The fall brings many of our favorite things: piles of brightly colored leaves, apple cider with donuts, and cooler temperatures that allow us to turn off our air conditioners finally! But for many, the spooky season of Halloween time only highlights the nightmares that interfere with sleep and quality of life. Today we examine the relationship between anxiety and the nighttime disturbances of nightmares and night sweats.
Nightmares and anxiety
If you have frequent nightmares, you have parasomnia — a type of sleep disorder that includes unwanted disturbances while you’re falling asleep, during sleep or when you’re waking up. Nightmares and bad dreams are overlapping and common forms of parasomnia. Nightmares can be thought of as “vivid, disturbing, or frightening dreams that cause a startled awakening (Levin & Nielsen, 2007)”, and bad dreams are “very disturbing dreams which, though being unpleasant, do not cause the dreamer to awaken” (Robert & Zadra, 2008).
An anxiety dream falls under this umbrella as well; it is any dream that causes stress or distress. You might feel panicked or nervous during the dream, but often these feelings continue even when you wake up or worse, linger on during your day.
Although nightmares often inspire feelings of terror more intense than general anxiety, these also count as anxiety dreams, since anxiety during the day can make nightmares more likely. Nightmares can be triggered by many factors outside of anxiety including trauma (such as an accident or other events), irregular sleep cycles/schedule, some medications, substance abuse and/or withdrawal, and other medical conditions such as depression, heart disease or cancer.
However, the primary cause of nightmares is stress or anxiety. Sometimes, the ordinary stresses of daily life, such as a conflict at work or school can trigger a nightmare. A major life change, such as a move or the death of a loved one, can have the same effect. Experiencing anxiety is associated with a greater risk of nightmares.
How does anxiety trigger nightmares?
As you might already know, your brain remains active while you sleep. The brain uses this time to carry out critical functions required to refresh your body and optimize your brain function during your waking hours. Part of this process that happens when you sleep includes encoding experiences and sensations into memory and organizing all that data, much like a filing system.
It follows, then, that if your recent thoughts and feelings cause stress and fear, your dreams will likely follow a similar pattern. Not everyone living with anxiety will have bad dreams, but research does suggest anxiety can play a significant part in nighttime distress.
In a 2014 study, those who met criteria for generalized anxiety disorder had more bad dreams than participants who didn’t have anxiety. Bad dream frequency was significantly associated with depression, anxiety, worry, and poor quality of life. The study also showed that bad dreams led to greater daytime feelings of anxiety and depression and lower quality of life. In short, anxiety, and nightmares can feed into each other, creating an unpleasant cycle.
Night sweats and anxiety
Night sweats are something you probably recognize if you are experiencing them, but clinically it is defined as being flushed, very hot, and sweating for no apparent reason. This can happen when trying to rest, go to sleep, or when waking up, even though the room temperature is normal or cool. There may be a medical reason for your night sweats your body fighting off a virus or bacteria. What’s more, night sweats can be caused by perimenopause, menopause, the aftereffects of menopause, or by other hormonal problems. Night sweats can come and go infrequently, occur on a regular basis, or go on every night for what seems to be indefinitely.
Anxiety night sweats may precede, accompany, or follow an escalation of other anxiety sensations and symptoms (things like nervousness, anxiety, fear, and elevated stress) or occur with no obvious trigger. It can also come in waves, where it’s strong one moment and eases off the next.
Why does anxiety cause night sweats?
In short, an over-active mind causes the physical symptoms associated with night sweats. Your stress response in your head causes a physical response in your body including changing your body’s metabolism, respiration, and perspiration. This response is why the heart beats harder and faster, breathing becomes shorter and shallower, and we sweat.
Experiencing night sweats is a common consequence of a stressed or anxious mind, and an indication of how the body can mismanage itself based on our mental state. When the nervous system is healthy, it manages these systems and functions normally and invisibly for the most part. But when the nervous system becomes hyper-stimulated on a regular basis, the body is more apt to move from “thinking to feeling” in a shorter time span – a type of muscle memory if you will. Nightmares and the stress responses they trigger can also be a cause, or part of the circle of night sweats.
What to do if you are experiencing nightmares or night sweats on a regular basis
It’s always wise to seek support if your symptoms begin affecting your work, relationships, or overall quality of life. The best way to combat the negative effects of anxiety is to prevent them in the first place! Dr. Sambunaris suggests changing your sleep habits first:
- Create an atmosphere that is conducive to great sleep. Build in time to wind down that includes taking a warm shower, banning screen time and devices, and/or reading a book. Keep the lights low, the temperature cool, and sounds to a minimum.
- Once you’re in bed, let your mind wander to positive thoughts like going to your own “happy place,” positive things about your day, or expressing gratitude for the people in your life.
- Make time for exercise during the day – studies have shown that even just 30 minutes of moderate aerobic activity during your day may help you sleep better.
- Avoid caffeine and other stimulants during the day (or at least after lunch) to give your brain the best chance of relaxing at night.
If you have tried all of these suggestions, and you still find that your sleep disturbances are affecting your quality of life, it’s time to talk to a physician like Dr. Sambunaris who specializes in anxiety disorders. Recurrent or long-lasting stress and anxiety could be a sign of a more serious mental health issue that will not go away on its own. Make an appointment to get a clear diagnosis of what is keeping you up at night by calling 770-817-9200.
Sources: https://mayocl.in/3SUZcvI https://bit.ly/3ejLLGH https://bit.ly/3RStBtc
Author Angelo Sambunaris, M.D.
Dr. Sambunaris & Associates – Alpharetta, GA
Alcoholism is a serious, chronic disease that affects millions of individuals and families across the United States. It impacts physical health, mental well-being, relationships, and careers—but with professional help and evidence-based treatment, recovery is absolutely possible.
