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Embarking on your first ketamine session can be both exciting and nerve-wracking. It's perfectly normal to feel a mix of emotions before this unique journey. To ease any concerns, let's explore what you need to know about your first ketamine experience.

Ketamine has a longstanding track record of safety, having been administered to millions of adults and children since 1970. Notably, it differs from opioids and benzodiazepines in that it does not pose respiratory issues, even in higher doses.

Over the past three decades, extensive studies have investigated ketamine's efficacy in treating depression, anxiety, and PTSD. The findings consistently affirm its safety and effectiveness in addressing these conditions.

Your journey with ketamine begins at a low dose, allowing you to acclimate to its effects. At this level, ketamine induces a deep sense of relaxation, akin to enjoying a glass of wine. As your sessions progress, doses can be adjusted to align with your unique circumstances, condition, and treatment goals. Higher doses often manifest as dream-like experiences, where intricate imagery and altered self-perception may arise.

While most patients experience no side effects, those who do typically encounter brief and minimal issues lasting 1 to 2 hours. Common side effects include nausea, dizziness, headache, grogginess, and blurry vision.

Feeling nervous about your inaugural ketamine session is entirely normal. To help ease any apprehensions, adopt the mantra from Johns Hopkins Center for Psychedelic & Consciousness Research: Trust, Let Go, and Be Open (TLO).

Trust in the Process: You've been prescribed a legitimate, safe, and effective medicine tailored to your mental health needs. Your session will take place in a secure and comfortable setting, with a support person present to assist you. The experience is time-limited, lasting just one hour. Any anxiety or challenges during the session will be transient, leaving you with newfound insights.

Let Go of Preconceived Notions: Release any fears or preconceived notions about the experience. Trust that the medicine will guide you toward the healing experience you need.

Be Open: Keep in mind the intentions you've set for the session and your treatment goals. Simultaneously, be open to observing aspects of yourself and your life that the medicine may reveal.


As you step into this transformative experience, remember that you are in capable hands, supported by a reputable medical team. Your journey with ketamine holds the potential for profound healing and self-discovery. Trust the process, let go of any apprehensions, and be open to the transformative power of this innovative treatment.

If you have any questions or need further guidance, our team at Innerwell is here to support you. Your well-being is our priority, and we look forward to assisting you on your path to mental health recovery.

What to know if you’re nervous about your first ketamine experience

What to know if you’re nervous about your first Ketamine experience

At Innerwell, your safety is our top priority. We want to reassure all our patients that we take the utmost care in ensuring your safety. The principles of the Hippocratic Oath guide us: First, Do No Harm. We have an extensive number of safeguards in place with ketamine treatment at Innerwell to ensure your well-being throughout your journey with us. 

Ketamine is a safe medication for patients who have undergone a thorough medical and psychiatric evaluation and do not have any contraindications to treatment. It is a remarkably effective medication for off-label treatment of several psychiatric conditions. In clinical practice, ketamine dependence and abuse are rare. Ketamine can be used safely for at-home treatment when the following guidelines are followed; 

All patients are screened for medical contraindications prior to initiating ketamine treatment. At the discretion of your prescriber, we may require specialist clearance from cardiologists, neurologists, and other physicians for patients who have any conditions that we determine can increase the risk of adverse events from ketamine (i.e., any history of significant heart, liver, lung, and kidney disease). Certain patients are not suitable for at-home ketamine treatment due to their medical or psychiatric history.

We require that patients stop or hold sedating and/or stimulating medications on the day of their treatment sessions to reduce the risk of adverse interactions with ketamine.

Ketamine can transiently increase blood pressure, usually in the range that can occur during exercise, and we therefore require patients to check their blood pressure before every treatment session to ensure that it’s in the lower range. Patients with a history of high blood pressure are required to be adherent to their antihypertensive medication regimen, and in certain cases, provide clearance from their PCP or cardiologist. 

We only prescribe oral tablets of ketamine at doses significantly below the amount used in general anesthesia and the level found in Matthew Perry’s bloodstream. All patients are carefully assessed throughout their program whether increases in their dose are clinically indicated. 

We require all patients to have a Peer Treatment Companion (support person) physically onsite with them for every treatment session. As a reminder, our Peer Treatment Companion's Guide can be found here. 

Patients should only take ketamine in a safe and secure setting at home, typically while lying on the couch or in bed. Patients should never take ketamine in or near a body of water such as a pool, hot tub, lake, or the ocean. Patients should also never take ketamine outside their home, or while driving or operating heavy machinery. Patients and/or their Peer Treatment Companions should not hesitate to call 911 if they ever have any safety concerns during a ketamine treatment session.

