My Ketamine Journey: R. Randolph Butts, PsyD. is a licensed clinical psychologist who has specialized in health psychology, behavioral pain management and addictive disorders. Dr. Butts has over the past twenty years experience in helping people with physical pain. Unchecked, the resulting stress can have a devastating impact on one’s quality of life. Not only does pain involve intense physical discomfort, it can also set in motion a vicious Pain-Stress-Pain Cycle. Unchecked, the resulting stress can have a devastating impact on one’s quality of life thru diminished immune system functioning, sleep deprivation, depression, anxiety, hopelessness and exhaustion…all of which have been clearly shown by research to increase pain and lower functioning.