While ketamine has circulated in medical and non-medical contexts for some time, it has more recently become legally accessible to mental health professionals as a tool to enhance the work of psychotherapy. Used thoughtfully, it can serve as a powerful, time-limited supplement to therapy, helping people access mental, emotional, and physical material that is already present in their therapeutic work.

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Ketamine is known to enhance neuroplasticity—the brain’s ability to form new connections and adapt. This increased flexibility can allow people to engage differently with entrenched patterns of thought and feeling. As a result, ketamine-assisted therapy can have meaningful effects on experiences such as depression, anxiety, and trauma responses, as well as on the broader ways we organize and understand our internal lives. In essence, ketamine can open alternative pathways for accessing and processing difficult experiences while supporting new learning and change.

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Ketamine treatments may be used as an alternative to daily psychiatric medication, alongside other medications, or as a distinct approach within one’s therapeutic process. While there are several routes of administration and different ways of working with ketamine—ranging from purely medical models to more therapeutically integrated approaches—I currently offer a model in collaboration with an online medical team using oral sublingual (lozenge) administration alongside psychotherapy.

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There are many effective ways to engage with ketamine treatment, but combining the medication with psychotherapeutic integration can provide a particularly powerful way to deepen and personalize the benefits of the experience.