PTSD Care That Looks Beyond the Symptom
We begin by understanding the full pattern. The program combines in-depth psychiatric assessment, targeted labs when indicated, paired objective baseline measurement when useful, foundational stabilization, and carefully selected neuroplasticity-oriented care - built in a deliberate order and reviewed over time.
When the Threat Has Passed, but Your System Hasn't Gotten the Message
Similar PTSD symptoms can arise in very different contexts. Care becomes more useful when it is built around your history, present-day pattern, health, safety, daily responsibilities, and goals - not a label alone. PTSD is real. The pattern still needs to be understood.

The Assessment
We start by understanding the whole pattern.
Targeted laboratory analysis

Relevant metabolic, nutritional, inflammatory, thyroid, stress-hormone, and sex-hormone patterns, when clinically indicated.
In-depth clinical assessment

Symptoms, safety, sleep, functioning, medications, health history, dissociation, prior care, and goals.
Brain Gauge + WAVi EEG

A paired objective baseline for longitudinal review when useful, always read alongside your history and lived experience.
PTSD Is a Brain-Body Pattern, Not a Single Symptom
PTSD can involve several interacting patterns. We assess which factors are relevant for you rather than assuming the same story - or the same treatment - fits everyone.
Threat Response
When the alarm stays engaged. Vigilance, startle, physical tension, and difficulty shifting out of defense.
Sleep Recovery
When the night doesn't restore you. Nightmares, fragmented sleep, early waking, and overnight activation that drain regulation and energy.
Context & Memory
When the past keeps coloring the present. Intrusive memories, avoidance, threat generalization, and difficulty feeling that "this is now."
Regulation & Cognition
When focus and flexibility get harder. Attention, processing, emotional range, and the ability to settle after activation.
Whole-Body Context
When biology adds friction. Nutritional, metabolic, thyroid, inflammatory, and stress-hormone patterns, plus medications and prior response.
Social Safety
When connection no longer feels easy. Guardedness, numbness, and difficulty experiencing ordinary interaction as safe.
Recovery Built in the Right Order
The six phases move from a fuller baseline to thoughtful follow-up. They are not a promise that every person needs every treatment - many people improve during the foundational phases and never need ketamine.
1
Restore the Foundation
Address restorative sleep, nightmare burden, nutritional and inflammatory stress, and metabolic health - the factors that make recovery harder.
2
Calm the Stress & Autonomic Response
Reduce persistent physiological activation and improve the ability to shift out of constant defense, using selected psychiatric and autonomic-focused care when appropriate.
3
Prepare for Neuroplastic Change
Support the biology of energy, cognitive recovery, learning, and adaptive change before considering more intensive treatment.
4
Use Ketamine Selectively - Only When Warranted
Considered only when foundational phases are optimized, progress remains incomplete, and clinical and safety criteria support it.
5
Protect & Consolidate Progress
Prioritize sleep, recovery, stable routines, follow-up, and individualized integration during a window of increased capacity for change.
6
Maintain Gains & Watch for Relapse Signals
Periodic reassessment and targeted maintenance to protect sleep, stability, function, and symptom improvement over time.
The Peak PTSD Foundation Program brings the first three phases into one coordinated plan
Psychiatric assessment, laboratory review, follow-up, stress-regulation support, and selected clinical interventions - each chosen for your findings, medications, history, goals, and response. The purpose is to build a more stable platform for recovery, not to move everyone through the same list.
What we may evaluate
Psychiatric and medical context (symptoms, safety, medications, sleep, prior care, function); targeted labs when relevant; and paired Brain Gauge + WAVi measurement when useful.
What we may use
Foundation & sleep support
Address recovery, nightmares, and energy so participation in care
is possible.
Autonomic-focused care
Selected procaine-based IV neural therapy or Stellate Ganglion Reset when persistent threat activation is central.
IV & biological support
Selected nutrient or antioxidant support for a defined clinical role - not a stand-alone wellness menu.
Trauma-focused coordination
With your permission, care can be coordinated with your existing therapist or clinicians.
A lower questionnaire score matters
But recovery should also show up in sleep, relationships, work, emotional flexibility, cognitive stamina, and everyday participation. Follow-up compares where you are now against your original baseline and lived experience.

What we may follow

What meaningful change may look like
Ketamine is not the center of the Peak PTSD Program and it is not
a routine first step
It may be considered after foundational factors and persistent stress activation have been addressed, improvement remains incomplete, and careful screening supports its use. When selected, preparation, monitoring, recovery, sleep, follow-up, and coordination with trauma-focused psychotherapy are treated as part of the intervention. It does not replace trauma-focused care, safety planning, or clinical oversight and not everyone needs or qualifies for it.
Our goal isn't to place everyone into the same program
The Peak PTSD Program is designed for medically stable outpatient candidates who can take part in evaluation, informed consent, follow-up, and ongoing clinical oversight.
It is not an emergency or crisis service
It is not a single-procedure solution or a routine ketamine pathway
It may not be appropriate when outpatient care, required screening, or coordinated follow-up can't be completed safely right now.
If the fit is unclear, a discovery call can help clarify whether an initial clinical evaluation - or another level of support - makes sense.
F.A.Q.
A coordinated outpatient program in Reno, NV that combines psychiatric assessment, targeted labs, objective baseline measurement, foundational stabilization, autonomic-focused care, and selective neuroplasticity treatment - built in a deliberate order and measured over time.
No. Ketamine is one selective, later-stage option - not the center of the program. Many people improve during the foundational phases and never need it.
Only when foundational factors and persistent stress activation have been addressed, progress remains incomplete, and careful screening supports it. It never replaces trauma-focused care, safety planning, or clinical oversight.
It's an autonomic-focused, procaine-based intervention that may be considered when persistent threat activation is central to the pattern - used within the broader program, not as a stand-alone fix.
Through validated PTSD, mood, and sleep assessments, nightmare and sleep trends, daily function, relevant lab and autonomic trends, the paired Brain Gauge/WAVi baseline when indicated, and your own experience - compared to your starting point.
Yes, with your permission. Trauma-focused psychotherapy and existing clinicians can be part of the coordinated plan.
Medically stable outpatients able to take part in evaluation, informed consent, follow-up, and ongoing oversight. A discovery call helps clarify fit.
Start with a clearer clinical picture
If previous care has addressed PTSD symptoms but sleep disruption, hypervigilance, cognitive strain, emotional disconnection, or persistent physical stress activation remain, a broader assessment may reveal useful next questions. A discovery call is a focused conversation about fit and next steps.
Please use a general website form only for scheduling information - do not include detailed trauma, medical, diagnostic, or other private health information. Submitting a request does not establish a clinician-patient relationship.
Peak Body and Mind serves patients in Reno, Nevada. Treatment decisions are individualized and made with attention to safety, evidence, and your goals.
This page is for general education and is not a diagnosis, a substitute for individualized medical advice, or a promise of any specific result. The Peak PTSD Program is delivered as an individualized plan, after assessment, and sequenced and measured over time. If you are in crisis, call or text 988, call 911, or go to the nearest emergency department. Peak Body and Mind — 530 Hammill Ln, Reno, NV 89511 — (775) 376-1124 — peak@peakbodymind.com
