Ketogenic Therapy Fee for Service Program

Thursday Evenings 8:00-9:00pm Eastern time

Ketogenic Therapy Fee for Service Program

This program supports individuals and caregivers interested in using ketogenic therapy. Participants can be of any age and are not required to have a mental health diagnosis. This program has a modest registration fee. 

Ketogenic Therapy Education and Support Program

This program supports individuals and caregivers interested in using ketogenic therapy. Participants can be of any age and are not required to have a mental health diagnosis. This program has a modest registration fee. 

 

Individuals who have already adopted ketogenic therapy and wish to bypass the 12 week psychoeducation program and begin directly with the ongoing support options may do so. Please email us at keto@cmhrc.org to get set up, or if you’d like more information about this fee for service program.

Frequently Asked Questions

Thank you so much for your interest in CMHRC’s ketogenic therapy support program! Below you will find answers to frequently asked questions. If you do not find the answer to your question, please contact us and we will get back to you within two business days.

Have questions about a ketogenic diet and it’s impact on the heart, cholesterol, and cardiovascular health risks?

  • Check out this video from Metabolic Mind‘s medical director, cardiologist Bret Scher, MD about the risks and benefits of keto for cardiovascular health. 
  • You can also read and share with your doctor this information packet from Dr. Georgia Ede, Harvard trained psychiatrist and author of Change Your Diet, Change Your Mind. 
What is ketogenic therapy?

Ketogenic therapy is a high fat food plan, balanced with protein, and limiting carbohydrates. This food plan helps the body to achieve and maintain a state of nutritional ketosis, which has been shown in studies with adults to help regulate mood.

Yes! Individuals and families who are receiving mental health services, such as therapy or psychiatric care, can enroll in this program. All outside services including therapy and medication management will remain with your current care team. CMHRC will not provide medical care or oversight during program participation. All medical decision making will remain with participants and their primary care physicians. 

Program participants will be responsible for purchasing their ketone tracking tools. However, program fees include:

  • The CMHRC Toolkit for symptom tracking
  • A Cronometer Gold subscription for logging food
  • CMHRC Keto psychoeducation and support group sessions
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$250 registration fees include access to

  • Weekly psychoeducation and support to provide participants with the foundational knowledge needed to transition safely into ketogenic therapy 
  • Access to the CMHRC Toolkit for symptom tracking
  • A Cronometer Gold subscription for logging food
  • CMHRC staff monitoring of your MyMojoHealth account

 

Ongoing support options (After week 12)

  • Silver Service – $29 per month
    • Continued access to
      • CMHRC Toolkit for symptom tracking
      • Cronometer Gold subscription for logging food
      • CMHRC staff monitoring of your MyMojoHealth account
    • PLUS: Bi-weekly support group sessions
    • PLUS: Monthly psychoeducation sessions

 

  • Gold Service – $59 per month
    • Continued access to
      • CMHRC Toolkit for symptom tracking
      • Cronometer Gold subscription for logging food
      • CMHRC staff monitoring of your MyMojoHealth account
      • Bi-weekly support group sessions
      • Monthly psychoeducation sessions
    • PLUS: A single one-on-one coaching session each month with CMHRC keto expert staff, at no additional charge

 

  • Platinum Service – $99 per month
    • Continued access to
      • CMHRC Toolkit for symptom tracking
      • Cronometer Gold subscription for logging food
      • CMHRC staff monitoring of your MyMojoHealth account
      • Bi-weekly support group sessions
      • Monthly psychoeducation sessions
      • A single one-on-one coaching session each month with CMHRC keto expert staff, at no additional charge
    • PLUS: As needed access to CMHRC program staff via text, email, Zoom, and telephone during the hours of 7am-7pm Pacific time, Monday-Friday
    •  

Yes! Any household size or configuration can participate in this program. Some families may choose to have the entire family eat within the ketogenic guidelines while for others only one or two members of the family will follow the food plan. You can think of the changes similarly to how meals might be modified to accommodate a family member with an allergy. For example, some families with lactose intolerance choose to be a lactose free home while other families focus more on preparing lactose free family meals and educating the child with the allergy to avoid foods in the house that will cause an allergic reaction.

Whatever you decide, we will be here to support you as you make these modifications in the way that works best for your family. 

