We generally begin treatment with you by assessing resp onsiveness to the lozenge, this to precede the first IM session, or to continue on a lozenge only basis. For some individuals, only the lozenge experience may be utilized as this is sufficient for effect. ) benefit that often occurs over time with repeated administrat ion of the lozenges, often in concert with the IM sessions. The purpose of the sub-lingual ketamine lozenge sessions is to generate a robust anti-depressant, or other (PTSD, anxiety, etc. We will endeavor to assist you in changing patterns of mind and behavior that are of concern and cause you difficulty. The psychotherapy support you will receive will aid you in making your experience(s) valuable and understandable to you. The ketamine experience itself is designed to enable your own healing wisdom to be accessed and beneficial to you. You may experience important positive changes in personality, mood and cognition during treatment, in its immediate aftermath, and in the days and weeks that follow. How Long Will It Take Before I Might See Beneficial Effects? If you are prescribed lozenges for at-home sessions, we provide support, integrative sessions as necessary and look forward to your reports. We follow up and support your treatment by telephone, email and in-person contact. We are very serious about understanding what we and ketamine are accomplishing. For most people, KAP is singularly beneficial. As therapists, we act as guides to the experience, preparing you for it and facilitating your process.
It is our view that this relief and the exploration and experience of other possible states of consciousness are uniquely impactful. This tends to lead to a disruption of negative feelings and obsessional preoccupations. Characteristically, there is a relaxation from ordinary concerns and usual mind, while maintaining conscious awareness of the flow of mind under the influence of ketamine. We employ both sublingual and IM methods - generally beginning with the sublingual–as will be described herein.Įssential to both methods are time-outs from our ordinary state of mind, this period being of varying duration, usually 30 to 90 minutes, though it will seem timeless. At higher but still sub-anesthetic doses, the dissociative effect predominates for a time, usually about a half hour to an hour.īoth methods tend to produce a positive change in outlook and character and relieve symptoms of depression, PTSD, anxiety, and other difficult states of mind and heart. In the Trance state, these effects are deliberately reduced in intensity to enable psychotherapy and direct communication. It is our view that ‘dissociative’ experiences may well be instrumental in providing a more robust effect.
No matter the route of administration, ketamine tends to produce dissociative effects in a broad range-almost none occurring in a session to strongly present– depending on dosage and your susceptibility. Hence, frequent sessions occur in the first 2-3 weeks. While more recent work has demonstrated the possibility of an anti-depressant response to low dosages of ketamine administered in different routes such as intravenous, intra muscular (IM,) intra-nasal and sublingual (in the mouth), this effect tends to be more sustained with repeated use-in other words, a cumulative effect.
At the dosage level administered to you, you will most likely experience mild anesthetic, anxiolytic, antidepressant and, potentially, psychedelic effects. Ketamine is classified as a dissociative anesthetic, dissociation meaning a sense of disconnection from one’s ordinary reality and usual self. This is a very different pathway than that of other psychiatric drugs such as the SSRIs, SNRIS, lamotrigine, anti-psychotics, benzodiazepines, etc. How Does It Work? The current, most probable, understanding of ketamine’s mode of action is as an NMDA antagonist working through the glutamate neurotransmitter system. Ketamine is a Schedule III medication that has long been used safely as an anesthetic and analgesic agent and now, often effectively for treatment of depression, alcoholism, substance dependencies, PTSD and other psychiatric diagnoses as well as for existential, psychological and spiritual crises and growth. Ketamine is now an “off-label” treatment for various chronic “treatment-resistant” mental conditions. Information for Your Understanding of the KAP Process Introduction
0 kommentar(er)
