Latest / The Trauma Therapist / A World Where No One Suffers with Michael Gershenzon
Transcript
- 0:00Speaker 1: Welcome to the Trauma Theriver's podcast. My name is guiming
- 0:03Speaker 1: Person and I interview incredible people who share the story
- 0:06Speaker 1: of how trauma has shaped their lives. And a big
- 0:09Speaker 1: thank you for sponsoring today's episode goes to my guest
- 0:12Speaker 1: and our sponsors. So five four, three, two and one,
- 0:23Speaker 1: Our folks, welcome back to the podcast. Very excited to
- 0:26Speaker 1: happen with my guest today, Michael Grishnzen. Michael, welcome, come,
- 0:30Speaker 1: thank you for having me all right man. So Michael
- 0:33Speaker 1: is the CEO and co founder of the Stellar Center,
- 0:36Speaker 1: whose mission is to advance the understanding, destigmatization, and treatment
- 0:41Speaker 1: of post traumatic stress and other emotional trauma. Grounded in science,
- 0:46Speaker 1: rooted in compassion, and relentlessly committed to a world where
- 0:49Speaker 1: no person needlessly stuffers, Stellar Center is disrupting the mental
- 0:54Speaker 1: and emotional health industry by advancing breakthrough modalities that dramatically
- 0:59Speaker 1: reduced symptoms PTSD and other emotional trauma related symptoms. Oh, Michael, obviously,
- 1:05Speaker 1: just a little bit about you. But before you go
- 1:07Speaker 1: and share with our listeners, where you're from originally and
- 1:10Speaker 1: where you are currently.
- 1:11Speaker 2: That's a complicated question. Originally, I was born in Moscow,
- 1:14Speaker 2: rough moved to date.
- 1:17Speaker 3: I have that common migration path of Dayton and I'm
- 1:21Speaker 3: sure you've read it, but I'd say I'm more of
- 1:24Speaker 3: an Ohio and at heart, so we'll call it a Dayton.
- 1:27Speaker 1: Home and currently Chicago, Chicago, sir, okay, So let's get
- 1:35Speaker 1: into it here. How did all this start? For you?
- 1:41Speaker 3: Very great question. I guess have no business being in
- 1:45Speaker 3: this business. I'll start with that, so I guess by trade.
- 1:49Speaker 3: Over the last fifteen years of my career have been
- 1:52Speaker 3: in finance, investment, banking, private equity. And the day after
- 1:58Speaker 3: Thanksgiving in twenty nineteen, UH kind of had it had
- 2:02Speaker 3: a personal event. Someone, someone that I knew, died by
- 2:04Speaker 3: suicide and it was my first I guess for a
- 2:08Speaker 3: into into.
- 2:10Speaker 2: Mental health from from personal lens.
- 2:14Speaker 3: And let's say that that tripped a litany of events.
- 2:19Speaker 3: So actually, at that person's funeral, I met doctor Whipoff,
- 2:22Speaker 3: that is our chief medical officer and co founder, who
- 2:27Speaker 3: was progressing innovation in in PTSD interventional psychiatry, and.
- 2:34Speaker 2: Three three weeks later we we.
- 2:36Speaker 3: Aligned on on the mission to bring UH at least
- 2:40Speaker 3: at the time stell it gangling block for PTSD two
- 2:43Speaker 3: as many let's call it uh access points in the
- 2:46Speaker 3: country as possible.
- 2:48Speaker 2: So started the business three.
- 2:50Speaker 3: Weeks before COVID descended upon the world, and very very
- 2:54Speaker 3: quickly had to had to figure out how how we'd continue.
- 2:58Speaker 3: But would say for the first couple of years we
- 3:03Speaker 3: partnered with a lot of mission oriented practitioners to let's say,
- 3:08Speaker 3: kind of execute the care delivery. And then over the
- 3:10Speaker 3: last couple of years we've actually been building out our
- 3:13Speaker 3: own our own centers and offering a much broader array
- 3:18Speaker 3: of treatments countrywide.
- 3:21Speaker 1: All right, so let's go back a little bit here.
- 3:24Speaker 1: So this friend relative person close to you commits suicide.
- 3:33Speaker 1: You said that kind of tipped the litany or cause
- 3:36Speaker 1: a litany of what events take Take me a little
- 3:40Speaker 1: more specifically into what was going on for you.
