Ketamine Therapy FAQ

New York Integrative Psychiatry New York Integrative Psychiatry

Is Ketamine Safe?

Yes. Subanesthetic ketamine has been used safely as an anesthetic for over 40 years. Most side effects, such as nausea, dizziness, or an increase in blood pressure and heart rate, are mild and temporary. We can provide treatments for side effects, such as anti-nausea medication, if needed. Our medical providers will screen you for any contraindications to ketamine treatment during your consultation.

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What is Our Approach to Ketamine Treatment?

At NYIP, we use intramuscular (IM) ketamine for treatment, which provides comparable results to intravenous (IV) ketamine while allowing for a more comfortable experience with somatic release and movement. Our psychedelically-informed approach involves preparation, intention setting, and integration, with individualized dosing plans based on sensitivity, treatment response, and client input. Maintenance sessions may be recommended on an individual basis.

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Who is a Good Fit for Ketamine Treatment at NYIP?

Ketamine may benefit individuals with treatment-resistant conditions such as depression, anxiety disorders, PTSD, and others. It can also be an effective option for those who have not found relief with traditional treatments like SSRIs.

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Who Might Not Be Eligible for Ketamine Treatment?

Contraindications to ketamine treatment include:

  • Mental Health Contraindications:

    • Extensive trauma history

    • Personality disorders

    • Psychotic disorders

    • Recent manic episode

    • Active substance or alcohol use

  • Medical Contraindications:

    • Uncontrolled hypertension

    • Unstable cardiovascular disease

    • Poorly controlled hyperthyroidism

    • Severe sleep apnea

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What are the Pros and Cons of IM vs IV Ketamine?

IM ketamine provides a comfortable experience, allowing for movement if needed. IV ketamine may be more appropriate for those with multiple medical issues or severe anxiety, as it can be stopped if necessary.

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Are There Interactions Between Ketamine and Other Medications?

Very few. Although ketamine has few interactions with other medications, some drugs may reduce its effectiveness or increase side effects. These include sedatives, ADHD stimulants, certain antibiotics, antifungals, and tramadol. It is important to avoid illicit drugs and marijuana for at least 24 hours before treatment. Your provider will review your medications and offer guidance as needed.

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Why Consider Ketamine-Assisted Psychotherapy (KAP) Instead of Medically Supervised Ketamine?

Collaborating with a clinician trained in psychedelic therapy enhances the potential for a deeper experience and longer-lasting effects. Integration, the process of incorporating insights gained from ketamine sessions into daily life, is an essential aspect of KAP. Clients who are motivated to actively engage in their healing process are excellent candidates for KAP.

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