top of page
Writer's pictureDemian Gitnacht, MD, MPH, FAAFP

What to Expect During a Ketamine-Assisted Psychotherapy Session: A Wild, Yet Personal Journey

Updated: Oct 23, 2024

So, you’re curious about what a ketamine-assisted psychotherapy session might feel like? Well, buckle up! It’s a bit like asking someone to describe a dream—it’s personal, unique, and no two experiences are ever the same. While we can’t promise you’ll see unicorns dancing on rainbows, we can give you a glimpse of the common themes people report. But here’s the catch: the intensity of your experience doesn’t necessarily reflect how effective the therapy will be. Sometimes, the most subtle journeys bring the deepest insights!


There are different ways to experience ketamine during your session—sublingual (under the tongue), oral, intramuscular (IM), and intravenous (IV). Each method has its own pace and flavor, but one thing remains constant: your experience is entirely your own. With sublingual or oral ketamine, the effects build gradually, almost like a slow burn. It’s a gentle, reflective process, with some people feeling wrapped in a warm blanket of calm, while others experience a dreamlike floating sensation. You might catch glimpses of geometric shapes swirling to the rhythm of the music, and for a second, feel like you’re inside an old-school computer screensaver. It takes time for the medicine to fully take hold, so relax and let it come to you.


Intramuscular ketamine is a different ride altogether—think of it as a rocket ship straight to your subconscious. The effects come on much faster, often leading to more vivid and intense experiences. You may suddenly find yourself immersed in vibrant colors, intricate patterns, or even feeling as if you’ve left your body and are falling through the universe. Some describe this sensation as a cosmic free-fall or even a complete out-of-body experience. Don’t worry—your therapist is right there to keep you grounded, even as your mind journeys far and wide. One common description? "It felt like I was surfing on waves of neon light, and for a brief moment, I understood the meaning of life!"


Intravenous ketamine offers a steady and deep dive into the mind. The effects settle in quickly and consistently, allowing you to explore a profound space where time and reality may feel slightly warped. Some people feel deeply at peace or experience a significant shift in their perspective. Others describe a feeling of “oneness” with the universe, while some simply enjoy the internal light show, with shapes and patterns perfectly synced to their music. It’s an immersive experience, often leaving you feeling like you’ve been shown the inner workings of your own mind.


If your first session doesn’t feel like it hit the mark—don’t worry. The first time is often about finding the right dose and approach. Ketamine therapy isn’t a one-size-fits-all process, and each session is carefully tailored to your unique needs. Some journeys are more intense, while others are subtle, but both can bring deep therapeutic benefits. In fact, some of the most profound insights happen after the quieter sessions, like soft whispers of wisdom from within, rather than a full-blown carnival ride.


An important part of this journey is what happens after the session. Integration—working with your psychedelic medicine team, either your doctor or assigned therapist—is often just as crucial, if not more so, than the ketamine session itself. The experience can be powerful, but it’s the conversations and reflections afterward that help you make sense of it, apply it to your life, and turn insights into meaningful changes.


No matter how you experience ketamine, the journey is yours to explore. Some might feel like they’re floating through the cosmos, while others may simply find themselves enveloped in calm. The key is to stay open to whatever comes up, knowing that every session is part of a larger healing journey. And remember, the intensity of the experience doesn’t always correlate with the therapeutic outcome—it’s not about how wild the trip is, but how you integrate the experience into your life afterward.


So, settle in, let go of expectations, and allow the magic of ketamine-assisted therapy to unfold. Safe travels on your journey!


Woman undergoing ketamine therapy treatment

33 views0 comments

Recent Posts

See All

תגובות


bottom of page