At Dr. Sambunaris & Associates, we specialize in the comprehensive care of patients struggling with alcoholism and co-occurring disorders such as anxiety and depression. Our approach is rooted in science, compassion, and long-term results.
What Is Alcoholism?
Alcoholism, also known as Alcohol Use Disorder (AUD), is a medical condition characterized by an inability to control or stop drinking despite the negative consequences it causes. It is more than just drinking too much—it’s a disease that changes the brain and behavior over time.
People with alcoholism often experience:
- Cravings for alcohol
- Loss of control over how much or how often they drink
- Physical dependence or withdrawal symptoms
- Tolerance (needing more alcohol to feel the same effect)
It’s important to remember that alcoholism is not a moral failure. It is a diagnosable and treatable medical condition.
Warning Signs of Alcoholism
Alcoholism can present differently depending on the person, but common signs include:
- Drinking alone or in secret
- Prioritizing alcohol over responsibilities
- Memory blackouts or gaps from drinking
- Neglecting personal appearance or health
- Mood swings, irritability, or anxiety when not drinking
- Withdrawal symptoms (sweating, tremors, nausea) when trying to quit
If you or someone you love is experiencing these symptoms, it may be time to seek help.
Our Approach to Alcoholism Treatment
At Dr. Sambunaris & Associates, our treatment programs for alcoholism are designed to address both the physical and psychological aspects of addiction. We combine the latest medical research with compassionate care to develop individualized treatment plans.
Our services may include:
- Comprehensive Psychiatric Evaluation
- Medication-Assisted Treatment (MAT) to reduce cravings and withdrawal symptoms
- Behavioral Therapies, including Cognitive Behavioral Therapy (CBT)
- Dual Diagnosis Care for patients with co-occurring anxiety, depression, or PTSD
- Ongoing Support and Relapse Prevention Planning
Our mission is to empower patients to reclaim control over their lives and move toward lasting recovery.
Q&A: Alcoholism and Treatment Options
Q: How do I know if I or a loved one has a drinking problem?
A: If alcohol use is interfering with daily responsibilities, causing relationship issues, or leading to physical or emotional distress, it’s time to seek a professional evaluation. We can help you determine if it’s alcoholism and what steps to take next.
Q: Is alcoholism a disease or a choice?
A: Alcoholism is classified as a brain disease. While the initial choice to drink may be voluntary, over time alcohol can hijack the brain’s reward and control centers, making it incredibly difficult to stop without help.
Q: What role does mental health play in alcoholism?
A: A significant number of people with alcoholism also struggle with mental health conditions like anxiety, depression, or trauma. Treating both the addiction and underlying mental health conditions simultaneously is crucial for successful recovery.
Q: Can medications help me stop drinking?
A: Yes. FDA-approved medications such as naltrexone, acamprosate, or disulfiram can help reduce cravings and prevent relapse when used in combination with therapy.
Q: Is treatment confidential?
A: Absolutely. At Dr. Sambunaris & Associates, your privacy is a top priority. All consultations and treatment plans are strictly confidential.
Q: Do you offer support for families of alcoholics?
A: Yes. We understand that addiction affects the entire family. We offer family education and therapy options to support healing for everyone involved.
Start Your Journey to Recovery
If you or a loved one is struggling with alcohol use, you are not alone—and help is available. At Dr. Sambunaris & Associates, we’re committed to helping individuals understand their condition, regain control, and build a life free from addiction.
📞 Contact Dr. Sambunaris & Associates today for a confidential consultation.
Phone: (770) 817-9200
Address: 5755 North Point Parkway, Suite 256, Alpharetta, GA 30022
🌐 Website: https://drsambunaris.com
Recovery is not only possible—it starts with a single step. Let us help you take it.
Anxiety is more than just feeling nervous before a big event—it’s a serious and often overwhelming mental health condition that affects millions of people across the country. Left untreated, anxiety can interfere with relationships, career success, physical health, and overall quality of life. Fortunately, with the right care, anxiety is highly treatable.
At Dr. Sambunaris & Associates, we specialize in evidence-based, integrative treatment for anxiety and related conditions. Our approach goes beyond symptom management to address the root causes of anxiety and help individuals regain control of their lives.
What Is Anxiety?
Anxiety is a normal human response to stress or danger, but for some people, it becomes chronic and excessive. When anxiety becomes persistent and interferes with daily life, it may be diagnosed as an anxiety disorder.
There are several types of anxiety disorders, including:
- Generalized Anxiety Disorder (GAD) – persistent and excessive worry about everyday matters
- Panic Disorder – recurring panic attacks and fear of future attacks
- Social Anxiety Disorder – intense fear of being judged or embarrassed in social situations
- Phobias – irrational fears of specific objects, activities, or situations
- Obsessive-Compulsive Disorder (OCD) and Post-Traumatic Stress Disorder (PTSD) – often co-occurring with anxiety
How We Treat Anxiety at Dr. Sambunaris & Associates
We believe that every individual deserves personalized and compassionate care. Our team utilizes a combination of clinical psychiatry, advanced diagnostics, and the latest treatments in neuroscience to create tailored care plans. Treatments may include:
- Comprehensive Diagnostic Assessments
We begin with an in-depth evaluation to understand your unique symptoms, history, and any contributing biological or neurological factors. - Medication Management
If necessary, we carefully prescribe and monitor medications that help regulate brain chemistry and reduce anxiety symptoms. - Cognitive Behavioral Therapy (CBT) and Other Psychotherapies
These evidence-based therapies are designed to help individuals identify and challenge negative thinking patterns and develop healthier coping mechanisms. - Clinical Research Opportunities
As a leading research center, we offer access to cutting-edge treatments and clinical trials that are not available in most standard practices. - Integrated Wellness Support
We support the whole person—addressing sleep, nutrition, stress, and lifestyle habits that may impact anxiety levels.
