Am I an ideal Candidate for Stellate Ganglion Block? If you are a person suffering with depression or PTSD, our experienced physicians are more than happy to evaluate if the Ketamine Infusion Therapy is right for you. Your name Your email Below is a list of problems that are related to people experiencing a very stressful experience. Please go through all questions and indicate how much you have been bothered by that problem. 1. Are you experiencing unwanted memories of the stressful experience? Not at allA little bitModeratelyQuite a bitExtremely 2. Disturbing dreams of the stressful experience? Not at allA little bitModeratelyQuite a bitExtremely 3. Are you suddenly feeling as if the stressful experience were happening again? Not at allA little bitModeratelyQuite a bitExtremely 4. Are you feeling upset when someone reminds you of the stressful experience? Not at allA little bitModeratelyQuite a bitExtremely 5. Do you have a strong physical reaction when something reminds you of the stressful experience? Not at allA little bitModeratelyQuite a bitExtremely 6. Are you avoiding thoughts, feelings or memories related to the stressful experience? Not at allA little bitModeratelyQuite a bitExtremely 7. Are you avoiding external reminders of the stressful experience like places, conversations, situations? Not at allA little bitModeratelyQuite a bitExtremely 8. Are you having trouble remembering parts of your stressful experience? Not at allA little bitModeratelyQuite a bitExtremely 9. Do you have strong negative beliefs about yourself, other people or the world? Not at allA little bitModeratelyQuite a bitExtremely 10. Do you blame yourself or someone else for the stressful experience or what happened after it? Not at allA little bitModeratelyQuite a bitExtremely 11. Are you having strong negative feelings such as anger, guilt, shame, fear or horror? Not at allA little bitModeratelyQuite a bitExtremely 12. Are you experiencing a loss of interest in activities that you used to enjoy? Not at allA little bitModeratelyQuite a bitExtremely 13. Are you feeling distant or cut off from people? Not at allA little bitModeratelyQuite a bitExtremely 14. Are you having trouble experiencing positive feelings? Not at allA little bitModeratelyQuite a bitExtremely 15. Are you acting aggressively, or have angry outbursts? Not at allA little bitModeratelyQuite a bitExtremely 16. Are you doing things that could put you in harm's way? Not at allA little bitModeratelyQuite a bitExtremely 17. Do you feel ''superalert'' or watchful? Not at allA little bitModeratelyQuite a bitExtremely 18. Do you feel jumpy or easily startled? Not at allA little bitModeratelyQuite a bitExtremely 19. Do you have difficulty concentrating? Not at allA little bitModeratelyQuite a bitExtremely 20. Do you have trouble falling or staying asleep? Not at allA little bitModeratelyQuite a bitExtremely Your message (optional) Δ