EP302: Ryan Nau, CRNA - CTK, TMS, Ketamine & the Future of Mental Health Treatment
In this wide-ranging conversation, Alex sits down with Ryan Nau, CRNA, owner/operator of Satori Integrative Medicine Clinic in Glenwood Springs, Colorado. Ryan shares his background in anesthesia and rural medicine and how he became an early adopter of CTK, an emerging treatment approach that Combines Transcranial Magnetic Stimulation (TMS)—a noninvasive therapy that uses magnetic pulses to stimulate specific areas of the brain—with Ketamine, an established treatment used in mental health care. His passion and commitment to helping others have created a safe place for people to explore science-based alternatives to more traditional treatment protocols. Ryan has the ability to custom-tailor treatment to the individual, which may include Ketamine-Assisted Psychotherapy (KAP), Ketamine alone, TMS alone, CTK, or a multitude of options. From his clinic in Glenwood Springs, Ryan is bringing these treatment options to patients throughout Colorado’s Western Slope and the Roaring Fork Valley. The conversation explores both the promise and limitations of these treatments—including side effects, contraindications, cost, stigma, addiction, patient safety, and what Ryan is seeing firsthand in clinical practice. Alex also shares his own experience as a long-term ketamine patient and discusses how his response to treatment has changed over time. TIMESTAMPS 00:23 — Meet Ryan Nau, CRNA01:09 — Ryan’s education, anesthesia background & rural medicine02:09 — Practicing medicine in rural Colorado and Meeker06:31 — Satori Clinic in Glenwood Springs06:46 — Transparency, conflicts of interest & Alex’s patient relationship with the clinic07:52 — What is CTK? Combining TMS + ketamine10:22 — Medical disclaimer—and Alex’s unforgettable colonoscopy/IV story15:49 — Informed consent and potential treatment risks16:13 — TMS injury reports and separating anecdotal reports from clinical evidence18:25 — Ryan discusses TMS side effects, safety and contraindications22:57 — Shifting the conversation to ketamine23:22 — Dissociation, “bad trips” and the ketamine experience25:54 — Ketamine side effects and blood-pressure concerns27:10 — The three barriers to ketamine: cost, stigma & fear28:10 — Who should—and shouldn't—receive ketamine?29:03 — Ketamine abuse, bladder problems and the difference between clinical and recreational use31:31 — The “P pill”: reducing the urge to urinate during an infusion33:28 — Why small distractions can derail a ketamine experience34:32 — Ryan’s West Virginia roots and path into anesthesia35:57 — Bringing ketamine treatment to the Roaring Fork Valley38:00 — What the early days of ketamine treatment looked like49:52 — The Achilles’ heel: treatment isn’t necessarily “one and done”49:58 — Do you need a physician referral for treatment?51:07 — Addiction, alcohol, opioids, ketamine and ibogaine1:04:08 — Ketamine and alcohol dependency: what do we actually know?1:05:54 — Why ketamine may work best as part of a bigger treatment strategy1:14:15 — What happens when a new patient contacts Satori Clinic?1:14:23 — Screening, contraindications, treatment options and the six-treatment protocol1:35:31 — Alex describes diminishing returns after years of ketamine treatment1:36:32 — Deciding to try combined TMS + ketamine1:38:16 — Alex’s first ketamine infusion—and the moment his mother noticed the difference1:39:26 — Exploring psychedelic medicine and the 2023 psychedelic conference1:40:10 — Ayahuasca, iboga and ibogaine experiences1:40:37 — Ibogaine, Colorado law and the developing psychedelic-treatment landscape [email protected] sourced by: www.Pond5.com Feel Invisible?Got a case of the Fuckits?Text or call 988 or if the Fecal is Hitting the Fan, call 911.
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