Psychedelic-Assisted Therapy

Below is a list of resources that our team recommends to patients regularly.

How to change your mind by Michael Pollan
The Ketamine Papers: Science, Therapy, and Transformation by Phil Wolfson and Glen Hartelius
The Psychedelics Integration Handbook by Ryan Westrum and Jay Dufrechou

We know that most mental health disorders shorten your lifespan

Depression and shortened lifespan

Increased mortality among people with anxiety disorders: total population study

PTSD and decrease lifespan

 

Below is some of the evidence on psychedelic-assisted therapies that treat many of these disorders.

Multiple peer-reviewed studies have demonstrated that ketamine provides rapid and impressive anti-depressant effects which persist beyond the approximately one-hour infusion. Ketamine has multiple unique mechanisms of action that work to interrupt anxiety, depression, and pain by decreasing systemic inflammation, healing the brain, and creating openness to new ways of thinking and relating to the self and others.

Single, Repeated, and Maintenance Ketamine Infusions for Treatment-Resistant Depression: A Randomized Controlled Trial

 

Conclusions: Repeated ketamine infusions have cumulative and sustained antidepressant effects. Reductions in depressive symptoms were maintained among responders through once-weekly infusions. These findings provide novel data on efficacious administration strategies for ketamine in patients with treatment-resistant depression.
Ketamine and PTSD

 

Conclusions: In this double-blind, placebo-controlled crossover study, a single dose of Ketamine (.5mg/kg over 40 minutes) was compared to midazolam. Authors note a significant immediate reduction in the CAPS score and frequently this reduction was maintained for over 2 weeks. The only side effects noted were transient dissociative symptoms, none of which required stopping the infusion.
Ketamine for treatment of mood disorders and suicidality: A narrative review of recent progress

 

Conclusions: This narrative review describes the evolution of ketamine to treat mood disorders and suicidality. We provide evidence supporting recent developments using esketamine as well as unresolved issues in the field, such as dosing and safety.
A Randomized Controlled Trial of Repeated Ketamine Administration for Chronic Post-traumatic Stress Disorder

 

Conclusions: This randomized controlled trial provides the first evidence of efficacy of repeated ketamine infusions in reducing symptom severity in individuals with chronic PTSD. Further studies are warranted to understand ketamine’s full potential as a treatment for chronic PTSD.
Ketamine route of administration

 

There are several ways to give ketamine. There are pros and cons to intranasal, intramuscular and intravenous. This study shows that Intramuscular ketamine in the dose of 0.25 mg/kg is as effective and safe as 0.5 mg/kg given either I.M. or I.V., substantially alleviating depressive symptoms within a few hours and sustained for 3 days.

Currently, at this time, Manifest Health is offering intramuscular. However, in the future, all routes will be available.