’s fight-or-flight response turns on after traumatic or high-stress experiences? Whether it’s once or many times, these experiences can cause a biological brain injury where the fight-or-flight response gets stuck in overdrive. And this overactivation can cause debilitating physical and psychological symptoms. 

What Is PTSD? 

PTSD is a term mental healthcare professionals use to describe the trouble we have recovering after a traumatic or stressful experience. PTSD has been referred to as a disorder, yet many claim it’s an injury. Stella and others have suggested a new term – Post Traumatic Stress Injury (PSTI) – in place of Post Traumatic Stress Disorder (PTSD)1.

Most say there are 17 different symptoms following trauma exposure; however, there are more. Some of the most common symptoms include anxiety, problems with memory, depression, and headaches.

How Common Is PTSD? 

Trauma is a universal human truth. It may surprise you that 60% of men and 50% of women experience trauma at least once in their lives.2 Research suggests that only 2-11% of people experiencing trauma symptoms are actually diagnosed.3 

Despite how pervasive trauma is, we may not know how to identify symptoms following a traumatic event or ongoing stressors.

We only learn that we have trauma symptoms after researching the issues being had since the traumatic or stressful experience, confiding in a friend, or seeking a professional’s help.

It’s estimated that 50% of people experiencing trauma symptoms do not seek treatment.4 Stella exists to change that. We’re ushering in breakthrough treatments that are fast, effective, and research-backed.  

How Do I Know If I Have PTSD?

If you believe you’re experiencing symptoms, take this PTSD test online.

Stella uses an initial assessment tool known as the PCL. The PCL is a widely used self-report tool that helps gauge the severity of symptoms in response to trauma exposure. 

The PCL lists 20 problems people often experience in response to trauma exposure. For example, “Are you avoiding memories, thoughts, or feelings related to the stressful experience?” and “Are you having trouble falling or staying asleep?” After reading each problem carefully, you’ll indicate how much you’ve been bothered by it in the last month on a scale of “Not at all” to “Extremely.” We understand that answering these questions can be difficult, but you are not alone.

After the PCL is complete, we’ll email the score directly. PCL scores range from 0 to 80, where higher scores suggest that you perceive the symptoms you experience as more severe. A PCL-5 score of 31 or higher suggests that it may be helpful for you to consider whether you may benefit from the Stellate Ganglion Block, ketamine infusion therapy, or other treatments.

Please know that a PCL score is not a diagnosis and that we encourage you to seek a professional assessment. 

If you already took the PTSD test and received a PCL score and want to learn more about treatment options, please contact Stella’s Patient Care Team directly by calling 1-866-497-9248 or emailing care@stellacenter.com to discuss your customized treatment plan. 

  1. Itkowitz, C. (2021, October 28). Dropping the ‘D’ in PTSD is becoming the norm in Washington. The Washington Post. Retrieved February 2, 2022, from https://www.washingtonpost.com/news/powerpost/wp/2015/06/30/dropping-the-d-in-ptsd-is-becoming-the-norm/
  2. U.S. Department of Veterans Affairs. (2018, September 13). How Common is PTSD in Adults? U.S. Department of Veterans Affairs. Retrieved February 2, 2022, from https://www.ptsd.va.gov/understand/common/common_adults.asp 
  3. Ellen C. Meltzer, MD MSc,1 Tali Averbuch, MPP,1 Jeffrey H. Samet, MD MA MPH,1,5 Richard Saitz, MD MPH,1,3,4 Khelda Jabbar, MD,6 Christine Lloyd-Travaglini, MPH,7 and Jane M. Liebschutz, MD MPH1,5 Discrepancy in diagnosis and treatment of post-traumatic stress disorder (PTSD): Treatment for the wrong reason https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3310322/
  4. Spoont, M, Arbisi, P., Fu, S., Greer, N., Kehle-Forbes, S., Meis, L., Rutks, R., & Wilt, T.J. (2013). Screening for Post-Traumatic Stress Disorder (PTSD) in Primary Care: A Systematic Review [Internet]. Washington (DC): Department of Veterans Affairs (US). Available from: https://www.ncbi. nlm.nih.gov/books/NBK126691/ Spoont, et al., 2013.

Share
Share
PTSD
PTSI
Treatment
Trauma
Post-Traumatic Stress