Why Choose Dr. Sambunaris & Associates?
Dr. Sambunaris is nationally recognized for his expertise in neuropsychiatric disorders and has served as a principal investigator in over 300 clinical trials. Our Alpharetta-based team combines world-class experience with a warm, patient-centered approach that respects your privacy and individuality.
We don’t just treat symptoms—we aim to restore peace of mind and quality of life.
Frequently Asked Questions (FAQ) About Anxiety
Q: How do I know if I have anxiety or if I’m just stressed?
A: While occasional stress is normal, anxiety involves persistent feelings of worry, fear, or dread that don’t go away and may worsen over time. If you feel constantly on edge, struggle with sleep, experience physical symptoms (like heart palpitations or stomach issues), or avoid certain situations out of fear, you may be dealing with an anxiety disorder.
Q: Is anxiety treatable without medication?
A: Yes, many people find relief through therapy, lifestyle changes, and non-pharmaceutical treatments. However, for some, medications can be a helpful and necessary part of recovery. At Dr. Sambunaris & Associates, we work with you to find the right balance based on your specific needs and preferences.
Q: What makes your practice different from other providers?
A: We offer a unique combination of personalized psychiatric care and access to cutting-edge clinical research. Our deep understanding of brain science allows us to explore treatments beyond the typical “trial-and-error” approach. We prioritize your comfort, confidentiality, and long-term results.
Q: What should I expect during my first appointment?
A: Your first visit involves a comprehensive consultation where we review your medical and mental health history, current symptoms, and personal goals. From there, we’ll create a customized plan that may include therapy, medication, or participation in a clinical research study.
Q: Is everything confidential?
A: Absolutely. We understand the sensitive nature of mental health care and uphold the highest standards of privacy and confidentiality. Your trust is our top priority.
Take the First Step Toward Healing
If you or a loved one is struggling with anxiety, know that help is available—and hope is real. At Dr. Sambunaris & Associates, we’re committed to walking beside you on your journey to wellness.
Contact Dr. Sambunaris & Associates today for a confidential consultation.
📞 Phone: (770) 817-9200
📍 Address: 5755 North Point Parkway, Suite 256, Alpharetta, GA 30022
🌐 Website: https://drsambunaris.com/
Rediscover calm. Reclaim your life. Let’s take the next step—together.
Depression is one of the most common and disabling mental health conditions, affecting millions of people worldwide. For those who struggle with treatment-resistant depression (TRD), traditional medications and therapy may not offer the relief they need. At Dr. Sambunaris & Associates in Alpharetta, GA, we are proud to offer a cutting-edge solution: ketamine treatment for depression.
Ketamine, once known primarily as an anesthetic, is emerging as a powerful new tool in the fight against chronic depression. Administered in a clinical setting and under the care of highly trained professionals, ketamine therapy has helped patients regain hope when other options have failed.
What is Ketamine Treatment?
Ketamine is an FDA-approved anesthetic that has been used safely for decades. In recent years, researchers have discovered that ketamine—administered at low, controlled doses—can rapidly improve symptoms of depression, often within hours or days. This makes it especially valuable for individuals with treatment-resistant depression, suicidal ideation, or severe mood disorders.
At Dr. Sambunaris & Associates, ketamine therapy is administered via IV infusion in a calming, clinical environment. Each session is tailored to your individual needs and overseen by our expert clinical team, with close monitoring to ensure your safety and comfort.
How Does Ketamine Work for Depression?
Unlike traditional antidepressants, which can take weeks to take effect and primarily target serotonin or dopamine pathways, ketamine acts on a different brain chemical called glutamate. This action helps rewire and strengthen neural connections in areas of the brain responsible for mood and emotion—offering rapid relief and a renewed sense of clarity and emotional balance.
Q&A: Understanding Ketamine Treatment for Depression
Q: Who is a candidate for ketamine treatment?
A: Ketamine therapy is most often recommended for patients with treatment-resistant depression, meaning they have tried at least two different antidepressants without significant relief. It may also benefit those with bipolar depression, PTSD, and acute suicidal thoughts.
Q: Is ketamine safe?
A: Yes. When administered by trained professionals in a medical setting like Dr. Sambunaris & Associates, ketamine is safe and well-tolerated. Side effects are typically mild and may include dizziness, nausea, or dissociation during the infusion, which usually resolve shortly after the session.
Q: How quickly will I feel better?
A: Many patients report feeling better within 24–72 hours after their first infusion. Improvements often include reduced suicidal thoughts, increased motivation, and an overall uplift in mood.
Q: How many treatments are needed?
A: A standard course of treatment typically involves 6 infusions over 2–3 weeks, followed by maintenance infusions as needed. Our team will develop a customized treatment plan based on your individual progress and response.
Q: Will ketamine replace my current medication or therapy?
A: Ketamine is often used in conjunction with other forms of treatment. It may allow some patients to reduce their reliance on antidepressants over time, but we encourage a comprehensive care plan that includes therapy and psychiatric support.
Q: What should I expect during the treatment session?
A: Each ketamine infusion lasts about 40–60 minutes. You’ll be seated comfortably in a quiet room, and our staff will monitor your vital signs throughout the session. Most patients describe a dream-like or meditative experience during the infusion.
