Healing Trauma with Ketamine Therapy for Trauma

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Healing Trauma with Ketamine Therapy for Trauma

  • Written by

    Innerwell Team

  • Medical Review by

    Ben Medrano, MD


Trauma doesn’t always fade with time. It lingers in the nervous system, shaping thoughts, relationships, and physical health. Many who try therapy or medication still feel stuck—trapped in survival mode long after the threat is gone.

Ketamine therapy offers a new approach. By disrupting rigid brain patterns and enhancing neuroplasticity, ketamine can help individuals reconnect with parts of themselves shut down by trauma.

This treatment isn’t about erasing the past. It’s about loosening trauma’s grip so healing can begin.

At Innerwell, we specialize in trauma-informed ketamine therapy—offering safe, personalized care that helps you process, release, and move forward.

Understanding Trauma: Symptoms and Brain Effects

Trauma reshapes both mind and brain. These changes can drive long-lasting symptoms that many traditional treatments fail to fully resolve.

Survivors often face hypervigilance, flashbacks, emotional numbness, sleep disruption, and avoidance of anything that feels remotely unsafe. These reactions are the brain’s way of trying to protect—but over time, they become barriers to healing.

Neurologically, trauma reshapes the brain. The amygdala, tied to fear, becomes overactive. The hippocampus, which helps form memories, may shrink. Trauma can reduce gray matter in areas linked to emotion and memory, while disrupting the brain’s communication pathways.

Traumatic memories aren’t processed like regular memories. They often feel fragmented, raw, and out of place in time. That’s why flashbacks are so intense—they’re not just memories, they feel like reliving.

Ketamine therapy has emerged as a promising treatment for trauma-related disorders. 

What Is Ketamine Therapy for Trauma and How Does It Work?

Ketamine therapy offers a new path forward for trauma survivors, especially when traditional treatments haven’t brought relief. It works by targeting the brain’s glutamate system—specifically NMDA receptors—disrupting the neural patterns that keep fear and hyperarousal stuck in overdrive.

This mechanism helps calm the brain’s alarm system and creates space for healing. Ketamine also promotes neuroplasticity, allowing the brain to form new, healthier connections. That means people can begin to reprocess trauma, shift emotional responses, and feel real change—sometimes within hours.

When combined with therapy, ketamine can deepen emotional access, ease avoidance, and support lasting recovery in a safe, guided setting.

Clinical Evidence: Effectiveness of Ketamine Therapy for Trauma

Clinical evidence continues to build around ketamine therapy as a promising treatment for trauma-related conditions, particularly PTSD. In a 2025 open-label trial, six intravenous ketamine infusions paired with written exposure therapy led to significant, lasting symptom relief. Nearly 70% of participants met criteria for clinical response, with many maintaining benefits for six months.

Another study found weekly low-dose oral ketamine reduced PTSD symptoms in 73% of participants. Improvements extended beyond trauma—patients also reported better sleep, reduced depression, and enhanced overall well-being.

A landmark randomized, double-blind trial found that just one intravenous dose of ketamine led to a rapid and meaningful reduction in core PTSD symptoms within 24 hours. The effect was significantly greater than that of the active placebo, even when accounting for depression severity—suggesting ketamine's unique impact on trauma pathways, not just mood.

These outcomes reflect ketamine’s unique ability to boost neuroplasticity and quickly reset dysfunctional brain circuits involved in fear and memory. When combined with trauma-focused therapy, ketamine appears to support faster, deeper healing.

While more large-scale trials are needed, early findings suggest ketamine is a safe, well-tolerated option that offers hope for those struggling with treatment-resistant trauma.

The Innerwell Approach to Ketamine Therapy for Trauma

At Innerwell, we've crafted a digital-first approach to ketamine therapy that makes treatment more accessible and effective.

Unlike traditional clinics that require in-person visits, we offer at-home ketamine therapy using oral rapid dissolve formulations. This allows patients across multiple states to receive treatment comfortably in their own space—an important advantage over conventional methods.

Our virtual care includes appointments with psychiatric clinicians, remote check-ins, and digital mood tracking to closely monitor your progress. This telehealth model ensures consistent support throughout your treatment journey.

We begin with a thorough assessment and create a personalized, goal-driven treatment plan. Dosing is carefully adjusted based on your response to optimize results.

A key strength of our approach is the team-based care model. You’ll work with a dedicated team of psychiatric clinicians and licensed therapists trained in psychedelic medicine, offering online therapy options that provide continuity and support.

We focus deeply on the psychological side of healing with pre-ketamine preparation sessions, intention-setting to guide your experience, and post-session integration therapy. This helps you process your experiences and use ketamine’s dissociative effects as a safe emotional buffer for trauma recovery.

Addressing Common Concerns About Ketamine Therapy for Trauma

Many people wonder about the safety and side effects of ketamine therapy for trauma. It’s important to know that ketamine can cause short-term effects like dissociation, dizziness, nausea, increased blood pressure, blurred vision, and drowsiness. These usually pass within a few hours. More serious risks, such as liver problems from repeated use or the chance of misuse, are rare but taken seriously.

At Innerwell, we prioritize your safety with thorough evaluations, personalized dosing, virtual check-ins, and continuous symptom tracking. Our licensed team integrates psychotherapy throughout your treatment to support your healing.

Dissociation can be unsettling, especially for trauma survivors. That’s why we provide careful preparation, support during sessions, and integration therapy afterward. This effect often serves as an emotional buffer, helping you face difficult memories without becoming overwhelmed.

Ketamine is FDA-approved as an anesthetic and is legally used off-label for mental health under close medical supervision. The FDA has warned about compounded ketamine products, underscoring the importance of trusted, carefully monitored care.

Moving Toward Healing and Resilience

Trauma often feels like a heavy burden that affects every aspect of your life—your thoughts, emotions, and relationships. When traditional treatments don’t provide the relief you need, it’s easy to feel stuck and isolated. 

Ketamine therapy offers a promising new approach by targeting the brain’s trauma pathways, helping to gently release the hold trauma has on you. This treatment supports healing by allowing your brain to form new, healthier connections—not erasing your past, but creating space for recovery.

If you’re seeking a trusted, effective path forward, Innerwell is here to help. Take our free assessment today and see how we can help guide you toward lasting healing.

FAQs

What is ketamine therapy for trauma and how does it help?

Ketamine therapy modulates glutamate signaling and promotes neuroplasticity, allowing the brain to form new connections and process traumatic memories differently. This reduces hyperactive fear responses and intrusive thoughts associated with PTSD.

How quickly can ketamine therapy for trauma relieve symptoms?

Ketamine provides rapid relief, often within hours to days after treatment—significantly faster than traditional medications like SSRIs, which typically take 4-6 weeks to show effects.

What side effects might occur during ketamine therapy for trauma?

Common side effects include temporary dissociation, dizziness, nausea, and changes in blood pressure. Most effects resolve within hours after treatment. Serious side effects are rare when administered in a controlled setting.

Who is a candidate for ketamine therapy for trauma?

Ideal candidates often have treatment-resistant PTSD or chronic trauma that hasn't responded well to conventional therapies. A thorough medical evaluation determines eligibility.

How long do the benefits of ketamine therapy for trauma typically last?

Benefits vary from weeks to months after a treatment course. Many patients benefit from periodic maintenance sessions to sustain improvements over time.

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CTA Callout Illustration

87% of Innerwell patients report improvement within 4 weeks

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At-home treatment — no clinic visits

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1/4th of the price compared to offline clinics

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Led by licensed psychiatrists and therapists specialized in therapy

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Insurance accepted in selected states

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