If you have any questions, concerns, or thoughts about your ketamine treatment at Innerwell, we encourage you to reach out to us via email at care@helloinnerwell.com.

We’re here to support you and continue providing this life-saving treatment in the safest manner possible.


At Innerwell, your safety is our top priority. We want to reassure all our patients that we take the utmost care in ensuring your safety. The principles of the Hippocratic Oath guide us: First, Do No Harm. We have an extensive number of safeguards in place with ketamine treatment at Innerwell to ensure your well-being throughout your journey with us. Ketamine can be used safely for at-home treatment when the following guidelines are followed

How we keep you safe at Innerwell

It is with broken hearts that we share the news that Dr. Garrett Deckel passed away unexpectedly on October 8th.

Garrett was instrumental to Innerwell's founding and launch as our clinical director and supervisor. Her contribution to Innerwell’s treatment protocol, the recruitment of our clinical team, and supervision of our clinicians is indelible, and the groundwork she laid has impacted and will continue to impact many lives for the better.

We will always remember Garrett’s thoughtfulness and astuteness as a psychiatrist, her dedication to caring for the most vulnerable patients, her quiet sense of humor, and her gentle spirit. She was steadfastly committed to clinical rigor and safety while delivering compassionate care. 

Garrett was initially skeptical of me (Lisa) as a non-clinical businessperson, and early on she spent  time testing my intentions and ensuring that Innerwell’s ethos were aligned with hers. We spent hours together testing our “fit”. I’ll never forget those early days when Garrett challenged my ethics and intentions while I tested her commitment to building a next generation data-driven practice. She held a mighty intellectual sword. Garrett’s fingerprints can be seen in everything we do here at Innerwell. I can only hope we rise to her challenge. We will miss her unwavering sincerity and empathic nature.

More details about Garrett’s life and information about her memorial service, which will be held in New York City on October 29th, can be found here.

Please know that our doors are always open for anyone looking for support. We extend our deepest sympathy to all who are impacted by this great loss.


Mike Cooper, MD, Innerwell Medical Director

It is with broken hearts that we share the news that Dr. Garrett Deckel passed away unexpectedly on October 8th. Garrett was instrumental to Innerwell's founding and launch as our clinical director and supervisor. Her contribution to Innerwell’s treatment protocol, the recruitment of our clinical team, and supervision of our clinicians is indelible, and the groundwork she laid has impacted and will continue to impact many lives for the better.

In Memoriam: Dr. Garrett Deckel

After 10 weeks of treatment, Innerwell patients on average experience a 69% reduction in depression symptoms and a 60% reduction in anxiety symptoms. With such transformative outcomes, it's no surprise to see many Innerwell patients speaking up to spread the word about how ketamine treatment has changed their lives. Ketamine treatment can be a major step in your mental health journey, and it's only natural to want to learn what other patients have to say about their treatment when choosing a provider.

Below, we've rounded up Innerwell reviews from real patients shared around the web.

"I’m a hard case 😂, lots of contributing factors; C-PTSD, Depression, Anxiety, ADHD, ASD, unresolved grief. I signed up for the extended program. Just finished session number 5. It is definitely a process but I’m already seeing progress. The negative self talk has quieted and when it does happen, I’m able to work through it. My daily, out of control anxiety has been consistently at level 1 or 2 instead of 8-10. I haven’t needed my Klonopin. I have a hard time expressing how it is working but so far It is. I am so thankful to be able to do this in the safety and security of my own home. 💜 I would recommend Innerwell (in fact I already have😊) wholeheartedly."

“I’m truly blown away. In 20 years of battling depression nothing has had such a rapid, profound, and seemingly meaningful effect on me. Cannot thank you enough!”

"I have C-PTSD, ADHD (or ADHD-like symptoms as a result of PTSD), and anxiety due to being abused by my mother growing up. I successfully completed EMDR therapy two years ago as well as DBT/CBT but noticed I was still having some symptoms such as mild depression, social anxiety and some intrusive/obsessive thoughts, and insomnia. That said, I'm far far better than I was when I began all of this. But I wanted to try ketamine through Innerwell to see if it could help eliminate the last few symptoms. I tried a single infusion session last year. I stopped because the infusion was too much but I had heard about lozenges and wanted to see if I could take a more gentler approach. We also moved so there's no way for me to get to an infusion site in a reasonable fashion. [...] Overall, my experience with ketamine has been fantastic. I've learned a lot of cosmic wisdom."

"My experience has been incredible, and I could not be happier with the outcome.

It was my intent to keep expectations low coming into this & my goal was to find a way to break down the walls of my trauma.

Coming out the other end of this journey I feel I’ve done a lot of good work. I’ve already seen many benefits in my day to day life, but the work continues & so does the growth.

