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“I remember saying that I am lucky because I can mother myself.” During her journey, she also saw herself as a baby and connected with her own sense of innocence. She then recalls being greeted by a feeling she had never experienced: self-compassion. “I was a little nervous, but I trusted her.”Īs the ketamine started working, Sam says her body felt heavy and she slipped into what she describes as a “dreamy state.” She felt a little disoriented at first, until she remembered the words offered by her therapist and was able to settle deeper into the experience. “My therapist said I would depart from my conscious mind and enter a transformational space of…‘non-ordinary consciousness,’” Sam explains. Instead she was invited to observe whatever emerged during her trip. Unlike a traditional therapy session, she did not talk about her struggles. The medicine is then administered sublingually-that is, a rapidly dissolving tablet held in the mouth for 15 minutes-or intramuscularly as an injection.įor Sam's first journey, she took a ketamine lozenge, placed an eye mask over her eyes, and was instructed to relax and open herself to whatever came up-images, memories, feelings.
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In a typical three-hour session, the journey begins with an invocation to support a departure from this realm into a transformational space.
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With ketamine-assisted psychotherapy, each session is considered a “journey,” an opportunity to leave one’s conscious mind and discover what unfiltered thoughts, feelings, and images arise during the treatment. We need more research, but these studies confirm what I and others see clinically: that ketamine can work on postpartum depression quickly and effectively.” These studies looked at intravenous ketamine, often just a onetime administration. According to Miriam Schultz, MD, a reproductive psychiatrist in Berkeley, California, “There is recent research demonstrating a benefit of ketamine for postpartum depression-both prophylactically and for women who already had depressive symptoms or suicidal thoughts during their pregnancies. While research is still in its infancy, there are some promising results. Now some mental health professionals are starting to examine whether ketamine can also treat severe cases of PPD. While all psychedelics induce non-ordinary states of consciousness (NOSC), which are believed by many indigenous cultures, as well as some modern Western medical practitioners, to promote healing and wellness, ketamine is considered an atypical psychedelic rather than a classical one-like LSD, MDMA, psilocybin, or ayahuasca-and is classified as a dissociative anesthetic. According to researchers, this medicine can also help dial down negative or obsessive thought patterns, a common symptom of generalized anxiety and obsessive-compulsive disorder. In recent years psychedelics like ketamine have received a lot of airtime for their seemingly magical abilities to remedy pretty serious mental health concerns like post-traumatic stress disorder (PTSD), substance abuse, and anxiety when combined with talk therapy. What is ketamine-assisted psychotherapy-and how can it treat PPD? Hoping to shake this negative thinking and feelings of inadequacy, Sam spoke with her therapist, who recommended a novel treatment: ketamine-assisted psychotherapy (KAP).