- 3:42Speaker 3: Yeah, no, of course I have lived a pretty charmed
- 3:47Speaker 3: life myself, so.
- 3:51Speaker 2: That was that was pretty shocking, I guess. So confusion
- 3:57Speaker 2: was the first thing.
- 3:59Speaker 3: Actually I had been speaking with this person about this
- 4:03Speaker 3: this concept, and in a note QF behind you wished
- 4:09Speaker 3: me and us a look in in progressing this. So
- 4:14Speaker 3: I would say, I don't know, you tell me as
- 4:18Speaker 3: as the clindician in the room. Shock awe confusion, not
- 4:23Speaker 3: knowing what to do necessarily, and I would say, h once,
- 4:30Speaker 3: once that wore off, I mean again, I'm kind of
- 4:34Speaker 3: fortunate to be in an ecosystem, having at the time
- 4:37Speaker 3: been working at a private equity firm that is now
- 4:39Speaker 3: our kind of core investor, with a ton of incredibly
- 4:43Speaker 3: supportive people. That turned into action, I would say, and again.
- 4:50Speaker 1: Well, that's kind of what I want to get at here.
- 4:52Speaker 1: So how does that turn into action for you? I mean,
- 4:56Speaker 1: obviously this impacted you, a tragic event like this, but
- 5:00Speaker 1: how does that How did that for you turn into action?
- 5:05Speaker 1: For me?
- 5:05Speaker 2: That turned into action? I wished that.
- 5:09Speaker 3: I wish there was some very articulately well thought out plan.
- 5:13Speaker 3: It was just kind of like, I don't know, we
- 5:15Speaker 3: got to do something, or like, well.
- 5:18Speaker 1: That that's it. You're like, w TF, what the hell
- 5:22Speaker 1: is going on here? Yeah? Did you feel like you
- 5:25Speaker 1: didn't know what to do or there weren't like why
- 5:28Speaker 1: didn't why was it? My friend identified how come she
- 5:33Speaker 1: couldn't get any help with what was What was it? Specifically?
- 5:36Speaker 1: Why did you take action? I guess that was my question. Why?
- 5:40Speaker 3: Well, first, again, I have no no background and mental health.
- 5:45Speaker 3: It was it was it was the why I mean,
- 5:48Speaker 3: you just said it it was, Well, that's very confusing.
- 5:52Speaker 3: I mean you read about all the horrific stats, but
- 5:54Speaker 3: you don't really ingest stats the way you do a story.
- 5:59Speaker 2: Or a personal outcome. So it was a lot of confusion.
- 6:04Speaker 3: So this individual was outwardly gregarious and very likable and successful, and.
- 6:12Speaker 2: And you're doing the whole what did we miss thing?
- 6:17Speaker 2: If that makes any sense.
- 6:18Speaker 1: So yeah, it makes perfect sense. So let me just
- 6:21Speaker 1: stub you. So this obviously was a friend of yours
- 6:24Speaker 1: or very close friend.
- 6:25Speaker 2: Of yours, fairly close friend.
- 6:27Speaker 1: Okay, okay, and just no idea type thing or.
- 6:35Speaker 2: Uh, just no idea type thing.
- 6:37Speaker 3: So so again he had gotten to know doctor Whipoff
- 6:42Speaker 3: and was actually irony and all of this was.
- 6:47Speaker 2: He was furthering this.
- 6:50Speaker 3: Concept with doctor Whipoff to bring these treatments out into
- 6:56Speaker 3: the world. And we can all credit I would say,
- 7:02Speaker 3: this person with with with the founding here, So that
- 7:08Speaker 3: compounded the confusion, I would I would say, in so
- 7:11Speaker 3: far as it was a mission oriented person that outwardly
- 7:16Speaker 3: you couldn't see any issues, that was furthering helping others,
- 7:23Speaker 3: and it was a passion project of his.
- 7:29Speaker 2: All all the more, all the more confusion.
- 7:31Speaker 3: So I would say that turned into what he's like,
- 7:35Speaker 3: you asked action, and so far as I was just
- 7:39Speaker 3: more or less picking up the baton of of what
- 7:42Speaker 3: it started with doctor Whipoff in bringing these treatments out
- 7:47Speaker 3: out into the world.
