For a few months, or maybe a year (but not two), it seemed as though ketamine therapy, either infusions or nasal spray (Janssen's Spravato) or both, had somehow slipped into some respectable status as medicine. There were innovative clinics and innovative therapists popping up everywhere. In Chicago, there's a business which even has the name "Innovative Ketamine" with multiple clinic locations. Here's their trendy North Side spot just off Clark Street, an easy walk from Wrigley Field:
But all of a sudden, ketamine "treatments" are looking less innovative, and more like... just plain stupid. You pay lots of money, apparently for nothing in the way of legitimate medicine that actually cures depression or PTSD. Of course, that goes for all of psychiatry. Except that stuff like SSRI antidepressants and other useless but harmful drugs, along with ECT and years of forced "hospital" confinement on a plantation like Elgin Mental Health Center doesn't get paid for by the patient. The taxpayers always foot those bills, so the patients don't have to be as wealthy as the ketamine suckers in Wrigleyville or the Valley of the Sun.
Cute "clinical" operations like Innovative Ketamine and Daytryp, or frustrated overseers like Vik Gill at EMHC, have to just hope against hope that insurance will eventually pay for these "services." But forget Medicaid! There's no way any psychedelic therapy will ever be safe enough or effective enough, without intensive counseling before and after a person takes the drug. That's prohibitively expensive, not to mention that nobody knows how to do it anyway. "Mental health" has been too medicalized for too long, and practitioners no longer have the slightest clue about, or any confidence or familiarity with, talking cures. It's just MEDS über alles! That's the total thought.
Ketamine is the bellwether for psychedelics in psychiatry. The drug is extremely addictive. It doesn't do anything good that isn't done by a placebo. The whole idea is mercifully imploding. I give it a year max.
We should hope that Rick Doblin's pet ecstasy (MDMA) project will crash and burn in a couple years, too; and if there's no FDA approval for psilocybin, we won't worry as much about planes being crashed by pilots on shrooms. The only "promise" of psychedelic drugs is a nightmare!
The sooner we realize that, the better we'll avoid Helter Skelter.
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