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Ketamine for PTSD

Ketamine is gaining popularity in the psych-mental health world when used to treat PTSD and other mental health illnesses.  This is because of ketamine’s ability to rapidly relieve patient’s symptoms and do it safely.  These claims are backed by a robust body of medical studies.  If standard mental health therapies have failed or provided poor relief, ketamine can be used alone or in conjunction with a patient’s existing regime.

Recognizing and diagnosing PTSD is often a difficult first step.  Treatment however, just got a lot more hopeful since the discovery of ketamine’s uses for mental health disorders.

Study after study supports Ketamine as a safe and effective drug to treat depression. Ketamine is particularly effective for patients with treatment-resistant depression (TRD), or depression that does not respond well to many first-line treatments such as antidepressants or therapy. AVYIA treats depression and other mood disorders in patient-centered fashion. This starts by assessing patients for individual suitability and then developing a treatment plan based on a patient’s unique background.

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Ketamine Could Be The Life-Changing and Game-Changing Weapon to Fight PTSD.

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Scientific studies, including randomized-controlled trials, suggests that ketamine is a safe and powerful medication to rapidly improve the symptoms of PTSD, as well as significantly reduce suicidal thoughts. The drug rapidly reduces symptoms of PTSD by changing neural and synaptic pathways, promoting antidepressant effects and lowering hyperarousal symptoms commonly seen in PTSD. Oftentimes, a significant improvement is seen within the first or second treatment. Furthermore, patients completing a ketamine treatment program have reported to achieve complete disease remission from acute or chronic mental health disorders.

AVYIA can help start the healing process on day one with science-backed, evidenced-based ketamine treatments that may forever change your life, and your loved ones.

Key Statistics and Realities About PTSD

What is PTSD?

Post-traumatic stress disorder, or PSTD, is a complicated and debilitating mental health disorder that stems from experiencing a traumatic event.  PTSD is associated with a cluster of different affective, cognitive, and behavioral symptoms, oftentimes coinciding with other mental health disorders such as anxiety and depression. 6.1% to 9.2% of Americans will have PTSD sometime in their lifetime.  Of the 1.9 million veterans in the US, approximately 209,000 to 380,000 will develop PTSD according to the Department of Veteran Affairs. Veterans and soldiers are not the only individuals who suffer from PTSD. Any individual who has experienced severe emotional or physical trauma, may develop PTSD.  It is estimated that approximately 1/3 of PTSD patients persist to have lifelong symptoms, failing to achieve remission.  AVYIA’s ketamine program aims to change that trend.

PTSD is caused by traumatic events involving death, serious injury, or sexual violence.  It can lead to the development of many other health issues, such as suicide.  Many whom suffer from PTSD do not seek help in a timely manner, or often go undiagnosed for long periods of time.

Although PTSD is commonly associated with military service men and women in combat, any traumatic event or series of events can lead to the development of PTSD.  This is especially true if traumatic events feel unpredictable and uncontrollable.  In fact, women have higher rates PTSD development due to a higher incidence of trauma associated with sexual assault, domestic violence, childhood abuse and gender-based violence.

While individuals in direct contact with horrific events may develop PTSD, those that witness traumatic events are at risk as well.  Individuals that engaged in the aftermath of horrific events, such as emergency responders and law enforcement officers, are prime examples of at-risk individuals.  PTSD not only affects the patient suffering from the illness, love-ones of the patient also tend to be affected in immeasurable ways.

“’This study, the first open-label study of repeated ketamine infusions in a comorbid population, found rapid and sustained improvement in PTSD and depression symptoms. This report suggests that repeated ketamine treatments are safe and may represent an efficacious treatment for individuals with comorbid PTSD and TRD.”

Albott, C. S., Lim, K. O., Forbes, M. K., Erbes, C., Tye, S. J., Grabowski, J. G., Thuras, P., Batres-y-Carr, T.M., Wels, J., & Shiroma, P. R. (2018). Efficacy, safety, and durability of repeated ketamine infusions for comorbid posttraumatic stress disorder and treatment-resistant depression. The Journal of Clinical Psychiatry, 79(3).

