This is your brain on ketamine

44,355
26
Published 2024-06-26
Expand your mind and go to brilliant.org/NeuroTransmissions to get a 30-day free trial + the first 200 people will get 20% off their annual subscription. Seriously, they keep getting better and better, so check them out and better yourself!

Let's talk about ketamine. This anesthetic has long been dismissed as a mere party drug, but in the past decade it's been catapulted to the forefront of a mental health revolution. This might not sound like a unique concept. Several psychedelics have received renewed interest as a possible treatment for various mental illnesses. But ketamine is different - because unlike LSD or psilocybin or MDMA, ketamine is already widely available and prescribable. You can get ketamine pills in the mail and take it at home. So how'd that happen?

Well, we're about to dive into ketamine's intriguing history from medical anesthesia to club drug to groundbreaking treatment for depression, as well as the proliferation of questionably-regulated at-home ketamine therapy companies. I'll also explain how ketamine works in the brain, shedding light on its unique effects and why it's capturing the attention of both scientists and clinicians alike. There's some pretty unique ethical questions to explore, too. I'll discuss the potential benefits and risks, and consider what the future might hold for this powerful substance.

Whether you're curious about the science, the treatments, or the controversies, I hope this video gives a full, unbiased view of ketamine. And if you've got your own experiences with it, let me know about that in the comments.

Wanna watch this video without ads and see all of our exclusive content? Head over to nebula.tv/videos/neurotransmissions-this-is-your-b…

Timestamps:
0:00 - Let's talk about drugs, baby!
1:09 - Crash couse history of K
5:59 - New life as a depression treatment
7:15 - The link between K and depression
11:52 - How K got approved as a treatment
14:58 - The (side) effects of K
16:50 - Digging into the research
20:20 - How'd at-home K get approved?
22:13 - Is this a good thing?
24:35 - K as an off-label medication
26:37 - Just my two cents on the situation
28:55 - There's a social shift happening
31:26 - I think you're brilliant if you don't skip
33:29 - Tell me your experience

We published a book called Brains Explained. You can buy it! amzn.to/3hkmCdo

Join our mess of a Discord server: discord.gg/rD6wjQa7Vs

If you like what we do, support our work by becoming a Patron: www.patreon.com/neurotransmissions

Alternatively, if you wanna support the channel and get some fun emojis to use in comments and a badge next to your name in the process, consider becoming a "member" of our channel right here on YT:
youtube.com/channel/UCYLrBefhyp8YyI9VGPbghvw/join

We couldn’t do all of this without our awesome Patreon Producers, Ryan M. Shaver, Carrie McKenzie, Jareth Arnold, and Caldwell Braeburn. You four blow our minds like...well...nevermind.

And thanks to our other high-level Patrons, including:
12tone
Marcelo Kenji
Linda L Schubert
Susan Jones
Ilsa Jerome
Chuck V
Robert Stuckey
k b
Raymond Chin
Marcel Ward

