
EFR 889: Why SSRIs Are Failing Us, How to Reset the Nervous System and What Actually Works for Mental Health with Dr. John How
Episode Description
<p> This episode is brought to you by <a href="https://flykitt.com/">FLYKITT</a>, <a href="http://audibletrial.com/everforward">Audible</a> and <a href="https://partners.drinklmnt.com/free-gift-with-purchase?rfsn=4758053.6e087f&utm_medium=sponsor&utm_source=everforward&utm_campaign=agwp&utm_content=&utm_term=&rfsn_cn=EXCLUSIVE+GIFT+FOR+THE+EVER+FORWARD+COMMUNITY"> LMNT.</a></p> <p>Mental health care is evolving, and in this episode, Dr. John How, MD, Medical Director at Stella, joins us to explore cutting-edge treatments for PTSD, anxiety, and depression. From the powerful effects of stellate ganglion blocks—described as “vacation in a syringe”—to the life-changing impact of ketamine-assisted psychotherapy, this conversation dives into the science, safety, and soul behind these transformative modalities. We unpack how trauma is stored in the body, why hope is the first step toward healing, and why we're finally ready as a culture to embrace radical solutions for mental well-being.</p> <p>Follow Stella <a href="https://www.instagram.com/stellamentalhealth/?hl=en">@stellamentalhealth</a></p> <p>Follow Chase <a href="https://www.instagram.com/chase_chewning/?hl=en">@chase_chewning</a></p> <p>-----</p> <p><strong>In this episode we discuss...</strong></p> <p>00:00 – Intro: The State of Mental Health in America<br data-start="1589" data-end="1592"> 01:22 – Dr. How’s “State of the Union” on mental health<br data-start="1647" data-end="1650"> 02:56 – Legal, cultural, and insurance challenges<br data-start="1699" data-end="1702"> 03:50 – Why SSRIs often fall short<br data-start="1736" data-end="1739"> 04:59 – Blending old modalities with new therapies<br data-start="1789" data-end="1792"> 06:54 – Hope as the foundation of mental health recovery<br data-start="1848" data-end="1851"> 08:19 – Are we culturally ready for these treatments?<br data-start="1904" data-end="1907"> 10:05 – Injuries vs. Disorders: Rethinking PTSD<br data-start="1954" data-end="1957"> 11:17 – What is a Stellate Ganglion Block?<br data-start="1999" data-end="2002"> 13:12 – Fight or flight, nerve resets, and emotional regulation<br data-start="2065" data-end="2068"> 15:04 – Military use and resetting hypervigilance<br data-start="2117" data-end="2120"> 17:11 – What types of trauma respond well to SGB?<br data-start="2169" data-end="2172"> 18:36 – Cucumber to pickle: susceptibility after trauma<br data-start="2227" data-end="2230"> 20:19 – Maintenance frequency and Dr. How’s personal use<br data-start="2286" data-end="2289"> 21:43 – What the SGB experience feels like<br data-start="2331" data-end="2334"> 23:29 – The science behind emotional release<br data-start="2378" data-end="2381"> 25:59 – Do you need to do “the work” beforehand?<br data-start="2429" data-end="2432"> 27:54 – Post-procedure sensitivity and integration tips<br data-start="2487" data-end="2490"> 30:17 – Ideal recovery settings after the block<br data-start="2537" data-end="2540"> 31:50 – Using SGB for physical pain<br data-start="2575" data-end="2578"> 33:28 – How physical and emotional pain connect<br data-start="2625" data-end="2628"> 35:46 – Treating mental health rooted in physical trauma<br data-start="2684" data-end="2687"> 38:07 – Long-term effects and maintenance needs<br data-start="2734" data-end="2737"> 40:36 – Can people become addicted to this treatment?<br data-start="2790" data-end="2793"> 42:43 – How ketamine therapy fits in<br data-start="2829" data-end="2832"> 44:56 – Response rates for SGB vs. ketamine<br data-start="2875" data-end="2878"> 46:54 – Best practices for combining SGB and ketamine<br data-start="2931" data-end="2934"> 49:10 – Chase’s personal journey with ketamine<br data-start="2980" data-end="2983"> 51:38 – Making health decisions from a place of desperation<br data-start="3042" data-end="3045"> 53:34 – Safety, risks, and first-line vs. third-line treatments<br data-start="3108" data-end="3111"> 54:50 – Ketamine therapy: IV, IM, trochies, and Spravato<br data-start="3167" data-end="3170"> 56:50 – What a ketamine session is really like<br data-start="3216" data-end="3219"> 58:30 – Aftereffects and integration<br data-start="3255" data-end="3258"> 59:34 – Darkness, ego death, and healing<br data-start="3298" data-end="3301"> 01:01:39 – Is ketamine a proactive mental health tool?<br data-start="3355" data-end="3358"> 01:04:20 – Environment and human connection in healing<br data-start="3412" data-end="3415"> 01:07:46 – Access, insurance, and affordability<br data-start="3462" data-end="3465"> 01:12:07 – Constructive suffering and advocating for yourself<br data-start="3526" data-end="3529"> 01:14:00 – The system, self-responsibility, and asking better questions<br data-start="3600" data-end="3603"> 01:16:28 – Is society ready for transformative treatments?<br data-start="3661" data-end="3664"> 01:17:07 – What “Ever Forward” means to Dr. How<br data-start="3711" data-end="3714"> 01:18:35 – Where to find Dr. John How and Stella
Special Guests
- Dr. John How