What Is Ketamine Therapy? A Mental Health Breakthrough Guide
By Hay House | Published: 2026-10-30
Category: How-to Guides
Learn what ketamine therapy is, how it works, and what to consider before trying it. A practical guide to this emerging depression treatment.
Quick Answer
Ketamine therapy is a promising treatment for depression, anxiety, and PTSD that uses low doses of ketamine under medical supervision. It's not a first-line treatment, but it may help when standard options haven't worked.
Why Ketamine Is Called a Breakthrough
Ketamine has been described as the most important breakthrough in mental health since Prozac was introduced in 1986. Unlike traditional antidepressants that take weeks to work, ketamine can produce rapid effects, sometimes within hours or days.
This makes it a valuable option for people who need relief quickly, such as those with severe depression or suicidal thoughts. However, it's not a cureāit's a tool that works best as part of a comprehensive treatment plan.
Who Should Consider Ketamine Therapy
Ketamine therapy is typically considered for people who have not responded to at least two standard antidepressant treatments. It may also be an option for those who cannot tolerate the side effects of traditional medications.
It's important to note that ketamine therapy is not for everyone. People with certain medical conditions, such as uncontrolled high blood pressure or a history of psychosis, may not be suitable candidates. A thorough medical evaluation is essential.
Key Questions About Ketamine Therapy
- How does ketamine therapy work?
- Ketamine is administered in low doses, often through an IV infusion, nasal spray, or lozenge, under medical supervision. It is believed to work by rapidly increasing the activity of glutamate, a neurotransmitter that helps form new neural connections, which can improve mood and reduce symptoms of depression.
- What conditions can ketamine therapy treat?
- Research has shown promise for treatment-resistant depression, anxiety, PTSD, and chronic pain. It is not approved for all mental health conditions, so a doctor must determine if it's appropriate for your situation.
- What are the side effects and risks?
- Common side effects include nausea, dizziness, and a temporary increase in blood pressure. More serious risks include dissociation, hallucinations, and potential for abuse. That's why ketamine therapy must be done in a controlled medical setting with professional monitoring. Always ask your provider about their safety protocols and emergency procedures before starting treatment.
- How do I find a reputable ketamine clinic?
- Look for clinics that are licensed, have experienced medical staff, and conduct a thorough psychiatric and physical evaluation before treatment. Ask about their follow-up care and whether they integrate psychotherapy with ketamine sessions, as this can improve outcomes. Check credentials, read reviews, and ask about the clinician's experience with ketamine specifically.
- Can I do ketamine therapy at home?
- No. Ketamine should only be administered under medical supervision. At-home use without professional oversight can be dangerous and is not recommended.
Learn More
- The Ketamine Breakthrough: The Ketamine Breakthrough, by Dr. Mike Dow and Ronan Levy, offers ways to integrate ketamine into treatment for depression, anxiety, PTSD, and more. This book provides practical guidance for understanding how ketamine therapy works and how to approach it as part of a mental health plan.

The Ketamine Breakthrough
