What to expect during a ketamine session

A quiet walk through morning light. The forest breathing with you, slow, soft, alive.

Katie Besanko, PA-CApr 22, 20264 min read

A quiet walk through morning light. The forest breathing with you, slow, soft, alive.

Most patients arrive carrying something dense. A grief, a long depression, a body that has been on alert for years. The work of the first session is rarely the infusion itself. The work is the half hour before, when we sit together and lower the temperature of the room.

I think about morning light through trees for this. It doesn't arrive all at once. It comes through gaps. It softens what it touches without erasing it. That's most of what we are trying to do in the chair.

What we actually do

Before any infusion, we go over how you are sleeping, what you ate, what felt different this week. If something has shifted, the dose shifts with it. If your blood pressure is high, we wait. If you are anxious, we slow down. The protocol is the floor, not the ceiling.

After the session

When the infusion ends, you stay for 15 to 20 minutes. We talk if you want to talk. If you don't, we don't. Most people say less in this window than they expect, and that is fine. The integration happens later, in the days after, in your own life.

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