Moving forward I plan to take part in one of the follow on programs.

There’s still issues I’m hoping to address, but the bulk of what I’ve been carrying around all these years finally feels lifted.

I am beyond grateful to innerwell for such an amazing experience, and look forward to continuing on this path."

"Innerwell has done everything exactly as promised and have been great.

I would go with Innerwell again. So far, things are better. I found real perspective in ketamine and will seek further treatments when I feel the need.

Depression is a symptom & and my body was screaming at me to make significant change.

I counted the other day. I’ve been through 21 different direct mental health meds and another handful of off label support meds.

"I’ve been using Innerwell. Absolutely wonderful experience and I will be a champion and advocate for this forever! Excited to see what the future holds.

OMG it’s only been a (couple of) days but absolutely life changing. For the first time in years I am actually focusing at work, I’m not riddled with anxiety, [procrastinating to] do something, and most of all the feeling of hopelessness and numbness to things. It’s absolutely insane how well this has been so far. I started with 200mg but am going to do 400mg either today or tomorrow before my check in with my psychiatrist!"

"I had my initial doses, an NP appointment over zoom, then the next 8 doses and just had another visit w the NP this week. The next 8 arrive today. I’m on the 24 dose plan. Shipping is fast. The RDTs are good. I’m on 600mg. The site and tools are nice. I’m happy with it. When I finish, I would do it again this way if I needed to."

"I’m on session 5 with Innerwell and absolutely recommend them 💯 percent. I got the extended package which includes the Ketamine and Zofran, med appointments every so often (Followed by medication shipments), and therapy appointment. The first shipment includes phone stand, eye mask, notebook, pen, Zofran and dissolving Ketamine tabs for the first two sessions. I scheduled my included therapy session for tomorrow."

Want to share your story with Innerwell to help future patients make a more informed decision about their care? Email us at care@helloinnerwell.com with your experience.

It's only natural to want to learn what other patients have to say about their treatment when choosing a ketamine provider. Read real experiences from Innerwell patients around the country.

Innerwell Reviews - Read about real patient experiences

Innerwell Reviews from Real Patients

In ketamine-assisted psychotherapy, intention setting plays a significant role in guiding the therapeutic process and maximizing its effectiveness. Setting intentions provides a focused direction and purpose for your therapeutic journey. By clarifying your goals and desired outcomes, you can personalize your therapy experience, actively participate in your healing process, and target specific areas of concern that are impacting your well-being. 

Your intentions will serve as a guide, helping you navigate your thoughts, emotions, and experiences during ketamine sessions, facilitating exploration, self-reflection, and self-discovery. They will also promote collaboration with your therapist, enhance the integration of insights into your daily life, and support long-lasting transformation and growth. So, take the time to set clear intentions, empowering yourself and maximizing the effectiveness and impact of your ketamine-assisted psychotherapy.

You may find it helpful to look at examples of intentions that you might consider. It’s important to personalize these intentions to your unique goals with ketamine treatment, and to consult with a licensed psychotherapist who can help you navigate this journey.

While the specific categories of intentions may vary depending on the therapeutic approach and individual needs, here are 135 example intentions to consider when setting intentions for ketamine-assisted psychotherapy.

Example Intentions for Healing and Integration

Patients may set intentions to heal specific emotional wounds, trauma, or unresolved issues from their past. They might seek to integrate fragmented aspects of their identity or work towards personal growth and self-acceptance.

Explore and integrate the impact of childhood experiences on my present well-being.

Deepen my understanding of the origins and patterns of my anxiety.

Understand the ways in which past relationships have shaped my sense of trust.

Explore and integrate the complex emotions and memories surrounding past trauma.

Deepen my self-awareness of the roots of my self-judgment and develop self-compassion.

Understand and integrate the grief I carry and find healing and peace within it.

Explore the underlying shame and guilt that have affected my self-esteem.

Deepen my understanding of the wounds of abandonment and work towards secure attachments.

Integrate past psychedelic experiences and gain wisdom and insight from them.

Explore the ways in which cultural or societal traumas have impacted my identity and find empowerment.

Understand the impact of betrayal and work towards rebuilding trust in relationships.

Integrate and find meaning in spiritual or mystical experiences in my daily life.

Deepen my self-awareness of my identity and foster self-acceptance.

Explore and integrate repressed emotions to promote emotional well-being.

Deepen my understanding of the impact of racial, gender, or sexual identity trauma on my life and healing journey.

Example Intentions for Emotional Exploration

Intentions can be focused on gaining insights into complex emotions, such as grief, fear, anger, or sadness. Patients may aim to explore the root causes of these emotions, understand their impact on their lives, and develop strategies for emotional regulation.

