Here at Mindbloom, we focus on managing and treating anxiety and depression, and the associated challenges that come with them. With guided high-touch therapeutic ketamine programs, many clients are able to achieve the mental health breakthroughs they’re seeking —no matter how great or small.

The story below follows a client’s recent journey through The Basics program here at Mindbloom, as they worked through persistent anxiety and the lived experience that came with that.

As part of the client’s consent to share their story, they asked to remain anonymous. We respect and uphold their desire to protect their privacy. Their story is taken from a follow-up check-in after completing their first course of treatment.

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What was your experience and life like before starting with Mindbloom?

I had a pretty good life, and still do. I had a lot to be grateful for, and I had been working for many years, on my own and with professional help, to address ongoing anxiety and depression tendencies. On the anxiety side, I would probably put myself as living in a 7-9 out of 10 on a daily basis. Even with medication, I was always on edge. Medication took the edge off, but it was something that I had just accepted that it was going to be part of my life.”

Those expectations and those fears around whether I would meet expectations, that fear was not helpful to me. It didn’t help me achieve what I wanted to achieve, it didn’t help me at work, it was just a wasteful energy that was just always there.

A Note From Mindbloom: This was a powerful insight, and the client recognized this in hearing themselves say it out loud. Sometimes, you can come to accept anxiety or depression as just “the way things are,” or “how you were built,” —but it doesn’t have to be that way. Part of embarking on this initial program was the client recognizing there has to be another way, and taking the steps to work on it.

How was anxiety impacting you, where did it show up in your life?

Anxiety was living a lot in my chest and my shoulders, physically. That was about 60%. The other 40% was the way I was thinking about my future. An important part of anxiety is you fabricating stories about the future that may or may not be true. It felt like I was either trapped in that tendency, or that it was just my natural proclivity. I felt like my natural tendency was to be worried or concerned about things, which turned into overthinking things, and being on edge a lot at work.

The places it was impacting me the most was work, and my long-term relationship. On the work side, I had a very clear goal with my manager to learn how to work within sales. And now, my ability to manage my own expectations, to manage my workloads, they’re not as stressful for me anymore. Some of it is getting more experience, but I can’t help but notice that it was a very clear line in the sand between before the program, and where I am now.

In my personal life, I created a world that is hyper-structured, in an attempt to prevent unknowns from happening. That’s been the first 10 years of my adulthood. Establishing structure to attempt to manage my anxiety, which looking back now, it’s crazy. I spent so long creating a world around myself that prevents me from being anxious. From saving excessive amounts of money, moving to a safer building, keeping my apartment, organizing my stuff to the Nth degree. It’s not because I like organizing, it’s because I want to be in an environment that makes me feel calmer than I really am. And this impacts my relationship, with what my partner can do, where we can live, how we plan for the future.

Was there any hesitation or concern about getting started?

Yes and no, there was some hesitation. My biggest hesitation was the cost. I had always wanted to do psychedelics, I had been told by many mentors and friends that they had made a big impact in their lives, and I’d read a fair amount that it can be a spiritual experience, it can change your perspectives. What was attractive about Mindbloom was that it’s legal, that it’s very clinical, it’s careful in its approach, it’s dosed carefully. I felt like the whole experience was safe, legitimate, and it’s not like doing something else in the woods with people I don’t know.

Having a Guide who was there to talk me through what the session was going to be like, being very calm, I think that was critical. I did have some jitters going in, but mostly excited to try this new thing. I very carefully followed the prep material, and took the time to sit alone and create a soft space. It was very helpful, because now, having read more about set and setting, it’s very clear that that makes a huge impact.

Were there any important insights or experiences that came up for you?

On the feelings side, after each session, and during each one, I felt a very deep sense of peace. It felt like it cut through all of the bullshit. Cutting through every other feeling, every other concern, that everything is okay, and that everything will always be okay. Which is a pretty great feeling, that’s the one that cut the deepest, and also the one that I still have to remind myself of.

Another one is the separation of self from narrator. I’m using the language I was taught by my therapist [outside of Mindbloom] — but I think people call it many things. That separation from me as the observer, and me as the narrator of the experience. Huge. It was crystal clear in the experience, but still working to integrate it because I think it’s a massive concept. But also really simple at the same time.

Did you notice your symptoms or personal experience shifting throughout the process?

[Some symptoms] were definitely shifting as we were going through the program. As far as the feelings go, from being anxious in the body to being rarely anxious in the body. The ketamine itself is a very relaxing experience, it’s hard to separate what was the drug experience versus the psychedelic experience. But I will say, after the sessions and several days afterwards, I was very relaxed. The ongoing lesson and impacts were the changes and deep peace and calm that I had in my brain. It just integrates into your body if you keep attempting to integrate it.

You had done a fair bit of work with medication and therapy before this, was there anything that made this experience different for you?

There were lessons I had learned in my life, either through therapy or through different books, and maybe I had learned the lesson at one level, and the ketamine brought it down to a level that feels like it’s part of my being. Part of my way of living, way of thinking. In some ways I think ketamine allows you to leapfrog time spent with a therapist. If I hadn’t done that work, I might not have known what needed to be slotted in permanently, but given that I did, it felt like leapfrogging the progress here.

Now that you’ve completed the first program, how do you feel, where are you now?

I’m still the same person, don’t get me wrong, I’m still a teeny bit neurotic. But I feel in general like anxiety doesn’t dictate my life anymore. Which is a very black and white moment, I had the 7-9 [anxiety rating] on a daily basis, and now I have anxious moments, but I can see the anxiety clearly, and I don’t feel like I’m consumed by it. I can see why it’s coming up, how I’m going to address it, and move on. It doesn’t linger in my body.

On other fronts, I feel like I still have a lot to work through. It wasn’t a cure-all, but it does feel like a really important tool that I’m really grateful is now legal. If used correctly, by large parts of the population, this could change the way our world functions. It could change the way people treat each other, and the world in general. And I’m excited to see where that goes.

What would you say to someone is considering psychedelic therapy for themselves?

This is a hard one to answer. I think that everyone should do it. This might sound like a sales piece, but I think everyone should do this, and there’s not a lot of exception. If someone is considering it, they are the one who should do it. I just think there are a lot of people who need a perspective change, if you have the money to do it, you should do it.

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A Parting Thought from Mindbloom

Part of the value clients can receive throughout the program is deeper insight and understanding into their own behaviors and ways of being. Why things are the way they are, why they react the way they do. Armed with this knowledge and insight, you can work alongside your Guide to integrate it back into your life, and make the long-lasting changes that can help address and resolve anxiety and depression in the long run.

Each client’s therapeutic experience is unique. Some experiences are more visual, some are more meditative. As this client shared, when you show up for yourself in these experiences, the work can be life-changing.

If you’re interested in exploring psychedelic therapy further, or want to find out if you’re eligible to work with Mindbloom, start here.

If you’re considering ketamine therapy for the first time, you may be wondering “How does this all work?” or “What is the experience like?”

There are some differences and nuances between other program’s models, such as intravenous infusions/intramuscular injections (IV/IM), or sprays. Mindbloom’s treatment model uses ketamine tablets for oral administration.

Below is a look at a week-by-week overview of the typical ketamine therapy protocol here at Mindbloom, with a specific focus on Mindbloom’s virtual introductory program (or first course of treatment): the Basics.

Ketamine Therapy: Week By Week

Week 0: Fit, Guide & Clinician Introductions, and Medical Evaluation

You’ve completed the pre-candidate survey which has identified that you may possibly be a good candidate for treatment, you have made the decision to move forward in our process to find out if ketamine treatment may be a good fit for you, and your deposit is paid. We’re excited for you!

Your next step is to schedule and attend clinical consultation: the first meeting with your licensed Mindbloom clinician. You can think of this meeting as a psychiatric evaluation, with a specific focus on identifying if this treatment is right for you, and if so what are the important things you need to know before proceeding. Be prepared to discuss how you’re feeling, what your goals are, and an in-depth medical and psychiatric history.

At the end, if the clinician identifies that you are a good fit for ketamine treatment, the first dose will be ordered, and your “Bloombox” —important items related to your experience including a blood pressure cuff, eye mask, and journal— is sent out for delivery.

