However, Dr. Yun warns that people with a history of psychosis should avoid ketamine therapy, since the treatment may exacerbate symptoms given itsMost ketamine treatments for depression are for off-label use, and in many cases, insurance won’t cover the treatment. Even FDA-approved esketamine may not be covered, depending on the insurance you have.
Of course, it doesn’t hurt to consult potential providers and your insurance company to see what options are available, but know that treatments can be costly. Moreover, you may wish to work alongside a therapist who specializes in ketamine integration—i.e., unpacking any visions or breakthroughs you experience during treatment and learning how to apply them going forward—which can take a bigger hit on your wallet.
If you do decide to undergo treatment, it’s also important to get in the right headspace before and after treatment. While you technicallywork your normal 9-to-5 before and potentially after a ketamine session, providers typically advise avoiding stimulation and prioritizing calming activities—like meditating,, and spending time in nature—the evening before and the day of treatment.
During a single ketamine treatment, you may experience things like less rumination, positive visualizations, pain relief, and a sense of calm or even euphoria. In the best case scenario, continued treatment may yield complete remission from depression, but this is far from guaranteed. “At Kure, we do not make any false promises that ketamine therapy will be a miracle cure and completely and permanently eliminate all depressive symptoms,” Dr. Yun says. He recommends that patients still keep up with their current therapies—whether medicinal, psychological, or both—under the guidance of a trusted healthcare professional. “But for those patients who have failed traditional antidepressant therapy, ketamine is a viable alternative that can provide significant relief.
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