The Psychedelic Podcast

Sam Mandel - 30,000 Infusions Later: Clinical Insights from a Ketamine Pioneer


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In this episode of The Psychedelic Podcast, Paul F. Austin welcomes Sam Mandel, co-founder and CEO of Ketamine Clinics Los Angeles (KCLA). Find full show notes and links here: https://thethirdwave.co/podcast/episode-301-sam-mandel/?ref=278 Sam shares his journey co-founding KCLA with his father in 2014, pioneering ketamine infusion therapy when few were exploring its potential for mental health. From humble beginnings in a storage closet to becoming a leading mental health center with over 30,000 infusions administered, Sam discusses the challenges and triumphs of building a patient-centric practice. He explains the science behind ketamine's effectiveness compared to alternatives like Spravato, highlights the importance of individualized treatment, and offers a passionate critique of the current mental healthcare system while envisioning what meaningful reform could look like.

Co-founder & CEO of Ketamine Clinics Los Angeles (KCLA), Sam Mandel has channeled his lifelong passion for healthcare advocacy into transforming mental health care. From volunteering at a teen-to-teen suicide prevention hotline at twelve to pioneering one of the foremost Ketamine Infusion Therapy clinics in 2014 alongside his father, Dr. Steven L. Mandel, Sam has been featured in Entrepreneur's Top 10 Inspiring Healthcare Entrepreneurs (2023) and earned two 2024 Stevie Awards. Under his leadership, KCLA has provided over 30,000 infusions to more than 6,000 patients with an 83% success rate, establishing gold-standard treatment protocols while expanding services to include General Psychiatry and TMS therapy. Highlights: 

  • The founding story of KCLA and early skepticism from the medical community
  • Why IV ketamine outperforms nasal Spravato in efficacy and cost-efficiency
  • Creating individualized ketamine protocols for optimal patient outcomes
  • How insurance companies create barriers to effective mental healthcare
  • KCLA's 83% success rate compared to 50-70% in controlled research settings
  • Expanding from ketamine to TMS and general psychiatry
  • Preparing for future psychedelic medicines like MDMA and psilocybin
  • The critical flaws in America's mental healthcare system

Episode Links: 

  • Ketamine Clinics Los Angeles (KCLA)
  • The difference between Ketamine and Spravato (esketamine)
  • Third Wave’s Ultimate Guide to Ketamine

Episode Sponsor:

  • Psychedelic Coacing Isntitute's Intensive for Psychedelic Professionals in Costa Rica - a transformative retreat for personal and professional growth.
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