Once you are approved for treatment, and you have booked your first virtual visit (the first time you take the medicine), you are introduced to your “Guide.” Your Guide will help you prepare, process, and integrate your experience throughout the entire program. The guide does not function in a clinical role. They are not licensed therapists. However, they are trained in a coaching model and the integration of psychedelic medicines and well suited to guide you through your Mindbloom journey with ketamine. 

Initially, they are there to ensure you receive your Bloombox, have prepared your space for the journey, support you in setting intentions, have your Peer Monitor (a loved one or close friend) available, and are feeling comfortable starting your sessions.

Week 1: First session and integration guidance

It’s time for your first session! 

You have your first dose of medication, your essential supplies are by your side, and your Peer Monitor is standing by. You will jump on video and be joined by your Guide to ensure everything is set up to support a valuable and safe experience.

After re-visiting your intentions and taking time to connect with yourself, you and your Guide discuss safety protocols, take blood pressure readings, confirm dosages, and intentions, and make space to address any questions or concerns.

With your Guide available and your Peer Monitor present, you take the medicine and embark on your first session. You may experience a range of emotions, insights, or sensations: From dissociation, to cathartic emotional release, reliving past memories, or novel (new) feelings or sensations. Everyone’s experience with the medicine differs, and how you’ll feel during the experience varies. 

After taking some time to process the experience and doing some integrative journaling, you reunite with your Guide and your clinician on video. You’ll discuss how the experience was, what arose for you, and how you felt about the medicine and your dosage. Based on this, your clinician will adjust the dosage if necessary, and submit the remaining prescription for your next 5 sessions.

Taking some time to reflect and process your session, and to take initial action for integration, will help the rest of the program unfold as smoothly as possible.

Your Guide continues to help you unpack and make sense of the experience in the first week, and will set up some integration activities for the next week. They’ll work with you to get the next session scheduled about 1-2 weeks from the first session date.

Week 2: Second session and initial results / insights

During the week leading up to your second session, you will continue to integrate, and may have a few questions for, or conversations with, your Guide. You’re free to use their expertise and insight to help you make sense of and reflect on the experiences you are having. 

Changes in mood or outlook may occur. You may experience mood elevations, a sense of calm, new relationships or associations with triggers and an openness to new experiences throughout the following days.

It is generally recommended, particularly for the first program, to space the sessions one week apart. This allows space for one treatment to settle and for you to reflect, the benefits to compound, and allows the biological and neurochemical changes to take place, all while hopefully making progress forward with each step along the way.

In Week 2, you return for your second session. You discuss and prepare with your Guide just as you did in the first round, sharing any insights or experiences that have transpired over the past few days. With the medical checks in place and your Peer Monitor present, you head into your second ketamine therapy session.

Once again, you are reunited with your Guide after your experience to reflect on your journaling, share about your experiences, and begin to make sense of anything that has come up for you. Your Guide can help to further unpack the experience, suggest some next steps and integration activities, and hold space for any challenging emotions or memories that arose throughout the experience.

Now at the halfway point of the first treatment program, you have a digital Medical Team Check-In, so that our clinical team can chart your progress, track your experiences, and make any necessary adjustments or interventions that are required.

The next few days are time spent being gentle with yourself, in reflection, and acting on any lessons or experiences that surfaced.

Weeks 3-5: Choosing a guided or self-guided treatment path

In the time leading up to the third session, you may notice positive shifts in mood. You may also receive comments from others about changes they are noticing in you. You might notice new opportunities or ways of thinking about certain areas in your life.

The more you dedicate yourself to the integration time in between sessions, the deeper the lessons settle in, and the more durable the experience and the benefits become in the long-term.

With more experience and a deeper relationship with the medicine, the third session gives you the opportunity to continue with your guide for video supported treatment preparation and debriefing or self-guided (using the medicine on your own at home, with Peer Monitor present), at the discretion of your clinician. The ability to steward your own healing process can provide a sense of autonomy, confidence, and be an important shift in your healing process.

If you choose self-guided sessions, the structure remains the same. Your Peer Monitor is present throughout each dosing session. You can curate your own soundscape for the experience, as you’re familiar with set and setting preparation recommendations, or use the ones that are provided for you. You will leverage your learnings around preparing your mindset by revisiting your intentions, trusting and letting go, and journaling post treatment in support of integration.

You continue to remain in contact with your Guide, who is there to answer questions, offer advice, or simply listen if there is something that needs to be expressed. The option to add on more dedicated integration coaching sessions is also available, promoting ample space to deeply explore the themes emerging and ensure they contribute to lasting change.

Week 6: Final session and check-ins

Following the weekly treatment schedule, you have a few days for reflection and integration before embarking on the sixth and final session of your introductory program. As always, you can refer to the personalized and curated preparation and integration materials provided in your account, or work closer with your Guide to navigate anything still uncertain.

The sixth treatment session marks the end of the introductory program and first course of treatment., and some clients have seen considerable change by this point. This is typically marked by noted elevations in mood and outlook, powerful insights that have helped resolve past challenges or future worries, or a new relationship with yourself and how you see your role in the world —or in your own life.

There is a final medical check-in from the clinical team to monitor progress, and ensure that your care is at the level you need and want. The final step is to schedule a check-in with your Guide to wrap-up the first program.

Week 7: Next steps

This is the final check-in with your Guide for the introductory program. You’ll discuss how you’re feeling, make a plan for ongoing integration, and take a look at what next steps are available.

It’s important that each program has a ‘closing.’ It’s a time to reflect on where you were when you started, and where you are today. You’ll consider what work remains to be done and how to continue to integrate the experiences. Ultimately, you’ll look towards the future and determine what the right next step is for you.

There are 3 paths clients often take at this point:

  1. Parting Ways: Some clients have done the work they needed to do, and choose to return to their lives and the world with the knowledge they’ve gained.
  2. Taking Time to Integrate: Some of our clients complete an initial course of treatment and feel better at that point. Some may opt to take a few weeks to integrate the themes/lessons/experiences that unfolded. We may then see them a month or two later as the growth has solidified and they hope to find deeper healing or they have identified that their mood has shifted back a bit and it may be time for a treatment booster to bring them back to their new elevated baseline mood.
  3. Starting a New Program: Some clients feel like they have built substantial momentum, and are starting to delve into important territory. They want to continue treatment, and move onto another curated 6-session treatment program to continue exploring these themes and making progress to their mental health goals. The process begins again with a check-in with the clinician who works with the client to develop an individualized plan for continuing care.

FAQ about Mindbloom’s Psychedelic Therapy Programs

IF you had any further questions after reading the above, here are some questions that are frequently asked about our introductory program: The Basics.

What does each program look like?

Mindbloom’s programs are structured as a pack of 6 treatment sessions. Each treatment session takes about 2-2.5 hours, depending on the involvement of a Guide or not. Each program—think of this as a digital guide or workbook—has a particular theme, with all preparation and integration content supporting the exploration of this theme. 

How many sessions are there?

Mindbloom programs have 6 sessions. Some IV/IM ketamine clinics may sell single-session options, or larger packs of 5-6. This will vary based on the provider.

What do I need to do?

Although considered a rapid-acting antidepressant (RAAD), Ketamine treatment and therapy isn’t a “magic pill,” Doing the preparation work before following instructions and guidance by your clinician,, and continuing the integration work after sessions is important.

Being willing to make changes, begin new habits, and have important conversations, all deeply assist the effects of the medicine itself.

What’s the time commitment?

The sessions themselves are 2-2.5 hours long, generally spaced 1 week apart during the first course of treatment. A full program will take about 6-8 weeks to complete, and depending on time spent reflecting and integrating, will be about 2-6 hours of work each week.

Can I stretch the program out longer?

To maximize the biological effectiveness of ketamine treatments, it’s helpful to keep each dosing session 1-2 weeks apart, however, this is a conversation that should be had with your clinician as everyone’s treatment is individualized based on their needs.

It is possible to increase the length of time between each individual dosing session, though particularly for the first introductory programs, this is not recommended. There are biological and neurochemical benefits to ketamine as a medicine, which work best when compounded.

Why are there 6 sessions?

Each individual dosing session provides both biological and psychological benefits. By stacking a series of sessions closer together in a shorter amount of time, you can maximize the potential effects of the treatment. Mindbloom has developed our protocol to include an initial course of six treatments to build up a solid foundation of the medicine in your system and help you hopefully achieve a new baseline.

