ketamine therapy at a clinic vs. at home

Ketamine Therapy: Clinical vs. At Home

Ketamine therapy is rising in popularity. Both at-home and in-person treatments are becoming available to more and more patients. What do you need to know before choosing the one that’s right for you?

Some patients may prefer receiving treatment at home, especially if they live far away from the nearest ketamine clinic. For safety, nothing beats a clinical setting with trained physicians on hand. But with the right education, patients can still be taught to set up a safe environment at home.

Set and Setting

Set and setting, are extremely important to the psychedelic experience. Patients should take steps to make their environment conducive to a positive experience. They will also want a trusted person there, who is ready to provide support if needed.


Ketamine is usually administered at home using oral lozenges or nasal sprays. These at-home methods may be cheaper than going the clinical route but the ketamine is significantly less bioavailable. This means that the exact amount of ketamine actually reaching your brain is unknown. The rate of delivery is difficult to control and highly variable.

At-home programs may involve a discovery process, where patients experiment with different doses before settling on the one they find most effective. Regardless of method, all patients should be thoroughly screened for conditions such as high blood pressure prior to receiving treatment.

At Home Treatment

Patients may find taking ketamine at home more comfortable than in a clinical setting. However, it is still important to be cautious.

Change happens when we are uncomfortable, and it can be hard to heal in the same place you got sick. A less familiar environment could be less triggering for some people, and can help patients look at things differently.

Telemedicine can’t always provide the support patients need. Without an in-person guide, patients can feel even more isolated than before.


Another concern is addiction. Patients left to their own devices may prefer taking smaller amounts of ketamine that cause less extreme dissociation.

Surprisingly, ketamine is more addictive at lower doses. Patients risk becoming hooked on the feeling of euphoria and disconnectedness they experience.

The result is less a mystical, potentially life-altering experience. More like a crutch that helps you get through the day, which can ultimately be a slippery slope.


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