Ketamine offers hope for people who feel like nothing else has worked. However, hope needs a clear path. As this treatment becomes more popular, so do the myths that surround it. The most common one is that a single ketamine session will “reset” your brain and end depression.
That is not how recovery works.
If you are exploring ketamine therapy in Sacramento, Folsom, and Roseville, it is important to understand the difference between temporary relief and long-term healing. Ketamine can help create a breakthrough, but what happens after that determines whether the results last.
What Research Says About Ketamine’s Fast but Temporary Effects
Ketamine is unlike traditional antidepressants. Instead of gradually building up over weeks, it acts quickly by blocking NMDA receptors in the brain and increasing glutamate release. This rapid effect can improve mood within hours, especially for individuals with treatment-resistant depression.
But how long does that improvement last?
A 2013 study by Murrough et al. followed 24 patients with treatment-resistant depression who received six ketamine infusions over 12 days. Seventy percent responded by the end of the treatment series. However, among those who improved, the median time to relapse was just 18 days after the final session.
In a separate clinical overview by Strong and Kabbaj, researchers confirmed that although a single infusion could reduce suicidal ideation and depressive symptoms for up to one week, maintaining that relief required repeated dosing and close monitoring.
The bottom line is that ketamine works quickly, but the benefits fade without a treatment plan.
The Problem With the “One-and-Done” Mentality
The media has contributed to the idea that ketamine is a miracle drug. Some headlines even call it a “cure” for depression. That word carries a lot of weight and creates unrealistic expectations.
Psychiatrist Dr. Gail Serruya outlines a common problem in clinical practice: Patients often believe they have failed ketamine treatment if the positive effects disappear after a month. In reality, this outcome is normal. One infusion is not meant to be a standalone solution. For most people, a lasting response requires monthly boosters or a structured care plan that includes therapy and support.
This misunderstanding leads to two risks. One is emotional, where patients blame themselves for a relapse. The other is medical, where some clinics oversell ketamine without explaining the need for integration and follow-up. These gaps in care can delay real recovery.
Ketamine Creates a Window for Change
Ketamine does not replace emotional work. It opens a door. What you do during and after that window matters more than the session itself.
According to a 2021 paper by Muscat et al., ketamine boosts synaptogenesis, reduces brain inflammation, and increases what researchers call a “high entropy brain state.” In plain terms, it makes the brain more flexible. That flexibility allows people to unlearn old patterns and form new emotional responses if they are supported through that process.
Therapy during this window can amplify ketamine’s effects. Muscat’s team suggested that the 24 to 48 hours after a session is the optimal time for psychotherapy. This is when the brain is most receptive to new perspectives, meaning a guided conversation can help those changes take root.
Without integration therapy, insights fade. With the right support, those same insights can rewire how someone thinks, feels, and responds.
Types of Ketamine Therapy Available Today
As interest in ketamine therapy in Sacramento and other areas grows, so does the number of delivery methods. Each has unique benefits, depending on a person’s symptoms, preferences, and medical history.
Intravenous (IV) Ketamine
This is the most researched form of treatment. IV infusions typically last about 40 to 60 minutes and allow for accurate dosing under medical supervision. Most studies on ketamine for depression use this method because of its reliability and speed of action.
Spravato (Esketamine)
Approved by the FDA in 2019, Spravato is a nasal spray that contains esketamine, a compound derived from ketamine. It is indicated for adults with treatment-resistant depression and is administered in-clinic alongside an oral antidepressant.
Ketamine-Assisted Psychotherapy
Ketamine-assisted psychotherapy (KAP) blends medication with a therapeutic session. Patients receive low-dose ketamine either during or shortly before working with a therapist. This model takes advantage of the brain’s increased neuroplasticity during treatment and channels it toward lasting psychological shifts.
Integration Therapy Makes the Difference
Without proper integration, ketamine may offer a brief emotional lift but no true change. Integration therapy helps patients unpack what they felt during a session, make sense of unusual or powerful insights, and apply those lessons in daily life.
Some people describe ketamine experiences as disorienting, psychedelic, or dreamlike. These feelings are not negative. They are opportunities. But they require skilled interpretation. A trained integration therapist can help connect those abstract moments to real-world changes.
This is where many providers fall short. Clinics that offer only infusions without any follow-up often leave patients confused about what to do next. Ketamine may create the space, but therapy fills it.
Safety Requires More Than Monitoring
Ketamine is a controlled substance for a reason. It has a high safety profile in clinical settings, but it still carries risks when used outside of medical oversight.
In 2024, Psychiatric News published a report describing how nearly half of all ketamine users in the United States now receive the drug at home, often in lozenge form, prescribed virtually. These treatments are rarely supervised. In some cases, patients had no psychiatric evaluation before starting, and two individuals in the article developed psychosis as a result.
Side effects such as nausea, dizziness, dissociation, or increased blood pressure are usually mild and short-lived, but they can escalate if no one is present to intervene. Responsible providers ensure that patients are screened before treatment and monitored throughout each session.
A Long-Term Approach Starts Here
At Zeam Health & Wellness, we design depression care that lasts. We offer multiple evidence-based forms of ketamine therapy in Sacramento, Folsom, and Roseville, including IV infusions, Spravato nasal spray, and ketamine-assisted psychotherapy. Our programs include full psychiatric evaluations, real-time safety monitoring, and access to licensed therapists who support integration before and after treatment.
Whether you are managing trauma, anxiety, or treatment-resistant depression, we meet you where you are. Our goal is to provide not just temporary relief but a real path forward.
Schedule a consultation today. Begin the kind of care that keeps working after the first session ends.
