Introduction: The Myth of “Chasing the Trip”
Some people believe ketamine therapy only works if they “leave their body” or experience a dramatic dissociative episode.
At Stillpoint Integrative Psychiatry, we hear this often—and we understand the curiosity. But let’s set the record straight:
You do not need to dissociate in order for ketamine to work.
In fact, some of the most profound and lasting transformations occur without full dissociation.
This article will explore the role of dissociation, what the research shows, and how our Virginia-based program helps you find the right depth for healing.
1. What Is Dissociation in Ketamine Treatment?
Dissociation is a temporary mental state where a person feels:
- Disconnected from their body
- Unaware of time
- Observing rather than participating in their thoughts
- Emotionally neutral or “flattened”
Ketamine, especially at higher doses, can cause dissociation through NMDA receptor blockade and downstream effects on the Default Mode Network (DMN).
🧠 It’s one potential effect—not the goal.
2. Does Dissociation Equal Healing? Not Necessarily.
While some patients report insight or relief during or after dissociative states, research doesn’t show a direct correlation between how dissociated someone feels and how much they improve.
- A 2020 study published in JAMA Psychiatry found antidepressant effects occurred independently of dissociation in many cases.
- Clients often improve simply because ketamine boosts neuroplasticity, regulates glutamate, and increases BDNF—even without a dramatic experience.
Think of dissociation as one possible doorway. But it’s not the only one—and not everyone needs to walk through it.
3. The Risks of Chasing Dissociation
Some clinics or influencers promote dissociation as the main “objective” of ketamine treatment. This can lead to:
- Overshooting the dose, increasing side effects or rebound symptoms
- Avoiding integration, which is where real-life change happens
- Escapism, rather than healing or engagement with one’s life
At Stillpoint, we see dissociation as a tool—not a destination. We help you navigate your experience safely and meaningfully.
4. Finding the Right Dose for You
We tailor the ketamine dose based on:
- Your goals (relief from depression, anxiety, or PTSD)
- Your sensitivity to medication
- Your previous responses to treatment
- Your desired level of engagement during sessions
Some clients benefit from mild to moderate perceptual shifts, such as enhanced introspection or emotional release—without full detachment.
Others experience deep dissociation occasionally, and that may be appropriate at certain points in treatment. But neither is inherently “better.”
5. Integration Is What Makes It Last
No matter the intensity of your session, what you do afterward—how you reflect, process, and apply insights—is what creates sustainable change.
That’s why our Stillpoint At-Home Ketamine Program includes:
- Journaling prompts
- Optional integration coaching
- Psychoeducation on brain healing
- Lifestyle and supplement support
- Emphasis on reconnecting with your body, not escaping it
✨ The medicine opens the door. Integration is how you walk through it.
6. The Stillpoint Perspective: Presence Over Escape
We’re not here to help you “disappear.”
We’re here to help you reappear—into your life, your purpose, your potential.
In Virginia, we provide safe, personalized, at-home ketamine treatment grounded in science and supported by a holistic method. Whether your experience includes dissociation or not, we’re focused on what matters: your healing.
Conclusion: Healing Happens in Many States
You don’t have to feel far away to find relief.
You don’t have to dissociate to reconnect.
What matters most is that your treatment is safe, supported, and personalized. That’s what we offer at Stillpoint.
Ready to explore what ketamine therapy could look like for you—on your terms? Join our waitlist or book a free consult today.
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