Panic disorder affects approximately 6 million U.S. adults, or 2.7% of the population, according to the ADAA
Panic Attack Treatment in La Crosse, WI: Quieting the Alarm That Won't Stop Going Off
IV ketamine therapy and Spravato offer a neurologically distinct approach for people living with panic disorder and treatment-resistant panic attacks. Medically supervised, personalized care in La Crosse for when conventional treatments haven't been enough.
Panic Attacks Aren't Just Anxiety. And They Aren't Something You Can Think Your Way Out Of.
Panic disorder affects approximately 6 million U.S. adults. The attacks themselves, which can strike without warning and peak within minutes, feel genuinely life-threatening: racing heart, chest tightness, shortness of breath, dizziness, a terrifying sense that something is catastrophically wrong. Knowing intellectually that a panic attack won’t kill you doesn’t make the experience any less overwhelming in the moment.
For many people, panic disorder becomes self-reinforcing. The fear of having another attack leads to avoidance. Avoidance shrinks life. The nervous system stays on high alert, primed to detect threat. Conventional treatments, including SSRIs and cognitive behavioral therapy, help many people. But for those who haven’t found adequate relief, ketamine therapy offers a different neurological route to calming that overactive alarm system.
At Relevate Ketafusion, we offer IV ketamine therapy and FDA-approved Spravato for people with panic disorder and treatment-resistant panic attacks, right here in La Crosse. Our team includes Robyn Brown, a dual-certified FNP and PMHNP with personal experience managing anxiety, who approaches every patient with the understanding that this isn’t just clinical.


Understanding Panic Attacks and Panic Disorder
A panic attack is a sudden surge of intense fear or discomfort that reaches its peak within minutes and includes a combination of physical and psychological symptoms. While a single panic attack is frightening, panic disorder develops when attacks recur and are followed by persistent worry about future attacks or significant changes in behavior to avoid triggering them.
Neurologically, panic disorder involves a dysregulated threat-response system. The amygdala, the brain’s alarm center, fires disproportionately to perceived threat. The prefrontal cortex, which normally modulates that response and provides rational context, gets overridden. The result is a full physiological emergency response triggered by something that poses no actual danger. Over time, this pattern can become deeply entrenched, which is why conventional treatments that don’t address the underlying neural circuitry often fall short.
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Types of Panic and Anxiety Conditions We Treat
Panic attacks don't always fit neatly into a single diagnosis. They occur across a range of anxiety-related conditions, and ketamine therapy's ability to calm overactive neural circuits makes it relevant across this spectrum, particularly when conventional treatment hasn't provided adequate relief.
Panic Disorder
Recurrent, unexpected panic attacks alongside persistent worry about future attacks or significant behavioral avoidance. When SSRIs and CBT haven't produced sufficient relief, ketamine therapy offers a neurologically distinct alternative that targets the glutamate system rather than serotonin, calming the overactive threat circuitry that drives panic at its source.
Panic Disorder with Agoraphobia
When panic disorder leads to avoidance of situations where escape might be difficult or help unavailable, agoraphobia develops. Life can become severely restricted: avoiding public transport, crowded spaces, or even leaving home. Ketamine therapy's ability to reduce the underlying anxiety driving avoidance can help restore the neurological baseline that makes engagement with exposure-based therapy more possible.
Panic Attacks with Depression
Nearly half of people with panic disorder also experience depression. The two conditions feed each other in a discouraging cycle: panic attacks are exhausting and demoralizing, and depression lowers the resilience needed to manage them. Ketamine therapy addresses both simultaneously by calming anxious neural circuits while rebuilding the neural pathways depression depletes. Spravato carries an FDA approval for treatment-resistant depression that makes it a particularly well-validated option for this overlap.
Panic Attacks Related to PTSD
PTSD frequently involves panic attacks triggered by trauma reminders or perceived threats. The underlying neural dysregulation is closely related to what drives panic disorder, with an amygdala primed for danger by traumatic experience. Ketamine therapy's neural healing properties make it relevant for both the PTSD component and the panic attacks that accompany it. Our team includes Lisa Knudtson, a Navy veteran and PMHNP with deep experience in trauma-related conditions.
Panic Attacks with Generalized Anxiety
When panic attacks occur against a background of chronic, pervasive anxiety, both conditions need to be addressed. Ketamine therapy's rapid calming effect on overactive anxiety circuits can provide meaningful relief across both the acute panic and the underlying GAD, giving patients a window in which behavioral therapeutic work can take hold more effectively.
Treatment-Resistant Panic Disorder
When multiple medication trials and adequate courses of CBT haven't produced sufficient improvement, treatment-resistant panic disorder is the clinical picture. This is exactly the population ketamine therapy was developed to help. For patients whose panic disorder co-occurs with treatment-resistant depression, Spravato offers an FDA-approved, insurance-covered option.
Your Panic Attack Treatment Journey at Relevate Ketafusion
From your first conversation to your last session, we're with you at every step.
