Ketamine infusions are helping many people with chronic pain disorders, anxiety, PTSD, and depression. This is not only due to the biochemical changes in the brain but also because of its psychotropic experiential effect. In this article, we explain how to maximize your ketamine infusion by adequately preparing for and integrating the experience.
Ketamine infusions are becoming increasingly popular due to the fact they are can potentially rapidly treat anxiety, pain disorders, and treatment-resistant depression. You may be curious about what the experience of ketamine infusion will be like, especially since there is a lot of confusing and misleading information out on the internet. Well, we got you covered!!
Ketamine was first synthesized in the 1960’s for use as a general anesthetic. It’s been traditionally used in the operating room and emergency departments for sedation and pain control. Ketamine has a colorful history and is known to be used in veterinary medicine as a “horse tranquilizer” and even a recreational club drug of abuse. However, ketamine is the most common medicine used worldwide for sedation and the World Health Organization (WHO) places ketamine in it’s List of Essential Medicines.
Recently, there has been an upward trend of more ketamine clinics opening up in the United States. Ketamine clinics are on the cutting edge of medicine and represent a paradigm shift in the treatment of depression depression, anxiety, OCD, PTSD, as well as various forms of chronic pain. Because of ketamine’s history, there may be some confusion about it’s legal status when used “off-label.” To answer it simply, yes, ketamine clinics are legal.
Imagine living a life filled with anxiety and panic attacks so severe that you are not even able to leave your house. In a 2016 case report from the Department of Psychiatry at the University of Utah, they share the story of Ms. A, a 34 year old woman who had been diagnosed with DSM-5 panic disorder, agoraphobia, generalized anxiety disorder (GAD) and major depressive disorder.
Multiple studies have shown the benefits of using ketamine for treatment-resistant depression. Typically, the spacing of the ketamine infusions have been either two or three times per week. However, one recent study published in 2019 in the American Journal of Psychiatry showed that the reduction in depression symptoms were maintained with once-weekly infusions.
Twenty years ago, I began my course work as a pre-medical student at Seattle University in Washington. During my time in college, I worked as a research technician at the University of Washington-Dept of Neurology studying neurosyphilis. To elucidate more about the bacteria, Treponema pallidum, I would perform a variety of procedures on laboratory animals to reduce their pain. By happenstance, the medication that I used regularly was ketamine! I didn’t think much of it at the time, but a seed had been planted.
Traumatic experiences can cause a severe disturbance to the human psyche and soul. The overall lifetime prevalence of post-traumatic stress disorder (PTSD) is at 6.8% in the United States. The rate of PTSD is significantly higher in females (5.2%) versus males (1.8%). This stems not only from military experiences, but physical and emotional abuse, bullying, shaming, interpersonal violence, sexual trauma, and criminal acts.
According to the World Health Organization, depression has now surpassed HIV, AIDS, malaria, diabetes, and war as the leading cause of disability. Current antidepressants may take weeks to months to be effective. Unfortunately, one-third of patients are still unresponsive, and are called “treatment-resistant.” However, there are other options available.
Ketamine can be an incredibly powerful tool for the treatment of depression, PTSD, anxiety, OCD, trigeminal neuralgia, migraines, and chronic pain. When used properly with an experienced healthcare provider, ketamine can help catalyze transformational, ineffable experiences. But there are times that someone may have a negative, frightening, or challenging experience. So what can be done to prevent and address this?
Ketamine is made up of two enantiomers, one is called (R)-ketamine and the other is (S)-ketamine, also known as esketamine. All chemicals have two mirror images and when combined, it is called the racemic mixture. The generic version of ketamine contains both (R) and (S)-ketamine and has been approved by the FDA for use as a dissociative anesthetic agent since 1970.
There is a growing body of clinical evidence that has shown how ketamine works to produce antidepressant effects in those with treatment-resistant depression (TRD). These studies have used a common subanesthetic dose of 0.5 mg/kg over a period of 40 minutes when administered through an IV. An outpatient study from 2018, published in Molecular Psychiatry, recently added onto this body of research in order to find the optimal dose for antidepressant effects in those with TRD. They found that single IV doses of ketamine of 0.5 mg/kg and 1 mg/kg proved to be more effective than an active placebo in reducing depression over a 3-day period.
Have you wondered why homemade meals can sometimes be more emotionally satisfying compared to restaurant or fast food? For example, when you’re sick and your caretaker prepares a hot soup for you with homemade ingredients, it can make you feel better compared to soup from a can. A 2013 study took that concept and hypothesized: Is it possible to improve mood with tea that was prepared with a belief and an intention?
Dear Health Insurance Company Representative,
Thank you for being a part of the system that helps to reduce the cost of health care for me and my patients. I appreciate your commitment to collaborating and serving patients by covering the charges from unexpected healthcare fees. Because of your services it allows for greater coverage to a large group of people for disease prevention, improving health, and fully living life.
This piece was published first on BreastCancer-News.com. For more information about the author, Nancy Brier, click here.
“No fresh flowers,” my doctor said. “Avoid salad. No uncooked food. And don’t bring visitors home.”
Treatment for breast cancer took the better part of a year, and a lot of that time, I spent alone. No wonder cancer sometimes comes with depression.
I have a dream that one day our society will view mental illness and chronic pain with deep understanding, compassion, and respect.
I have a dream that people will be able to feel their feelings and express them fully.
I have a dream that ketamine will be covered by insurance companies, so people can get the treatment they need.
Major depressive disorder affects nearly one in four teenagers. Some characteristics of this disorder include irritability, fatigue, and low self-esteem. A major concern for this group in particular is suicide, especially since suicide is the third leading cause of death amongst teenagers. With traditional antidepressants, SSRIs, taking weeks to months to be effective and with over 40% of teenagers being non-responsive to traditional treatments, ketamine therapy may be a fast-acting treatment alternative.
Patients who suffer from post-traumatic stress disorder (PTSD) are plagued with flashbacks, arousal dysfunctions, and avoidance symptoms. Unfortunately, there are few treatments that effectively treat all of PTSD’s symptoms. Research presented at the Society for Neuroscience suggest that ketamine may aid in ridding patients of fearful memories at the root of this disorder.
You don’t have the time nor money to get infusions, or perhaps you are not ready...whatever your reason is, we get it. As much as we love educating about ketamine and providing ketamine infusions, we’d love a world so healthy that we wouldn’t need to be in business.
However, the reality is there are a lot of people hurting, and we are honored to help them. But back to you all who aren’t ready or don’t ever want to find themselves in a ketamine clinic - here are 6 strategies to help you avoid getting a ketamine infusions:
