Ketamine therapy is emerging as an instrumental tool for fostering mental and emotional well-being. While it undeniably provides symptom relief, its benefits extend to neurological and physiological changes, irrespective of the specific therapeutic experience. For individuals who find medication and talk therapy insufficient, ketamine offers a unique perspective, potentially liberating them from persistent issues. This article aims to shed light on the ketamine experience, exploring common sensations, potential benefits, and essential considerations for those considering this treatment option.
Introduction to Ketamine Therapy
Many individuals find that traditional treatments like medication and talk therapy do not provide the necessary perspective shift to overcome mental health challenges. Ketamine therapy offers an alternative, allowing patients to experience a relaxed, dreamlike state that can promote mental and emotional wellness. Through this unique experience, patients can gain a third-person perspective on their mental health, facilitating the identification and processing of issues that may be hindering their progress.
Understanding the Ketamine Experience
The ketamine therapy experience is highly personal and unique, with individual reactions varying from session to session. While experiences differ, most patients report similar sensations, particularly a separation from their sense of self. This detachment allows for a clearer perspective on mental health issues, facilitating the process of working through them. It's important not to set rigid expectations, as treatment varies from person to person. Most patients generally report similar sensations, particularly a separation from their sense of self.
Innerbloom Ketamine Therapy primarily uses intravenous ketamine (IV). The onset of IV ketamine is approximately 3-4 minutes, and their treatment protocol involves a 40-minute infusion for mood related concerns.
Common Sensations and Effects
During ketamine therapy, patients may encounter various sensations and effects, including:
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- Experiencing Things from a Third-Person Perspective: A key physical and emotional effect is feeling detached from your body, as if viewing yourself from an outside perspective. Patients most commonly associate this experience with ketamine therapy. It's akin to watching a dream where you're not entirely in control and may not even experience the event as yourself. Because ketamine suppresses the amygdala, you are temporarily free of the fear induced by your fight-or-flight response. Ketamine dissociation manifests in various ways, including visual and auditory distortions, a loss of sense of time, and altered perceptions of space. Physically, ketamine dissociation may cause numbness, a sense of heaviness, or the feeling that one’s limbs are not connected to their body.
- Weightlessness: Many patients report a sense of lightness during a ketamine therapy session, often coinciding with a decreased personal association with the experience. In such cases, you may lose the sensation of physical weight that comes from anxiety. Patients often recall the sensation of floating or flying.
- Altered Perception of Time: Time may seem slower or faster when receiving ketamine therapy treatments. Have you ever woken up after a lengthy dream, only to find you’ve nodded off for just a few minutes?
- Euphoria: Your ketamine therapy experience can often uncover happy memories, events, or emotions, resulting in a general euphoria.
- Hallucinations: Not all patients experience hallucinations, but those who do have very different sensations. Most report faint colors and patterns, combined with a sense of motion. Some describe visual, auditory, and tactile hallucinations when recalling events. However, should hallucinations occur, they stem from your own internal identity and memories. You may perceive things pulled from vivid memories or past experiences. Some say these visions are euphoric, while others directly relate to processing traumas. Some individuals experience dream-like visions, with colors and images in their mind’s eye, while others observe various shades of gray, white, and black during these experiences. Familiar faces, including loved ones, may also make appearances in these moments.
- A Sense of Release: For many patients, finding “hope” is the prevailing goal in ketamine therapy sessions. Recounting trauma as a survivor can help you establish the event as having passed, allowing for release and healing. That physical sensation can ultimately culminate in a deep emotional release.
Potential Challenges and Side Effects
While ketamine therapy offers numerous benefits, it's essential to be aware of potential challenges and side effects:
- Anxiety: Patients frequently revisit emotionally charged memories during ketamine treatment, making anxiety a possible side effect. Trying something new also comes with a potential wave of discomfort. However, because ketamine suppresses your fight-or-flight response, anxieties don’t snowball into real feelings of fear. Still, providers are always available to ease any concerns.
- Nausea: Some patients report stomach upset when receiving ketamine treatment. Inform your provider about any past or current history of nausea.
- Emotional Confrontation: The effects of ketamine are powerful for enhancing well-being. Nevertheless, they can lead to emotionally confronting your past and present. Ketamine, like other psychedelics, often reacquaints people with memories that are hard to relive and emotions that are hard to feel. This experience can seem re-traumatizing. Fortunately, these are normal and temporary aspects of ketamine therapy.
The Dissociative Experience
Ketamine is a dissociative anesthetic, but at low doses, it is effectively utilized for treating mood disorders like depression and anxiety. At these low, or sub-anesthetic, doses patients may experience dissociation, which involves a sense of detachment from the body and the chatter of the mind. Dissociation can feel similar to the sensation of deep meditation, where one can be fully present in the moment, observing without analyzing, criticizing, or attempting to control. It’s crucial to understand, however, that not everyone will experience dissociation at the therapeutic dose used in ketamine therapy. In fact, the absence of dissociation does not indicate that the medication is ineffective. Experts in the field of ketamine therapy discourage the use of dissociation as a sole indicator of therapeutic efficacy.
