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.

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.

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.

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

IM and IV ketamine results are similar. IM ketamine provides similar response rates to IV ketamine, but offers a more comfortable experience, allowing for somatic release and movement. Reference

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.

4-6 sessions. Based on clinical research, an induction series of 4-6 treatments over 2-3 weeks is recommended for treatment-resistant conditions. The number of sessions will be individualized based on your response to treatment. [Reference]

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.

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.

On the day of your session, you will have time to check in with our team, set an intention, and discuss dosing. Our treatment rooms are designed to create a safe and comfortable environment with eye shades, music, and a weighted blanket for support. After your session, there will be time for integration with your therapist, journaling, and snacks.

Please note, you will not be able to drive for the rest of the day.

Our MSK package consists of 6 sessions over 3-4 weeks, especially helpful for clients with moderate to severe depression who are already connected with a therapist. After completing the initial course of treatment, maintenance sessions may be needed on an individual basis.

Experiences vary, but dissociation can feel like detachment from the body or mind. Some describe sensations of floating, flying, or sinking into the earth. Others experience a state similar to deep meditation, where they are fully present in the moment without judgment.

Results can vary, but many people start feeling better after their first session, with effects building cumulatively throughout the treatment process.

Not in therapeutic settings. There is little evidence to suggest that ketamine, when used in a supervised medical setting, results in addiction. However, there is a history of misuse with unsupervised use, especially in individuals with a substance abuse history.

There can be. While ketamine can lead to positive emotional experiences, it may also bring up challenging emotions or memories. These experiences are often a valuable part of the therapeutic process and can support personal growth. Working with a therapist can help process these emotions and reduce symptoms of depression and anxiety.

2-3 hours depending on whether you here for MSK or KAP

Maintenance sessions may be needed by some to sustain the benefits of ketamine treatment and will be recommended on a case-by-case basis. Reference