Hope Starts Here
Depression doesn’t define you—and it doesn’t have to control your life. If you or someone you love is struggling with depression that hasn’t responded to traditional treatments, ketamine therapy may offer a new path forward. At Dr. Sambunaris & Associates, we’re committed to providing compassionate, evidence-based care that empowers you to heal and thrive.
Contact Dr. Sambunaris & Associates today for a confidential consultation.
📞 Phone: (770) 817-9200
📍 Address: 5755 North Point Parkway, Suite 256, Alpharetta, GA 30022
🌐 Website: https://drsambunaris.com
Post-traumatic stress disorder (PTSD) casts a long shadow, often leaving individuals feeling isolated, overwhelmed, and disconnected from their own lives. The lingering effects of trauma can manifest as relentless anxiety, terrifying flashbacks, chronic nightmares, and a pervasive sense of dread, making daily functioning a monumental challenge. For many who have navigated traditional treatment pathways without achieving significant relief, the search for effective solutions can feel exhaustive. However, a groundbreaking treatment is now offering a powerful beacon of hope: Ketamine therapy.
At Dr. Sambunaris & Associates in Alpharetta, GA, under the visionary leadership of Dr. Angelo Sambunaris and the compassionate guidance of Dr. Sheila Namanworth, DMD, individuals grappling with the profound impact of PTSD are discovering renewed possibilities for healing, resilience, and a return to a fulfilling life. Located conveniently at 5755 North Point Parkway, Suite 256, Alpharetta, GA 30022, their practice is at the forefront of innovative psychiatric care.
Deciphering PTSD: Beyond the Surface of Traumatic Memories
PTSD is far more than just a collection of “bad memories.” It represents a complex neurological and psychological response to overwhelmingly stressful or terrifying events. These events can range from direct exposure to combat, natural disasters, serious accidents, physical or sexual assault, to witnessing severe violence or even experiencing a profound loss. The brain, in its attempt to cope with such extreme stress, can become dysregulated, leading to a persistent state of hyperarousal and altered information processing.
The hallmark symptoms of PTSD, as recognized by mental health professionals, include:
- Intrusive Symptoms: These are involuntary and distressing recollections of the traumatic event. They can take the form of recurrent, unwanted memories, vivid flashbacks where you feel like you’re re-experiencing the event, or distressing nightmares directly related to the trauma. These intrusions can be triggered by seemingly innocuous cues, making everyday life unpredictable and anxiety-provoking.
- Avoidance: A strong urge to avoid anything associated with the trauma, including thoughts, feelings, conversations, people, places, activities, or objects that serve as reminders. This avoidance can lead to social isolation, withdrawal from hobbies, and a significant shrinking of one’s world.
- Negative Alterations in Cognitions and Mood: This category encompasses a range of emotional and cognitive changes. It might include persistent and distorted negative beliefs about oneself, others, or the world (“I am bad,” “No one can be trusted,” “The world is completely dangerous”). You might experience a diminished interest in significant activities, feelings of detachment or estrangement from others, persistent inability to experience positive emotions (anhedonia), or a chronic sense of fear, horror, anger, guilt, or shame.
- Marked Alterations in Arousal and Reactivity: This manifests as a persistent feeling of being “on edge.” Symptoms include irritable behavior and angry outbursts, reckless or self-destructive behavior, hypervigilance (constantly scanning for danger), exaggerated startle response, problems with concentration, and significant sleep disturbance (difficulty falling or staying asleep).
These debilitating symptoms not only erode an individual’s sense of safety and well-being but also severely impact relationships, academic performance, professional productivity, and overall quality of life. If you or someone you know in Alpharetta or the surrounding North Georgia area is experiencing these persistent struggles, understanding that effective, innovative treatment options are available is the first step toward healing.
The Rise of Ketamine Treatment: A New Frontier in PTSD Therapy
For decades, the primary therapeutic modalities for PTSD have been psychotherapy, particularly trauma-focused cognitive behavioral therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR), alongside pharmacotherapy, primarily with selective serotonin reuptake inhibitors (SSRIs). While these approaches have helped many, a significant percentage of individuals, especially those with chronic or severe PTSD, experience only partial relief or remain treatment-resistant. This persistent challenge has driven the search for more rapid and robust interventions, leading to the exciting emergence of ketamine treatment.
Ketamine, an N-methyl-D-aspartate (NMDA) receptor antagonist, has been safely used as an anesthetic since the 1960s. Its remarkable antidepressant and anxiolytic properties, discovered more recently, have revolutionized the landscape of mental health treatment. What sets ketamine apart from conventional psychiatric medications is its unique neurobiological mechanism and its ability to induce rapid therapeutic effects, often within hours to days, rather than weeks or months.
Unpacking the Mechanism: How Ketamine Reaches the Core of PTSD
While research continues to deepen our understanding, the current scientific consensus suggests that ketamine exerts its profound effects on PTSD through several interconnected pathways:
- Rapid Synaptogenesis and Neuroplasticity: One of ketamine’s most remarkable actions is its ability to rapidly stimulate the growth of new synaptic connections (synaptogenesis) and enhance neuroplasticity in key brain regions, particularly the prefrontal cortex and hippocampus. These areas are often compromised in PTSD, leading to impaired emotional regulation and memory processing. By essentially “rewiring” the brain, ketamine can help to restore healthier neural circuits, allowing for more adaptive processing of traumatic memories and improved emotional regulation. This “window of plasticity” post-ketamine administration is a critical period for concurrent psychotherapy.
- Modulation of NMDA Receptors: Ketamine’s primary target is the NMDA receptor, a type of glutamate receptor involved in learning, memory, and synaptic plasticity. By transiently blocking these receptors, particularly in the prefrontal cortex, ketamine can counteract the chronic overactivity that is often seen in the glutamate system of individuals with PTSD. This modulation may help to dampen the exaggerated fear responses and intrusive thoughts associated with trauma.
