Pivot Integrative Health

02/24/2026

🚫 MYTH: TMS and Spravato® are “last resort” treatments.
✅ FACT: Research shows remission rates decline with each new antidepressant trial.

That means advanced treatments like TMS and Spravato may be worth exploring earlier, when appropriate and when insurance allows.

You deserve options.
You deserve a plan.
You deserve relief.

📞 Call Pivot Integrative Health: 870-336-6450

02/23/2026

Depression can lock the brain into rigid, repetitive survival patterns—thought loops, emotional numbness, exhaustion, and disconnection.

Ketamine works differently by targeting glutamate, helping “wake up” communication between brain cells and supporting neuroplasticity—the brain’s ability to rewire and adapt.

And when the brain can reconnect, healing becomes possible.

At Pivot, we combine medical treatment with therapy and integration support to help those changes take root.

📞 Call 870-336-6450 to learn more

02/22/2026

Spravato® treatment isn’t just about medication—it’s about the environment you heal in.

At Pivot Integrative Health, we’ve designed Spravato care to feel safe, calm, and private.

✨ Private treatment pods
✨ Comfortable recliners
✨ Warm blankets
✨ Headphones + music
✨ Supportive monitoring by trained staff

Because healing should feel supported—not clinical and cold.

📞 Call us today: 870-336-6450

02/22/2026

Depression doesn’t discriminate.
It doesn’t care about your age, your career, your relationship status, or how “put together” your life looks on the outside. It affects teenagers and retirees, parents and professionals, men and women — and everyone in between.
Here are five common signs of depression to be aware of:
1️⃣ Persistent sadness, emptiness, or hopelessness
2️⃣ Loss of interest in activities you once enjoyed
3️⃣ Changes in sleep (too much or too little)
4️⃣ Fatigue or low energy nearly every day
5️⃣ Difficulty concentrating or making decisions

🗣️Sometimes depression is loud. Sometimes it’s quiet. Sometimes it looks like irritability, overworking, isolation, or simply “going through the motions.”

🫶At Pivot, we believe mental health care should be accessible, compassionate, and judgment-free. If you or someone you love is experiencing these symptoms, you are not weak — and you are not alone. Help is available, and healing is possible.
Reach out. Let’s take the next step together. 💛

02/21/2026

🚫 MYTH: Ketamine or Spravato® is “just for people with substance use issues.”
✅ FACT: These treatments are widely used in medical settings to treat treatment-resistant depression and may support symptoms related to anxiety or trauma.

At Pivot, ketamine and Spravato are delivered in a structured, monitored clinical environment—focused on safety, healing, and evidence-based care.

If you’ve been hesitant because of stigma, you’re not alone.
But the facts matter.

📞 Call to learn more: 870-336-6450

02/20/2026

✨ Pregnancy and postpartum can be beautiful… and still incredibly hard.

If you’re struggling during pregnancy, feeling overwhelmed after baby arrives, or carrying anxiety, intrusive thoughts, mood swings, grief, or birth trauma — you are not alone and you are not failing.

Perinatal therapy is specialized support for the mental and emotional challenges that can come with:
🤍 pregnancy
🤍 postpartum
🤍 infertility or pregnancy loss
🤍 NICU experiences
🤍 traumatic birth stories
🤍 parenthood transitions

At Pivot Integrative Health, we’re proud to offer Perinatal Therapy in Paragould with Karlie Droke, LCSW.

You deserve support. You don’t have to navigate this season alone.

📍 Paragould, AR
📞 Call: 870-336-6450
💻 Book online: pivotintegrativehealth.com

02/20/2026

If depression or anxiety has kept you stuck—despite therapy or medication—you are not alone.

Ketamine and Spravato® are advanced treatments designed for patients who haven’t found relief through traditional options.

This isn’t about “trying harder.”
It’s about using the right tools for the right brain chemistry.

Let’s talk about what options may be right for you.

📞 870-336-6450
🌿 Pivot Integrative Health

02/19/2026

Wondering if Spravato® (esketamine) might be an option for you?

Many patients qualify if they have:
✔️ Tried 2 or more antidepressants without lasting relief
✔️ Ongoing depression symptoms despite treatment
✔️ A provider evaluation (required for insurance approval)

At Pivot, we’ll walk you through the process and handle the insurance steps so you can focus on healing—not paperwork.

📞 Call Pivot Integrative Health: 870-336-6450

02/19/2026

Pregnancy and postpartum bring big changes — and you don’t have to navigate them alone. 💛

Our latest blog breaks down perinatal therapy in Paragould, AR—what it is, common challenges new and expectant mothers face (anxiety, postpartum depression, intrusive thoughts, overwhelm), and how therapy can help you build coping tools, confidence, and support.

At Pivot Integrative Health, Karlie Droke, LCSW, provides compassionate, specialized therapy for women during pregnancy and postpartum—because your mental health matters just as much as your physical health.

📍Paragould, AR
📞 Call to schedule: 870-336-6350
💻 In-person & telehealth available

You deserve care, support, and space to breathe. 🤍

Read more: https://wix.to/bUiIuLe

Pregnancy and postpartum can be some of the most meaningful seasons of life—but they can also feel overwhelming, isolating, and emotionally exhausting. Many women silently struggle with anxiety, depression, intrusive thoughts, identity shifts, and the pressure to “feel happy” all the time. Per...

02/18/2026

Each new antidepressant trial can lower the odds of remission.

If you’ve already tried multiple medications, it may be time to explore evidence-based advanced treatment options like:

✔️ TMS
✔️ Ketamine-Assisted Psychotherapy
✔️ Spravato® (esketamine)

You don’t have to “wait until it gets worse” to get the care you deserve.

📞 Call today to schedule an evaluation: 870-336-6450

02/18/2026

Spravato® (esketamine) works differently than traditional antidepressants.

Instead of slowly increasing serotonin over weeks, Spravato targets the brain’s glutamate system, helping restore communication between brain cells and supporting neuroplasticity—your brain’s ability to form healthier pathways.

For many patients with treatment-resistant depression, that can mean relief sooner, not later.

If you’ve tried medications without lasting improvement, you may qualify for Spravato treatment.

📞 Call Pivot Integrative Health: 870-336-6450

02/15/2026

Pivot Integrative Health will be closed on Monday, February 16, in observance of Presidents’ Day.

All specialty services have been rescheduled. Specialty services include Spravato treatment, TMS (Transcranial Magnetic Stimulation), ketamine medication sessions, IV therapy/infusion services, and vitamin or wellness injections.

Therapy and medication management appointments will still take place as scheduled, including telehealth visits.

Please note: Our phones will not be answered on Monday. Calls and voicemails will be returned on Tuesday when the office reopens.

Thank you for your understanding, and we hope everyone has a safe holiday weekend!