The Thrive Journal

Straight answers, written by the clinician.

Evidence-first articles on psychiatry, advanced treatment, and longevity — no hype, sources linked.

IV Ketamine vs Spravato®: cost, insurance, and how to choose

Advanced care · Coverage, control, and fit — the three questions that actually decide it.

What “treatment-resistant depression” actually means

Psychiatry · It doesn’t mean untreatable. The re-evaluation that matters and the escalation ladder past it.

NAD+ IV therapy: an honest look at the evidence

Wellness & Longevity · What it plausibly does, what nobody can promise, and why pacing and screening matter.

Coming soon: Does insurance cover Spravato® in Florida? · GLP-1s and antidepressants: what to know · Perimenopause, hormones & mood · “My labs are normal but I feel terrible” · Ketamine for chronic pain & CRPS: the evidence · What a CRNA does in a ketamine clinic · ADHD in adults: evaluation done right