Ketamine Treatment in San Antonio
What is Ketamine Treatment?
Ketamine is a powerful anesthetic that has been around since the 1960’s. More recently, however, Ketamine is proving to be a powerful treatment for several mental health disorders — the most researched being major depressive disorder and suicidality. Ketamine is also showing great promise, and is currently being used clinically, in the treatment of obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), postpartum depression (PPD), and bipolar disorders. Ketamine can be administered via three routes: Intravenously (IV), Intramuscularly (IM), and Intranasally (inhaled). Phoenix Mental Health offers all forms of Ketamine treatments under the direct supervision of our staff.
How does Ketamine treatment work?
Ketamine blocks NMDA receptors in the brain, which in turn causes an increase in the neurotransmitter Glutamate. Glutamate then acts on a different receptor, called an AMPA receptor, which we think is responsible for the clinical improvements in patients with depression. Current antidepressants on the market can work on multiple chemicals in the brain including Serotonin, Norepinephrine, and Dopamine. Unfortunately, however, antidepressants have not been able to significantly affect glutamate levels in the brain. The fact that Ketamine can alter glutamate levels makes it extremely unique and likely explains its clinical findings.
What does Ketamine treatment feel like?
A treatment session can vary widely between patients and can even vary between visits for an individual. Each treatment session is unique. The most common side effects patients’ report during ketamine are the following: “Dissociation” or feeling outside of one’s body, time can feel like it’s moving differently, colors becoming more vivid, and a feeling of “being one with the universe”. These effects are only present during the treatment and will resolve shortly after the treatment has concluded.
How long does Ketamine treatment last?
IV and IM Ketamine do have more robust and longer lasting effects than Inhaled Ketamine (Brand name: Spravato). IV and IM Ketamine protocols call for 2 treatments per week for 1 month, after which patients can sometimes go months without additional booster infusions/injections. Spravato’s protocol calls for 2 treatments per week for the first month and 1 treatment per week for the second month, after which an individualized plan is made with the doctor for the third month forward.
Is Ketamine treatment right for me?
If you are 18 and above and have tried prescription antidepressants with little/no effect, then ketamine may be an option for you. Call our office today to schedule your free 30-minute consultation with Dr. Johnston to see if Ketamine is right for you.
Will somebody be with me during treatment?
Your doctor will personally be administering your IV or IM Ketamine treatments and will be medically monitoring you during your experience. You will be left alone during your recovery time, after the infusion/injection has concluded, to listen to music, read a book, etc., until you have recovered enough to be discharged. Spravato (inhaled ketamine) requires significantly less supervision and medical monitoring. Your doctor will be present for the first couple of treatments/administrations for your comfort, but once graduated, you will be monitored by a Spravato technician. Your doctor will always be in the building, and immediately available, during your treatment.
Please do not hesitate to contact our office with any questions.