- 7:51Speaker 1: So you start talking to doctor whip Off and what
- 7:56Speaker 1: were you initially saying? What we? What we? Was your
- 7:58Speaker 1: what was your idea?
- 8:00Speaker 3: Yeah, so the idea was a pretty point solution insofar
- 8:04Speaker 3: as antesiologists and pain practitioners do a very common procedure
- 8:08Speaker 3: called the stellic ganglion block for pain and other what's
- 8:12Speaker 3: called somatic indications. Well, twenty years ago he found out
- 8:17Speaker 3: and progressed the science along with others that well and behold,
- 8:21Speaker 3: there are physiological benefits to that as well, namely PTSD
- 8:27Speaker 3: symptom reduction, anxiety symptom reduction for reasons I will never understand,
- 8:32Speaker 3: but calming the fight or flight, calming the amygdala, and
- 8:36Speaker 3: well and behold, a common procedure executed probably thousands of
- 8:39Speaker 3: times a day, can be delivered in a psych for
- 8:45Speaker 3: psychiatric indications.
- 8:47Speaker 2: So from that same point, it's a.
- 8:48Speaker 3: Very simple idea, which is hey, we've got this incredibly
- 8:53Speaker 3: useful it's called tool or modality, which coincidentally that same
- 8:58Speaker 3: week had put out a randomized clinical trial around the
- 9:04Speaker 3: efficacy of this modality.
- 9:07Speaker 2: So there was just this odd.
- 9:09Speaker 3: Coincidental confluence of events where got this modality. It works
- 9:14Speaker 3: a lot better than anything for a chronic condition. PTSD
- 9:18Speaker 3: is incredibly difficult to treat, and I don't want to
- 9:21Speaker 3: say all we have to do, but all we have
- 9:23Speaker 3: to do is train practitioners where to put the needle,
- 9:26Speaker 3: identify the patients, and handle the mental health care kind
- 9:30Speaker 3: of before and after this pointed procedure, and a lot
- 9:35Speaker 3: of people can get help. So I would say that
- 9:39Speaker 3: was the idea. That's what we executed for the better
- 9:41Speaker 3: part of two years in a bit of a different
- 9:44Speaker 3: way than we thought we would. And so far as
- 9:46Speaker 3: we thought we'd build centers of excellence, people would travel
- 9:50Speaker 3: to us. Again, being born during COVID, all of a sudden,
- 9:53Speaker 3: that's not so much an option.
- 9:56Speaker 2: So we went the inverse.
- 9:58Speaker 3: We brought the service delivery to as many backyards by
- 10:02Speaker 3: partnering with practitioners and training them on.
- 10:06Speaker 2: Doctor Whipoff's protocol.
- 10:09Speaker 3: So we try to bring access out to people instead
- 10:13Speaker 3: of having people come to us, and that was what's
- 10:16Speaker 3: called V one of of our of our care model.
- 10:23Speaker 1: So this modality, uh, and correct me if I'm wrong here?
- 10:27Speaker 1: Is it dual sympathetic reset DSR Y s R. Yeah.
- 10:30Speaker 3: So stella Gangway block is a single injection and it's
- 10:33Speaker 3: a commonly known kind of pain. So actually anesthesia version
- 10:37Speaker 3: of our enhanced protocol dual sympathetic reset, which is two
- 10:42Speaker 3: injections at various kind of vertebra rae level with C
- 10:46Speaker 3: four and C six in in the neck.
- 10:51Speaker 1: And does someone come in, how does the treatment regimen go?
- 10:59Speaker 1: How does does someone come in for once or twice?
- 11:04Speaker 1: How long does this stay?
- 11:05Speaker 2: Perfect question?