- Reduction of Inflammatory Markers: Growing evidence suggests a link between chronic inflammation and the pathophysiology of PTSD. Ketamine has demonstrated anti-inflammatory properties, which may contribute to its therapeutic effects by reducing neuroinflammation and promoting a healthier brain environment.
- Rapid Symptom Alleviation: Unlike traditional antidepressants that work by gradually altering neurotransmitter levels, ketamine induces a rapid cascade of effects that can lead to significant reductions in core PTSD symptoms, including intrusive thoughts, flashbacks, hypervigilance, and anhedonia. This quick relief can be life-changing, providing immediate respite from overwhelming distress and empowering individuals to engage more effectively in their healing journey.
- Breaking the Cycle of Avoidance: By rapidly reducing the intensity of PTSD symptoms, ketamine can help individuals overcome the powerful urge to avoid trauma-related cues. This allows them to begin re-engaging with life, participating more fully in therapy, and gradually confronting memories or situations that were previously too overwhelming.
The Dr. Sambunaris & Associates Advantage: Expertise and Compassion in Alpharetta, GA
Choosing the right provider for advanced treatments like ketamine therapy is paramount. At Dr. Sambunaris & Associates, located conveniently for patients across Alpharetta, Roswell, Johns Creek, and the broader Atlanta metropolitan area, you benefit from a unique blend of cutting-edge science, extensive experience, and personalized compassionate care.
- Pioneering Leadership: Dr. Angelo Sambunaris stands as a beacon of innovation in neuropsychiatry. As a Certified Physician Investigator (CPI) and the esteemed founder of Dr. Sambunaris & Associates, his career spans decades of groundbreaking research, including leading over 200 pivotal medical research studies. This profound involvement in clinical trials, particularly within the neuropharmacology of mood and anxiety disorders, grants him unparalleled insight into the intricate workings of the brain and the most effective treatment modalities. Critically, Dr. Sambunaris has personally developed and refined individualized procedures for intramuscular (IM) ketamine administration, optimizing its therapeutic potential for hundreds of patients over the last five years, setting a gold standard for care in the region.
- Holistic Wellness at the Core: Dr. Sheila Namanworth, DMD, serves as the Vice President and Wellness Officer, bringing a crucial holistic perspective to the practice. Her commitment to preventive health and comprehensive well-being ensures that patient care extends beyond symptom management to encompass lifestyle, nutrition, and overall mental and physical health. Her dedication to community outreach and patient education complements the clinical rigor, fostering an environment where patients feel fully supported on their journey to wellness.
- Individualized, Evidence-Based Treatment Plans: At Dr. Sambunaris & Associates, there’s no “one-size-fits-all” approach. Every patient undergoes a comprehensive initial evaluation, which includes a detailed review of their medical and psychiatric history, a thorough physical examination, and an in-depth discussion of their specific symptoms and treatment goals. Utilizing this extensive information, Dr. Sambunaris meticulously crafts a customized ketamine treatment protocol designed to maximize therapeutic outcomes and significantly improve the patient’s quality of life.
- A Track Record of Restoring Hope: Many individuals seek treatment at Dr. Sambunaris & Associates having exhausted conventional options, feeling that their PTSD is “treatment-resistant.” The clinic’s documented success rates with ketamine therapy, particularly in this challenging population, underscore their expertise and offer a renewed sense of hope where previous efforts have faltered. Their commitment to achieving optimal brain health and function, by restoring chemical balance, is a testament to their patient-centered mission.
- Integrated Care for Sustainable Recovery: While ketamine offers rapid symptom relief, the most sustainable and profound healing for PTSD often involves an integrated approach. Dr. Sambunaris & Associates strongly advocates for combining ketamine therapy with concurrent psychotherapy (such as trauma-focused CBT or EMDR). The neuroplastic “window” opened by ketamine can make psychotherapy more effective, allowing individuals to process traumatic memories, develop healthier coping mechanisms, and integrate new insights in a way that might have been impossible before. This synergistic approach maximizes the chances of long-term remission and robust recovery.
What to Expect During Your Ketamine Treatment Journey
The process of ketamine treatment at Dr. Sambunaris & Associates is designed with patient comfort, safety, and efficacy as paramount.
- Initial Consultation and Evaluation: Your journey begins with a comprehensive consultation. This is your opportunity to share your story, discuss your symptoms, and express your goals. Dr. Sambunaris will conduct a thorough medical and psychiatric assessment to determine if you are a suitable candidate for ketamine therapy, explaining the risks and benefits in detail. This personalized approach ensures the treatment plan aligns perfectly with your needs.
- The Treatment Session: Ketamine is typically administered in a controlled, therapeutic environment within the clinic. Dr. Sambunaris & Associates often utilizes intramuscular (IM) injections for ketamine delivery, a method precisely refined by Dr. Sambunaris for optimal patient benefit. During the brief period of ketamine’s acute effects (typically 30-45 minutes), you will remain awake and conscious, though you may experience mild dissociative effects. These can include a feeling of detachment, altered perceptions, or a sense of peace and calm. Many patients describe it as a unique, introspective experience. Throughout the session, a highly trained and compassionate staff member will closely monitor your vital signs and provide continuous support to ensure your comfort and safety.
- Post-Treatment Monitoring and Integration: After the acute effects subside, you will be monitored for a period to ensure you are stable and comfortable before discharge. It’s important to have a trusted friend or family member drive you home. The period following a ketamine session is often considered ideal for therapeutic integration, as the brain’s plasticity is heightened. This is when engaging in psychotherapy can be particularly impactful.
