Ketamine Therapy: What is it and how does it work?

Ketamine therapy, also known as Spravato, is a medical treatment that uses low doses of ketamine to manage various mental health conditions. Ketamine is an anesthetic medication that has been shown to have rapid-acting antidepressant and anti-anxiety effects. It is typically administered in a clinical setting under the supervision of a healthcare professional.

What is ketamine?

Ketamine is a medication that was originally developed as an anesthetic. It was first synthesized in 1962 and was approved by the FDA in 1970. Ketamine is on the World Health Organization’s List of Essential Medicines. It is a safe and effective medication that is used in a variety of medical settings, including surgery, pain management, and veterinary medicine.

How does ketamine therapy work?

The exact mechanism of action of ketamine therapy is not fully understood, but it is thought to work by blocking the activity of the N-methyl-D-aspartate (NMDA) receptor. The NMDA receptor is a type of glutamate receptor that is involved in mood regulation, cognition, and pain perception. By blocking the NMDA receptor, ketamine is thought to increase the release of brain-derived neurotrophic factor (BDNF), a protein that promotes the growth and survival of neurons. This increase in BDNF is thought to be responsible for the rapid antidepressant and anti-anxiety effects of ketamine.

What are the benefits of ketamine therapy?

Ketamine therapy has been shown to be effective in treating a variety of mental health conditions, including:

  • Treatment-resistant depression
  • Major depressive disorder
  • Bipolar disorder
  • Post-traumatic stress disorder (PTSD)
  • Obsessive-compulsive disorder (OCD)
  • Chronic pain
  • Suicidality

Ketamine therapy is typically considered a last-resort treatment for people who have not responded to other treatments, such as medication or therapy. However, it can be a very effective treatment for people who are severely ill or who have suicidal thoughts.

What are the risks of ketamine therapy?

Ketamine therapy is generally safe when administered under the supervision of a healthcare professional. However, some people may experience side effects, such as:

  • Dissociation
  • Dizziness
  • Nausea
  • Vomiting
  • Headache
  • Increased blood pressure
  • Heart rate changes

In rare cases, ketamine therapy can cause more serious side effects, such as:

  • Psychosis
  • Seizures
  • Bladder problems
  • Liver damage

What is the ketamine therapy process like?

Ketamine therapy is typically administered in a clinical setting under the supervision of a healthcare professional. The medication is usually given intravenously (through an IV) or intranasally (through the nose). The treatment session typically lasts about an hour.

After the ketamine is administered, the person may experience some of the side effects listed above. They may also feel dissociated, which means that they may feel like they are disconnected from their body or surroundings. This is a normal side effect of ketamine therapy and it usually goes away within a few hours.

Most people start to feel the effects of ketamine therapy within 24 hours. However, it may take several weeks or months to see the full benefits of treatment.

Who is a good candidate for ketamine therapy?

Ketamine therapy may be a good option for people who:

  • Have treatment-resistant depression or other mental health conditions that have not responded to other treatments
  • Are severely ill or have suicidal thoughts
  • Are willing to undergo treatment in a clinical setting

How much does ketamine therapy cost?

The cost of ketamine therapy can vary depending on the provider, the location, and the number of treatment sessions. However, it is typically not covered by insurance. The cost of one treatment session can range from $300 to $1,000.

Is ketamine therapy right for me?

If you are considering ketamine therapy, it is important to talk to your doctor to discuss whether it is right for you. They can help you understand the benefits and risks of treatment and can help you decide if it is a good option for you.