Ketamine treatment is an investment. It’s an investment in yourself, in your future, in your wellbeing, and in your relationships with others.

Like any investment worthy of consideration, you might be wondering if the cost of ketamine therapy is worth the benefits you’ll receive. Additionally, you might have quite a few questions about the process:  What exactly are the benefits? How long do they last? What is the total investment to move forward with these treatments?

There are a number of approaches to ketamine therapy: intravenous infusions and intramuscular injections (IV/IM), sublingual tablets, and intranasal sprays. Each treatment methodology comes with different total costs, program structures, potential benefits, and both time and emotional investments. 

Below you’ll find details on the high-level benefits and features that make ketamine treatment a worthwhile, long-lasting, and potentially life-changing investment in yourself.

How Much Does Ketamine Therapy Cost?

Depending on the treatment approach you take, you will encounter different costs per program or session. IV/IM solutions can begin at around $1200 for a single dosing session. A one-month supply of intranasal spray can be around $800. At Mindbloom, an initial three month program consisting of six sessions using ketamine tablets begins at $89 a week, and an additional three month program of four treatments decreases to $59 a week. 

Beyond the absolute cost of the programs, it’s helpful to consider the relative cost. For some, these program costs aren’t a major concern. For others, these programs can represent a significant portion of monthly income or current savings. This relative cost per session/program is important to consider for yourself, to maximize the value you receive from each treatment modality, based upon your unique needs and situation.

In some cases, the resources committed to a program or treatment can impact our relationship and commitment to it. Some value things higher if more time, energy, and financial resources are invested. On the inverse, sometimes we can harbor resentment or other subconscious barriers to treatments or programs if we feel like the resource commitment doesn’t match the reward or outcomes.

The selection of a program should be done with self awareness around your association between investment and outcomes: leverage this to increase your commitment to the process or to prevent any barriers toward enduring the course.

Are Ketamine Treatment Costs One-Time, or Recurring?

Cost is based on a number of factors: the treatment program selected (route of administration, are you taking the medicine alone or coupled with therapy or integration support), your commitment to following recommended plan of care and doing the work around the medicine, and factors specific to your individual mental health neads.

With all treatment approaches, there can be one-time expenses (one course of treatment), or the need for ongoing clinical treatment. It is important to have open and honest dialogue with your clinician to convey your mental health journey up to that point, what your intentions are, how you are feeling, and what progress you see along the way.

Some individuals can see incredible and long-lasting results after an initial course of treatment. Others may require a consistent schedule of maintenance treatment, or booster treatments when they feel their symptoms re-emerging. As you continue with treatment, it is vital to stay tuned into your mental health to identify shifts early on and communicate these with your provider to maintain growth made and your wellness.

Treatment plans are highly specific to each person: what is the severity of symptoms, what other treatment or conditions are occurring concurrently, what degree of integration is happening, what life events occur, and how does the person respond to the treatment?

Ketamine’s Intangible/Secondary Costs

Beyond the financial investment that ketamine therapy takes, it is also important to consider the intangible, or secondary costs associated with ketamine therapy. This is something not discussed as often, but is important to note in order to make an informed decision.

Part of what helps ketamine therapy provide long-lasting transformation is the integration process —the work done to bring the lessons and insights into your day-to-day life— outside of the treatment sessions. 

The sessions themselves can take anywhere from 1-5 hours of your time, which can be a significant time investment, based on your schedule. There are emotional investments as well. Working through depression or anxiety, bringing deeply rooted emotions or memories to the surface to process, is not an easy task.

Despite having rapid-acting antidepressant (RAAD) qualities and effects, ketamine is not a “magic pill.” Long-term change will require time and emotional investments from you, through this type of treatment, we are getting back our personal agency in our healing process.

In sum, not only is there financial cost that you should consider, you also invest time, energy, and emotional work into this process. In order to get the most from the treatment, you should consider the personal investments it takes.

Is Ketamine Therapy Covered by Insurance?

Other than Spavato for its FDA approved indications, ketamine therapy is not currently covered by health insurance plans. However, it is best to consult with your insurance provider to determine which treatment options may be available to you, how much (or for which portion of the treatment) they will reimburse for, and what specific prior authorizations may be needed. Many health practitioners and organizations providing ketamine treatments are working hard to change this, including Mindbloom. Increasing accessibility and affordability to those in need, regardless of financial resources is vital.

Given the promising results of clinical trials and client outcome data, and the safety, efficacy, and tolerability of ketamine as a medicine, the outlook is hopeful that ketamine treatment will be covered by insurance in the future.

Though this can’t be guaranteed as there are rigorous clinical data, regulatory requirements and logistical constraints to navigate, many ketamine practitioners and advocates for psychedelic medicines recognize the value this treatment modality will provide and are actively seeking to get ketamine covered by insurers and reducer barriers to accessing care.

Are Refunds Available?

Like any other business or product, policies for things such as refunds are usually pre-set and vary based on the company and their protocols. It’s important to look into this before making your decision to move forward with treatment.

As with other forms of treatment, you have the right to choose what you put into your body. At Mindbloom, we work with you to decide if this treatment may work for you both prior to starting and along the way. 

Although you can stop at any time, there is variability from one clinic/practitioner to the next regarding what stopping mid treatment protocol may mean for the money you have paid upfront. Its best to ask about this policy specifically before you begin.

Are the Costs and Benefits the Same for Everyone?

The simple answer is no: the costs and benefits are different for everyone.

As they should be! Each person is unique, with a different life story, different goals and aspirations, and different challenges they are working to overcome. As a result, each individual’s experiences and involvement in ketamine treatment programs will be different as well.

Some individuals may only use a single course of treatment (which can vary based on clinic) to work with their intentions, while others may work with a practitioner on a multi-month program arc. Some may only use ketamine therapy once, while others may return to it every so often.

Some individuals experience boosts in mood or gain new insights through deep reflective experiences, while others may have substantial changes in how they interact with and perceive their world internally and externally. Some individuals may devote a lot of time and focus toward integration at hopes of maximizing potential for long lasting change, while others may show up seeking relief from the rapid antidepressant qualities of the treatment.

Some individuals work on general anxiety, others work on processing deeply rooted emotional trauma, while others focus on gaining clarity for their future or rekindling a love for themselves and the world. 

All of these factors make each person’s overall experience, treatment program and treatment session unique. As a result, the costs, benefits, and experiences will be different for everyone.

Is Ketamine Treatment Available in my State?

The ability to receive ketamine therapy depends on the presence of licensed practitioners in your state. Ketamine is a nationally legal medication that is prescribed both on and off label for different indications. However, like other controlled substances, you must see a clinician that is licensed in the state in which you are being treated.

There are ketamine practitioners in most states.  You can look for IV/IM clinics near you, practitioners who will prescribe Spravato, or you can see if you’re eligible for virtual treatment with oral tablets with Mindbloom.

Mindbloom is currently accepting clients in the following states:

  • New York
  • California
  • Texas
  • Florida
  • New Jersey
  • Virginia
  • Pennsylvania
  • Michigan
  • Nevada
  • Arizona
  • Colorado
  • Utah

What are the Benefits of Ketamine Therapy?

There are a number of factors to explore when understanding direct and indirect benefits of ketamine therapy.

From its safety profile, to its rapid-acting antidepressant effects, to the efficacy as a treatment, ketamine has a host of benefits and decades of supporting research and clinical data.

A few potential benefits from ketamine therapy include:

  • Rapid-acting antidepressant effects (within hours)
  • Healing parts of our brain damaged from long term exposure to depression and stress (neurogenesis + neural pathway repair)
  • New insights, physical sensations, emotions, connections
  • Psychological healing through the act of dissociation
  • Durability of shifts in insights and mental flexibility

What is not often mentioned are the indirect benefits that can come with certain ketamine therapy or ketamine treatment programs.

For example: the act of investing in yourself, of taking a courageous leap for your health and healing, can set off a cascade of benefits and behavior changes leading to downstream effects on mood. When we start showing up for ourselves we are validating our worth and our ability to change. 

Working directly with a “guide” can greatly assist with integration. This can help the lessons you learn through the experiences resonate and stick allowing for comprehensive behavior change and longer-lasting changes in mood and general outlook.

