The Stellate Ganglion Block (SGB) is a minimally invasive procedure that temporarily blocks overactive sympathetic nerve signals in the neck. This helps “reset” the autonomic nervous system thereby reducing symptoms of chronic pain, PTSD and acute anxiety.
Most patients report meaningful decrease in hyperarousal symptoms like anxiety and insomnia within days, unlike traditional methods.
This 30-minute minimally invasive procedure restores balance to your overstressed nervous system, with effects lasting up to several months.
SGB helps dial down the body’s “fight-or-flight” mode, helping reduce symptom severity for conditions like PTSD and chronic pain.
We recognize that each person’s journey is unique. Our SGP protocol is carefully tailored to your specific needs:
Precision Targeting: Advanced ultrasound guidance ensures accurate placement of the nerve block for optimal results.
Safety-Focused: Continuous monitoring of vital signs keeps you safe during the 30-minute procedure.
Comfort-Driven Care: Relax in a calming, private environment with adjustable lighting and music.
Holistic Support: Optional virtual follow-ups help you sustain progress and integrate positive changes.
Book a FREE 15 Minute consultation with one of our experts to talk about what treatment is the best for you 🙂
While SGP therapy is typically not covered by insurance, we offer several financing options including CareCredit and Affirm to help make treatment accessible. Our staff can provide documentation for potential insurance reimbursement attempts.
After carefully evaluating my situation, he correctly diagnosed my episode as substance-induced (triggered by weed) and linked it to my suppressed grief over losing my parents. As soon as he took me off bipolar meds, my suicidal thoughts disappeared. He then began treating my depression with the right medication, and I started feeling more functional and in control of my life.
However, I struggled with taking medication regularly, and to be honest, I didn’t want to rely on meds long-term. Unlike other doctors who might have just prescribed more medications, Dr. Hoaglin suggested an alternative—Transcranial Magnetic Stimulation (TMS). The idea of daily treatments for two months sounded intimidating at first, but each session was painless, lasted only 15–20 minutes, and he even put on my favorite show to make it more enjoyable.
During the TMS treatment, I didn’t notice any immediate changes, but a few months later, something incredible happened I woke up one day, and it was as if a switch had flipped. My anxiety, depression, and procrastination were completely gone! I felt like myself again—smiling more, being more active, and engaging better in my social relationships.
One of the most surprising effects of the treatment was overcoming my long-standing struggle with smoking. For six years, I had difficulty quitting both tobacco and weed. After TMS, not only did I quit effortlessly, but I also can’t even stand being around smoke anymore!
If you’re struggling with depression, I highly recommend Dr. Hoaglin and TMS. My only advice—based on personal experience—is to be patient. You might not feel a change right away but trust the process. It will happen!
Thank you, Dr. Hoaglin, for giving me my life back! 🙌
After nearly 20 years of disappointing psychiatric providers, I recognize that Dr. Mike is exceptional. I know that I am very lucky to have an intelligent, compassionate, and driven psychiatrist who, despite the difficulty in treating my conditions, has not given up
The office staff is amazing (Mary and Wayne) are so incredibly generous, warm, and unguarded, and always make a special effort to come say hi when I’m in the office.
Working with Dr. Mike is great because he is thorough, listens well, is very insightful, and is easy to talk too. It’s relaxed but very professional with good attention to detail. He’s also not afraid to challenge your assumptions and does so very respectfully - which I really appreciate.
Dr. Mike is a great partner in working out the best path forward and creates confidence in the process. I have benefited from my time at Gut Feelings and learned so much about the gut/mind connection. And most importantly I feel better. Highly recommended.
What most struck me, though, was his approachability and sincere concern. I contacted Dr. Hoaglin late one night out of fear for a medical emergency. He soon saw me in his office and made sure I would get immediate attention by going with me to the emergency room.