- Treatment Course and Maintenance: The initial phase of ketamine treatment for PTSD typically involves a series of sessions over a few weeks. The exact number and frequency will be determined by Dr. Sambunaris based on your individual response. Many patients experience significant and rapid improvement, with ongoing booster sessions scheduled periodically to maintain the therapeutic effects and prevent relapse.
Understanding Potential Side Effects
While generally safe and well-tolerated when administered by experienced professionals, it’s important to be aware of potential, typically transient, side effects associated with ketamine therapy. These may include:
- Temporary dissociation or a “floating” sensation during the infusion.
- Brief increases in blood pressure or heart rate.
- Nausea or vomiting (often pre-treated with anti-nausea medication).
- Dizziness or lightheadedness upon standing.
These side effects are closely monitored and managed by the expert team at Dr. Sambunaris & Associates. A thorough discussion of your medical history and any potential contraindications will be a key part of your initial consultation to ensure your safety.
Is Ketamine Treatment the Right Path for Your PTSD Recovery?
If you or a loved one in Alpharetta, GA, or the surrounding communities, has been grappling with the enduring burden of PTSD and has found limited success with conventional treatments, ketamine therapy at Dr. Sambunaris & Associates offers a truly promising new avenue for relief and recovery. The combined expertise of Dr. Angelo Sambunaris and Dr. Sheila Namanworth, their patient-centered approach, and their commitment to innovative, evidence-based care make them a premier choice for advanced psychiatric treatment.
It’s time to break free from the grip of PTSD and begin a new chapter of healing and well-being.
Take the courageous first step towards reclaiming your life. Contact Dr. Sambunaris & Associates today for a confidential consultation.
- Phone: (770) 817-9200
- Address: 5755 North Point Parkway, Suite 256, Alpharetta, GA 30022
- Website: https://drsambunaris.com/
Anxiousness or anxiety is a normal reaction to various kinds of events and circumstances in our lives. Stress and anxiety manifest as a part of our inner caution systems to notify us about potential threats or other hazards, often preparing our bodies to fight back or get out of a harmful situation.
A manageable amount of anxiety from time to time can be practical. For instance, it can inspire you to get ready for a test at school or complete a task in the workplace. Even happy events like relocating to a new city or celebrating a birthday can bring up anxiety– all of this is just part of being human. You can think of it as a range or continuum of emotion.
When patients ask us about anxiety, there are usually two things required to make a potential diagnosis of anxiety disorder rather than just feeling “stressed out”:
– the anxiety is out of proportion to the circumstance and,
– it hinders the ability to function on a daily basis.
All of us face unpredictability in our lives. But somebody with an anxiety disorder might prepare for the unpredictability and potential end results in a way that isn’t proportionate to the real threat.
These are relentless concerns that don’t vanish, often causing people to avoid triggering situations or things that worsen their signs and symptoms – meaning they can lose out on a lot of life! Many individuals share that they recognize their anxiety isn’t rational or appropriate for the situation but cannot stop themselves from the intrusive thoughts and physical sensations can come with anxiety.
Real life examples
If you wake up in the morning, and suddenly realize you have to make a major presentation at work, it is normal to feel a little nervous or anxious about the day. You may even bolt out of bed to get yourself awake and prepared for the event early. Your heart may pound, and you may feel a bit queasy, but once the presentation is done, you immediately go back to feeling like your normal self.
Maybe you are asked to fly or travel for work and have some concerns about COVID or flying in general. That is a pretty normal and typical response for many people. And most will also take what precautions they can and then proceed to get on the airplane and do their job. A person with an anxiety disorder, on the other hand, may not be able to even get themselves to the airport because of their fears – even if it puts their job in jeopardy.
A clear example of what happens to someone with a medical condition related to anxiety is that they will awaken one morning and believe that something terrible might happen that day, obsess about it all day and even that night or into tomorrow will continue to think about all the possible outcomes to something that is not even a real possibility!
Signs and symptoms
Having a true anxiety disorder can include bothersome physical signs and symptoms such as:
– migraines or headaches.
– tiredness or chronic fatigue.
– muscle pain.
– insomnia – trouble either falling asleep or staying asleep during the night.
– digestion issues.
On the other hand, normal anxiety:
– is associated with a specific circumstance or issue.
– lasts only as long as the specific instance.
– is equal in severity to the importance of the issue.
– is a reasonable response relative to what peers might do in the same situation.
If your stress and anxiety is keeping you from living your best life, or if it’s affecting your health and wellness, talk with a medical professional that specializes in anxiety disorders, like Dr. Sambunaris. Know that anxiety disorders are treatable, as well as manageable, once you get a proper medical diagnosis and support!
Author Angelo Sambunaris, M.D.
Not many people are comfortable asking their friends or neighbors for a referral to a psychiatrist. There is often an inner sense of shame or embarrassment when people are considering getting a psychiatric consultation. Even in today’s more “enlightened” environment, the social stigma associated with what is a medical condition (an imbalance in the brain’s chemistry) keeps many from seeking the help they need from family doctors OR psychiatrists.
Most people who grow tired of struggling with mental health disorders initially go to their family doctors. However, it is valuable if the patient knows the pros and cons of consulting their family doctor about their symptoms as opposed to a psychiatrist, who specializes in diagnosing and treating mental illness.
Studies show that 74% of people seeking help for depression will first go to the family doctor. Of these cases, as many as 50% are misdiagnosed (1). General practitioners or internal medicine specialists are trained to recognize mental illness, but do not have the updated, specialized education, and expertise of psychiatrists to correctly diagnose and treat patients optimally.
