At-Home Ketamine Treatments Could Be a Game-Changer—or a Big Problem

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At-Home Ketamine Treatments Could Be a Game-Changer—or a Big Problem
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Ketamine, given through IV at clinics, has emerged as a therapy for depression. Some companies are offering an at-home version, but it's controversial.

, as well as alcohol and nicotine. Even though the risk of addiction for ketamine is low, especially at the low doses for both at-home and IV ketamine, each CEO I interviewed had several different ways of mitigating the risk, including only sending out a certain amount of ketamine at a time. The most common form of ketamine shipped to a patient is a lozenge or a troche that a patient must hold in their mouths without swallowing or spitting for 7 to 10 minutes, which is uncomfortable.

Most criticisms of at-home ketamine come purely from medical concerns, but like other psychedelic medications, ketamine cannot be examined in such one-dimensional terms.Ketamine causes dissociation, which can make a person feel disconnected from reality. It can produce hallucinations or bring up traumatic memories, and without any processing of the affiliated emotions, the ketamine can be only minimally effective.

Sam Ko is a board certified emergency physician and member of the American Society of Ketamine Physicians, Psychotherapists & Practitioners , as well as founder and medical director of the IV clinic Reset Ketamine in Palm Springs, California. Ko is an avid believer in integration: “Because ketamine is a psychedelic, it’s going to create these non-ordinary states of consciousness, and when someone’s not prepared for it, they don’t have an intention. They’re not going to integrate it.

During his treatments at his IV clinic, Brad often had the feeling that he was dead and that he was watching his body from above. The experience was not scary for him, though, and after processing his vision with his doctor, he gained a different insight into any underlying emotions. The integration he had after his at-home treatments was less effective, but he also had more muted dissociations with the oral medication, he said.

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