Notes from the clinic on ketamine treatment, integration, and the science behind it.
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A plain walk through a first infusion, from the intake conversation to the IV to the quiet half hour after. What you'll feel, what we're watching, and why the calm of the room is part of the treatment.
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Ketamine works through the glutamate system, prompting a surge of BDNF that helps the brain form new connections. That window of neuroplasticity is real, and temporary. The integration work afterward is what helps the change hold.
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Safety isn't the crash cart in the corner. It's the physician overseeing the medication, an evaluation before and after every infusion, and a team that's willing to slow down or stop. Here's what to ask any clinic before you sit in the chair.
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Improvement after ketamine rarely arrives as a dramatic mood lift. It usually shows up first in small things. Sleeping through the night, cooking again, answering a text you'd been avoiding. Here's what we tell patients to watch for.
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