Advanced Treatment
Who May Be a Candidate for Ketamine Treatment?
Nicholas Bowen, M.D.
Ketamine is generally considered for patients who have not achieved adequate improvement with conventional treatments.
Potential candidates may include individuals with treatment-resistant depression, depression with persistent suicidal thoughts requiring rapid intervention, depression with prominent anhedonia, certain chronic pain conditions, or depression associated with significant functional impairment.
Before recommending ketamine, a comprehensive psychiatric and medical evaluation is essential.
Ketamine is not appropriate for everyone. Individuals with uncontrolled hypertension, active psychosis, certain cardiovascular conditions, or uncontrolled substance use disorders may require alternative treatment approaches.
Careful patient selection remains one of the most important predictors of successful treatment.
Final Thoughts
Ketamine should be viewed as one tool within a comprehensive treatment plan—not as a standalone solution.