What are the Symptoms of PTSD?

Keep in mind that symptoms don’t always equate to a diagnosis. Medical and mental health professionals should always be consulted in order to make a diagnosis. Now, let’s take a look at some of the most common symptoms associated with PTSD:

Intrusive Symptoms

• Intrusive thoughts or memories of the traumatic event(s)
• Distressing and vivid nightmares related to the trauma
• Flashbacks or dissociative episodes, where it feels as if the traumatic event is happening again
• Intense psychological distress or physiological reactions when exposed to reminders of the trauma
• Thoughts about committing suicide

Avoidance Symptoms

• Avoiding activities, places, or people that remind the individual of the traumatic event(s)
• Efforts to avoid distressing thoughts, feelings, or conversations associated with the trauma
• Amnesia or difficulty recalling important aspects of the traumatic event(s)
• Decreased interest in previously enjoyed activities or detachment from others
• Difficulty maintaining healthy relationships, experiencing joy, love and affection

Negative Changes in Cognition and Mood

• Exaggerated negative beliefs or expectations about oneself, others, or the world
• Persistent negative emotional states, such as fear, anger, guilt, shame, or sadness
• Feelings of detachment from others, social withdrawal, or emotional numbness
• Diminished interest in activities or a sense of a foreshortened future
• Depression, feeling “the blues” or “down”

Alterations in Arousal and Reactivity

•Irritability, anger outbursts, or aggressive behavior
•Recklessness, dangerous or self-destructive behavior
•Hypervigilance, feeling constantly on edge, or being easily startled
•Problems with concentration or focus with day-to-day activities
•Sleep disturbances, including insomnia or nightmares
•Anxiety and panic attacks

What Types of Trauma Causes PTSD?
What Are The Risk Factors of PTSD?

Any individual is able to develop PTSD if the correct threshold of trauma is sustained. Some individuals are more susceptible, others are more resilient. It’s important to note that suffering from a traumatic event does not always lead to PTSD, but it does put an individual at risk of developing PTSD. Diagnosis of PTSD should be always be performed by a qualified medical or mental health provider. Below are some potential causes and risks factors of PTSD.

Sexual assault 

Experiencing sexual assault can be an extremely traumatic event, leading to profound feelings of fear, helplessness, vulnerability, anger, and a smattering of other indescribable feelings.  Victims often go undiagnosed and untreated unfortunately.

01

Intense and life-threatening events

Most common among military personnel, first responders, and law enforcement.  Examples of threatening events include combat, war, terrorist attacks, or accidents resulting in fatalities.

02

Sustaining an injury, both traumatic and medically 

Surviving a major car accident, heart attack, stroke, or a chronic illness can be traumatic in itself. The sudden and unexpected nature of these events can cause feelings of fear, anxiety, and uncertainty, which may contribute to the development of the disorder.

03

Exposure to violence

Individuals who have been victims of violent acts, such as kidnapping or burglary.  Those who have experienced life as refugees in war-torn regions often endured life-threatening situations.

04

Interpersonal traumatic experience

The loss of a loved one, especially due to a severe illness, can be deeply traumatic. Grief, helplessness, and guilt, may spiral out of control, putting the individual at risk of PTSD.

05

Surviving a natural disaster

Natural disasters like earthquakes, hurricanes, floods, or wildfires can cause extensive damage, loss of life, and displacement. Survivors of such disasters may develop PTSD due to the trauma they endured during the event and its aftermath.

06

Childhood trauma or abuse

Traumatic experiences during childhood, such as physical, emotional or sexual abuse, are common causes.  Other causes include neglect and growing up in a dysfunctional environment.

07

Healing from Trauma and PTSD. Ketamine Can Help.

