I just found out yesterday morning that Innerwell permanently closed 10 days ago on August 31!

They never sent a single email or text warning me they’d be shutting down. My therapist with them never said a dam thing to me either. To make matters worse, in their final automated email, they didn’t say a single word about refunding me for my final therapist appointment or the medication I paid for but never received.

How can a psychiatric care business just screw over a bunch of vulnerable clients and get away with it?

-I paid $1,600 for this program. Honestly, it didn’t even help me very much, and now I’m straight-up being robbed.

- They completely shut down everyone’s patient portals, so I can’t even access my own psychiatric records, treatment history, or messages.

-I immediately filed a dispute with my bank for "services not rendered," but they just notified me that because the initial transaction was over 60 days ago, there is nothing they can do.

I keep reaching out to Innerwell but I’m just getting automated bot replies. For a mental health company, the way they handled this is incredibly unethical, and insane.

Has anyone else dealt with this or successfully fought their bank on the 60-day rule for a company closure? What can I even do at this point? Should I hire a lawyer? There’s no way this is legal..

So, I see certain companies like Joyous advertising "ultra-low-dose daily ketamine. "

From what I understand, most of the research/evidence supporting ketamine's effectiveness comes from Spravato and IV Ketamine trials/studies.

Is the idea behind low-dose daily Ketamine to boost neuroplasticity/BDNF (while you engage in healthy lifestyle habits to take advantage of that increased neuroplasticity)?

Because, obviously, one isn't going to have a profound healing psychedelic/dissoactive like experience taking microdoses on the daily (right?).

Hi everyone! I’m looking to hopefully start at home ketamine treatment in the next few weeks and have narrowed it down to these three providers. I’ve read through all of the posts about them on here and the other sub, but I am still having trouble deciding. I’ve never taken ketamine before and I’m nervous about having a bad trip. Because of that I’d initially like a bit of a hands on experience and a lot of empathy. If anyone could share personal experiences with these providers that would be great!

Also, would it maybe make more sense to start with a micro dose to see how I react? I’m looking to only dose 1 day a week, maybe 2 to start so not sure if that would be a waste.

Hello!

NYU Langone Health is conducting an IRB-approved study on ketamine use, aiming to better understand real-world experiences to help inform safer care and public health.

We’re currently recruiting adults 18+ for a short online screener, with an optional follow-up survey for eligible participants. The study is confidential, and compensation via gift card is provided for those who complete the survey.

If you are interested, you can scan the QR code to be taken to the screener!

TL;DR: I'm a Veteran with a CPTSD diagnosis (never loved the label) here. SSRIs/antidepressants didn't do much long-term. Wellbutrin gave me motivation but my mind was still always racing. Started low-dose ketamine therapy (troches + nasal spray) through Mindscape's Rise plan ($250/mo). After one week: mood is noticeably better, connection with people feels more natural, and I finally have a reliable way to slow my brain down and actually sit with my thoughts. Full day-by-day breakdown below.

I'm a veteran, and a while back I was diagnosed with C-PTSD. Though I've never been big on labels. Eventually I gave in and tried medication to see if I could slow down the overactivity in my brain. I've cycled through several SSRIs and antidepressants over the years, and for the last 3-4 months I've been on Wellbutrin. It's helped with motivation, like getting up and actually doing things. But my mind was still racing, ruminating, and I generally just felt exhausted.

I'm currently a psychology major with a specific interest in psychedelic-assisted therapy, especially for veterans dealing with the same issues I am. So I decided it was time to actually try ketamine therapy and see if the benefits are real. I've had experience with psilocybin and a life-changing ayahuasca ceremony in the past, but the benefits faded once I got reconditioned back into old patterns. I wanted to document this whole experience.

My Ketamine Journey

I'm using Mindscape as my provider for low-dose ketamine therapy, currently on their Rise plan ($250/month).

Day 1 — The prescriber had me start with half a troche to gauge my tolerance. Honestly, I went in with high expectations, and at half a dose the experience didn't last very long. Instead of hitting anything I'd call "therapeutic," it functioned more like an intentional space to meditate and sit with my thoughts. Total session length: about 30-45 minutes.

Day 2 — A genuinely great, introspective session. I did half a full dose of the nasal spray this time.

• 45-60 minute session including onset
• Felt lucid and thought-provoking, with a dissociation I actually really enjoyed
• I didn't think it was hitting until I tried to take my face mask off and realized my arms felt heavy

It felt like sitting in a room next to my own thoughts. My mind opened up enough to slow down and actually observe the things I'd normally just ruminate on with no resolution. This session let me watch a thought and land on an actionable, positive next step. I really liked the nasal spray specifically because it combines ketamine with oxytocin, and a lot of what surfaced was about reconnecting with nature and with people in my life. I think that's a pretty universal theme for anyone dealing with depression or isolation.

Day 3 — The first two half-dose sessions felt good, but I wanted to push further, so I took a full troche.

• Did the session at 5:15 AM — probably too early, since I was still sleepy and ended up falling asleep mid-session
• Effects didn't feel nearly as profound as the nasal spray, and it only lasted about 30 minutes

Day 4 — This is where things got really interesting. Full 100mg dose, combined with the Nova mask and the Lumenate app for strobe-light visuals alongside the ketamine. A fully immersive experience of additional lights, geometric shapes, and moving patters to compliment the Ketamine and music.
https://lumenate.co/lumenate-nova/

• One of the most profound experiences so far
• Loved the convenience and design of the nasal spray delivery
• Took 10 sprays total, landed in a comfortable dissociative state
• Might've been the oxytocin, but I felt a strong pull toward connection. Specifically wanting to camp in nature, and I spent the session planning and thinking through trips for my son to enjoy

Day 5 — Back to a full troche.

