Liminal Medicine

Liminal Medicine Ready to see what's possible with psychedelic medicine? Book a free consult today.

A Sebastopol, CA ketamine-assisted psychotherapy clinic offering inclusive, evidence-based psychedelic therapy for PTSD, depression, anxiety, bipolar depression, and OCD.

09/23/2025

September is Su***de Awareness Month and I thought we should review a paper about ketamine and suicidal ideation. I’m Dr. Suegee and I’m the Medical Director at Liminal Medicine.

This paper comes out of the University of Toronto and it’s entitled “Effect of intravenous ketamine on suicidality in adults with treatment resistant depression, a real-world effectiveness study.” It was published in Psychiatric Research in January 2025.

This paper looked at 96 patients with suicidal ideation, which means suicidal thoughts, and these 96 patients were given four infusions of ketamine in total.

Here’s what the research found. IV ketamine is associated with rapid and robust reductions and suicidality after a single dose, and repeated infusions may contribute to maintaining observed reduction in suicidality for prolonged period of time.

They also found that the results of this present study agrees with findings from previous studies in clinical trial populations, while also establishing the effectiveness of ketamine in reducing suicidal ideation in a real-world population. (So not just in an inpatient clinical setting)

This paper shows once again that ketamine is extremely useful for for treating people who have suicidal thoughts. If you want more information about ketamine please sign up for our newsletter. The info is in the bio. Take care.

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09/22/2025

We often get questions about what kind of ketamine we use and I'd love to talk more about that today. I'm Celeste, I'm a therapist and the clinical director here at Liminal Medicine.

DThere are two types of ketamine. The type we use is racemic ketamine. Racemic ketamine has been around since 1962, has a really good safety profile. It's used around the world every day in medical contexts, as it is a really safe anesthetic.

We also know at certain dosages, the type that we use has psychedelic properties and can really help with depression, anxiety, trauma, and other mental health issues. It is not specifically FDA approved to treat depression, but medications are used off label all the time and, it's legal and safe to do so. (Under a doctor's supervision.)

Spravato is a more recent production of the pharmaceutical industry. It is a nose spray and it is FDA approved to treat depression.

Some of the research is showing that racemic ketamine, the inexpensive kind that we use, is more effective in treating depression. But Spravato does have positive benefits and it can be covered by insurance because it is FDA approved to treat depression.

Do you have any questions? We'd love to talk more. There's a lot more to talk about, about these two different versions of ketamine. Please click our link in the bio to sign up for our newsletter and learn more!

At Liminal Medicine, we believe in listening to your heart...and we believe in listening to the science.There's a lot of...
09/18/2025

At Liminal Medicine, we believe in listening to your heart...and we believe in listening to the science.

There's a lot of excitement these days about all the things that ketamine-assisted psychotherapy can do, especially for people struggling with mental health issues that haven't been helped by conventional treatment. But what does the research say?

Our Medical Director, Dr. Suegee, has put together an ongoing series of short videos reviewing the latest scientific studies about ketamine therapy, explaining in simple terms what the research does or doesn't show. Can ketamine therapy help with addiction? With anxiety? How does ketamine work in the brain? There's even a piece on how to read research studies.

You can find the whole Research Reviews series on our YouTube channel, in the "shorts" section. Check it out: https://www.youtube.com//shorts

What questions should we answer next? Leave a note in the comments!

Every 11 minutes, a life is lost to su***de. Nearly 50,000 Americans die each year—making su***de one of our nation’s le...
09/17/2025

Every 11 minutes, a life is lost to su***de. Nearly 50,000 Americans die each year—making su***de one of our nation’s leading causes of preventable death.

Traditional treatments often take weeks to work. In a crisis, that delay can cost lives.

Research shows Ketamine-Assisted Psychotherapy (KAP) can reduce suicidal thoughts within hours and, when paired with psychotherapy, help create long-term healing. We’ve seen clients move from the brink of despair to real, measurable transformation.

This Su***de Prevention Month, join us in expanding access to this breakthrough care.

Your support helps us provide life-saving treatment to those who need it most.

Together, we can prevent su***de, restore hope, and make healing accessible.

Donate to Liminal Medicine's access fund today. Link in bio.

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09/15/2025

Ketamine Saves Lives! Ketamine can reduce or eliminate suicidal thoughts.

I'm Celeste. I'm a therapist and the Clinical Director here at Liminal Medicine. September is Su***de Prevention Awareness Month. And something that I'm all struck by in my work as a ketamine-assisted psychotherapist is seeing people have the elimination or significant reduction in suicidal thoughts.

This, for me to see, is remarkable. I've been working as a therapist for over 25 years, and I've worked with people with lifelong, decade long, week long, day long experiences of suicidal thoughts. And these can be absolutely overwhelming and consume people's experiences.

Seeing people have that go away or have that reduce so much that their quality of life is improved significantly is a rewarding and significant thing to see.

If you want more information, we'd love to talk. Please click our link in the bio to sign up for our newsletter, or to schedule a free consultation.

***depreventionmonth ***dePrevention ***deawarness

We are proud to partner with Thank You Life to help increase access to ketamine therapy for those in need. Ketamine sav...
09/11/2025

We are proud to partner with Thank You Life to help increase access to ketamine therapy for those in need. Ketamine saves lives.