All Comments (21)
  • Ketamine, lsd, dmt and psilocybin containing mushroom are amazing. I was severely traumatized years ago as a teenage, got diagnosed with ADHD. Spent my whole life fighting ADHD. I suffered severe depression and mental disorder. Not until my husband recommended me to psilocybin mushrooms treatment. Psilocybin treatment saved my life honestly. 8 years totally clean. Never thought I would be saying this about mushrooms.
  • the “you can’t have any fun” thing is real, i had a ketamine doctor refuse to treat me — despite the fact ive already had ketamine infusions and it improved my depression— because i admitted to drinking alcohol and using cannabis. he literally said the chances are too high that i would enjoy the treatment and thus seek more. you’re right dude, i enjoy being less depressed and am thus seeking more ketamine. why is it bad if it’s not unpleasant to be helped!? (all the ketamine under discussion has been administered in person by an md)
  • @spookygreg
    I work in rheumatology and see a lot of chronic pain patients get amazing relief with k infusions. Meeting patients, it’s clear how life saving this is. Quality of life is so much better for them now ❤
  • @janeharry790
    Psychedelics are just an exceptional mental health breakthrough. It's quite fascinating how effective they are against depression and anxiety. Saved my life.
  • @SirSpenace
    As someone with treatment resistant CPTSD, this is super exciting news. I've suffered for years with my symptoms - and we lost my older brother in 2023 to his. I've been trying to get into an MDMA study for years. Hearing that it's slated for review in barely over a month makes me want to cry happy tears.
  • It's so refreshing to hear someone from your class who believe in bodily autonomy. I believe people should be able to whatever they want with their body. It's so weird that people can't. Like people are children or something.
  • Trying to extract only the part of ketamine that helps with depression while trying to remove the psychedelic aspects of it doesn't quite hit for me. I feel like the psychedelic aspects is what helps with the depression
  • @juliana.x0x0
    GOD FORBID someone who doesn't experience happiness....experiences fleeting happiness! We can't have that in America, the people might wake up and be harder to control!
  • I did get Ketamine right before my hip joint replacement procedure, at least I stopped screaming with pain. It felt like I was in a discotheque in the late 1970s. Flashing pink lights like stroboscopes. A very weird experience. When they wheeled me into the operting theatre, I was out. The procedure went very well and I couldn't remember anything. In the case of knocking out a patient before a surgical procedure, nice way to go with Ketamine. I wouldn't want to use it in any other way.
  • @dcisaak
    Ketamine infusion therapy greatly helped me in recovering from cPTSD but you have to do the work yourself to truly heal!
  • @bgrune1
    I have been doing at home ketamine therapy via telemedicine for anxiety and depression. It seemed to work wonders at first. I felt energized and unburdened. Though I was progressively increasing the dosage I felt like I was getting less benefit as time progressed. It never caused any problems I could detect either so it has not been a negative. If nothing else I completely lost my urge to drink. I was not drinking a lot but I am a health and fitness nut and drinking alcohol never sat right with me. I am grateful that ketamine helped me quit without feeling like I am missing out on anything. I have a couple doses left but I have been going a long time between doses and I don't plan to continue ketamine therapy. I feel like my anxiety and depression are very situational and that is probably why I can't seem to shake them. Maybe if my life circumstances change I will get relief.
  • @oda513
    “prisoner volunteers” lol my ass
  • @UffePTV
    Did 0,5g ketamine + 250ug lsd last year in february. I was completely washed of egoic stains that had covered my psyche. Changed my whole life up and I felt stable for about 8 months, never remember being so mentally healthy for that amount of time. Then life situations sent me into a generalized anxiety disorder, did ketamine + lsd again about 1 year after the first time and it helped. It wasn't like the first experience but I definitively had a good time and worked through some mental stuff :) Edit: ‼This is not a small dose and should definitely not be concidered if you aren't very familiar with psychedelics/dissociatives! xD‼
  • @LouisPetek
    I have taken a small amount of Ketamin every weekend for about 3 years. In small amounts it can give you unmatched gratitude, perspective and empathy for others. It can show you what you need to see within yourself and in the world around you
  • @Psychx_
    8:30 it's not so much about glutamate system dysfunction, but rather that glutamate signalling influences BDNF release. Blockage of NMDA ligand gated ion channels via Ketamine leads to rapid BDNF realease. This is turn promotes the formation of new synaptic connections (neuroplasticity and ability to adapt/learn/change thought patterns) and has anti-inflammatory and anti-apoptotic effects. Other things proven to improve depression, such as TCAs, SSRI and SNRI also lead to increased BDNF levels (with TCAs being the most potent), as do psychotherapy, doing sports, environmental enrichment and serotoninergic psychedelics (i.e. psilocybin, LSD - interestingly enough they also bind to 5-HT2A-mGlur2 and 5-HT2A-D2 receptor heteromers. many other receptors can fuse with one another aswell. This opens up a whole new field of study and implicates a vast amount of yet unknown interactions and mechanisms). Anyhow, BDNF is where most of the different depression models converge, since marks the point of intersection between them.
  • @LadyPantera57
    I always find it interesting that they want two other types of antidepressants to fail first before trying the one that works when those ones don't. Those ones can lead to suicidal thoughts, Spravato can relieve suicidal thoughts. Hmmm... Let's try the one that causes suicidal thoughts first... twice. I know someone who was heavily depressed about 11 years ago. Zoloft had done nothing in the past, cymbalta gave them daytime hallucinations, and then Wellbutrin almost led to them ending their life. I didn't find out that they we're having suicidal thoughts until a year later. Maybe start with the safer one first (I know it's not without risk) and if that one doesn't work, then try the one that can cause suicidal thoughts.
  • And as it was mentioned just the wealthy have access to the treatments. But the thing is that the non wealthy people are the most affected by depression and major depression episodes leaving the society sick.
  • @JordanRike
    Psychedelics are just an amazing discovery. It's quite fascinating how effective they are for depression and stress..saved my life.
  • @yayinternets
    I was in a band called Cicada In My Pants years ago, but now it’s dormant.