Depression is the most frequent brain imbalance diagnosed by family doctors, especially since depression has become more actively discussed in the media and has become less stigmatized. If the family doctor chooses not to make a referral to a psychiatrist or psychologist, he or she will most likely treat it with an SSRI such as Prozac. But the true condition may turn out to be something other than depression. Not recognizing mania combined with depression, for example, is a risk because this is how many bipolar disorders are missed. Even when patients are correctly diagnosed with depression from their family doctors, 80% are given too little medication, for too short a time (2). Starting with the family doctor might still be a good idea for anyone suspecting a mental disorder however, because their physician can rule out possible physical causes for various symptoms. Some tests that are commonly done are EEGs, MRIs, PET scans, and lab work to rule out seizure disorders, and to determine pituitary and thyroid function.
In mainstream mental health, medication is an important component in treating mental illness. Although the family doctor can prescribe medications, a psychiatrist is more familiar with the wide range of psychiatric medications, how to use them in combination with other medications, and how to manage their side effects (3).
If you see your internal medicine physician and are concerned that additional investigation is needed or you just want to explore additional options with an expert in the field, call our office to schedule a diagnostic evaluation today. Just like you would see an orthopedic surgeon for your bum knee or an allergist for your annoying hay fever, a specialist like Dr. Sambunaris can get to the right diagnosis and the right solution faster for your brain chemistry imbalance!
(1) “Understanding Depression Treatment“. WebMD Medical Reference. (2005).(2) Ibid.(3) “Choosing a Mental Health Provider: How to Find One Who Suits Your Needs”. Mayo Clinic Staff. (2005). Author Angelo Sambunaris, M.D.
Relationships are the most challenging aspect of life with Social Anxiety Disorder (SAD). Typically, these individuals are hesitant to interact with others, have difficulty speaking in public, are frequently self-conscious, and worry about what other people think of them. It’s important to understand that Social Anxiety Disorder is not the same as being simply shy; those who are afflicted worry about being rejected or embarrassed in social situations. In addition to feeling hesitant when trying new relationships, those with mental health issues struggle internally due to self-consciousness and negative thoughts. This disorder can negatively affect people by making them feel lonely, having fewer friends, and preventing them from meeting other people who share their interests and hobbies.
Know that you are not alone!
Approximately 19.2 million people in the United States alone have been diagnosed with Social Anxiety Disorder, an anxiety disorder that is characterized by an intense fear of social situations.
Men have a more difficult time in a dating scenario. Men are typically expected to take the lead in dating situations by society. A man with this condition is frequently concerned about what they will say during their date. They are afraid of looking foolish or unintelligent. In some cases, individuals suffering from social anxiety disorder may be unable to interact with others or appear “stuck up” or impolite because they don’t say much in social gatherings.
Women, in general, are more concerned about what others may think of them. Their appearance, in particular, is cause for anxiety. They frequently believe that everything from their nails to their shoes provides someone the chance to make a critical remark on them.
What about online dating?
Online connection and communication may appear to be more appealing when you have social anxiety but proceed with caution. People who suffer from SAD are prone to perceiving internet connections as simpler, safer, and better-controlled than face-to-face interactions, according to recent research. As a result of this mentality, people who suffer from Social Anxiety often develop an overabundance of internet usage and a tendency to avoid face-to-face situations, which, if you have Social Anxiety Dating, you already know are challenging. Online dating, on the other hand, might also be a wonderful method to meet individuals and get to know them before actually meeting them in person.
Here are some suggestions to ease your dating anxiety:
- Talk about topics that interest you
Although this is probably the last thing you want to do, understanding and knowing each other are required for genuine intimacy. You can’t have one without the other. This doesn’t imply you should spend the entire conversation telling your life story; instead, think about sharing something or someone significant to you or what you think about other topics.
- Concentrate on the present moment
Consider how you’re feeling right now and what you’re doing or eating. Don’t worry about the past or the future; instead, try to focus on the present.
- Allow yourself to be who you are
With your unique insights, experiences, and personality, you are a valuable individual. Take charge of who you are and what you can offer someone in a relationship by embracing that.
- Assume the best, not the worst
Your date might have some thoughts about you, but don’t leap to conclusions. It is easy for anxiety to dominate us when we make assumptions about what others think or feel, but assuming is not only unfair to you but them as well.
- Replace your negative ideas with a more positive perspective
You can try to identify and disrupt distorted thoughts ahead of time as well. Whenever you hear that voice in your head telling you that someone isn’t into you or that you’re weird, ask yourself questions like, “Is it possible I misunderstood their text?”, “Am I listening to my friend or trying to read their mind?” You can stop distorted thoughts from happening by identifying and disrupting them.
It is important to seek help if you or someone you know has Social Anxiety Disorder. Contact our office today at 770-817-9200 today to learn about your options for enjoying life to the fullest and getting back into that dating pool.
Author Angelo Sambunaris, M.D.
I have a few questions for you!
- Do you believe that the health of your body and mind is directly influenced by the food items you consistently consume?
- Do you believe that the food you regularly eat can create stress, inflammation, and disease in your body?
- If you knew that you had the power to change your life so that you felt and looked better, would you take the necessary steps to make those changes?
We are in a new age, where the lifestyles we craft for ourselves contributes to many of the diseases that have become so commonplace in our society — high blood pressure, diabetes, cancer, depression, and heart disease. We now come to expect that as we age, we will develop at least one of these diseases simply because we are older or because our genetics have predetermined our outcome! What if these diseases develop or accelerate as a result of the foods we eat? If you knew that food contributed to you becoming ill, would you change how and what you ate? If your answer is ‘no’ you can stop reading this now! If your answer is ‘yes’, let’s continue!