The "K-Hole"
The term “k-hole” is associated with the dissociative state induced by ketamine, a phenomenon that is a normal response to the drug and should not be viewed negatively or with fear. Ketamine offers the advantage of rapid action without causing respiratory depression or significant changes in vital signs, such as blood pressure. Therefore, it is an appealing treatment option in situations where patients are experiencing significant distress.
The Role of Music
Music holds a pivotal role in the psychedelic experience, enhancing emotions, perception, and creativity. It can soothe anxiety, guide introspection, and set the ambiance for the journey. Music also aids in memory recall during integration and fosters connections in group settings. The choice of music is highly personal, but can significantly impact the overall experience, making it more therapeutic and transformative.
Preparing for Your Ketamine Therapy Session
Much like traveling to an unfamiliar destination or perhaps even starting a new job, the process of undergoing a ketamine experience may be filled with mixed emotions. How am I going to feel? What will this be like? Am I ready? These are just some of the few questions we are asked when someone is considering ketamine therapy as an option for treatment. To ensure a safe and productive ketamine therapy session, consider the following recommendations:
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- Stay Hydrated: For some people, ketamine can cause mild dehydration.
- Dress for Comfort: Your clothing is the last thing you want to be concerned about during a session.
- Secure Transportation: Arrange a reliable ride to and from the clinic.
- Take the Day Off: Consider taking a “me day” to recover from the effects of ketamine.
- Practice Slow Breathing: The introspective nature of ketamine therapy can stir up uncomfortable memories and current beliefs.
- Be Open to What You Discover: Everyone has a unique response to ketamine. You may even have an entirely different breakthrough each session.
- Count on Your Provider: Your therapy provider is present for a reason-to ensure you feel safe and relaxed throughout the whole process.
- Set Time Aside for Reflection: Ketamine therapy is so effective because of the opportunities to revisit events ailing your mind.
- Talk About Treatment: Sharing your feelings with a loved one or therapist can help you interpret insights gained during a session.
- Explore Positive Changes: Integrate “Aha!” moments into your wellness journey.
- Take Time to Rest and Recharge: Delving into your psyche can be emotionally and mentally tiresome. Let your body and mind recover.
- Set Goals with Your Therapist: Before the day of the session, it’s important for you to set goals with your therapist. The therapist then will help to reinforce those goals right before the session starts, and as he or she guides you through it.
- Avoid Making Major Decisions: You should also avoid making any major decisions on the day of the session and get at least eight hours of sleep afterwards.
What to Expect During and After the Infusion
What do patients undergoing ketamine therapy usually notice first? It’s common for patients to feel uncertain about whether the medication will take effect. In the moments leading up to the onset, many find themselves wondering if the infusion pump was even started. As the experience deepens, patients typically lose awareness of their body in space, instead turning their focus inward.
As the infusion ends and the effects of the medicine begin to diminish, another intriguing phenomenon unfolds. You gradually “return to your body”, and this, in itself, can be an extraordinary experience. It can be a beautiful moment to observe patients expressing their newfound appreciation for different parts of their body, often marveling at the functioning of their hands and feet. Patients often wiggle their fingers and toes as they reacquaint themselves with their limbs. Sometimes, immediately after an infusion, speaking can sometimes be challenging, so it’s a good idea to remain patient just for a few minutes and let the medicine continue to wear off. There will be plenty of opportunities to share your experiences, and we’re excited to hear about them! Patients often express that, even though they have much they want to convey and are eager to do so, finding the right words or articulating their thoughts can be difficult in the few minutes immediately following an infusion.
The half-life of ketamine is approximately 3 hours, indicating that 50% of the medication has left the body by that time. For most patients, they typically feel back to their baseline within 3-4 hours. It’s crucial to recognize that while some may feel energized, others may feel the need to rest after an infusion. The key here is to pay attention to your body. We always encourage taking it easy after an infusion, leaving work or other life obligations for the following day. Refuel with a healthy meal and rehydrate with lots of water.
“Coming out, things can feel a little overstimulating at first,” Phan said. “You may not be able to talk initially, but then you can eventually talk about how the treatment went. You can answer questions about what came about during the experience, and then you can set your goals for the week. Things like eating right and reinforcing all the good habits that are part of your plan and goals is important.
Individual Experiences: Diane and Josh
Diane (alias) received ketamine therapy at Avesta last year. “I just look forward to Sam coming in and doing the injection. Diane’s journey during the ketamine sessions was both vivid and sensory. “It starts with colors, and then I’m flying around here and there and everywhere,” she said. “Every time, I have the same experience. It comes down to roses. “And then I’m sad when it’s ending.
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Before each session, Josh set intentions for what he wanted to explore. The visuals sometimes closed in on Josh. But he never felt scared because he knew they would eventually open up to something new. “For me, the world turns into claymation, and sometimes I’m removed and looking down on everything,” he explained. “It’s fascinating. Josh could make sense of some of the content in the moment. “But that’s okay. I go along with the journey. “I never in a million years would have gone there before if it weren’t for [ketamine],” Josh shared.
Most ketamine dissociation experiences are pleasant, like those of Josh and Diane.