Behind every treatment at Vitalitas is a physician — and behind the practice is Dr. Eve Langston, a Harvard-trained anesthesiologist who founded the longest-running ketamine clinic in the Denver metro nearly a decade ago. In this candid Q&A, she shares what sets physician-led care apart, how she thinks about cost and safety, what a first visit is really like, and what she'd tell anyone who's nervous to begin.

Jeff is a Navy veteran, a medical professional, a husband, and a father of three. He spent 12 years in the Navy, primarily with the Marines, as a combat medic. He also spent many years overseas, including time in Iraq.

As he explains it, some things come home with you.

For Jeff, PTSD was not an abstract diagnosis. It affected how he moved through the world, how he slept, how he responded to stress, and how present he could be with the people he loved. He describes living in a state of hyperawareness: scanning, watching, adapting, pushing through, and completing the mission.

For years, he kept functioning. He worked. He built a career. He moved forward. But functioning is not the same as healing.

Mail-order ketamine can sound convenient, but ketamine therapy still requires careful medical judgment, appropriate dosing, monitoring, and follow-up. Without in-person support, side effects or difficult reactions may be harder to recognize and manage. For patients exploring ketamine, physician-led evaluation and supervised care can help determine whether treatment is appropriate, individualized, and supported from start to finish.

Eating disorders are serious mental health conditions that can affect the body, brain, mood, relationships, and daily life. They are not simply about food, appearance, or willpower. For many people, disordered eating patterns are connected to anxiety, depression, trauma, obsessive thinking, shame, emotional distress, or a painful need for control.

Because eating disorders can affect both physical and emotional health, recovery usually requires a comprehensive care plan. That may include medical monitoring, therapy, nutritional support, psychiatric care, family support, and treatment for co-occurring conditions such as depression, anxiety, PTSD, or OCD.

Ketamine therapy is not a stand-alone treatment for eating disorders. It does not replace eating disorder therapy, nutritional rehabilitation, medical stabilization, or specialized psychiatric care. But for some carefully selected patients, ketamine may be worth evaluating as part of a broader treatment plan, especially when eating disorder symptoms overlap with treatment-resistant depression, anxiety, trauma symptoms, obsessive thought patterns, or suicidal ideation.

Matthew Perry’s death raised understandable questions about ketamine. This article explains the difference between medically supervised ketamine therapy and misuse, and why screening, dosing, monitoring, recovery support, and clinical boundaries matter.

Ketamine therapy may be worth exploring for people with persistent depression, anxiety, PTSD, or other mood-related symptoms that have not improved enough with standard care. This guide helps patients complete a simple candidacy self-check, understand what an intake includes, and decide whether physician-led, medically supervised ketamine therapy may be a reasonable next step.

Ketamine therapy referrals are most helpful when they are grounded in a clear clinical picture: prior treatment history, current symptoms, safety considerations, and goals for care. This provider guide outlines when referral may make sense, what information supports a better consult, and how coordinated care can help patients explore ketamine therapy responsibly.

Postpartum depression is different from the “baby blues.” When depression symptoms become more intense, last longer, or interfere with sleep, bonding, appetite, energy, or daily care, support matters. Treatment may include therapy, medication, coordinated perinatal care, or, for carefully screened patients, evaluation for ketamine therapy as part of a broader care plan.

Treatment-resistant depression can look different in real life than it does on paper. For some patients, progress means remission; for others, it means fewer suicidal thoughts, more energy, stronger relationships, or enough relief to participate in daily life again. Max and Charles’s stories show how ketamine therapy may help selected patients move from simply functioning toward greater stability, confidence, and connection.

Anxiety is not always experienced as racing thoughts. For many people, it shows up first in the body: tight chest, racing heart, nausea, dizziness, muscle tension, poor sleep, or a sense that something is wrong. Understanding the physical symptoms of anxiety can help patients recognize the pattern, talk with a provider, and find support that addresses both the mind and body.