- 11:05Speaker 3: So I'd say, first and foremost and maybe most importantly
- 11:10Speaker 3: a great biopsychosocial assessment on the front end to properly
- 11:15Speaker 3: diagnose the symptoms. So there's we start every care journey
- 11:19Speaker 3: with at least a one hour one hour assessment with
- 11:23Speaker 3: a psychiatric mental health nurse practitioner. Assuming there is an
- 11:28Speaker 3: indication of PTSD or anxiety, which is typically just indicated
- 11:32Speaker 3: for then they would get scheduled for treatment. Now on
- 11:36Speaker 3: treatment date. The typical protocol is on the right side
- 11:40Speaker 3: of the neck. You would have two injections that day
- 11:44Speaker 3: at the C four and the C six level, and
- 11:47Speaker 3: many people within ten to fifteen minutes, by the way,
- 11:51Speaker 3: myself included, feel a kind of physiological alleviation of anxiety symptoms,
- 12:00Speaker 3: almost kind of like this calm.
- 12:02Speaker 2: Washes over you. Run's experience obviously is different.
- 12:04Speaker 3: Some people are non responders about twenty percent, and that's
- 12:09Speaker 3: day one done on the right side of the neck.
- 12:12Speaker 3: For those that are non responders or don't have some
- 12:16Speaker 3: profound response, oftentimes the same procedure on a separate day
- 12:20Speaker 3: on the web side of the neck is incredibly beneficial
- 12:24Speaker 3: and can lead to either enhanced outcomes from day one
- 12:28Speaker 3: or if you're a non responder on day one, the
- 12:32Speaker 3: second procedure day on the web side of the neck
- 12:34Speaker 3: can can kind of have those breakthrough outcomes, and typically
- 12:37Speaker 3: that will be if it's going to if someone is
- 12:40Speaker 3: going to feel better, it's within those.
- 12:45Speaker 2: Two procedure days.
- 12:46Speaker 3: Now, the maintenance regiment, I would say it's pretty hyper
- 12:50Speaker 3: dynamic with a person's lifestyle, the type of stress or
- 12:58Speaker 3: lack they're up, they're going to, how well they may
- 13:02Speaker 3: be maintaining their games with therapy and other modalities. We're
- 13:07Speaker 3: the first to say this is not not a cure.
- 13:10Speaker 3: It's just a meaningful kind of alleviation of symptoms, and
- 13:14Speaker 3: it creates kind of a what's called a breakthrough window
- 13:17Speaker 3: to maintain the gains.
- 13:18Speaker 2: So we'll typically see people one time.
- 13:22Speaker 3: I would say there are certain maybe populations first responders,
- 13:27Speaker 3: active military that may be going back into stressful environments
- 13:32Speaker 3: that we're retreating every six, six months, twelve months. But
- 13:36Speaker 3: in short, it's a pretty short lived protocol and then
- 13:40Speaker 3: thereafter it's what's called as needed.
- 13:45Speaker 1: When you start. So how long have has STELLA been
- 13:49Speaker 1: up and running.
- 13:50Speaker 2: We've been open running about five years.
- 13:53Speaker 1: Five years. Okay, what's been your journey personally, I'm curious
- 14:00Speaker 1: as as you've taken this on.
- 14:02Speaker 3: Wow, that's a it's a deep question. I would say
- 14:06Speaker 3: our journey has been My journey has been an evolving one.
- 14:11Speaker 2: So I think we and.
- 14:12Speaker 3: I came into the industry maybe a little naively, frankly,
- 14:22Speaker 3: thinking that kind of a cash pay modality can reach
- 14:25Speaker 3: more people than it ended up, or that we can reach.
- 14:29Speaker 3: At the end of the day, our number one, two
- 14:31Speaker 3: and three goal has always been access and and we
- 14:36Speaker 3: thought still think but.
- 14:40Speaker 2: Since the outcomes are so great.
- 14:43Speaker 3: Certainly soon enough this will be covered, and certainly soon
- 14:47Speaker 3: enough patients aren't.
- 14:48Speaker 2: Paying fully out of pocket.
- 14:51Speaker 3: And I guess maybe, unfortunately that's moved slower than than
- 14:55Speaker 3: we thought. Though we are making progress putting out research,
- 14:58Speaker 3: doing randomized clinical trials.
- 15:00Speaker 2: We have one with NYU kind of as we speak.
- 15:05Speaker 2: So I would say, in order to.