Ketamine has a well-established safety record, has been widely utilized as both an anesthetic and pain reliever for an extended period of time. Since its approval by the FDA in 1970, ketamine has emerged as a preferred tool for combat medics in the field due to its rapid-acting anesthetic and analgesic effects.  Additionally, ketamine’s ability to elevate a soldier’s heart rate and blood pressure proves valuable in addressing blood loss. A soldier in a state of “K-hole” induced by ketamine becomes more manageable to load and transfer away from potential danger.

Recently, medical professionals have started utilizing ketamine to treat chronic pain and mental health disorders, such as depression and anxiety.  By blocking pain receptors in the brain and calming the HPA axis, ketamine can provide relief. It may also promote the formation of new and healthy synapses (connections between nerves) in the brain.  In fact, there is an ever growing body of scientific research that supports the use of ketamine to treat PTSD, as well as the co-morbid conditions associated with it, such as anxiety and depression.

While high doses of ketamine can cause sleepiness and induce sedation when used in anesthesia, for the treatment of PTSD, low doses are administered to avoid adverse effects such as excessive drowsiness.  At AVYIA, we offer three treatment options for treating PTSD. Selection of a treatment program is typically based on the patient’s preference, but AVYIA’s providers will also consider each patient’s safety profile, medical history, medical conditions, and timeframe of therapeutic goals.  Collaborative decision-making between the healthcare provider and the patient is essential to ensure the most effective and well-tolerated treatment plan.

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Microdosing Tablet

$125 per Month / $4 per Daily Dose
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IV Infusion

6 treatments in 2-3 weeks / $3000 for 6 dosing sessions
Includes Telehealth, 6 home visits and medication

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Intranasal Spray

8 treatments in 4 weeks / $3600 for 8 dosing sessions
Includes Telehealth, 8 home visits and medication

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How Does Ketamine Treat PTSD?

The trauma that causes PTSD is thought to result in issues with the neural circuitry within the amygdala, prefrontal cortex, and hippocampus of the brain. As a result, brain chemistry and brain functions are negatively affected, which then manifests as symptoms of PTSD. Ketamine works on the NMDA receptors of the brain to help re-balance the neurotransmitter glutamate.

Ketamine is hypothesized to promote neuroplasticity, or the ability of the brain’s neural-networks to be flexible, changing and reorganizing. Neuroplasticity is thought to fight disease states by resetting the brain’s neural-networks, as well as restructuring the brain structures back to its normal state. Many experts believe the psychedelic and dissociative properties of ketamine are catalysts of neuroplasticity. What we do know is that ketamine also helps release BDNF (brain-derived neurotrophic factor), which aids in neuroplasticity initiation. In the context of PTSD, neuroplasticity may help the brain adapt and recover from traumatic experiences, potentially leading to reduced symptoms over time.

PTSD is often manifested by symptoms of hyperarousal, where individuals experience heightened anxiety, hypervigilance, and an exaggerated startle response. Ketamine’s calming effects on the central nervous system may be able to help alleviate these symptoms and induce a sense of relaxation.

Ketamine may facilitate emotional processing, allowing individuals to explore and process traumatic memories and emotions in a more controlled and less distressing manner. This can be especially beneficial in therapy sessions where ketamine-assisted psychotherapy from a therapist or counselor can be implemented.

“Here, we provide preliminary evidence of changes in functional imaging measures of brain activity associated with improvement in overall PTSD symptom severity in individuals undergoing treatment with repeated-dose intravenous ketamine or midazolam. In a sample of individuals with severe, chronic PTSD, the most reliably identified predictor of symptom improvement across models was increased functional connectivity between the amygdala and vmPFC during viewing of emotional face stimuli. Increased emotion-related vmPFC-amygdala coherence was the strongest correlate of symptom change across all subjects—with some evidence of a stronger effect in individuals who received ketamine, and specificity to reduction in cardinal PTSD symptoms (i.e., over and above concomitant decreases in depressive symptoms”