It is easy to minimize the significance good nutrition plays in our lives, after all, it is up to the individual to implement a healthy nutrition plan, and that takes time and effort, and can be a tremendous struggle. Furthermore, we are literally surrounded by foods that entice us with their over-abundance of fat, sugar, and salt, but are lacking in the actual nutrients that our bodies need to function!
Fortunately, a single change can be the impetus to a whole new, and better, world! Pick one of the suggestions below to implement into your life and see what you can do!
- Increase fiber (from apple, raspberries, lentils, collards, beans). Fiber will help normalize and keep your gut healthy. There is a direct correlation between gut health and brain health! A happy gut equals a happier brain! Build up to 25-50 grams of fiber per day.
- Don’t be afraid to eat nuts (walnuts, cashews, almonds, pistachios, pumpkin seeds)! If you are struggling to find healthy snacks, nuts are your solution! Nuts and legumes are power houses for nutrition including fiber, zinc, and iron. A handful of nuts each day contributes to an increase in BDNF- a brain factor that supports brain cell hardiness and health!
- Cut your fast-food intake! Fast-food is ripe with sugar, salt and inflammatory oils but lacking in nutrition. If you want to feel better and lose weight, it may be time to find healthier alternatives to the drive-thru! If you eat fast-food 5 days per week, cut down your visits to 3 days per week and see how you feel! Have a plan for substitutions to help yourself with this change!
Food is your fuel; it can help you fight a virus, decrease inflammation, increase immunity, turn genetic markers for disease on or off. To coin a long-lived phrase, “dis-moi ce que tu manges, je te dirai ce que tu es” or “You are what you eat” and the food you eat directly impacts your state of mind and health. While this is no easy task, you can create and influence the health of your brain and body, leading you to a happier life! Trust this, it is well worth the effort.
Candice Poor
Getting enough sleep is important because it helps your body and mind to recover from the day’s activities. When you’re well-rested, you’re able to think more clearly, make better decisions, and be more productive. Sleep helps to boost mental wellbeing by improving mood and memory function. A good night’s sleep can improve mood and concentration, reduce stress, and increase energy levels.
The 4 major reasons we need sleep are:
- To restore and rejuvenate our bodies
- To improve our moods
- To increase our productivity
- To protect our mental health
Poor sleeping habits are the most common cause of insufficient sleep, but there may also be underlying medical conditions that a specialist, like a psychiatrist can diagnose and treat.
There is a direct connection between sleep and brain health. Sleep is important for the brain because it allows the brain to rest and recharge. During sleep, the brain processes information from the day and consolidates memories. Additionally, sleep is necessary for healthy brain function and plays a role in mood regulation.
A deep dive on the science of sleep and the brain
As we prepare for bed, clusters of sleep-promoting neurons in many parts of the brain become more active. This happens because the body releases chemicals called neurotransmitters that activate these cells. These sleep-promoting cells help to quiet down other parts of the brain so we can get a good night’s sleep.
Neurotransmitters are chemical messengers that send signals between nerve cells, and they play a major role in regulating mood, cognition, and behavior. When we don’t get enough sleep, it can cause these neurotransmitters to become unbalanced, which can lead to issues with your brain and mental health. They are the conduit, or chemical facilitators, for sleep and play an important role in communication between the brain and other parts of the body. Therefore, it is possible that your body is ready for sleep, but your brain hasn’t gotten the message yet because of a disruption in that conduit system.
Genes are responsible for the efficient (or not) production of neurotransmitters in your body, which are essential for the proper functioning of the brain. Therefore, some people are more susceptible to developing certain disorders due to an imbalance of these key brain chemical levels – including insomnia, anxiety, or depression.
Serotonin is the neurotransmitter responsible for mood regulation, sleep, appetite, and pain sensation. It impacts all of these things because it helps to regulate the body’s circadian rhythm. This rhythm controls when we feel awake or sleepy and also how hungry or full we feel. GABA is another neurotransmitter that is associated with sleep, muscle relaxation, and sedation. When levels of GABA are low, insomnia can result. There are other neurotransmitters that play a role in sleep and wakefulness. Acetylcholine, histamine, adrenaline, cortisol, and serotonin all help to shape how we sleep and how alert we are.
Conversely, sleep deprivation can lead to an imbalance in these neurotransmitters, creating a “snowball effect” for individuals who already have an imbalance due to their genetic makeup.
How much sleep do you need?
There is no one answer to how much sleep each individual needs, as it depends on a person’s individual health and daily activities. The Sleep Foundation provides a range of hours for each age group, with the recommendations acknowledging that there may be some wiggle room on either side of the range for “acceptable” amount of sleep.
- Most adults need 7 to 8 hours of good quality sleep on a regular schedule each night.
- Kids need even more sleep than adults and teens need 8 to 10 hours of sleep each night.
- School-aged children need 9 to 12 hours of sleep each night and preschoolers need to sleep between 10 and 13 hours a day (including naps).
Getting enough sleep isn’t only about total hours of sleep; it’s also important to get good quality sleep on a regular schedule so you feel rested when you wake up. Insomnia can include trouble falling asleep, getting up multiple times during the night, or waking up too early and being unable to fall back asleep.
How do you know if you are not getting enough sleep?
There are several key signs that you are not getting enough sleep: feeling tired during the day despite getting enough rest; having trouble concentrating; experiencing mood swings; being irritable; experiencing physical symptoms (such as headaches, dizziness, or flu symptoms). If you are experiencing any of these signs and you think you may be sleep deprived, call our offices to schedule a diagnostic consultation and get the bottom of why you struggle with sleep!
Author Angelo Sambunaris, M.D.