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The Entheos Project
Project Catalyst

The medical half.

Medicine stays medicine. Project Catalyst carries the medical half of the work: neuromodulation and interventional pain, and the person behind the pain.

It is governed apart from the social half. Its clinical build is held. Its clinical network is being stood up.

The person in the pain clinic

Two in five carry more than pain.

Among adults with chronic pain, about two in five carry depression, and about two in five carry anxiety.

about two in five carry depression
about two in five carry anxiety

JAMA Network Open, 2025, a meta-analysis of 376 studies.

What already works

Care that holds the whole person is not new.

Collaborative care brings depression care into the same plan as the rest of a person’s care. A Cochrane review gathered 79 randomized trials and 24,308 people.

In one trial of people with pain and depression, 37.4 percent saw their depression severity fall by at least half at 12 months with stepped care, against 16.5 percent with usual care.

Stepped care37.4 percent
Usual care16.5 percent
Depression severity fallen by at least half, at 12 months.

Cochrane, 2012. SCAMP, JAMA, 2009.

The moment

Medicare is about to ask.

From January 2027, Medicare’s Ambulatory Specialty Model will score many pain specialists, in selected regions, on depression screening with a follow-up plan for people with low back pain.

Neuroplastic Therapeutics

A class, not a modality.

This work promotes no single treatment. It promotes a class: Neuroplastic Therapeutics, treatments that help the brain change and hold the change. Any one named here is one member of that class, among many that exist now and many more on the way.

This magnetic pulse is one member of a family, and the family is worth naming, because it is going to grow. I call the family Neuroplastic Therapeutics, treatments that work not by masking a symptom but by helping the brain rewire itself…

Book Three, The Entheos Project

The magnetic pulse is one. Certain medications are another. Contemplative practice belongs to it. Trauma-focused therapy belongs to it. Recovery-community work belongs to it.

Book Three, The Entheos Project

The magnetic pulse here is magnetic stimulation, cleared for treatment-resistant depression since 2008. It is named as one example of the class, for depression, and never as the work itself.

What has been missing is not the treatments. It is anyone standing far enough back to see that they are one family…

Book Three, The Entheos Project

The tool tunes. The person offers. God plays. No tool in this book is the healer.

Book Three, The Entheos Project

Clinicians

Teaching for pain and neuromodulation teams.

A clinical teaching on the durability of relief and the person behind it, for practices, fellowships, health systems and conferences. One curriculum, in four lengths: grand rounds, a fellowship module, a half day, and a conference session.

Ask about the teachingWhere the work stands

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BGD Collective · The Entheos Project Questions people askThe wordsThe RefugeBreaking the CycleWhat we keep Nothing is kept unless you ask us to write to you. This site offers no medical care, counseling or crisis service. In a crisis, call or text 988. © 2026 David Wade Pope THIS IS BGD.