Pacing can help people with chronic pain interrupt the “boom and bust” cycle of overdoing, flaring, and crashing. Instead of doing as much as possible on better days, pacing creates a more sustainable rhythm of activity, rest, and gradual progress so patients can protect function, build confidence, and make daily life feel more manageable.

CRPS is a complex chronic pain condition that can cause severe, persistent pain, sensitivity, swelling, movement changes, and disruption to daily life. While CRPS is not typically considered directly life-threatening, effective pain management matters because long-term pain can affect sleep, mobility, independence, mood, and quality of life. For selected patients, ketamine infusion therapy may be one part of a broader care plan focused on reducing pain burden and improving function.

OCD rarely affects only one part of life. When intrusive thoughts, compulsions, avoidance, and uncertainty start taking up significant time and energy, anxiety and depression can follow closely behind.

For some patients, OCD is the main condition. For others, anxiety or depression is what feels most obvious at first. Over time, patients may realize that the symptoms are connected.

Understanding that overlap can help patients make more sense of what they are experiencing and find a more complete care plan.

OCD can make the mind feel stuck in repetitive loops of intrusive thoughts, anxiety, and compulsive responses. Ketamine therapy may help some patients create more flexibility in those patterns, reduce distress, and make more room for therapy, daily life, and meaningful progress.

OCD can be challenging to treat because it is built around a loop: an intrusive thought or fear appears, anxiety rises, a compulsion offers temporary relief, and then the fear returns.

That loop can become deeply practiced over time. It can affect daily routines, relationships, work, school, parenting, faith, health decisions, and a person’s ability to feel comfortable in their own mind.

But challenging does not mean hopeless. OCD is treatable, and many people experience meaningful improvement with the right support, the right strategy, and enough time to build new patterns.

Obsessive-compulsive disorder, or OCD, is often misunderstood. In everyday conversation, people may use “OCD” to describe being neat, organized, detail-oriented, or particular about how things are done.

But clinical OCD is not a personality quirk. It is a mental health condition that can be distressing, time-consuming, and deeply disruptive.

OCD often involves intrusive thoughts, images, urges, or fears that feel unwanted and difficult to dismiss. These are called obsessions. In response, a person may feel driven to perform certain behaviors or mental rituals to reduce anxiety, prevent something bad from happening, or feel temporarily reassured. These are called compulsions.

For many people, OCD is not about liking things a certain way. It is about feeling caught in a loop that is difficult to interrupt.

Ketamine therapy is increasingly discussed as an option for patients with depression, anxiety, PTSD, and other difficult mental health conditions. For some patients with PTSD, especially those who have also struggled with treatment-resistant depression or chronic suicidal thoughts, ketamine may be worth evaluating.

But ketamine is not a cure for PTSD. It is not a replacement for trauma-focused therapy, psychiatric care, medication management, sleep support, or the relationships and routines that help a person heal.

Ketamine is best understood as one possible tool within a broader care plan.

PTSD and depression often travel together. A person may seek help because they feel depressed, exhausted, numb, anxious, irritable, or unable to function, only to realize that trauma symptoms are part of the larger picture.

For some patients, PTSD is the starting point. For others, depression is what finally brings them into care. Either way, the overlap matters because it can affect symptoms, treatment decisions, and how progress is measured.

Post-traumatic stress disorder, or PTSD, is often misunderstood. People may think of it only as flashbacks or nightmares, but PTSD can affect nearly every part of daily life: sleep, work, relationships, parenting, concentration, mood, and the ability to feel safe in ordinary situations.

PTSD can develop after experiencing or witnessing a traumatic event. For some people, symptoms begin soon after trauma. For others, they appear later or become more noticeable when life changes, stress increases, or another event reactivates old memories.

PTSD is not weakness. It is not overreacting. It is a nervous system and mental health response to trauma that has not fully resolved.

Migraine is more than a bad headache. It is a neurological condition that can involve nausea, sensory sensitivity, aura, brain fog, fatigue, and days of disrupted function. For people with frequent or difficult-to-control migraine attacks, understanding the full pattern of symptoms can be an important step toward a more complete care plan.