08/26/2026
Ketamine and Spravato are everywhere right now. They are becoming pop-up services. But being able to offer an innovative treatment and being qualified to offer it well are two very different things.
And if we’re going to talk about the future of mental healthcare, we also have to talk about this: it cannot just be about the money.
The Lindsay Clancy trial has me thinking a lot about the word expert. Not because this post is really about that case, but because it highlights a much bigger conversation about what it actually means to claim expertise.
A license gives us permission to practice. It does not automatically make us an expert in everything technically within our scope.
That distinction matters tremendously with ketamine, Spravato, psychedelic-assisted therapies, TMS, trauma treatment—and whatever comes next.
I believe these treatments are part of the future of mental healthcare. I WANT more access. But access without expertise, intention, and good clinical care isn’t progress.
Ketamine isn’t just administering a medication and sending someone home. Patient selection matters. Preparation matters. Understanding the neuroscience matters. Monitoring matters. Integration matters. Knowing when someone is—and isn’t—a good candidate matters. And knowing how to accompany someone through what can be an incredibly vulnerable experience matters.
That requires investment. Training. Continuing education. Mentorship. Infrastructure. Time. Money. And experience.
But it also requires heart.
Integrative mental healthcare isn’t about adding the newest profitable service to a menu. It’s about understanding the whole person well enough to know when a treatment may help, why it may help, and what support that person needs before, during, and after it.
And here’s the part I think we need to talk about more:
“Nobody requires me to” is a pretty low bar for healthcare.
If you’re going to offer an advanced treatment, you have a professional responsibility to know the research, understand the clinical guidelines and consensus recommendations, stay current as the evidence evolves, and build your protocols around best practice—not simply around the minimum required by your state, your license, or an insurance company.
Psychedelic work is a perfect example. Whether we’re talking about ketamine or emerging treatments involving psilocybin, we should understand the evidence around preparation, therapeutic support, integration, safety, and continuity of care. Creating a period of increased neuroplasticity and then simply sending someone back into the exact environment they came from without thoughtful support misses an enormous part of what makes these treatments potentially transformative.
So if you offer these treatments, ask yourself:
What guidelines inform my protocol? What research am I following? What training have I completed? How am I measuring outcomes? What happens to my patient after the treatment is over? And am I doing this because I can—or because I’ve invested enough to do it exceptionally well?
At Pivot Integrative Health, we don’t simply call ourselves experts. We’ve invested the time, money, training, and continuing education behind that claim, including specialized certification through PRATI. We’ve been doing this work repeatedly, learning from it, refining our protocols, and getting better every single time.
We were the first in Northeast Arkansas to build this kind of integrative mental healthcare, and we intend to keep setting the standard for how it’s done: evidence, expertise, innovation—and heart.
Our patients deserve innovation. But innovation without expertise is not the future of mental healthcare. Excellence is.
Follow along here and at Pivot Integrative Health as we keep talking about what expertise—and truly excellent integrative care—should look like.
Tomorrow you can look for our next post on this topic: What actually makes someone an expert? 🧠
