At-Home Ketamine Therapy

Understanding Your Options:

Ketamine therapy can be a helpful tool for some people experiencing depression, anxiety, trauma-related symptoms, or feeling “stuck” despite other treatments. In recent years, access has expanded beyond clinics, allowing some forms of ketamine to be taken at home with medical supervision.

This handout is designed to help you understand what options exist and what might be the best fit for your needs, it also describes how I may be able to assist you on your journey.

🧠 What Is At-Home Ketamine Therapy?

At-home ketamine therapy refers to ketamine that is prescribed by a licensed medical provider and taken outside of a clinic, typically with virtual monitoring, preparation, and follow-up support.

This is not the same as unsupervised or recreational use. Safety, screening, and intention are essential.

🏡 Common At-Home Ketamine Formats

1. Sublingual Ketamine (Lozenges or Troches)

  • Dissolves under the tongue

  • Most common at-home option

  • Often taken every few days or weekly

  • Allows for reflective, inward experiences at lower doses

Often paired with:
• virtual medical check-ins
• preparation and integration guidance

2. Oral Ketamine (Swallowed)

  • Taken by mouth and swallowed

  • Effects may be gentler or more gradual

  • Sometimes used for mood support rather than psychedelic experiences

3. Rapid-Dissolve Tablets

  • Similar to lozenges but dissolve more quickly

  • Used in some telehealth programs

  • Dosing and structure vary by provider

4. Hybrid or Structured Programs

Some programs combine:

  • At-home dosing

  • Coaching or therapy support

  • Apps for tracking mood, intentions, and insights

These models are designed to support integration, not just symptom relief.

 What Is Not At-Home Ketamine?

Spravato® (esketamine nasal spray)

  • FDA-approved for treatment-resistant depression

  • Must be taken in a certified clinic

  • Not available for home use due to safety monitoring requirements

  • I am available to provide Integration Therapy in collaboration with individuals utilizing Spravato

🧩 Who Might Benefit from At-Home Ketamine?

At-home ketamine may be a good option for people who:

  • Have tried other treatments with limited relief

  • Want a gentler, more reflective experience

  • Have access barriers to in-clinic care

  • Are able to engage in preparation and integration work

  • Have stable medical conditions and support

It may not be appropriate for everyone. Screening is essential.

⚠️ Safety & Important Considerations

  • Ketamine is a controlled medication and should only be used under medical supervision

  • Not all mental health conditions are appropriate for ketamine

  • Medical history, medications, and substance use must be reviewed

  • Integration support greatly improves outcomes

  • Emotional experiences vary session to session — intensity is not required for benefit

🌱 The Importance of Integration

Ketamine is not a stand-alone solution.
Lasting benefit often comes from:

  • Reflection

  • Emotional processing

  • Nervous system regulation

  • Making meaning from insights

  • Applying changes gently in daily life

Some people experience clarity, others emotional access, others simply rest. All of these are valid.

🤍 A Thoughtful Approach

Ketamine is one tool among many. The goal is not escape or intensity, but greater connection to self, emotional flexibility, and capacity to respond to life with more clarity and compassion.

If you’re curious about whether at-home ketamine might be right for you, we can explore options together in a way that feels safe, paced, and aligned with your needs.

How I Work & How I Can Support You

Ketamine can be a meaningful and supportive tool for some people, particularly when traditional approaches have not fully addressed symptoms or when emotional access and nervous-system regulation feel difficult. In my practice, ketamine is approached with care, intention, and integration, never as a stand-alone solution.

My role is to prescribe ketamine thoughtfully and to support you in preparing for, experiencing, and integrating these sessions in a way that promotes safety, self-connection, and lasting change.

🧠 My Role in At-Home Ketamine Care

I prescribe at-home ketamine as part of a comprehensive, trauma-aware treatment approach. Prescriptions are sent to a licensed compounding pharmacy and are currently available in two forms:

  • Intranasal ketamine (nasal spray)

  • Sublingual ketamine (troches/lozenges)

In my practice, I most often work with individuals using the nasal spray formulation, as it allows for more consistent dosing and often integrates smoothly into ongoing therapy and daily life. That said, troches are effective and can be equally helpful, and we decide together which option best fits your needs, history, and treatment goals.

Ketamine is prescribed with careful attention to:

  • Medical and psychiatric history

  • Current medications and potential interactions

  • Nervous system stability and readiness

  • Dosing, pacing, and frequency

  • Ongoing monitoring and follow-up

🌱 What Integration Means in My Practice

Integration is the process of helping your nervous system and mind make meaning of your ketamine experiences and translate insights into daily life.

Integration work may include:

  • Emotional processing and naming experiences

  • Tracking shifts in emotional access or embodiment

  • Understanding how ketamine interacts with other medications

  • Working with parts of self that emerge during or after sessions

  • Supporting regulation when experiences feel subtle, emotional, or intense

  • Identifying small, measurable changes rather than dramatic expectations

Not every ketamine session is vivid or psychedelic. Some sessions are quiet, emotional, reflective, or deeply restful. All of these experiences are valid and meaningful when supported with integration.

🫀 A Nervous-System-Centered Approach

In this work, safety and pacing come first. Ketamine can open emotional and somatic access, and without adequate support this can feel overwhelming or destabilizing.

My approach emphasizes:

  • Regulation before insight

  • Emotional access without flooding

  • Curiosity over interpretation

  • Choice, consent, and collaboration

  • Respect for your body’s timing

We move at the pace of your nervous system, not a protocol or timeline.

🧩 Who This Work Is Best Suited For

This approach may be especially helpful for individuals who:

  • Feel emotionally blunted or disconnected

  • Have trauma histories or chronic stress

  • Experience anxiety, depression, or burnout

  • Are navigating life transitions or relational challenges

  • Want deeper self-connection rather than symptom suppression

Ketamine is not appropriate for everyone, and careful screening is always part of the process.

⚠️ Important Notes on Safety & Scope

  • Ketamine is a controlled medication and is prescribed only after thorough assessment

  • Ongoing monitoring is essential

  • Ketamine may not be appropriate for certain medical or psychiatric conditions

  • Integration is just as important as the medication itself

  • Intensity of experience is not a measure of effectiveness

Your safety, autonomy, and informed consent are always prioritized.

🤍 What You Can Expect When Working With Me

You can expect care that is:

  • Grounded and non-judgmental

  • Trauma-aware and body-informed

  • Collaborative rather than directive

  • Thoughtful, paced, and individualized

My goal is not to push insight or force change, but to help you build emotional capacity, regulation, and trust in yourself over time.

Ketamine can open doors, but integration helps you walk through them gently, safely, and with support.

If you’re curious about at-home ketamine or wondering whether this approach may be right for you, we can explore this together in a way that feels aligned, intentional, and respectful of your whole system.