Ketamine therapy is a medical treatment that uses low doses of ketamine, traditionally an anesthetic, to alleviate symptoms of depression, PTSD, anxiety, chronic pain, and other mental health conditions. It is administered under clinical supervision. 

Yes, when administered by trained medical professionals in a controlled setting, ketamine therapy is very safe. We monitor vital signs and patient response throughout each session.

Ketamine rapidly enhances communication between brain cells by increasing glutamate activity and supporting neural regeneration. This can lead to quick and sustained relief of symptoms, even in treatment-resistant cases. 

 Ketamine is especially effective for central sensitization—when the nervous system becomes hypersensitive to pain. Its NMDA receptor-blocking properties help “reset” pain pathways and reduce pain perception at a neurological level. 

Ketamine therapy is most commonly used for:

• Major depressive disorder
• PTSD
• Anxiety disorders
• Bipolar depression
• OCD
• Chronic pain syndromes:  

Chronic Pain Syndrome (CPS), Complex Regional Pain Syndrome (CRPS / RSD), Fibromyalgia, Neuropathic Pain, Peripheral Nerve Pain / Neuralgia, Phantom Limb Pain, Postherpetic Neuralgia (Shingles pain), Central Pain Syndrome, Spinal Cord Injury–Related Pain, Cancer-Related Pain, Migraine and Chronic Headaches, Trigeminal Neuralgia, Post-Surgical Pain (especially in cases of chronic postsurgical pain), Back and Neck Pain (when neuropathic or central in nature), Myofascial Pain Syndrome, Intercostal Neuralgia, Pelvic Pain Syndromes (e.g., interstitial cystitis, pudendal neuralgia), Diabetic Neuropathy, Multiple Sclerosis–Associated Pain, Lupus and other autoimmune-related chronic pain, Rheumatoid Arthritis (adjunct for central sensitization), Sciatica (in refractory cases), Endometriosis-Related Pain, Temporomandibular Joint Disorder (TMJ with neuropathic features), Cluster Headaches (investigational)

At Hudson Valley Ketamine Lounge, ketamine is administered via intravenous (IV) infusion for the most effective and controlled delivery. Each session typically lasts 40–60 minutes for mood disorders/ PTSD. For chronic pain management, sessions last between 2-4 hours. 

Most patients begin with a series of 3-4 infusions over 2–3 weeks, followed by maintenance sessions as needed, depending on individual response and condition. We find most patients need maintenance approximately every 4-6 weeks.

Yes, but you may feel detached, dreamlike, or deeply relaxed. Most patients describe the experience as introspective or calming.

Not immediately. Do not stop any prescribed medications unless advised by your doctor. Ketamine therapy may allow for eventual medication adjustments under supervision. 

Most insurance plans do not cover ketamine therapy for mental health purposes. However, we can provide itemized receipts for potential reimbursement, and flexible payment options may be available. 

To get started, call, text, or email our office. Before your consultation with Dr. Miller, please complete the required intake forms located on our website. During your visit, we’ll review your medical history, discuss your symptoms, and determine if ketamine therapy is the right fit for your needs. 

Avoid eating for 4 hours and drinking fluids for 2 hours before your appointment. Refrain from alcohol or recreational substances for at least 24 hours prior. A full prep guide will be provided during your consultation. 

We ask that you provide at least 24 hours notice if you need to cancel or reschedule an appointment at Hudson Valley Ketamine Lounge. This allows us to offer the appointment slot to another patient in need of care.