Fees for an entire family to participate:

  • $250 for the family’s registration
  • Each family member seeking individualized support options must have their own monthly subscription

Yes! Blood ketone and glucose monitoring is a necessary safety measure when following ketogenic therapy and participants will have their blood tested with a small finger prick regularly. But, there are no needles and you don’t have to use that word when talking with those who dislike needles. The lancet is in a covered case and the sharp tip is not visible. The lancet device has 5 pressure settings allowing you to customize the pressure just the right level. Washing hands in warm soapy water for 30 seconds will help to soften the skin and bring the blood to the surface of the fingertip. This reduces much of the discomfort.

Current research indicates that adverse effects are typically due to a phenomenon called “Keto Flu” or increased sensitivity to medications. Our program is designed to ease participants into ketosis slowly to avoid potential adverse effects and to improve acceptance of the food plan.

In addition, Platinum Tier participants will have access to the program staff via text, phone, and email. Urgent messages will be returned within 24 hours and non-urgent messages will be returned within 2 business days. CMHRC will not provide medical care or oversight during this study/program. All medical decision making will remain with participants and their primary care physicians.

Depending on your insurance company and insurance policy, you may or may not be able to use your coverage to pay for the cost of the ketone monitoring devices. Check with your insurance carrier for details. 

Yes! We welcome any one who wishes to improve their metabolic health with ketogenic therapy. Exceptions include: 

  • Active psychosis
  • Hospitalized at the start
  • Current diagnosis of anorexia or bulimia
  • Underweight defined as <5th percentile for BMI and/or weight based on the CDC Stature-for-age and Weight-for-age for each biological sex
  • Type 1 diabetes
  • Cancer diagnosis
  • Severe renal or hepatic insufficiency or failure
  • Heart failure
  • Pancreatitis
  • Porphyria
  • Gallbladder disease
  • SGLT-2 inhibitors
  • Pregnancy or lactation (or planning to be pregnant within the next 12 months)
  • Active substance abuse with illicit drugs or alcohol
  • Known familial history of severe hyperlipidaemia, defined as a biological parent with LDL-C greater than or equal to 190 mg/dL or diagnosis of one or more of the following: coronary artery disease (CAD), myocardial infarction, or stroke before age 55 in males or 65 in women. (Note: All participants will have baseline laboratory work completed. If a subject has severe hyperlipidemia defined as LDL-C greater than or equal to 250 mg/dL consultation with the treating physician will be needed before the subject will be allowed to continue participation.)

No, no one will not be automatically removed from the program due to hospitalization. Program staff must be notified of the hospitalization because daily data during that period will not be able to be collected. It is also likely the participant will not be able to remain in ketosis during a hospitalization, and that is okay. Caregivers will continue to attend all the community support and psychoeducation sessions during that time. We will support the participant in reintroducing the ketogenic diet when they return home. 

Yes! We will provide access to a private and unsearchable Facebook group for program participants that will be monitored by program staff. This FB group will be a protected way for program participants to communicate, share resources, support one another, and document challenges during program participation. Access to this group and content there will be limited to program/study participants and related topics only.

Obligations will vary depending upon the participants age and level of independence. In the case of someone who needs significant assistance a caregiver will be asked to participate on the individuals behalf. All participants will be asked to:

  • Keep a daily food journal for the participant
  • Track daily symptom presentation
  • Collect blood glucose and ketone levels from the participant via finger prick regularly
  • Attend regular community support and psychoeducation sessions via Zoom with CMHRC staff
  •  

As we continue to grow the program you can expect psychoeducation sessions to include topics such as:

  • The unique symptom presentation of bipolar disorder in childhood and adolescence
  • Traditional treatment interventions for bipolar disorder
  • Insulin resistance and its impacts on physical and mental health
  • The science behind the ketogenic diet
  • Ketogenic diet macros, macro ratios, and healthy fats
  • And much more!
    •  

We are continuing to grow our program and you can expect support groups to include topics such as:

  • Meal planning & grocery shopping
  • Recipe sharing & conversions
  • Diet adherence in the community 
    • i.e. school, visiting relatives, restaurants, travel
  • Problem solving
  • Emotional support
  • And much more!


If you have any questions that were not answered here, please contact us and we’ll get back to you as soon as we can.