The Science of Ketamine Therapy: How it Works and Why it's Effective

Updated
June 29, 2023
Edited by Ben Smith
Last Updated:
May 2, 2024
A female scientist conducting research in a lab with psychedelic elements, representing the exploration of mental health treatments.

Ketamine therapy is a promising treatment for mental health conditions such as depression, anxiety, and post-traumatic stress disorder (PTSD). Since its discovery in the 1960s, ketamine has been studied extensively, with researchers uncovering more information about how it works and why it's effective. This article will explore the science behind ketamine therapy and discuss its potential benefits and risks.  

How Ketamine Works in the Brain 

Ketamine is an NMDA receptor antagonist, which means that it blocks the action of a neurotransmitter called glutamate [1]. Glutamate is responsible for sending signals between neurons in the brain and plays an important role in memory formation and learning. By blocking glutamate receptors, ketamine can disrupt certain pathways in the brain that are associated with depression or other mental health conditions. As a result, people may experience improved mood or behavior after taking ketamine. 

Additionally, research suggests that ketamine may also increase levels of another neurotransmitter called GABA (gamma-aminobutyric acid) [2]. This neurotransmitter helps regulate nerve cell activity and has calming effects on the body. 

The Role of Ketamine in the Treatment of Other Mental Health Conditions

Ketamine has been studied extensively for its potential use in treating various mental health conditions and substance use disorders. Recent studies have found that ketamine can help reduce symptoms of these conditions by altering the associated neuron pathways. For example, one study found that ketamine infusions reduced symptoms of PTSD after just two weeks of treatment [3]. Additional studies have also suggested that ketamine may reduce symptoms of OCD and improve cognitive functioning among people with schizophrenia. 

The Potential Benefits and Risks of Ketamine Therapy

While research indicates that ketamine therapy can be effective for treating certain mental health conditions, some risks are still associated with its use. Possible side effects include nausea or vomiting; increased heart rate; hallucinations; and dizziness, among others. Therefore, talking to your doctor about possible side effects is important before starting any treatment regimen involving ketamine therapy. 

Current Research on Ketamine's Long-Term Effects

While much research has focused on the short-term effects of ketamine use on mental health conditions such as depression or PTSD, there is still limited data regarding its long-term effects on these disorders. One recent study did find evidence suggesting that repeated doses over time may lead to better outcomes in treating depression than single doses alone [4]. However, more research must be done before definitive conclusions can be made about long-term efficacy and safety for certain mental health illnesses. 

The Future Of Ketamines Research And Development

Despite its promise, further studies should focus on understanding how different types of therapy (e.g., oral versus intranasal versus intravenous) affect outcomes differently so clinicians can make informed decisions when prescribing this type of medication for their patients. However, with continued research into these areas and greater advancement in new forms like nasal sprays or pills, we may soon see more success stories about the benefits of ketamine therapy for mental health.

At Psychly, we are committed to upholding the highest standards in our content creation process. We strive to ensure that all statements presented in our articles are supported by reliable, high-quality sources, such as peer-reviewed studies and reputable academic journals.

- The Psychly Team

  1. Zorumski, C. F., Izumi, Y., & Mennerick, S. (2016). Ketamine: NMDA Receptors and Beyond. The Journal of neuroscience : the official journal of the Society for Neuroscience36(44), 11158–11164. https://doi.org/10.1523/JNEUROSCI.1547-16.2016
  2. Weckmann, K., Deery, M. J., Howard, J. A., Feret, R., Asara, J. M., Dethloff, F., Filiou, M. D., Labermaier, C., Maccarrone, G., Lilley, K. S., Mueller, M., & Turck, C. W. (2019). Ketamine's Effects on the Glutamatergic and GABAergic Systems: A Proteomics and Metabolomics Study in Mice. Molecular neuropsychiatry5(1), 42–51. https://doi.org/10.1159/000493425
  3. A Randomized Controlled Trial of Repeated Ketamine Administration for Chronic Posttraumatic Stress Disorder. (2020). American Journal of Psychiatry. https://ajp.psychiatryonline.org/doi/full/10.1176/appi.ajp.2020.20050596
  4. ‌Kryst, J., Kawalec, P., Mitoraj, A. M., Pilc, A., Lasoń, W., & Brzostek, T. (2020). Efficacy of single and repeated administration of ketamine in unipolar and bipolar depression: a meta-analysis of randomized clinical trials. Pharmacological reports : PR72(3), 543–562. https://doi.org/10.1007/s43440-020-00097-z

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