You still perform. You also know something dropped after that ski fall, that wreck, that one bad hit, and you have been compensating ever since. The recall, the stamina, the mood, they are not what they were.
An old hit is rarely asked about and almost never volunteered. Connecting a decades-old impact to today's symptoms is the entire point of a proper evaluation.
An old hit can show up across eight areas: mood, thinking and memory, sleep, energy and hormones, the body's autopilot, balance and vision, headache and sensory sensitivity, and personality. Standard depression care usually looks at only one.
We do not claim to repair, reverse, or cure a concussion or any brain injury. What we do is treat the depression that a head-injury history can make more likely, and more resistant to standard care. A head-injury history is a risk factor for that depression, not an indication for ketamine itself.
Depression that follows a bell-ringing hit often has a driver ordinary depression care never checks for. A GP managing fatigue or a psychiatrist managing mood usually is not looking across the whole picture. Because we have neurology on staff, we can:
A hit can bruise the pituitary, the master hormone gland, and up to 1 in 6 people develop a deficiency (low thyroid, testosterone, or growth hormone) that looks exactly like getting older.
Sleep disorders affect roughly 30 to 70 percent of people with a head-injury history, and broken sleep keeps depression from lifting.
A hit can disrupt automatic control of heart rate and blood pressure, which is why some people feel dizzy standing up or exhausted for no clear reason.
The hit is often remote, years or decades back, and rarely asked about. Connecting it to today's symptoms is the whole point.
This is capability, not a promise of a specific outcome. It means we know where to look before we recommend anything.
Everything begins with a Recovery Evaluation, a proper clinical evaluation from a clinic that has neurology on staff, not a sales call. It is $99, fully refunded if you don't qualify. If you do, two treatment pathways open up.
FDA-approved for treatment-resistant depression. Taken in a certified clinic under supervision, with two-hour monitoring, and covered by most commercial plans, MO HealthNet, TRICARE, and Medicare. We verify your exact cost first.
For adults who qualify after a genuine evaluation. Structured protocols, dose limits, and clinician check-ins. Self-pay. If it is not the right fit, we tell you plainly.
Your PHQ-9 is measured at every visit, so you see the numbers move, not just how you feel.
The Executive's Concussion Playbook: Getting Your Edge Back
A plain-language guide, no cost, no obligation. Start the screener and we'll point you to it.
A Recovery Evaluation is the one front door. $99, fully refunded if you don't qualify. If you do, Spravato in clinic or supervised at-home ketamine opens up.
Every dose is observed by a healthcare provider, with two-hour post-dose monitoring and blood-pressure checks before you leave.
Someone drives you home. This is a firm rule, not a suggestion.
This treatment is not compatible with active substance use, and we screen for it honestly.
Crisis: if you or someone you know is in crisis, call or text 988 (Suicide and Crisis Lifeline) or go to your nearest emergency room. Brain Recovery Centers is not an emergency service.
Spravato® (esketamine) is FDA-approved for treatment-resistant depression and for depressive symptoms in adults with major depressive disorder with acute suicidal ideation or behavior. It is not FDA-approved for concussion, traumatic brain injury, or post-concussion syndrome. Use in patients with a concussion history is based on clinical judgment regarding the depression component. Off-label ketamine (IV, IM, oral) is not FDA-approved for any psychiatric indication. This page is educational and not medical advice. Individual results vary.
Start with a Recovery Evaluation. $99, fully refunded if you don't qualify. Or take the 2-minute screener first.
Start the 2-minute screenerPrefer to talk it through? Call us at (636) 244-6970.
