What Does Ketamine Infusion Therapy do?
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Ketamine Infusion Therapy- What does it do?

As a Nurse Practitioner passionate about advancing brain health and emotional wellness, I’ve had the privilege of incorporating ketamine infusion therapy into my practice—a treatment that’s rapidly gaining recognition for its remarkable effects on mental clarity, mood stability, and cognitive enhancement.

Originally used as an anesthetic, ketamine is now being utilized in a much different way: to help individuals who struggle with mood disorders, anxiety, PTSD, and cognitive imbalances that conventional treatments often fail to resolve.

gentlemen getting IV infusion

What makes ketamine so unique is how it interacts with the brain. It works by blocking NMDA receptors, which in turn increases the availability of glutamate—a key neurotransmitter involved in learning, memory, and communication between brain cells. This cascade stimulates new neural growth and strengthens the brain’s ability to adapt and rewire itself—a process known as neuroplasticity. As these new connections form, ketamine helps restore functional connectivity between key regions of the brain, allowing areas that were once isolated or dysregulated to begin working together more effectively.

One of the most impactful changes occurs in the limbic system, the brain’s emotional processing center, which often becomes overactive due to chronic stress or trauma. Ketamine helps calm this hyperactivity, creating space for more regulated emotional responses and greater mental resilience. For patients, this can feel like a true reset: a quieting of the overactive mind, a loosening of long-held emotional tension, and a noticeable improvement in clarity, energy, and cognitive balance.

Each infusion lasts 1-2 hours, with some additional time spent recovering, and most patients find the experience to be calming, even restorative. Side effects, when they occur, are typically mild and temporary—perhaps some nausea, lightheadedness, or altered perceptions—but these are short-lived and carefully managed. What follows for many is a growing sense of ease and clarity in the days after, with better emotional regulation, reduced anxiety, and in many cases, a clearer sense of direction and purpose.

Ketamine infusion therapy offers a unique path forward—one that helps calm an overactive limbic system and promotes healing from the inside out. It has also been shown to enhance neuroplasticity, allowing the brain to form new, healthier connections that support improved mood, cognition, and emotional regulation. While it’s not a cure-all, ketamine can be a powerful catalyst for transformation. Watching patients reconnect with themselves, gain clarity, and build emotional strength has been nothing short of inspiring.

References:

Synthesizing the Evidence for Ketamine and Esketamine in Treatment-Resistant Depression: An International Expert Opinion on the Available Evidence and Implementation, Am J Psychiatry. 2021 May 1;178(5):383-399. doi: 10.1176/appi.ajp.2020.20081251. Epub 2021 Mar 17.

Neurobiology of stress, depression, and rapid acting antidepressants: remodeling synaptic connections. Depress Anxiety

. 2014 Apr;31(4):291-6. doi: 10.1002/da.22227. Epub 2014 Mar 10.

Rapid neuroplasticity changes and response to intravenous ketamine: a randomized controlled trial in treatment-resistant depression. Transl Psychiatry

. 2023 May 9;13(1):159.