How Ketamine Can Help with Depression and Anxiety

Kelsey Geiger, LPCC

Ketamine, once used mainly as an anesthetic, has become an exciting option for people struggling with depression and anxiety—especially when other treatments haven’t worked. One of the remarkable aspects of ketamine is how quickly it can provide relief, particularly when administered in a supportive, therapeutic environment with integration. This combination allows the brain to respond effectively while providing space to process insights and emotions.

The Brain’s Ability to Change: Neuroplasticity

Our brains are neuroplastic which means they have an amazing ability to adapt and reorganize. Our brains can form new connections between nerve cells (neurons) to help us think, feel, and respond in healthier ways. In depression and anxiety, some of these connections get “stuck” in patterns that reinforce negative thoughts or feelings. Helping the brain form new connections can break these loops and improve mood.

Ketamine works on the brain’s glutamate system, which is involved in learning, memory, and mood regulation. By acting on specific receptors, ketamine encourages the release of chemicals that help neurons communicate more effectively. This triggers processes in the brain that promote growth of new connections and strengthen existing ones.

Creating New Connections: Dendrites and Synapses

A key part of ketamine’s effect is that it helps neurons grow tiny branches called dendrites, which are essential for forming new connections (synapses). More dendrites mean the brain can create new pathways for thinking and feeling, which can help break cycles of negative thoughts and emotions. Research shows these changes happen quickly, which helps explain why ketamine can provide rapid relief.

Ketamine doesn’t just help the brain grow, it also helps “reset” the circuits that were reinforcing anxiety or depression. By giving the brain a chance to reorganize, ketamine can reduce the repetitive negative loops and make room for healthier thinking and emotional patterns.

Integration: Supporting Lasting Change

The most lasting benefits of ketamine come when the experience is combined with therapy. Working with a trained therapist provides guidance to process insights, understand emotional experiences, and build strategies for positive change. Integration helps ensure that the new neural connections ketamine supports are translated into meaningful improvements in daily life, creating a foundation for lasting mental wellness.

Ketamine offers a new approach for people who want to try something new or haven't responded well to traditional treatments.

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What to Expect in Your First Ketamine-Assisted Psychotherapy Session