Life-Long Work

A very important consideration to make when determining whether to invest in ketamine therapy or not, is to remember that ketamine treatment has the potential to change your life.

Sometimes clients experience an elevation in mood, or gain some breathing room from the anxiety and stressors of life. Others are transformed, finding themselves in remission from depression, with new insights and attitudes that they can use to alter the course of the rest of their lives.

When considering the financial, emotional, and time investments required for ketamine treatment, remember that for some, the benefits can be long-lasting: for weeks, months, or years.

The investment is considerable, but so are the potential results. And when this relates to your engagement and enjoyment of life itself, it can be worth consideration. We encourage you to speak with your provider to get an understanding of what realistic outcomes may look like, based on your specific needs and situation.

As a remarkably challenging year begins to close out, many are starting to look towards the New Year. It’s common to reflect on the kind of person you want to be and how you want to be present in what has become a “new normal” —for yourself, for others, and for the world.

As a hallmark of the beauty of humanity, many individuals are firm in their resolve to continue their paths of growth, healing, and contribution to the world. Firm in their resolution to grow, many turn to the traditional setting of New Year’s resolutions.

There’s one complication with this approach: Despite the beauty of positive intention in resolution setting, over 90% of New Year resolutions are unmet within the first few months.

If this is the case, the question becomes “How can I create lasting change in my life?”

How to Set Resolutions or Goals That Create Lasting Change

There are a number of reasons resolutions are unmet, or trail off. Fortunately, once you know what these reasons are, you can take action to ensure their success. This helps you build and carry momentum far beyond the New Year, and contributes to the building of the “new you” you may be seeking.

A few of the reasons New Year’s resolutions are unmet are:

  • Too much focus on the ‘how’ instead of the ‘why’
  • The resolution is too great of a change to manage, preventing it from becoming a habit
  • Missing a few days is seen as “failure,” and the attempt stops there
  • It doesn’t fit into your existing personality, identity, and core beliefs

Let’s explore these blockers and triggers in further detail.

Have a Distinct “Why?”

If you focus on nothing else in making long-lasting resolutions, focus on the “why?” 

Your “why?” is the core reason for bringing change into your life. Without this core, your goal or resolution starts with a weaker foundation to rest on. Often, when a bit of resistance from life appears —an unexpected event, increased pressure from work, or something similar— the new habit or practice slowly crumbles, and your resolution will remain unmet. This is why foundation is important.

Ask yourself why you are doing this. Ask what purpose it serves in your life. The deeper down the practice can settle into your identity and goals and core beliefs, the easier it will be to continue it through struggle or obstacles that arise along the way.

Additionally, if you have a “why?,” it is much easier to pick a goal or resolution back up, because it’s a much sturdier foundation to build the rest of your life upon. The work required to start or continue this new practice won’t seem like so much of a chore.

As philosopher Frederich Nietzsche said, “He who has a why can bear almost any how.”

Start with your ‘why?’ Make it powerful. The deeper, and the more foundational to you, the better.

Select a less disruptive resolution or goal

Some individuals choose massive resolutions at the beginning of the year. These can be leaps and bounds ahead of the state they are at presently. Going from no exercise to two hours a day in the gym is a common one, for example.

A change this large, this quickly, and this disruptive to your schedule and your existing capacity can seem like a monumental hill to climb. It becomes too draining, too exhausting, too much of a time commitment, and fails to integrate properly into your life.

The approach here is to start small, to make subtle but distinct steps forward in the direction of your resolution. After all, you have all year to cultivate it! 

Many of your resolutions are powerful habitual or behavioral changes, those that can be beneficial over the course of your entire life. If it takes a few weeks or months of small but consistent effort to make it a regular practice, a long-term approach is definitely worth it.

Pick a clear action, one which is easily manageable, doesn’t require too much energy or a change to your existing routine, and resolve to do it daily. Over time, it integrates into your routine and becomes a natural part of your life.

Recognize there is no failure, only temporary setback

There are always obstacles in your way, and there will be a few days missed here and there. You shouldn’t expect perfection from yourself when starting something new. For some, after a few weeks of daily practice, just one or two missed sessions is seen as complete failure. The resolution is dropped on the spot. 

This doesn’t have to be the case. All you need to do is start again. Play the long game —after all, this is something that has the potential to benefit the rest of your life. A few missed days or sessions along the way won’t even be noticeable after years of consistently showing up to meet your resolutions or goals.

Just start again. It’s not about perfect, it’s about consistent small steps and systems that become naturally embedded into your routine. 

This is where the first two points above are helpful: Have a meaningful “why?” and make the activity very small, so it’s actually easier to do regularly and build momentum in. If it’s important enough to you, if it has the power of an existential ‘why’ behind it, it is much easier to pick resolutions back up if you drop or pause on them for some time.

Consider that all change is identity change

If you’re practicing writing, you’re becoming a writer. If you’re running more, you’re becoming and embodying a runner. All change is identity change — it changes who you are, how you see yourself, and how you relate to yourself.

This is both an important obstacle and your most powerful asset. This can be an important part of the ‘why?’ —these small habits and changes impact who you are and who you’re becoming. 

Ensure that you are setting resolutions and goals for yourself. These should be focused on your own benefit, growth, and healing, not the expectations of others.

Changing your identity is not as always easy, but it is always happening. You can begin to work with these forces, to surrender and open up to the process, and become the person you’ve always wanted to be by recognizing this.

Make Change Stick with Embodied Experiences through Psychedelic Therapy

There are tools and systems you can use that help to address all of these potential obstacles, and help you create long-lasting systems of change and growth in your life.

Doing this work through psychedelic therapy, like the programs provided here at Mindbloom, helps you address lasting change in safe and structured therapeutic environments. You can cultivate your “why?,” become more fluid for identity-level changes, identify manageable next steps, and build momentum and energy that will carry you through these changes.

If you’d like to learn more about how ketamine treatments and psychedelic therapy can help skyrocket your growth and healing, and solidify your New Year’s resolutions— see if you’re a candidate, and let’s talk!

As you embark on a healing journey through ketamine therapy, it’s reasonable to approach treatment with the expectation of seeing positive results. The science and research done on the off-label uses of ketamine have demonstrated a host of positive effects.

So what exactly are these positive effects? What benefits can you walk away from a ketamine therapy program with? 

Each experience for each individual is unique. Some results may be more pronounced for yourself than others —or the reverse. Given that context, there are broad categories of experiences or benefits that emerge which are useful to address and discuss.

The two broad categories are the biological effects and the behavioral effects of ketamine.

Positive Biological Effects of Ketamine

Ketamine is a medicinal compound that is administered through intravenous infusion, intramuscular injection, oral tablets, or nasal sprays. As with any compound taken into your body, ketamine has a host of biological effects on your physical system, or physiology. These changes can occur without our conscious awareness of them, although we can be conscious of their downstream effects on how we feel physically or psychologically.

Regarding its impacts on the brain, Ketamine can be a powerful medicine. It interacts with a variety of neurochemical networks, which act to restore areas in the brain that have been “beaten down” over time by our body’s physiological response to things such as stress. While doing so, it also lays down new neurological pathways. Research is still uncovering more about ketamine’s complex methods of action in the brain, and what this means in the context of treating mental health conditions.

Science suggests that the biological effects are dose-dependent, meaning there is a connection between the effects of ketamine and the amount prescribed.

Below are some of the biological effects of ketamine as a therapeutic medicine that we understand based on current science.

BDNF Upregulation 

Through a series of neurochemical reactions including increasing the level of glutamate transmission while also shifting the balance of glutamate activation from NMDA to AMPA receptors, ketamine upregulates the presence of BDNF in the brain, which helps promote the growth, maintenance, and survival of neurons. This contributes to increased neuroplasticity.

mTOR Upregulation 

Ketamine upregulates a central cell pathway called mTOR, which helps improve synaptic connections and heal damaged synapses. This is significant when understanding that this occurs in key areas of the brain associated with emotional regulation, learning, and memory. Essentially, priming these areas of our brain to go through a psychological healing process.

Global Connectivity 

Stress and depression impact the brain not just on a cellular level but also on a macro level, weakening connections within larger neural networks, such as the prefrontal cortex. Ketamine seems to help improve global connectivity in this portion of the brain and improves the linkages among the subregions, which promotes positive changes in executive function—the ability to control short-term behaviors in favor of self-control, planning, decision-making, problem-solving, and long-term goals.

