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  • John M. Thurston, MD

Maximizing the Benefits of Ketamine Treatment through Journaling

Ketamine infusions have emerged as a promising treatment option for a variety of conditions, including chronic pain, depression, anxiety, OCD, and PTSD. Many patients and clinicians are journaling to enhance the effectiveness and understanding of these treatments. The act of journaling can offer profound insights into the experiences and changes that occur during and after ketamine infusions.

Why Journaling Matters

Journaling provides a tangible way to document, reflect upon, and understand personal experiences. This can be especially important for patients undergoing treatments that may impact their mental, emotional, and physical state, like ketamine infusions. By keeping track of their experiences, patients can:

1. Monitor Changes Over Time: Recognizing patterns or shifts can be crucial for understanding how the treatment affects an individual.

2. Communicate with Healthcare Professionals: A journal can provide concrete details and observations that may be shared with a therapist, psychiatrist, or other medical professionals to optimize care.

3. Ground Themselves: The reflective nature of journaling can help ground patients, especially after an intense session.

Tips for Effective Journaling Post-Ketamine Infusion

1. Start Immediately: Begin journaling as soon after the infusion as possible. The fresher the experience, the more detailed and accurate the documentation.

2. Describe the Physical Sensations: Make a note of any physical sensations during and after the infusion. This can range from changes in perception to side effects like nausea or dizziness.

3. Delve into Emotions: Detail any emotional responses or shifts in mood. Were there any profound feelings of joy, sadness, or peace?

4. Document Visions or Thoughts: Some individuals report vivid images, memories, or thoughts during their infusion. Recording these can offer deeper insights into one's subconscious mind.

5. Set Aside Judgment: It's essential to approach journaling without judgment. Write freely and authentically, knowing the journal is a private space (unless you choose to share it).

6. Be Consistent: Try to journal after each infusion to compare and contrast experiences. Over time, this consistency can reveal patterns or changes that may be linked to the treatment.

7. Include Daily Observations: Beyond the infusion itself, note any daily changes in mood, behavior, or physical sensations in the days and weeks that follow.

8. Review Regularly: Periodically go back and review past entries. This reflection can offer valuable insights into the journey and the overall impact of the infusions.


Ketamine infusions represent a frontier in medical treatments for certain conditions. By pairing this treatment with the introspective practice of journaling, patients can deepen their understanding of the therapy's impact on their well-being, ensuring they get the most out of their sessions. Always consult with healthcare professionals regarding any observations or concerns noted in the journal.

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