- 15:08Speaker 3: Alleviate the patient and expand access, alleviate the need for payment,
- 15:14Speaker 3: we brought in more modalities that are insurance reimbursable and
- 15:18Speaker 3: in their own right very effective. So Bravado, which is
- 15:22Speaker 3: a ketamine derivative as ketemine is reimbursed by insurance and
- 15:27Speaker 3: provides incredible relief to people struggling with major depressive disorder
- 15:31Speaker 3: and treamers as the depression TMS also insurance reimbursed and
- 15:37Speaker 3: and has incredible outcomes. So maybe the benefit and I'd say,
- 15:43Speaker 3: maybe we've we timed it luckily, or we entered entered,
- 15:47Speaker 3: entered this space. And so far as there's a lot
- 15:49Speaker 3: of really great innovation in some ways not done by
- 15:52Speaker 3: us in interventional psychiatry, and so far as these additional
- 15:57Speaker 3: modalities are coming to market, and I think our job
- 16:01Speaker 3: is to be in some ways or in a lot
- 16:03Speaker 3: of ways, modality agnostic, just whatever.
- 16:05Speaker 2: The best I'll call them tools available are.
- 16:10Speaker 3: It's our job to create the ecosystem for our providers
- 16:14Speaker 3: to be able to deliver these to the.
- 16:17Speaker 2: Right patient set. And by the way, we're learning, because
- 16:19Speaker 2: we're pretty.
- 16:20Speaker 3: Dogmatic about tracking outcomes, it's usually not a clean PTSD
- 16:27Speaker 3: diagnosis where you just have one SGB or TSR. There's
- 16:31Speaker 3: usually comorbid depression, comorbid anxiety, and multiple modalities paired together
- 16:37Speaker 3: are usually leading to the best outcomes. So, in short,
- 16:40Speaker 3: I would say my journey, our journey and the challenges,
- 16:43Speaker 3: but the opportunity have been going from a point solution
- 16:47Speaker 3: to a point indication DSR for PTSD to now we
- 16:52Speaker 3: have general psychiatry, med management, and therapy and those four
- 16:56Speaker 3: interventional modalities and bringing that into the clinic, bringing that
- 17:02Speaker 3: to patients responsibly.
- 17:06Speaker 2: Has been incredibly.
- 17:07Speaker 3: Challenging, incredibly rewarding, and frankly will probably be a decade
- 17:11Speaker 3: more of.
- 17:13Speaker 2: An opportunity.
- 17:16Speaker 1: What has been the challenge of getting it out there? Yeah,
- 17:25Speaker 1: you said, you said, you got into this kind of
- 17:27Speaker 1: naively hoping a cash paid system would kind of make
- 17:33Speaker 1: everything equitable for people and be able to reach more people.
- 17:37Speaker 1: Why has it been so challenging?
- 17:40Speaker 2: How long do you got?
- 17:41Speaker 3: But maybe the number one, two and three things that
- 17:43Speaker 3: we've learned and have had to develop a core competency
- 17:48Speaker 3: end as maybe boring as it sounds, but just the
- 17:53Speaker 3: infrastructure to effectively build insurance and working those pay relationships.
- 18:01Speaker 2: There's prior authoration.
- 18:04Speaker 3: I'd say, hurdles maybe for good reason, that are put
- 18:08Speaker 3: in place, and being able to seamlessly communicate with the
- 18:13Speaker 3: payer who at the end of the day in some
- 18:14Speaker 3: ways as your customer at least is cutting the check
- 18:17Speaker 3: while engaging the patient. Right, we want to be patient centric.
- 18:22Speaker 3: These admin processes can take a lot of time. Patients
- 18:26Speaker 3: don't have time. They deserve to be tomorrow. So I
- 18:29Speaker 3: would say it again as back office see and transparently.
- 18:34Speaker 3: I kind of didn't think this.
- 18:36Speaker 2: Would need to be one of the core and central
- 18:39Speaker 2: roles of our company.
- 18:41Speaker 3: But it's being able to seamlessly get prior authorization on
- 18:45Speaker 3: the front end, treat a patient and get paid on
- 18:48Speaker 3: the back end, and doing that at scale. We're still
- 18:51Speaker 3: working on it. We're a lot better today than than
- 18:54Speaker 3: certainly we were a couple of years ago.
- 18:55Speaker 2: But I would say.
- 18:57Speaker 3: That has been that is the challenge to ask to
- 19:00Speaker 3: access and frankly, that is the opportunity to getting a
- 19:03Speaker 3: lot of people treated.