Subjective Healing Effects of Ketamine

Ketamine’s positive psychological effects can be understood as the surface manifestations of the underlying biological mechanisms that ketamine works on. The biological effects “set the stage” for these sometimes subtle, but longer-term behavioral effects to take root, and rise to the surface where they have the potential to change lives.

These positive psychological effects can also emerge from the psychedelic and dissociative effects of ketamine. It’s able to induce new or novel states of consciousness, surface hidden insights or experiences, and provide space to reflect on important or pivotal aspects of life.

Psychological effects can vary from person to person. Many of them require effective and intentional integration to fully take root, but are essential for providing the long-term, life-changing effects that can happen with ketamine therapy.

Here are some of the positive phenomenological healing effects that can come through ketamine therapy:

  • Emotional Regulation: An increased ability to understand and interact with emotions.
  • Cognitive Distance: Feeling more ‘space’ or ‘distance’ between external events and an individual’s reaction to them. This allows for more intentional behavioral responses, the rewriting of automatic triggers, and deeper introspection.
  • Embodied Feelings: Visceral emotions and feelings returning to the body, potentially some that may have been discarded or forgotten (joy in a depressed person, for example).
  • Novel Insights: Ketamine can facilitate crucial insights that when integrated, can provide powerful and significant changes to how the individual views themselves and the world around them.
  • New Experiences: New experiences or states of consciousness can provide motivation, inspiration, or understanding of the next steps. This helps to clarify meaning and purpose and catalyze improvements to mood, emotions, and physical experience.

The Life-Changing Session

Beyond the positive benefits of ketamine as a medicine (ie: biologically) and the healing capacity of the felt experience, it is the combination or coupling of these effects that is instrumental for life-changing experiences and results.

When you combine significant insights and experiences with a highly receptive, highly adaptable mind-body dynamic, you have the potential to make progress that endures over time.

This combination creates a space where our brain is primed to heal and gain new insights and perspectives, all while we are going through a phenomenological healing process during our experiences with the medicine.

There are a few additional factors that are important when creating the best possible conditions to facilitate these results:

  • Appropriate set & setting: the individual mindset and environment for the session
  • Clear intentions or goals for your treatment
  • Working with trained and experienced practitioners
  • Commitment to the integration phase of treatment

With careful attention around the treatment process and environment, (also referred to as a “container”) formed to do this work, it’s possible to see positive benefits emerge from each session, as well as the collective growth over the course of treatment.

Some experiences with the medicine may be more calming, relaxing, and restorative. They can be seemingly meditative in nature, without any paradigm-shifting epiphanies. 

Sometimes mood doesn’t fluctuate or improve as much as or as rapidly as anticipated. Although it can be challenging to understand why you didn’t receive an immediate substantial relief or what we were hoping for, working with a supportive team around your experiences with medicine can help you identify areas of potential healing and steps toward incremental growth.

Experiences with ketamine as a medicine can vary greatly from person to person, and from one session to the next. This is why working with an experienced treatment team can help you make sense of each experience and come up with an individualized plan to maximize its healing potential.

Psychedelic therapy for treatment-resistant depression is an exciting research area underway in the mental health field. The ability of psychedelic compounds and therapeutic experiences to successfully treat treatment-resistant depression, and help manage its symptoms, can lead to important breakthroughs for clients who haven’t responded well to other treatment modalities.

To get a deeper understanding of why this is such an exciting and promising area of research, let’s start with a definition of what treatment-resistant depression is.

Defining Treatment-Resistant Depression (TRD)

When looking for a shared definition of what constitutes TRD in the medical and clinical community, you find it can be difficult to land on a complete, thorough definition of treatment-resistant depression. However, a common definition of TRD is defined as:

A major depressive disorder with a minimum of two prior treatment failures in which there was adequate dosing and duration of these tried and failed treatments. 

To define “treatment failure”:

Nierenberg and DeCecco suggested that TRD in patients who received adequate treatment could be defined based on any of 3 criteria: 

– Failure to achieve a minimum response (e.g., less than a 25% decrease from baseline HAM-D score) 
– Failure to achieve a response (e.g., less than a 50% decrease from baseline HAM-D score)
– Failure to achieve remission (e.g., a final HAM-D score of at least 7). 

Retrieved from: https://www.jmcp.org/doi/pdf/10.18553/jmcp.2007.13.s6-a.2

Regarding interventions, the mental health field has different modalities that are set up to help manage and mitigate depression or depressive symptoms. The most common techniques are:

  • Psychotherapeutic – Different forms of talk therapy such as cognitive behavioral therapy (CBT), in individual or group sessions 
  • Pharmacological – Prescription of antidepressants such as: selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), monoamine oxidase inhibitors (MAOIs)
  • Procedural – Treatments such as: electroconvulsive therapy (ECT), transcranial magnetic stimulation (TMS), or vagal nerve stimulation
  • A program combining one or more of these

For some individuals, one of these techniques alone may work, providing a reduction in symptoms or making the condition more manageable overall. In some instances, they can offer a full remission of symptoms, resolving the condition.

In others, for example, an individual may not be responsive to non-medicine based therapeutic interventions, and may not see benefits to the methods or techniques they use. For some, an addition of a pharmacological intervention may occur which can include being prescribed one, or a combination of, different medicines by a licensed clinician.

When understanding TRD, it’s helpful to point out that there is some debate on how many failed treatment attempts are required, as well as what constitutes a failed treatment response when classifying TRD. Is it two or even four different treatment trials? Is a symptom reduction by 25% or even 75% classified as a failed response?

All of this also assumes that each attempt is administered appropriately: titration to a therapeutic dose occurred and treatment was maintained for a viable amount of time to see response.

According to the STAR*D study, a frequently referenced and pivotal study on depression and its treatments, up to a third of all individuals don’t respond to any of these, and can be classified as treatment-resistant.

Here are some relevant highlights from the STAR*D study:

“Over the course of the four levels of treatment, the theoretical cumulative remission rate was 67%”

“The likelihood of remission after two vigorous medication trials substantially decreases, and remission likely requires more complicated medication regimens for which the existing evidence base is quite thin. Thus an empirically supported definition for treatment-resistant depression seems to be two antidepressant failures.”

“The finding that about two-thirds of patients may be expected to reach remission with up to four treatment attempts is encouraging for this disabling illness. Continued treatment attempts, even beyond a second treatment failure, do yield results for some patients.”

Working with Treatment-Resistant Depression

If someone is classified as treatment-resistant, what options are available? There are a few avenues to take:

  • Adjust Existing Medications: Modifying variables like medication dosage, or duration of medication trial can make a difference for the client. Augmenting or adding additional medications, like ketamine, that may be complementary is also an option.
  • Try or Add New Modalities: Adding on other therapeutic modalities, like psychotherapy sessions or TMS, on top of, or in addition to, existing treatments can help an individual make progress in managing and reducing depressive symptoms.
  • Lifestyle Changes: There are factors that can complicate treatments, such as recreational drug use, potentially unhealthy lifestyle/health choices, and excess stress. Working to create a more healthy internal and external environment can create a more viable space to maximize the value of various treatment modalities.

Each individual is unique: the treatment and specific protocol that works for one person may not work for another, despite similar demographic and biological fingerprints. Working with professionals to dial in treatment protocols and giving them enough time to settle in and begin taking effect is essential before claiming treatment-resistance.

Despite best efforts by an individual and their team, there still may be those who don’t respond well or tolerate the existing medical/clinical interventions available today.

Complications in Treatment-Resistant Depression Diagnosis

The mental health field is uncovering new findings daily. There are a few factors that can present complications when diagnosing and subsequently treating treatment-resistant depression.

