Treatment Protocol

The average patient is treated with a 200mg sublingual Ketamine Troche, one every three days for the first six months. There is a “Sweet Spot” for each individual’s Optimal Treatment Dose of Ketamine, a dose that is “just right for you” and provides the best treatment response. At each thirty day visit, our Ketamine providers will review your scores on standardized scales of Anxiety, Depression, PTSD, and Suicidality. These scores in combination with your interview input will help guide us to your Optimal Treatment Dose. 

Once your optimal dosing is reached, you will take the same dose of Ketamine on a regular basis. After the first six months of treatment, most all patients will reach a baseline of improvement. This baseline will be maintained by regular dosing with the Optimal Treatment Dose. At this point, the frequency of dosing may be adjusted. Recent research has shown that patients with significant anxiety symptoms should be dosed every three days, and patients with depressive symptoms without significant anxiety may be dosed less often, hopefully only once a week.

Cognitive Behavioral Therapy and other modalities of treatment will be encouraged. Some patients may consider cessation of treatment. Some patients may require monthly booster treatment. Some patients with Persistent Depressive Disorder may prefer to continue ongoing Ketamine Treatment.