- 19:06Speaker 1: So someone like yourself, who you talked about in the beginning,
- 19:11Speaker 1: you know, your background has certainly not been in the
- 19:15Speaker 1: space and the mental health space and trauma or PTSD,
- 19:19Speaker 1: but it's been in investment banking. What how how do
- 19:28Speaker 1: you how are you dealing with this? Because to me,
- 19:31Speaker 1: this topic is however, I mean you got a friend
- 19:36Speaker 1: who committed suicide. I mean it's it's it's it's very intense.
- 19:40Speaker 1: However way you want to slice it, How have you
- 19:45Speaker 1: been dealing with this topic as you've been going on
- 19:50Speaker 1: in this business.
- 19:51Speaker 2: Yeah, that's a great question. I would say.
- 19:57Speaker 3: My job is to be I'll almost say middleman in
- 20:01Speaker 3: some ways between to your earlier point, I can't add
- 20:05Speaker 3: value on the clinical side.
- 20:06Speaker 2: I'm not a condition. I don't deserve an opinion.
- 20:10Speaker 3: I am a uniquely qualified to connect capital and investors
- 20:17Speaker 3: that are mission oriented to an industry that is still
- 20:21Speaker 3: figuring itself out in a lot of ways, and there
- 20:24Speaker 3: isn't a beautiful crisp business model. So connecting the ability
- 20:30Speaker 3: to grow and scale and reach more people. Is I
- 20:34Speaker 3: would say, how how I view my role in our
- 20:37Speaker 3: role frankly again as middleman has maybe a derogatory connotation
- 20:44Speaker 3: to it, but we're Our job is to deliver and
- 20:49Speaker 3: be modality agnostic, deliver outcomes to patients. We don't deliver
- 20:54Speaker 3: a shot in the neck.
- 20:55Speaker 2: We deliver right.
- 20:58Speaker 3: We don't deliver spravado or i ket. I mean we
- 21:00Speaker 3: deliver someone feeling better. So being able to work within
- 21:05Speaker 3: the confines of a business muhuddle deal with the insurance
- 21:08Speaker 3: landscape as the industry is very much figuring itself out.
- 21:13Speaker 3: I mean, psychiatry and psychology have been medications and therapy
- 21:17Speaker 3: for the better part of I don't know, fifty one
- 21:20Speaker 3: hundred years, and only in the last five to ten
- 21:23Speaker 3: our novel, I would say, innovations coming to market, So
- 21:29Speaker 3: being able to connect the capital with the ability to scale,
- 21:35Speaker 3: with the business model and maybe most importantly the right clinicians.
- 21:40Speaker 2: That's our job.
- 21:41Speaker 3: That's my job, and every day brings a challenge from
- 21:45Speaker 3: that standpoint.
- 21:45Speaker 2: But I think really at Stellin, I'm sure at other.
- 21:52Speaker 3: Companies doing something similar, it's frankly, the mission that keeps
- 21:55Speaker 3: you coming back. We've got so many patient stories, so
- 21:58Speaker 3: many data points. It's not about I don't know what's
- 22:04Speaker 3: squeaking out another nickel of profit.
- 22:06Speaker 2: It's about treating one more person.
- 22:09Speaker 1: Let me just remind everyone I'm speaking with Michael Grshenzen
- 22:13Speaker 1: of still at Mental Health. You mentioned some studies that
- 22:19Speaker 1: have been done and that are going on. I'd love
- 22:21Speaker 1: to be able to include a link to one of
- 22:24Speaker 1: those in the show notes page. Can you tell me
- 22:27Speaker 1: about one of those?
- 22:29Speaker 2: Yeah, absolutely so.
- 22:31Speaker 3: The one that we're pushing forward is a randomized clinical
- 22:34Speaker 3: trial with NYU, and they are one of the foremost
- 22:39Speaker 3: leaders in PTSD research. So that study is a double
- 22:43Speaker 3: blinded randomized clinical trial where fifty people are getting a
- 22:48Speaker 3: it's called shame injection, one hundred people get the real
- 22:53Speaker 3: act of agent injection.
- 22:55Speaker 2: And maybe most excitingly.