A few factors that can complicate the process are:

  • Incorrect Diagnosis: If an individual is misdiagnosed, this can lead to an ineffective treatment plan. As an example, if a clinician has diagnosed a person with bipolar disorder when they have unipolar depression (which can look and manifest similarly at times), they may receive a treatment that does not effectively target their symptoms.
  • Genetics: Everyone’s genetic makeup is unique. There are some gene variations that can impact things such as how fast a drug is metabolized, how your body processes the medicine, or whether you may be prone to side effects from a certain drug.
  • Metabolic Factors: As noted when discussing genetics  individuals may metabolize medicines differently. This can lead to a usual therapeutic dose being too low for one person while causing severe side effects or sensitivity in another.
  • Severity: More severe symptoms of depression may require higher doses of medication or augmenting with additional medications. This increases the risk of side effects and complicates care. Also, each time we change antidepressants the risk of lower efficacy with the new medication exists as well as the risk that going back on a previously effective treatment may not be as effective again.
  • Multiple Conditions: Oftentimes, mental health conditions are intertwined. An example being the unfortunate synergy between depression and anxiety. Or, depression with a chronic pain disorder. These “comorbidities,” complicate treatment plans: we must untwine the relationship one condition may have with the other, we often are then dealing with additional medications an mitigating interactions between them
  • Environmental/Lifestyle Factors: As mentioned earlier, environmental, and lifestyle factors can impact treatment in various ways. Examples include not having access to certain medications because of health insurance, a stressful home exacerbating depressive symptoms, lack of sleep or rest inhibiting mental/physical restoration, and illicit drug use which can impact mood and interact with prescribed medications.

Psychedelic Therapy for Treatment-Resistant Depression

Until recently, the psychiatric community has been limited on new methods to treat  treatment-resistant depression. However, ketamine therapy and other psychedelic medicines have shown promising results and open pathways to new approaches to treatment .

Many clients come to Mindbloom to work through symptoms of depression. Some report a remarkable difference in their experience and outcomes when using ketamine as a healing tool when compared to attempts with previous treatment modalities.

Some clients of Mindbloom with treatment-resistant depression have experienced:

  • Major reductions in depressive symptoms
  • Complete remission of the depressive symptoms, no longer meeting criteria for an active depressive disorder
  • Lifting of mood, energy levels, attitudes, and overall outlook
  • New insights or perspectives, breakthroughs, and life-changing sessions

For a number of beneficial factors —ranging from rapid-acting antidepressant (RAAD) effects, to long-term behavioral changes— ketamine therapy and other psychedelic therapies are uniquely poised to be an asset for clinicians and clients when managing and working with treatment-resistant depression.

Where other interventions and modalities have come up short for some clients, early results demonstrate that psychedelic interventions, including ketamine therapy, are viable treatment options that show promising outcomes in clinical trials.

Psychedelic treatments may not be appropriate for everyone, but when other treatment options have failed or not provided full relief, psychedelic therapy offers another option: a potential solution to find peace, for those who need it most.

Though ketamine is currently the only clinician-prescribed psychedelic medicine available, that does not mean it’s the only one being researched and studied in a variety of treatment areas.

There are a number of psychedelic compounds and treatment methodologies moving through the psychedelic pipeline right now, including some additional novel and off-label uses for ketamine.

For those who feel like they may benefit from the therapeutic uses of compounds currently limited to research, the only avenue currently available to participate in these experiences is through volunteering for psychedelic research studies.

What Medicines Are Used in Psychedelic Research Studies?

There are a number of different medicines being tested and researched right now, and all are at various steps of the clinical trial process. These do not include active studies on cannabis and the cannabinoid system.

MDMA

MDMA therapy is currently being spearheaded by the Multidisciplinary Association for Psychedelic Studies (MAPS) as a novel treatment for treatment-resistant post-traumatic stress disorder (PTSD). 

It is currently entering Phase 3 clinical trials under a ‘Breakthrough Therapy’ designation from the FDA. This means that the results indicate the treatment likely offers substantial improvement over currently available therapy, that the FDA is contributing additional resources to help expedite the process of Phase 3 clinical trials, which can require great financial and time investments.

Psilocybin

Psilocybin, the psychoactive ingredient in mushrooms with psychedelic properties, is also moving through a range of studies for various uses. This includes treatment-resistant depression, managing end-of-life anxiety in cancer patients, alcohol-related substance use disorder (SUD), and more.

Select psilocybin studies from COMPASS Pathways and Usona Institute have also received “Breakthrough Therapy” designation from the FDA — granting further resources to help the clinical trial process move forward faster. Early results have been significantly promising when compared to existing medical interventions.

Ketamine

Ketamine is often prescribed off-label in the treatment of depression and anxiety as its utility in this capacity is widely supported by research. It is FDA approved for treatment resistant depression and  major depressive disorder with acute suicidal ideation or behavior, 

Clinical trials are underway to further demonstrate efficacy, safety, and novel uses for ketamine.

Some areas of application being studied further are for treatment-resistant depression, suicidal ideation, and in the treatment of PTSD.

Additional Compounds

MDMA, Psilocybin, and Ketamine are among the most heavily invested in and studied medicines undergoing clinical trials. There are additional compounds that are actively being researched for potential use cases, safety profiles, and efficacy.

Lysergic acid diethylamide (LSD), Ibogaine, and Ayahuasca all have potential clinical and therapeutic use-cases. Due to factors such as the nature of the experiences, the length of duration, and the variability in preparation or isolation of the compound, these medicines are more difficult to arrange clinical trials for. However, early evidence for these compounds is pointing to their valid medical or mental health applications, including PTSD, smoking cessation, and other substance use disorders.

Who Runs Psychedelic Research Studies?

Given that a majority of the medicines undergoing clinical research studies are Schedule 1 controlled substances by the DEA, only select authoritative and accredited universities, companies, or organizations are able to work with these compounds. This is done under strict regulatory and safety guidelines.

If you are interested in participating in one of these studies, you will have to register and be found eligible through the organizations themselves. There are a number of groups running trials, and a number of trials available at each location. Psychedelic.Support, a home for psychedelic therapists and resources, offers a comprehensive list of the various trials available for each medicine.

Universities

As the bastions of continuing education and research, scientists at many universities are running studies on various use-cases for different psychedelic compounds. Universities like Johns Hopkins, NYU, and more, have opened dedicated research arms for psychedelic studies, pioneering research for potential applications.

Private companies

There are a few private companies who are developing these compounds and medicines, while initiating or facilitating complimentary research studies. Companies like COMPASS Pathways, ATAI Life Sciences, and others have research studies available through their websites.

Non-profit organizations & institutes

There are a number of non-profit organizations or psychedelic institutions that are pioneering research and clinical trials in psychedelic medicines. This includes esteemed groups like MAPS, the Heffter Institute, Usona, the Beckley Foundation, and more.

Referring to ongoing studies on their websites can help locate available opportunity and eligibility criteria.

ClinicalTrials.Gov is also a fantastic resource for anyone looking for condition or compound-specific studies currently underway and actively recruiting new participants.

Am I Eligible for Psychedelic Research Studies?

An important point of consideration when looking into psychedelic research studies is eligibility. Because these studies are focused on very specific conditions or medical use-cases, most of the studies are looking to enroll very specific client profiles.

Eligibility criteria can include:

  • Specific age ranges
  • Specific medical/clinical diagnosis
  • Contraindications
  • Location and availability
  • Gender
  • Treatment-resistant designations

If you have found a research study that looks like it’s right for you, make sure you check for the specific eligibility criteria. Given the specific focus on the studies, organizations are unlikely to be lenient with these criteria.

What Conditions Are Being Studied?

There are a wide variety of conditions being studied and explored currently. The majority of studies focus on the management and resolution of treatment-resistant cases of mental health conditions. Some of the conditions being researched include:

These will change depending on the organization and the research group conducting the studies, but those studies that are largest and furthest along tend to address one of the above conditions.

Risks & Considerations in Psychedelic Research

As with any ongoing research or studies, these medicines and applications are actively being researched. They are being researched for efficacy, safety, and overall results based on specific variables. Given this, there are a number of considerations to take into account before enrolling in a research study.

  • Safety: Given that most clinical trials open to public participation are in Phase 2 or Phase 3 (they have passed the basic safety trials), there are still unknown variables. Your unique health and safety needs should be considered before enrolling and discussed with researchers.
  • Efficacy: The goal of these studies is often to determine efficacy and use cases, so there are no guarantees that the condition you are suffering from will be resolved or improved. It even has the potential to get worse, which depending on your condition, is worth extra consideration.
  • Investment: You often don’t need to pay to participate in these studies, but there will be a level of emotional and time investment in these studies. Psychedelic therapy protocols can involve therapy sessions, and can extend for weeks or even months. Depending on the study design, there is also the chance that you will get a placebo and not the desired treatment which is important when factoring in time investment and your healing journey.

