The Effectiveness of Ketamine Therapy for Addiction and Depression

By: Tanner Manwaring, DNP

5/15/2025

Living with both addiction and depression is like trying to swim with weights tied to your ankles. When one pulls you under, the other is already waiting at the seafloor. This comorbidity, when two conditions exist together, is incredibly common and often misunderstood. Many people try to treat one without addressing the other, only to find themselves stuck in the same painful cycles.

We strive to break these cycles for every patient we treat at Serenity Mental Health Centers. We see the full picture, and for those who have tried everything and still haven’t found relief, we offer something that has provided thousands of patients with the relief they deserved.

Ketamine infusion therapy helps our patients regain control of their mental wellness when nothing else has worked. Whether you’re struggling with clinical depression, a substance use disorder, or both, ketamine treatment may be the bridge between barely hanging on and living your life to its full potential.

The Link Between Depression and Addiction

Many people with addiction started using substances to self-medicate their emotional pain. Others developed depression as a result of the consequences of addiction. Either way, it creates a cycle that’s difficult to break. When one condition flares up, the other often worsens…

This relationship is more than emotional; it’s neurological. Major depressive disorder (MDD) and substance use disorders both affect the brain’s reward pathways, emotional regulation centers, and memory circuits. Over time, these systems become worn down and less responsive to traditional treatments, including antidepressants or talk therapy alone. That’s where ketamine therapy comes in.

What Is Ketamine and How Does It Work?

Ketamine has been safely used in medicine for decades. In the last several years, researchers have discovered its powerful psychiatric potential, especially for people with treatment-resistant depression, a term for depression that doesn’t improve with standard therapies.

Ketamine infusion therapy rapidly increases glutamate in the brain, which helps restore damaged neural pathways. This process promotes neuroplasticity, which allows the brain to develop new, healthier connections related to emotion, behavior, and impulse control. Ketamine often works within hours, unlike most antidepressants, which take weeks to show results.

It’s important to note that ketamine is not an opioid, and it does not have the same addictive properties as many other medications used in psychiatric or pain treatment. Ketamine therapy can help break the addiction cycle, rather than reinforce it.

The Science of Depression: Why It Hurts So Deeply

Depression isn't just sadness. It's a mental health condition that can cloud everything you think, feel, and do. It can cause:

  • Persistent fatigue or low energy
  • Feelings of hopelessness or guilt
  • Appetite and sleep disturbances
  • Loss of interest in things once enjoyed
  • Thoughts of self-harm or suicide

In cases of major depressive disorder, these symptoms are often severe enough to interfere with daily life, relationships, and self-care. Many patients try depression medication with little or no success. If you’ve been there, know that we empathize with how discouraging it is to keep trying medication after medication without relief.

This is why we’re proud to say that our ketamine treatment offers an alternative route, one that doesn’t rely on increasing serotonin, but repairs the brain’s core communication systems.

Signs You May Be Struggling with Both Addiction and Depression

Many patients aren’t sure whether they have both conditions, or whether one is causing the other. Here are some signs that comorbid addiction and depression may be present:

  • Using substances to “numb out” or escape
  • Increased substance use after emotional triggers
  • Feeling shame, guilt, or hopelessness after using
  • Isolating from others or withdrawing socially
  • Repeated failed attempts to quit
  • Suicidal ideation or self-destructive behavior
  • Chronic anxiety or emotional instability

When these symptoms overlap, treating just one condition isn’t enough. The brain needs help healing from both, and that’s where ketamine therapy can make an impact.

How Ketamine Therapy Helps Treat Both Conditions at Once

Ketamine infusion therapy is unique because it targets the underlying neurological dysfunction found in both addiction and clinical depression. It works by:

  • Restoring synaptic connections that have been weakened by prolonged stress, trauma, or substance use
  • Reducing the brain’s sensitivity to depressive triggers
  • Helping break patterns of obsessive or compulsive thinking tied to addiction
  • Enhancing emotional regulation and clarity, making it easier to participate in recovery
  • Providing rapid relief from suicidal ideation, often within hours

Many patients report feeling hopeful after their very first session, and for some, it’s the first time in years.

What to Expect from Ketamine Treatment

Ketamine treatment at Serenity is done in a safe, medically supervised outpatient setting. You’ll relax in a private room while a low-dose infusion is administered intravenously over 40 to 60 minutes. You may experience dissociation or a dream-like state during the treatment, but you’ll be fully monitored by our clinical team.

Most patients start with a series of six infusions spaced out over two to three weeks. This initial course helps “reset” your brain’s patterns. After that, maintenance treatments may be scheduled based on your progress.

Is Ketamine Therapy Safe for Patients with Addiction?

This is a common and understandable concern. Since ketamine has dissociative properties, some patients worry about developing a dependency. But when used appropriately under medical supervision, ketamine is not addictive. Multiple studies and clinical trials have shown that ketamine can reduce cravings and relapse rates in patients with alcohol use disorder, opioid dependence, and other substance-related conditions.

The key in this instance is medical guidance, personalized care, and integration into a broader treatment plan, which is exactly what we offer here at Serenity.

Ketamine Assisted Psychotherapy: Combining the Best of Both Worlds

Ketamine opens a door for many patients, but structured gratitude therapy walks them through it. That’s why we offer ketamine assisted psychotherapy as part of our outpatient psychiatric services. During or after your ketamine infusion, you can work with one of our experienced counselors to process emotions, challenge thought patterns, and build a healthier mindset.

This combination leads to deeper healing and better long-term outcomes, especially for patients managing multiple mental health conditions.

Why Serenity Mental Health Centers?

We’re a team of psychiatrists, nurse practitioners, and mental health advocates who are deeply committed to helping you feel well again. Whether you’ve been living with addiction for years or depression has left you feeling numb and disconnected, we can help.

At Serenity, we provide:

  • Expert care from board-certified psychiatrists
  • Personalized treatment plans for general psychiatry and adult psychiatry
  • A compassionate team that listens to your needs
  • Safe, medically supervised ketamine infusion therapy
  • Outpatient support that fits your life
  • Help finding affordable care and working with insurance

We believe every patient is different, and every treatment should reflect that.

A Message for Patients Who Feel Stuck

Taking the first step can feel overwhelming, but it’s true bravery. We have clinics in communities across the country, making expert psychiatric care and innovative treatments more accessible than ever.

You deserve healing that works, support that lasts, and to know what it feels like to feel better. Let us help you break the cycle. Schedule your consultation for ketamine therapy and take the first step toward rediscovering yourself. We can’t wait to watch you transform into who you were always meant to be!

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*All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.