- 22:58Speaker 3: Or I think what we're hopeful progress in the way
- 23:01Speaker 3: of science here is thes are getting a fMRI before
- 23:06Speaker 3: and after the procedure in mental health is maybe you
- 23:10Speaker 3: can appreciate outcomes are quoted in the way of subjective
- 23:14Speaker 3: scales GAD, p H, p.
- 23:16Speaker 2: U PC, how are you feeling in some ways? Maybe
- 23:19Speaker 2: that's the important thing.
- 23:21Speaker 3: But I think we're trying to take some of that
- 23:23Speaker 3: subjectivity and bring it to the objective, namely through uh,
- 23:29Speaker 3: these brain scans. So someone gets scanned prior to and
- 23:32Speaker 3: after a procedure, and in some ways they're their own
- 23:35Speaker 3: control control group. Notably the people that get the sham injection,
- 23:40Speaker 3: they do have the option to get to get the
- 23:44Speaker 3: real thing after they are unblindedge towards at the end
- 23:47Speaker 3: of the study. So happy to happy to share the link.
- 23:51Speaker 3: But that's uh, we're hopeful we'll come to a conclusion
- 23:55Speaker 3: here in the next quarter or so and and the
- 23:57Speaker 3: outcomes will be published maybe in six to nine months.
- 24:02Speaker 1: So someone come to Stella. Do you do you folks?
- 24:07Speaker 1: You mentioned you offered kind of a variety of premium modalities.
- 24:12Speaker 1: Do you offer groups or individual sessions? How does it work?
- 24:17Speaker 2: Yeah, great question.
- 24:19Speaker 3: I would say there's a little nuanced by market. We're
- 24:23Speaker 3: we're kind of scattershot across the country. But yes, generally
- 24:27Speaker 3: we offer one on one therapy, we'll offer obviously medication
- 24:31Speaker 3: management and those interventional modalities.
- 24:34Speaker 2: Group is something we're working towards.
- 24:37Speaker 3: I think it's it's done a little more sporadically, not
- 24:40Speaker 3: that we're not believers in it. We're trying to do
- 24:43Speaker 3: do what we do well rather than maybe maybe deluting
- 24:46Speaker 3: our focus. But yes, we definitely, we definitely do offer
- 24:52Speaker 3: therapy and our huge believers that the interventions offer a
- 24:57Speaker 3: window to actually make lifestyle changes.
- 25:01Speaker 2: And it kind of and again I'm.
- 25:03Speaker 3: Speaking from my own personal experience as a patient multiple
- 25:07Speaker 3: times of our own services. It gives you a window
- 25:11Speaker 3: to breathe, and therapy is a critical part in uh
- 25:16Speaker 3: in maintaining and accelerating those gains. So it definitely a
- 25:20Speaker 3: key part of our care model.
- 25:23Speaker 1: I'm curious, Michael, if your experience with your friend's suicide
- 25:31Speaker 1: if that kind of opened the door to reflect on
- 25:34Speaker 1: your own self. I mean, I'm sure it did, but
- 25:37Speaker 1: I'm guess curious how did that reflect on you? And
- 25:42Speaker 1: because you know, I've been doing this for for several
- 25:46Speaker 1: years and one of the things I realized is we've
- 25:49Speaker 1: all got stuff going on, right, I Mean, no one
- 25:53Speaker 1: comes out of this life unscathed. But I'm curious to
- 25:57Speaker 1: what degree did and how did that experience and make
- 26:00Speaker 1: you reflect on on your you?
- 26:03Speaker 3: Yeah, in some in some ways, like I mentioned, I was,
- 26:10Speaker 3: I was pretty naive to mental health and and I'm
- 26:14Speaker 3: sure was in hindsight walking past people suffering. I think
- 26:19Speaker 3: the way that it's impacted me is again haven't had
- 26:22Speaker 3: my own experience and treatment, And I think it just
- 26:27Speaker 3: opens you up to the exact statement you made that
- 26:29Speaker 3: the person you're talking to, the person you're walking by,
- 26:33Speaker 3: they've got their own stuff going on and and the
- 26:37Speaker 3: benefit of the doubt is something that or or just
- 26:41Speaker 3: being aware of that is is something I've tried to
- 26:44Speaker 3: take into my own personal life.
- 26:47Speaker 2: So I'm not sure if that.
