Exploring Ketamine-Assisted Psychotherapy (KAP) for ADHD: An Emerging Treatment Approach
Attention-Deficit/Hyperactivity Disorder (ADHD) can present numerous challenges, from emotional regulation difficulties to struggles with focus and motivation. While traditional treatments like medication and cognitive-behavioral therapy (CBT) have typically been the norm, alternative therapies are emerging, including Ketamine-Assisted Psychotherapy (KAP).
Once known primarily as an anesthetic, ketamine is now explored for its potential to support mental health conditions such as depression, PTSD, and even ADHD. KAP may provide support for some of the unique challenges that come with ADHD, particularly emotional regulation, seeing the “big picture,” and managing accompanying depression.
Let’s start with the basics.
What is Ketamine-Assisted Psychotherapy (KAP)?
KAP is a combination approach, mixing low-dose ketamine administration with guided psychotherapy sessions. Ketamine interacts with neurotransmitters in the brain, particularly glutamate, which plays a key role in mood regulation and emotional processing.
This treatment helps create new neural pathways, which allow individuals to shift from rigid thought patterns and engage more openly with their emotions.
Think of this treatment option as a way to support mental flexibility.
What are the benefits of Ketamine-Assisted Psychotherapy for ADHD?
For those of us with ADHD, emotional regulation isn’t just nice to have; it’s essential. Take a look at some of the potential benefits of guided KAP treatment:
Enhanced Emotional Regulation: ADHD often brings emotional highs and lows that can disrupt daily life. Ketamine has been shown to help soften these swings, creating a calmer baseline that can make it easier to respond to situations without immediately reacting. In other words, less impulse, more intentionality.
Improved Big-Picture Thinking: People with ADHD often struggle to shift focus from immediate tasks to broader goals, making it tough to step back and see the full picture. Ketamine can promote mental flexibility, helping individuals step back, organize their thoughts, and approach problems from a more comprehensive perspective. It’s like putting on a set of “zoom-out” glasses that makes organizing thoughts and staying grounded feel a little easier.
Increased Motivation: ADHD and depression frequently co-occur, creating a cycle of low motivation and emotional distress. Ketamine’s fast-acting antidepressant effects can break up that heavy feeling, providing some much-needed relief and a “mental reset.” This often helps to create momentum, making it easier to manage ADHD symptoms without the added weight of depression.
Research-backed studies frequently support these outcomes. (Look at some of the ketamine-assisted therapy case studies here by logging in with a free account.)
What to Expect with KAP Treatment
During a KAP session, patients receive a carefully monitored low dose of ketamine, either through lozenges, intramuscular injection, or intravenous infusion. This is followed by a psychotherapy session where clients explore their thoughts and emotions in a more open and flexible mental state. The ketamine experience can make it easier for individuals to access and process difficult emotions, leading to breakthroughs in therapy.
Cases of ketamine treatment with adverse effects can arise, but many are attributed to improper dosage and a lack of properly trained professional supervision. When determining if KAP is an option for ADHD treatment, it is important to work with a credentialed therapist to ensure the process includes these elements:
Initial Consultation: Discuss mental health history and determine if KAP is suitable.
Preparation Session: Set intentions and goals for the ketamine experience.
Ketamine Administration: Receive a controlled, low dose in a safe environment.
Integration Therapy: Reflect on insights and apply them to daily life.
Is Ketamine-Assisted Psychotherapy suitable for everyone?
While KAP is not a standalone cure for ADHD, it can be a valuable component of a comprehensive treatment plan.
Individuals who struggle with emotional dysregulation, tunnel vision, or coexisting depression may find KAP particularly helpful. However, it is essential to consult with a qualified mental health professional to determine if this therapy aligns with personal needs and health conditions.
Safety and Considerations
KAP can be considered safe when administered by trained professionals. However, it is not suitable for everyone.
Individuals with certain health conditions or a history of substance misuse should approach this treatment with caution.
Always consult a medical or mental health provider to determine optimal treatment on a case-by-case basis. Additionally, stay informed by reviewing ongoing research on the long-term effects and best practices of integrating KAP into ADHD treatment plans.
Exploring KAP Treatment for ADHD
If you're curious about how Ketamine-Assisted Psychotherapy could fit into your ADHD treatment plan, a great first step is to reach out to a mental health professional. Rachel Hopkins, ADHD and Grief Specialist, can help guide you through this decision-making process.
Book a free consultation with Rachel to learn more. Schedule Here.
Ketamine may not be for everyone, but it’s a promising addition to a comprehensive approach in improving ADHD management.
Meet Rachel.
Rachel Hopkins is an ADHD & Grief Specialist
Associate, Professional Counselor & Clinical Rehabilitation Counselor.
She specializes in assisting neurodivergent individuals and those navigating grief through various life transitions, including academic/occupational shifts, identity shifts, and relocation & community building.
Rachel practices under the supervision and direction of Destiny Davis LPC CRC (formerly Destiny Winters) and is supervised by D. Markwell (CPCS #53).
Rachel Hopkins is solely responsible for the content of this document and the views expressed herein.