Norbury, A., Rutter, S. B., Collins, A. B., Costi, S., Jha, M. K., Horn, S. R., Kautz, M., Corniquel, M., Collins, K. A., Glasgow, A. M., Brallier, J., Shin, L. M., Charney, D. S., Murrough, J. W., & Feder, A. (2021). Neuroimaging correlates and predictors of response to repeated-dose intravenous ketamine in PTSD: Preliminary evidence. Neuropsychopharmacology. https://doi.org/10.1038/s41386-021-01104-4

Conventional Therapies vs Ketamine Treatment

Conventional therapies for PTSD, such as SSRI’s, benzodiazepines, mood stabilizers, and anti-psychotics, may have serious unwanted side effects, and oftentimes can also make individuals feel worse.  Conventional medications may sometimes take weeks to months to optimize.  PTSD patients have a poor success rates of achieving complete remission, and 1/3 of all PTSD patients have chronic, life-long symptoms.

Ketamine’s safety has a decades-long track record in the medical setting.  Studies have shown that ketamine for the treatment of PTSD starts providing immediate relief of symptoms and suicidal thoughts, oftentimes starting within the first treatment session.  AVYIA’s recommended 6 sessions of IV therapy or 8 sessions of intranasal therapy for PTSD.  AVYIA also offers microdosing oral tablets for daily dosing treatment, wh

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“PTSD continues to be a problematic psychiatric condition that can be difficult to treat. SSRIs are the first-line treatment, and they are the only pharmaceutical class approved – their use may lead to a reduction in symptoms but, oftentimes, PTSD can be found to be treatment resistant. In addition, there are many patients who have participated in trials of SSRIs as well as many other psychoactive drugs without complete remission...ketamine has been shown to result in a near complete resolution of symptoms over the short term and seems to have similar findings to the use of ketamine in MDD.”

Liriano, F., Hatten, C., & Schwartz, T. L. (2019). Ketamine as treatment for post-traumatic stress disorder: A Review. Drugs in Context, 8, 1–7.

Frequently asked questions

How Does Ketamine Therapy Treat PTSD?

Ketamine works differently from traditional medications used to treat Post-Traumatic Stress Disorder (PTSD). Instead of targeting serotonin or dopamine, ketamine acts on the glutamate system in the brain—specifically the NMDA receptors—which play a key role in memory, learning, and emotional processing.

By modulating these pathways, ketamine helps to:

  • Reduce the intensity and frequency of intrusive thoughts and flashbacks

  • Interrupt traumatic memory loops

  • Enhance emotional resilience and flexibility

  • Support neuroplasticity (the brain’s ability to form new, healthier connections)

Many patients report rapid relief from symptoms—often within hours or days—especially when ketamine is delivered through IV, IM, or intranasal routes. It may also help patients become more receptive to trauma-focused therapy, such as EMDR or prolonged exposure therapy.

At AVYIA, ketamine treatment for PTSD is personalized and closely monitored, and we often recommend combining it with therapy or counseling to maximize long-term benefits.

What Should I Expect to Feel During Ketamine Treatment?

Each ketamine treatment experience is unique, especially for individuals living with Post-Traumatic Stress Disorder (PTSD). Your responses may vary from session to session, and that’s completely normal.

At the therapeutic doses used for IV, IM, and intranasal administration, many patients experience dissociative or psychedelic effects—a temporary state that may feel like an out-of-body experience or entering a dreamlike space. Some describe this as “going on a trip.” Feelings of euphoria, emotional release, or a surreal shift in perception are also common.

For those with PTSD, ketamine can sometimes bring up intense emotions or memories, but many patients also experience a sense of emotional catharsis—a safe release of trauma that may have been difficult to access through traditional therapy alone. This can be followed by introspection, clarity, or a deeper connection to one’s thoughts and emotions.

