Initial 24-72 hours
Symptoms: The first few days are often the most challenging, with symptoms such as anxiety, agitation, cravings, fatigue and possible nausea.
These symptoms occur because the body is adjusting to the absence of ketamine, which it has become dependent on. The brain’s neurotransmitter systems are disrupted, leading to anxiety and agitation. Cravings arise as the body desires the drug it has grown accustomed to.
Outpatient support: During this period, you will have access to medical professionals who can provide medications to alleviate withdrawal symptoms and offer constant monitoring through regular check-ins, either in-person or virtually. This support helps manage anxiety and agitation, ensuring that you stay safe and comfortable.
Days 3-7
Symptoms: Withdrawal symptoms typically peak around this time, including mood swings and insomnia. The peak in withdrawal symptoms is due to the brain’s ongoing struggle to regain chemical balance. Insomnia occurs because ketamine use has likely disrupted normal sleep patterns.
Outpatient support: Behavioural therapy sessions become critical during this phase. You will also receive guidance on coping strategies and stress management techniques. Your outpatient team will be available for daily support to ensure you are progressing safely.
Week 2
Symptoms: As the acute withdrawal phase ends, the body begins to stabilise, but psychological dependence remains. The brain’s reward system, which has been altered by ketamine use, continues to influence mood and cravings, leading to feelings of depression as it struggles to function without the drug.
Outpatient support: Continued counselling and therapy are vital at this stage. You might also participate in support groups where you can share experiences and receive peer encouragement. Regular medical assessments will help adjust any treatment plans as needed. Therapeutic support will focus on addressing depression and persistent cravings, providing tools and strategies to manage these symptoms.
Week 3 and beyond
Symptoms: Physical symptoms significantly reduce, though psychological symptoms like cravings and depression might linger.
Outpatient support: Long-term strategies for relapse prevention become a focus. Ongoing therapy sessions help address underlying issues related to ketamine use. Your support network, including medical professionals and support groups, remains active in your recovery process.