It's World Su***de Prevention Day. ***de is complicated and tragic, but it is often preventable. Knowing the warning s...
09/10/2025

It's World Su***de Prevention Day. ***de is complicated and tragic, but it is often preventable. Knowing the warning signs for su***de and how to get help can help save lives. Learn about behaviors that may be a sign that someone is thinking about su***de. Call or text 988 if you or someone you care about are in crisis.

Ketamine therapy is one option that may be helpful for people experiencing depression or suicidal ideation. Contact our office for a free consultation if you would like to discuss.

For more information about mental health and su***de, visit https://go.nih.gov/cw9p2vx #

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09/04/2025

If you’re a psychedelic medicine provider, where do you go to get help and support when you have questions, or when you want to talk to a professional peer?

I’m Anne, the Administrative Director of Liminal Medicine, and we know that for a lot of people who are working in this field, even after you get your training to be a psychedelic psychotherapist or a psychedelic medical provider, it can be hard to know where to go when you have questions, when you want to talk to a peer and get some perspective. Or if you’re not a medical professional if you need to get medical advice or you have questions about a patient’s medical situation.

So we have some very experienced providers at Liminal Medicine. Some of our providers have been doing this work for nearly a decade, and that’s longer than a lot of people have been in the field. Our clinical Director has been a therapist for over 20 years. Our doctor has has been practicing for over 20 years. And they’ve been doing psychedelic medicine here for quite a long time.

So we offer offer coaching services and consultation services for other psychedelic medicine professionals anywhere in California or around the country who just want to get a little perspective and advice. If you’re interested in that, feel free to give us a call.

Click the link in our bio to sign up for a newsletter and be sure to let us know that you are a mental health or medical professional, and we’ll add you to our special newsletter for professionals. You can hear about trainings and coaching and other offerings that we have. We would love to hear from you!

09/02/2025

Hello, I’m Anne, the Administrative Director at Liminal Medicine. I’m here to answer one of the most common questions we get, which is about the differences between Spravato and injectable ketamine.

We just had a little article about this by our doctor in our recent e-newsletter, and I was going to summarize it for people who didn’t get a chance to see the newsletter. Basically, the article goes through some of the different pros and cons of injectible ketamine versus Spravato and concludes that if what you’re looking for is a flexible therapy-friendly approach that allows for a deeper emotional exploration and a deeper psychedelic experience, injectable ketamine combined with psychotherapy might be the right approach for you.

If insurance coverage is a top priority, and you prefer a lighter psychedelic experience, or you’re looking for an alternative to your daily antidepressant (or maybe your daily antidepressant is working for you or you don’t like the side effects), Spravato could be a good place to start.

If you’d like to talk more about the pros and cons of different forms of ketamine and different form of treatment, we would be happy to set you up with a free consultation with a trained psychotherapist or physician. If you’d like more informative pieces or if you’d like to see a little bit more of the article I was describing, click the link our bio to sign up for our newsletter and will be happy to keep you updated!

08/26/2025

It's August 26th. You may be asking me why I'm bringing that up. And I'll tell you it is Women's Equality Day. 105 years ago today, the 19th Amendment of the US Constitution was ratified.

And that amendment gave women the right to vote. Since then, there's been blood sweat and tears and great effort to help continue this equality movement. In many ways we've come a long way, and we also have a long way to go.

So today, National Women's Equality Day, we are going to honor the women before us, and the men before us. (And people of all genders!) All the people who've come together to help work for gender equality and women's equality.

And here at our ketamine clinic, part of our mission is to provide help and healing to others, and through that ourselves, and our community, and our planet as a whole. I know it's a lofty goal, but that's part of what we hold in our work.

So today again, August 26th, let's honor all those before us and the equality of women, and our continued effort to strive for equal access and rights for all. Please click our link in the bio and sign up for our newsletter for more info!

08/25/2025

August is National Wellness Month and as we close out the month I thought we could talk a little bit more about wellness.

Wellness is different things for different people but for many it's about being able to connect with self and get a sense of what one needs, while also attending to rest, sleep, food and (for some people) meditation.

Some people do yoga, some people movement. All these tools are really important for a lot of us to stay well and to stay focused on self. And if one is struggling with significant mental health issues, that's often a hard time to be able to utilize these tools or sometimes those tools are not enough.

Sometimes the tools that we have in psychiatry aren't enough as well. There's a lot of good psychiatric medications out there but many people don't respond and many people respond but don't continue to respond after a bit of time.

There are lots of forms of psychotherapy as well. Many of the people we work with have tried a lot of different stuff and are still really struggling with anxiety, depression, and trauma.

What we have found is that ketamine can be incredibly effective at treating those issues. We are are more than happy to talk more, as well try to tune into ourselves and connect with wellness.

Please click on our link in the bio to sign up for our newsletter and learn more. We'd love to hear from you! And be well.

Address

1020 Gravenstein Highway , South, #120
Sebastopol, CA
95472

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5am
Friday 9am - 5pm

Website

https://mailchi.mp/31db045886ec/join-the-liminal-medicine-community

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