While these experiences can feel profound or symbolic—such as having a “false epiphany” or gaining sudden meaning—they are typically short-lived. Most patients return to their baseline mental state within a few hours, and nearly all by the next day.

To ensure your safety and comfort:

  • Avoid driving or making major decisions for the rest of the day.

  • A responsible adult should be present to accompany you after each treatment.

  • Our team will monitor you closely during and after the session, providing a safe and supportive environment.

Ketamine can be a powerful tool in PTSD recovery, especially when combined with therapy and trauma-informed care. At AVYIA, we’re here to support you every step of the way.

Can Ketamine Treat Conditions Other Than PTSD?

Yes. While ketamine has gained attention for its effectiveness in treating Post-Traumatic Stress Disorder (PTSD), it has also shown significant promise in treating a range of other mental health and neurological conditions, especially when other treatments have failed.

Here are some of the most common conditions ketamine is used to treat:

  • Depression (including treatment-resistant depression)

  • Anxiety disorders

  • Obsessive-Compulsive Disorder (OCD)

  • Bipolar depression (not during manic or hypomanic episodes)

  • Suicidal ideation

  • Chronic pain syndromes (e.g., fibromyalgia, CRPS)

  • Migraines

  • Substance use disorders (in conjunction with behavioral therapy)

Ketamine works differently from traditional medications. By targeting the glutamate system and promoting neuroplasticity, ketamine helps the brain “reset” unhealthy patterns of thought and emotion—making it a valuable option for people who haven’t found relief with conventional treatments.

At AVYIA, we offer personalized ketamine protocols tailored to your diagnosis, treatment history, and goals, using multiple routes of administration—IV, IM, intranasal, and oral microdosing.

How Quickly Does Ketamine Work on My PTSD?

Ketamine can provide rapid relief for many individuals with Post-Traumatic Stress Disorder (PTSD)—often much faster than traditional medications.

Many patients report noticeable improvements in mood, anxiety, and intrusive thoughts within hours to a few daysafter their first IV, IM, or intranasal treatment. These improvements may include:

  • Reduced emotional reactivity to trauma triggers

  • Fewer flashbacks or nightmares

  • Increased sense of calm and emotional stability

That said, not everyone responds immediately. Some patients may require several sessions to experience full benefits, especially if PTSD symptoms are severe or longstanding.

Oral microdosing tends to have a slower onset, with subtle effects building over days to weeks. However, many still report early emotional relief and improved sleep within the first few days.

At AVYIA, we tailor your treatment plan to your unique needs, and we monitor your response closely to ensure you’re supported every step of the way.

Will Ketamine Show On A Drug Test?

Ketamine is not typically included in standard drug panels, such as those used for employment or routine screenings. However, if a drug test is specifically designed to detect ketamine, it can and will show up.

At AVYIA, ketamine therapy is strictly medical and therapeutic—not recreational. We encourage patients to inform and involve trusted family members or support systems throughout their treatment journey for additional safety and emotional support.

Where is Ketamine Injected?

Ketamine can be administered either intravenously (IV) or intramuscularly (IM), depending on accessibility and patient preference. For therapeutic purposes, slowly administered IV infusions are often preferred due to their high bioavailability and precise control over onset and duration of effects.

Alternatively, ketamine can be delivered through a nasal spray or as oral tablets (microdosing). These routes offer the advantage of being non-invasive and easy to administer, making them suitable for patients who prefer a more flexible or needle-free experience.

Which Medical Conditions Could Make Me Ineligible to Receive Ketamine?

Patients with a history of schizophrenia or schizoaffective disorder should not receive ketamine therapy.Additionally, recent psychosis or psychotic episodes are contraindications for ketamine treatment.

Patients with uncontrolled high blood pressure should address their hypertension prior to starting ketamine infusion therapy to ensure safety.

AVYIA requires a Telehealth appointment (free) for every patient to thoroughly review their medical history, determine eligibility, and create a personalized treatment plan to ensure safety and optimal outcomes.

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