Ketamine

What to Expect

Everyone’s ketamine experience will be different.

After completing the required paperwork, you will be taken to a room where the ketamine will be administered. Our rooms are designed for comfort during your experience. The room will be dimly lit and a sleep mask will be available. Some patients prefer music to accompany the experience and we offer a variety of soothing and relaxing music either via headphones or speaker, depending on your preference. You may also want to consider video or audio recording your session. This can be beneficial for integration purposes later.

You will sit in a reclining chair and have a blanket available, as some people may become chilly during the treatment. Depending on the method of treatment (sublingual, IM, IV) and your overall health, you may be hooked up to monitoring equipment to monitor blood pressure, heart rate, breathing rate, and blood oxygen levels).

If you chose to have a guide, therapist, or psychiatrist assist during your treatment, they will join you at this time (additional cost may apply).

Sublingual

Administration

The medication is then administered sublingually.

  • You will be given a sublingual dose of ketamine in the form of a troche, or lozenge. Although cherry flavored, it may still be quite bitter.
  • We suggest holding the saliva in your mouth for at least five (5) minutes or longer before swallowing. Holding it in your mouth allows for direct absorption and faster onset. It is completely normal to have a slight numbing or analgesic feeling in your tongue or lips.
  • Onset occurs in approximately 10-30 minutes.
  • During this time you may want to focus on your breathing and your intention for the session.

Trance State

Lower doses:

  • You will typically experience a heaviness in your body and may even feel a loss of sensation.
  • Thoughts of empathy and love
  • Feelings of mild euphoria
  • Dreamy state

Higher doses:

  • You may or may not want nor be able to communicate verbally.
  • Thoughts may dissolve completely.
  • Feelings of unity with nature or the universe.
  • Feelings of transcending space/time/mass.
  • Awareness of how one’s actions affects others.

Some patients who experience unfamiliarity with this state and may feel a little unnerved by it. This is not abnormal. Just remember to breathe, relax, and most importantly, let go!

Integration Phase

After your session you may feel tired, fatigued, and even a little loopy. When you are ready, we will move you to our comfortable Zen integration room. Here you will be able to relax and reflect on your experience. It is not uncommon to drift in and out at this point. The main goal is to just relax, especially if your experience was especially intense. Some people may want to take this time to jot down a few notes or doodles to revisit later since it is still fresh in the mind. If you do not wish to be alone, you may want to have a loved one join you at this time.

Intramuscular (IM)

Administration

The medication is then administered intramuscularly.

  • You will be given a shot in your shoulder or buttocks.
  • Onset will occur in approximately 1-5 minutes.
  • During this time you may want to focus on your breathing and your intention for the session.

Trance State

  • Thoughts of empathy and love
  • Feelings of mild euphoria
  • Dreamy state
  • You may or may not want nor be able to communicate verbally.
  • Thoughts may dissolve completely.
  • Feelings of unity with nature or the universe.
  • Feelings of transcending space/time/mass.
  • Awareness of how one’s actions affects others.

Integration Phase

After your session you may feel tired, fatigued, and even a little loopy. When you are ready, we will move you to our comfortable Zen integration room. Here you will be able to relax and reflect on your experience. It is not uncommon to drift in and out at this point. The main goal is to just relax, especially if your experience was especially intense. Some people may want to take this time to jot down a few notes or doodles to revisit later since it is still fresh in the mind. If you do not wish to be alone, you may want to have a loved one join you at this time.

Intravenous (IV)

Administration

The medication is then administered intravenously.

  • You will be given an IV that is hooked up to a pump.
  • Onset will occur in approximately 1-10 minutes.
  • During this time you may want to focus on your breathing and your intention for the session.

Trance State

  • Thoughts of empathy and love
  • Feelings of mild euphoria
  • Dreamy state

Integration Phase

After your session you may feel tired, fatigued, and even a little loopy. When you are ready, we will move you to our comfortable Zen integration room. Here you will be able to relax and reflect on your experience. It is not uncommon to drift in and out at this point. The main goal is to just relax, especially if your experience was especially intense. Some people may want to take this time to jot down a few notes or doodles to revisit later since it is still fresh in the mind. If you do not wish to be alone, you may want to have a loved one join you at this time.