What Countries Have Psychedelic Research Studies?

The countries that are available to you when considering enrolling in psychedelic research studies are limited across two factors: the legal status/availability of the medicines, and the location of the organizations running the studies ie., where they have their clinical sites set up.

Going from the list of organizations mentioned above, most of these studies are available in the US, UK, Canada, or Israel.

The early results from psychedelic research and ongoing ketamine treatments show promising indications to the efficacy of these treatments. Multiple compounds in trials have received Breakthrough Therapy and Fast Track designations from the FDA.

Participating in clinical research trials have the potential to not only receive assistance and medication to improve your own health and wellbeing, but also contribute to ground-breaking research and help push these medicines towards public accessibility for those who need them most.

Looking for Help Now?

If you’re seeking help through a psychedelic therapy experience that is immediately available, consider Mindbloom. Our ketamine-assisted treatment is led by licensed clinicians, and supported by guides, all who have your best interests and therapy goals in mind.

See if Mindbloom is a fit for you today.

If you’re a client who has recently gone through our introductory program, “The Basics,” you may be wondering what comes next in your healing journey. Some clients are content with the progress they’ve gained after just four sessions. Others finish their first program wanting to explore specific focuses for extended treatment.

As you look forward, you may notice that there are still some areas of your life that you’d like to work on. Many clients ask if there is a path to continue doing their work in the powerful container of ketamine therapy.

Fortunately, there is! There are a number of secondary Mindbloom programs you can choose from, designed to focus specifically on unblocking different areas of your life. These programs are all created by our expert team of psychedelic therapy and mental health professionals.

How Mindbloom’s Programs are Structured

All programs at Mindbloom share the same structure, which you may have already experienced The Basics program.

Each program has six personalized ketamine sessions, paired with expertly-curated preparation and integration content. This programming solidifies and implements the experiences you have within sessions, and helps to make progress on your intentions. 

Mindbloom’s secondary programs maintain this structure. To learn more about the specific themes that each program addresses and explores, keep reading.

Going Deeper

Going Deeper is the next evolution of The Basics with Dr. Casey Paleos, the first program you may have completed with Mindbloom. Using the psychedelic therapy foundation introduced in The Basics, join Dr. Paleos as you dive further into understanding the neuroscience and experiential toolkit of working with ketamine.

Going Deeper’s preparation content focuses on diving much deeper into our time-tested mantra of T.L.O — Trust. Let Go. Be Open. 

The lessons and experiences you have in sessions are just as applicable and salient outside of your session as they are within them. T.L.O is no different.

T.L.O is incredibly useful when preparing and navigating the ketamine experience, but it is just as powerful when approaching the rest of your life. How much do you “trust” yourself and the future? Are you able to “let go” of the past and the weight you’re carrying? And can you “be open” to experience as it arrives, welcoming it as an opportunity for growth.

Going Deeper’s integration content focuses on exploring the neurobiology of ketamine, providing a detailed understanding of the effects of ketamine on your brain, mind, and body.

This foundation allows you to use your integration window to its fullest, to understand the mechanisms behind neuroplasticity and brain-derived neurotrophic factors (BDNF) to catalyze major and long-lasting changes in your life.

Learning to Love Yourself

Learning to Love Yourself with Psychiatric Nurse Practitioner and Guide Shannon Star focuses acutely on the relationship that you have with yourself. It cultivates a deeper sense of self-worth, self-love, and invigorates new self-image and self-identity structures.

Many clients utilize this program to heal and address the relationship they have with themselves.

For example, they are not proud of who they are or what they’ve done, and they feel like there’s more that they could be. These frames of mind are what Learning to Love Yourself addresses.

Learning to Love Yourself explores two fundamental aspects of self: “Being,” the person you are right now, in this moment, and “Becoming,” the person you are growing towards, and the vast potential stored inside of you.

We often view these as separate parts of ourselves. Do you focus on appreciating who you are today, or get to work and build a better future for yourself tomorrow?

The experiential arc of this program explores the fact that these are not separate. The Being and Becoming are both necessary and crucial parts of yourself. People who are calm, strong, and content are often more successful in the future. 

Cultivating a deep appreciation for who you are today and making the conditions for who you are becoming as favorable as possible is the crux of what Learning to Love Yourself explores.

Overcoming Anxiety

Overcoming Anxiety with Mindbloom’s Lead Clinician Kristin Arden has a very direct aim —to help you manage, overcome, and work with your anxiety. 

Kristin will not only help you manage anxiety now, but provide a toolkit to make it an ally on your journey, something that can help you identify your priorities, what matters most to you, and highlight next steps forward.

By reframing key components of anxiety symptoms, and building an action plan to resolve the physical feelings of anxiety and keep them managed effectively, you will turn anxiety from an overwhelming experience into a powerful signal from your body’s inner intelligence.

This is a foundational pillar of growth: taking obstacles and turning them into opportunities. 

Anxiety is something many clients come to Mindbloom to work on, and this Overcoming Anxiety program is catered specifically to this end: to turn obstacles into growth opportunities, allowing you to become the best version of yourself.

Our Latest Program: Beyond Depression

Beyond Depression is the second program with Mindbloom’s Lead Clinician Kristin Arden — and directly addresses, reframes, and provides a foundation to help you manage depressive symptoms and chart a course towards a life beyond depression.

Kristin provides the ideas, practices, techniques, and theory to help you manage the weight and experience of depression, while laying a firm foundation for the rest of your life, a life filled with positive emotion/affect, and one that has moved beyond the presence of depression.

Living with depression as a constant companion is a challenging experience, but it is not a life sentence. Through appropriate reframing, and with the guidance and expertise that Kristin brings as a mental health professional with decades of experience, you will build your own toolkit to help you reduce the weight of depression, manage symptoms and life experiences as they arise, and build a new life, with you in charge of your emotional states.

Depression is a signal from your body, and opportunity for growth and personal evolution, and the Beyond Depression program is the companion for your along this journey towards healing and wholeness.

Questions? Next Steps?

If you have any questions about any of our programs, our team is always available to discuss more at hello@mindbloom.com

If you’d like to begin a new program listed here, just head to your Mindbloom dashboard and select your next program.

We’re honored to play a role in your healing journey. Thank you for choosing Mindbloom to be a part of your life’s most important work.

The decision to embark on any therapeutic program is a big one, and deserves appropriate consideration. After all, this is life-work. It affects your inner and outer worlds, and it’s not always easy. You want to make an informed decision.

You’ve come to the point of considering psychedelic therapy as the next step in your healing and growth journey. How do you know it’s the right step? Are there ways to determine when the time is right for you?

To help you get a sense of how you’re feeling, there are a number of questions you can ask yourself that will help to provide some clarity.

Am I eligible for ketamine treatment?

Right now, ketamine therapy is the only legal avenue (not including clinical research trials) for someone to receive psychedelic therapy. Common reasons to seek this treatment are to help work through depression and anxiety.

Before exploring the possibilities much further, let’s make sure you’re eligible for treatment. When considering treatment options, whether psychological, or pharmacological, there can be contraindications to consider. Contraindications are specific circumstances that could make someone ineligible to move forward with the treatment.

Ketamine, due to some of its effects both physically and psychologically — has its own set of contraindications. All medical considerations are discussed in your consultation with a licensed clinician.

If you’d like to check your eligibility, you can try our survey here.

Am I informed about psychedelic therapy?

When making a decision about psychedelic therapy, you should explore all aspects of the medicine, experience, and treatment program. This helps determine whether this is the right next step for you at this time, given what you may be coping with, what you’d like to work on, and what results or outcomes you’d like to achieve.

Here are some questions you should ask yourself to help better understand the process:

  • Do I know what medicine I’m working with?
  • Do I know the team and practitioners that I’ll be working with?
  • What does the treatment program look like? 
  • What are common outcomes with this treatment, and what outcomes should I expect?
  • What additional support is available to me during or after psychedelic therapy?

There are number of vectors and categories one can look at to get as much information as possible, here are some categories worth exploring for any psychedelic therapy treatment:

  • The medicines or compounds involved in treatment
  • Details about the full treatment protocols
  • Available peer-reviewed research on psychedelic therapy and its outcomes
  • Dosing protocols, subjective (or psychedelic) effects, and potential side-effects

Getting more information on each of these categories will give you an overview, and hopefully the confidence, to make an informed decision. This way, you prioritize safety and act in your own best interest. If it doesn’t feel right, don’t do it.