01
Initial Consultation
Your journey starts with a virtual consultation. We'll talk through your panic history, your current symptoms, what treatments you've tried, and what you're hoping to achieve. You'll receive a thorough mental health screening and medical clearance review, and we'll explain clearly whether IV ketamine, Spravato, or both make the most sense for your situation. No commitment, no pressure.
02
Personalized Treatment Plan
We build your plan around your specific diagnosis, history, and goals. For panic disorder, we'll also discuss how ketamine therapy fits alongside any ongoing therapy you're receiving, since ketamine's neuroplasticity window can make behavioral therapeutic work more effective. We'll map out your full timeline and set clear expectations from the start.
03
Treatment Sessions
Every session takes place in a private, calm treatment room with ambient lighting and soothing music. For someone living with anxiety and panic, the environment matters. Our medical team stays present throughout, monitoring your vitals and your comfort in real time. Most patients describe the experience as peaceful and grounding. Plan to have someone drive you home afterward.
04
Integration and Ongoing Monitoring
We track your response carefully and adjust your plan as needed. The period following ketamine sessions is when the brain is most neurologically open to forming new patterns, which is why we encourage continued engagement with behavioral therapy during your treatment series. After your initial series, we'll develop a maintenance approach that sustains the progress you've made.
Our Panic Attack Treatments: IV Ketamine and Spravato
We offer two clinically validated, rapid-acting treatments for panic disorder and related anxiety conditions. Your provider will help determine the right fit based on your diagnosis, history, and goals.
IV Ketamine Therapy for Neuropathic Pain
Administered directly into the bloodstream through a small IV line, ketamine infusions offer precise dosing and immediate effect. Sessions typically last 40 to 60 minutes in a private, calm treatment room. IV ketamine acts on the brain's glutamate system, rapidly quieting the overactive neural circuits driving anxiety and panic. It's a self-pay treatment and not covered by insurance. Most patients complete an initial series of 6 to 8 infusions over 2 to 4 weeks.
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Spravato (Esketamine) Therapy
FDA-approved for treatment-resistant depression and MDD with suicidal ideation, Spravato also offers meaningful benefit for panic disorder that co-occurs with depression. You self-administer the nasal spray in our clinic under direct medical supervision, followed by a required monitoring period. Sessions last approximately two hours. Spravato is covered by most major insurance plans, and our team handles verification before your first visit.
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The Science Behind Ketamine for Panic Disorder
Standard treatments for panic disorder target serotonin with SSRIs or teach the brain to tolerate panic through exposure-based CBT. Both approaches work for many people. But for those whose panic disorder persists despite adequate treatment, the underlying neural dysregulation needs a different kind of intervention.
Ketamine acts on glutamate and NMDA receptors, directly modulating the excitatory signaling that drives the overactive threat response in panic disorder. Rather than slowly adjusting serotonin levels over weeks, ketamine triggers rapid changes in neural connectivity, quieting the amygdala’s runaway alarm response and strengthening the prefrontal cortex’s ability to regulate it. The result is a meaningful reduction in anxiety that can be felt within hours to days, not weeks.
Ketamine also promotes neuroplasticity, opening a window in which the brain is more capable of forming new, healthier patterns of response to perceived threat. For patients engaged in CBT, this window can dramatically enhance the effectiveness of exposure work by reducing the intensity of the anxiety response they’re working to overcome.

Why Choose Relevate Ketafusion for Panic Attack Treatment
01
A Provider Who Understands Anxiety Personally
Robyn Brown, our FNP-C and PMHNP-BC, has her own experience with anxiety. She brings 20 years of nursing expertise alongside that personal understanding, meeting every patient exactly where they are. For someone navigating panic disorder, working with a clinician who genuinely gets it makes a real difference.
02
A Space Built to Lower Your Anxiety, Not Raise It
Our clinic doesn’t feel like a clinic. Private treatment rooms, calming decor, ambient lighting, and soothing music create an environment intentionally designed to reduce anxiety rather than amplify it. For someone managing panic disorder, the setting of treatment matters as much as the treatment itself.
03
The Only IV Ketamine Clinic in the Coulee Region
Relevate Ketafusion is the only provider in the La Crosse area offering IV ketamine infusions. The nearest alternative is over two hours away. We built this clinic so that people in our community wouldn’t have to travel that far to access care that works.
04
Spravato Covered by Insurance
For patients whose panic disorder co-occurs with treatment-resistant depression, Spravato is covered by most major insurance plans. Our team verifies your coverage before your first session and handles prior authorization. For IV ketamine, transparent self-pay pricing is available with HSA/FSA acceptance and CareCredit financing.
05
Continuous Medical Supervision at Every Session
You’re never alone during treatment. Our medical team monitors your vitals and your comfort throughout every session. For someone managing panic disorder, knowing that a qualified, attentive team is present the entire time provides a layer of safety that matters beyond the clinical.
06
Founded by Someone Who Knows What It Means to Keep Searching
Tina Schumaker built Relevate after her own experience with treatment-resistant depression and PTSD. She understands what it means to feel like nothing is working, and then find something that finally does. That experience shapes everything about how this clinic shows up for its patients.
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