- 26:49Speaker 3: That crispally answers your question, but I'm rather than jumping
- 26:52Speaker 3: to conclusions and judgments, I would say I'm a little
- 26:56Speaker 3: bit more able to take pause, and I appreciate exactly
- 27:03Speaker 3: what you said. We're all on we're all scathed in
- 27:06Speaker 3: our own way, we're imperfect and I and if we're
- 27:10Speaker 3: just if we believe that the other person's doing their best,
- 27:13Speaker 3: everything generally generally falls into place there after.
- 27:18Speaker 1: Yeah, you know, I mean to me, what you're doing
- 27:22Speaker 1: and who you are is very inspiring. You know you
- 27:25Speaker 1: you kind of opened up this interview by saying, you
- 27:27Speaker 1: know you have no business being in this field, et cetera,
- 27:30Speaker 1: et cetera. But not everyone who has an experience like
- 27:36Speaker 1: yours turns around and does something like what you've done,
- 27:43Speaker 1: you know, so from my perspective, and not that you are,
- 27:46Speaker 1: but I don't. I don't think you need to sell
- 27:48Speaker 1: yourself so short. I mean, I think it's incredible to
- 27:51Speaker 1: take an experience like that, or to go through an
- 27:53Speaker 1: experience like that, and two yes, recognize how tragic it is.
- 27:59Speaker 1: But to do something, I mean, that's what that's what
- 28:01Speaker 1: it's about. From my perspective. You know, what can we
- 28:03Speaker 1: do to help other people?
- 28:05Speaker 2: You're making me blush? No, I really do appreciate you
- 28:09Speaker 2: saying that.
- 28:11Speaker 3: Yeah, I don't know exactly exactly where to to take
- 28:15Speaker 3: that other than the safe thank you, and and I agree, yeah, yeah,
- 28:21Speaker 3: so you got to take take life changing events, I suppose,
- 28:26Speaker 3: and do something with them.
- 28:31Speaker 1: All right, Michael. What's the best way for people to
- 28:34Speaker 1: learn more about what you're doing? Get in touch with.
- 28:36Speaker 3: You, absolutely, Stella. Mentalhealth dot com probably the best way
- 28:41Speaker 3: to find.
- 28:41Speaker 1: Us, okay, And I'm just looking at your website now,
- 28:48Speaker 1: I see here, I see a mental health quiz on there.
- 28:53Speaker 1: So who would this before? Ye with this before?
- 28:56Speaker 2: And actually that's that's very topical.
- 28:58Speaker 3: We're working on publishing are our kind of internally collected outcomes.
- 29:04Speaker 3: So we've got for twelve thousand, five hundred patients, we
- 29:08Speaker 3: have kind of longitudinal data about how they felt before
- 29:11Speaker 3: they started with us.
- 29:12Speaker 2: And how they fell out over time with us.
- 29:15Speaker 3: So actually we will be connecting those outcomes to that
- 29:18Speaker 3: exact quiz you're you're mentioning here in the next month
- 29:20Speaker 3: or so. That quiz is for anyone that doesn't know
- 29:23Speaker 3: where to start, I would say, and and I'll say,
- 29:27Speaker 3: it's not a some magical ho stella quiz. These are
- 29:32Speaker 3: kind of developed instruments p C, L, GAD pH Q
- 29:36Speaker 3: that are that are kind of well recognized to help
- 29:40Speaker 3: people better understand their own symptoms or at least clinicians
- 29:44Speaker 3: understand how how their patients may be feeling. So again,
- 29:48Speaker 3: nothing proprietary there, It's just it's an ability for for
- 29:51Speaker 3: folks to answer some questions and and kind of receive
- 29:55Speaker 3: confidentially a stop very short to calling it any diagnosis,
- 30:01Speaker 3: but how they quiz may place them into mild, moderate,
- 30:05Speaker 3: or severe criteria across depression, anxiety, and and PTSD.
- 30:11Speaker 1: Awesome, Okay, we'll have that linked up here at the
- 30:14Speaker 1: show notes page at the Trauma Therapist podcast dot com Michael,
- 30:18Speaker 1: awesome man. Thank you so much for taking the time
- 30:21Speaker 1: to be here and again super inspiring. I appreciate that
- 30:24Speaker 1: you have all right man, We'll be in touch day