Explore and better understand the underlying causes of my chronic anxiety.

Deepen my self-awareness of the origins of unresolved anger and develop healthy expression.

Understand the complex emotions underlying my feelings of depression.

Explore the impact of childhood emotional neglect and develop self-nurturing skills.

Understand the roots of my self-doubt and cultivate self-confidence and self-worth.

Gain insights into the emotional patterns that contribute to my relationship difficulties.

Explore and process deep-seated fears that hinder my personal growth.

Understand and transform the origins of jealousy or envy in my life and develop healthy coping strategies.

Investigate the emotional impact of unresolved grief and find ways to heal.

Explore and process the emotions related to a recent traumatic event in my life.

Understand and address the emotional numbness or disconnection I experience.

Explore the origins of addictive behaviors and develop healthier coping mechanisms.

Investigate the emotions and beliefs surrounding my body image issues.

Explore and process feelings of shame and develop self-compassion.

Gain insights into the emotional triggers that contribute to my anger outbursts.

Example Intentions for Self-Discovery and Insight

Setting intentions for self-discovery involves exploring one's core values, beliefs, and life purpose. Patients may aim to gain deeper insight into themselves, their relationships, and their patterns of behavior, with the goal of fostering personal growth and self-awareness.

Deepen my self-awareness and gain clarity about my personal values and priorities.

Explore and understand recurring patterns in my relationships and break negative cycles.

Discover and embrace my personal strengths and unique qualities.

Gain insights into my thought patterns and beliefs that shape my self-image.

Deepen my understanding of my core needs and desires in various aspects of my life.

Explore and integrate the impact of past experiences on my sense of self.

Develop a deeper understanding of my passions and cultivate creativity in my life.

Gain insights into my own role in perpetuating certain challenges or conflicts in relationships.

Deepen my self-awareness of my strengths and areas for growth.

Explore and integrate the impact of cultural or societal influences on my identity.

Understand and transform limiting beliefs that hinder my personal and professional growth.

Develop a clearer sense of purpose and direction in my life.

Deepen my understanding of my personal boundaries and learn to assert them.

Explore and integrate aspects of my shadow self for personal growth and self-acceptance.

Gain insights into my spiritual beliefs and cultivate a sense of connection and meaning.

Example Intentions for Mindfulness and Presence

Intentions can be oriented towards cultivating mindfulness and present-moment awareness. Patients may seek to develop a greater capacity to observe their thoughts, emotions, and sensations without judgment, fostering a sense of grounding and reducing reactivity.

Cultivate present-moment awareness and deepen my ability to be fully present.

Develop a regular mindfulness practice to enhance my overall well-being.

Cultivate non-judgmental awareness of my thoughts, emotions, and sensations.

Deepen my understanding of the mind-body connection and its impact on my well-being.

Cultivate a sense of grounding and stability in the face of stress or challenges.

Develop mindfulness techniques to manage and reduce anxiety or racing thoughts.

Enhance my ability to respond to difficult emotions with greater compassion and equanimity.

Cultivate a daily gratitude practice to foster a positive and appreciative mindset.

Develop mindful eating habits to deepen my relationship with food and nourishment.

Cultivate mindful communication and active listening in my relationships.

Deepen my ability to observe and detach from unhelpful thought patterns and beliefs.

Develop mindfulness techniques to manage pain or physical discomfort.

Cultivate awareness of the present moment's beauty and find joy in simple pleasures.

Deepen my ability to recognize and manage stress through mindful awareness.

Cultivate self-care practices that prioritize my mental, emotional, and physical well-being.

Example Intentions for Creativity and Inspiration

Ketamine-assisted psychotherapy can stimulate creativity and enhance access to one's imagination. Patients may set intentions to tap into their creative potential, explore artistic expression, or seek inspiration for problem-solving or personal projects.

Tap into my creative potential and explore various forms of artistic expression.

Cultivate a regular creative practice to promote self-expression and emotional healing.

Seek inspiration from nature, music, literature, or other sources to nourish my creativity.

Explore different artistic mediums or techniques to discover new avenues of expression.

Embrace the process of creating without judgment or attachment to the outcome.

Deepen my connection with my inner artist and cultivate a sense of playfulness and curiosity.

Discover example intentions for ketamine treatment. Set clear goals, personalize your healing journey, and cultivate transformative experiences.

Reflections

What to know if you’re nervous about your first Ketamine experience

How we keep you safe at Innerwell

In Memoriam: Dr. Garrett Deckel

Innerwell Reviews from Real Patients

135 Intention Setting Examples for Ketamine Therapy

WEBINAR: Online Ketamine Therapy 101 with Dr. Mike Cooper

A Guide to Intention Setting For Ketamine Treatment