Do I have a clear intention or goal for treatment?  

If the clinician has determined that you’re eligible, and you’ve made an informed decision to move forward with this method of treatment, have you thought about what you’d like to address or work on?

Having a clear, focused intention is vital to successful outcomes. Knowing what you want to work on, your desired outcome, how you’d like to feel, what you’d like your life to look like —all these factors shape how you show up for the treatment. This helps ensure everyone involved —the clinicians, the staff, yourself— are working in unison to support the treatment and results you’re looking for.

Do I want to change, grow, or heal?

For some, this question can seem obvious, but it’s worth a level of reflection and honesty with yourself before committing to the plan. Change and personal growth can be difficult, particularly when you’re working with long-established habits and ways of being.

Sometimes change and healing can require large commitments from you: getting out of relationships that don’t serve you, making career changes, asserting firm boundaries with friends and family, or using your voice and being more forward. These can be unnatural decisions or behaviors at first, uncomfortable even. If you feel a resistance toward making these changes, or a resistance to leaning into the process, acknowledging and working with this resistance will likely be vital to allowing space to cultivate your healing process.

The commitment to your journey of growth and healing is essential when embarking on a psychedelic therapy program.

Am I willing to do the work?

For many, psychedelic medicine is not a “magic pill” that suddenly makes everything better. This is why the use of psychedelics is often supported by some form of therapy or psychedelic integration.

The cycle of diving into the medicinal experience, then integration, and back, can ask a lot of you. It challenges you to analyze parts of yourself that you may have packed down deep inside, either consciously or unconsciously, for your own safety. It can bring things to the surface you haven’t confronted in a while and open you up to having uncomfortable conversations with yourself and others. This work can challenge you to make behavioral changes that are more inline with your personal values and how you want to live your life based on insights gained.

The work starts the moment you commit to this healing process by taking time to evaluate yourself, setting your intentions, and preparations around preparing your mindset and treatment setting. When the afterglow wears off, the goal is that the work you have done with integration has helped you land with your feet firmly planted further ahead on your path of healing.

When you embark on a psychedelic psychotherapeutic process, you’re there for lasting, positive change. This requires you to be present for the process. Some lessons can take weeks, even months to fully integrate, but the potential for decades of benefit is well worth the initial investment.

Fortunately, you don’t have to do this by yourself. Throughout your healing journey you’ll have support from licensed clinicians and guides, and often the support of family or close friends who are invested in you reaching your full potential. 

Am I ready?

If you’ve answered ‘yes’ to all of these questions, you’re likely ready to begin a psychedelic therapy program. Check in with yourself, making sure it is a deep and clear “yes.”

If you’re ready to potentially change your life with psychedelic therapy, Mindbloom is here to assist. You can start your journey here.

New research and science is emerging and demonstrating ketamine therapy to be an effective treatment protocol for managing and addressing generalized anxiety disorder (GAD) and social anxiety disorder (SAD). 

Since there is a significant crossover between benefits of ketamine for both anxiety and depression, you may also want to read our “Why Ketamine is an Effective Treatment for Depression” piece for additional and related insights.

Ketamine Creates Cognitive & Physical Distance

Due to ketamine’s dual nature as both a dissociative and psychedelic medicine, one of its primary subjective or “felt” benefits is the sense of cognitive or bodily “distance” from the individual’s thoughts, feelings, or collective experiences. 

Anxiety is often associated with a frequent or chronic sense of urgency, worry or fear in response to events or people in our environment or possible future. It can manifest physically in various ways such as tension or tightness in the body. These experiences can create unwanted automatic behaviors, mental loops, and patterns of behavior that are difficult to change, with the fear, urgency and physiological responses continuing to fuel them.

Ketamine’s felt effects can provide individuals distance from symptoms of anxiety. This includes physical distance from the emotions and sensations raised by anxiety, and cognitive distance from the mental loops and automatic triggers. Ketamine therapy provides some ‘breathing room’ for the individuals to regroup, gain new perspectives, and take the next steps necessary to address their anxiety in the long-term.

Ketamine’s therapeutic effects do not need to be extended experiences. The brief “short-circuiting” of the automatic loops and feelings introduced by dissociation can initiate a chain-reaction of positive behaviors which can begin to manage and treat the individual’s anxiety.

It Helps Boost Your Outlook and Sense of Wellbeing

After a single dosing session, there is often a “baseline elevation” in mood, outlook, and general sense of wellbeing, which can last from a few days to a few weeks.

This elevation in mood creates a more favorable state for the individual to take action on rewriting their relationship with their triggers and generators of their anxiety, allowing them to build momentum in their lives and make long-term changes. 

This elevation in baseline mood, paired with the new perspectives or insights an individual gains from the experience itself, creates a highly conducive internal and external environment to address and manage the acute symptoms of their anxiety and take steps to reduce this in the long term.

Ketamine Facilitates New Perspective & Insights

Ketamine therapy is uniquely poised to be effective in the treatment of anxiety due to its effects promoting the realization or direct experience of novel perspectives and insights — new ways of thinking and approaching aspects of life. Where ketamine provides distance and perspective through its dissociative properties, the psychedelic effects can help facilitate new insights or realizations. This combination provides fertile ground to plant the seeds of change, growth, and healing.

As mentioned above, symptoms of anxiety can include unsettling fear or worry. Oftentimes, about things outside of our control or in the distant future. By facilitating new perspectives, people are able to identify what is in their control and what is taking control of their lives. They are often able to live more focused on the moment instead of worrying relentlessly about the future. Maybe, they have an experience with medicine where they think of anxiety producing things and have a different reaction to these thoughts, one that is free of fear or worry, or better able to relate to these emotions.

This often facilitates a shift from understanding cognitively how to separate from fear and worry to an  embodiment of this understanding which is a vital pivot for interacting with thoughts and environmentally triggered differently. This internalized change of associations (between thoughts, emotions, behaviors, environment) helps to reduce symptoms of anxiety.

By generating novel insights, the individual can gain a sense of trust in what the future will bring. This is essential, as anxiety is often future-facing in its disposition. In cultivating trust in themselves, and trust in the future, the symptoms and experience of anxiety can lessen.

It Helps Manage Anxiety Symptoms & Signals

Anxiety is relatively unique in the sense that it is both a condition itself, and a symptom of other conditions. It is a lived experience — a representation of life, experience and choice, and the knowledge gained from them — and also a signal that other aspects of life might need checking in on, or remain unprocessed. Individuals can have the physical feeling of anxiety in their body, but can also experience anxious thoughts about certain aspects of their lives: job security, success, meaning, and relationships, for example.

This two-part nature of anxiety makes it difficult to tackle. As everything can feel overwhelming and fear inducing, individuals often become stuck or feel paralyzed by the perception that they have to have the answers or that their safety must be protected, but they don’t know where to start.

A two-part condition requires a two-part solution to fully resolve. This is where ketamine, with its dichotomous nature as both a dissociative and psychedelic, addressing immediate symptoms and facilitating long-term behavioral change, is a powerful option and opportunity for these individuals.

The cognitive distance and baseline mood elevations allow the individual to manage the direct lived experience of anxiety —the feelings and emotions in their bodies. With this under control, the new perspectives and insights allow the individual to look deeply into what they are anxious about, whether that is their career, relationships, physical health, or meaning and purpose. 

Armed with new insights and next steps forward, they can act on the signals their body sends them in the form of anxiety.

This is where ketamine therapy shines, it is a comprehensive biological, psychological, and sociological intervention in the treatment of acute or chronic anxiety disorders. 

Ketamine Therapy is a Holistic Solution for Anxiety

The biopsychosocial model refers to the connection between the physical, psychological, and socio-environmental sides of our life. The efficacy and potential of ketamine and psychedelic therapy can be promising as it helps to address these different pillars.

Most available anxiety treatment options address at most one or two of these pillars. In taking a comprehensive approach to managing symptoms and facilitating long-term change, you have the greatest surface area for profound changes and long-lasting results.

Ketamine therapy, in the context of the treatment of anxiety and anxiety symptoms, is demonstrating itself to be a powerful medicine and therapeutic modality to address this because it works through and with this biopsychosocial model.