Ketamine works differently than traditional antidepressants. Rather than gradually adjusting serotonin levels, it acts on the brain's glutamate system, which is thought to trigger a temporary window of increased neuroplasticity, essentially helping the brain form new connections more readily. This is part of why ketamine can act quickly (often within hours to days) and why it pairs well with therapeutic work, since the brain may be more receptive to processing and integrating material during this window.

Most people describe the experience as dreamlike or floaty, with a sense of distance from everyday thoughts. You'll be reclined in a quiet, comfortable space, often with music, while I stay present throughout. Physically, it's common to feel some dizziness or mild disorientation, which fades within an hour or so after the session ends. You'll need a ride home afterward. Once the effects wear off, we spend time talking through what came up, since the insights are often as valuable as the experience itself.

My role is to provide psychological support and therapeutic presence throughout your session, helping you feel grounded, guiding integration afterward, and holding space for whatever arises. I don't prescribe or administer ketamine; that's handled by your prescribing provider.

I'll connect you with a prescribing provider as part of the process. You won't need to source it on your own. Once you're medically cleared, the prescription and medication logistics are handled through them, while my role stays focused on the therapeutic preparation, session support, and integration work.