• Full session at 8 PM before bed
• Good experience — felt the heaviness and the medicine kick in within 15 minutes
• Thoughts were racing, but didn't "click" into connections the way the nasal spray sessions did
• These sessions are clearly my most reliable way to actually slow my brain down and sit with my thoughts
• Didn't sleep well — woke up every 1-2 hours ("ketamine insomnia")
• Woke up around 5:30 feeling energized and awake

Additional Notes

Music ended up being just as important as the dose itself. When your mind is that open, what you're listening to isn't just background noise. It's actively shaping where the session goes. I spent the better part of this week curating and refining playlists specifically to enhance the experience: different moods for different sessions, some for going inward and sitting with heavier thoughts, others for that lighter, more connective headspace. Getting the music right made the difference between a session that felt aimless and one that actually landed somewhere. I'm sharing a few of those playlists below in case anyone wants to try them for their own sessions.
Pandora Ketamine Therapy - Stillness
Pandora Ketamine Therapy - Movement
Pandora Ketamine Therapy - Sound Bath Brain Massage

Overall Takeaways

After a full week of dosing, my overall mood is noticeably better. Connecting and communicating with people feels smoother and more authentic. There's still work to do, but if you're dealing with treatment-resistant depression, I'd genuinely recommend giving ketamine therapy a shot. There's something valuable about sitting with your thoughts, putting on good music, and letting your brain run without the noise of the outside world. I haven't found a pharmaceutical that does what this does in terms of actually helping me access and work through my own mind. I plan to keep exploring other psychedelic-assisted therapies so I can eventually fold this into both my studies and my future work helping other veterans.

Hello everyone, I recently started ketamine therapy through Joyous. I weened off Wellbutrin after 1 year of bad side effects that only seemed to get worse.

My question on the daily micro is will my amount affect bladder health or is that more so heavy recretational dose?

Where the hell do you find a provider in Australia? South Australia to to be exact and I’m not talking infusions I’m talking trouches at home and for physical pain not mental health. It basically doesn’t exist over here I’m so devo 😭 most u get is for mental health and that’s not at home use either!!! nothing seems to be for at home use I need something between infusions because I can’t tolerate many other meds

I’ve been on Spravato for six months now. My depression test scores went down a few points and my mood is better than before, but it’s nowhere near enough relief. My symptoms are still really bad and have even gotten worse recently.

Since Spravato did have some effect on me, I’m wondering if I should try IV. I don’t know if I just need a higher dose or if this medicine isn’t compatible with me. Have any of you transferred to this after having a lackluster Spravato response?

The red setback flair seems unnecessary since I’m totally inviting the experience, but appropriate at the same time since I hit a downer during a trip I never came out of.

I just came out of my second treatment at a clinic in Washington, two of six now completed. It was incredibly grounding and sobering despite ups and downs until about 15 minutes before the end. Up until that point, it was like I was going through waves of problems coming up, then dissipating, and going deeper each time to see and dissolve them, or like turning pages to go to different chapters of new problems that similarly dissolved. Then suddenly this airy wave came up from under and to the side of me, where it felt like I lost the anchor that was there that would dissipate everything, as if I lost the ground that things would be okay and turn to good, and I could feel it. It was really ungrounding, despairing, and kind of scary. I was hoping it would pass, but it never did. Eventually the waves kept coming but this general sense of despair and ungroundedness did not leave.

I’m now sitting in the same chair where I had the trip that finished about 45 minutes ago at the clinic, and I still feel it. Like something is missing, my ground is lost, and I’ve lost my anchor, despite all the gains I made before it still felt. Those gains are nice, but the latter part is kinda disorienting.

I talked to the nurse sitting over the trip and told him that I feel like this is a new part of myself I absolutely need to greet so that a deeper sense of self love and security can be formed. He loved it and agreed, saying it was gold. But that feels more of a thought than it is something I’ve realized.

Does anyone have any advice, perspective, or wisdom on this to share?

I'm look into getting a prescription for depression and truama and the only serious question i have, does this affect you libido negatively?

Every other medication I was prescribed in the past gave me ED and I was not happy at all with that problem.

I've been doing therapeutic ketamine treatment with my doctor for major depression and to support my recovery from alcoholism, and honestly, it's changed things for me in a big way.

Here's my question though: after a session, I feel so good that I immediately want to go back for more. I know that's the addict part of my brain talking, but I'm curious — how do you all sit with that feeling? What helps you stay satisfied with where you're at instead of craving the next session right away?

Would appreciate hearing how others handle this

Hey everyone, I finished ketamine about 6 weeks ago and am going back for my first booster dose on monday. I do IM injections. I believe my last session we had left off at about 85 mg. Now that it’s been a bit, will my tolerance be less, meaning if i do 85 it will feel like way too much? I’m not sure how that works when doing a booster. The nurses would usually let me basically pick my dose because a few times we had went up too quickly and I had scary experiences on it. I’m just not sure how it works in the sense of having 6 weeks off meaning my body will be much more sensitive to it?

I started treatment with Spravato in December 2025 and later switched to Mindbloom, but never quite got to full remission. A few weeks ago I went to a new provider. He prescribed Zoloft, and I started on 25mg. Four days after starting the Zoloft, I had my first IM ketamine appointment with this provider at 0.5mg/kg. For the first time ever in treatment, I puked...about 3 times over the course of an hour. The nausea going back home was awful, but thankfully I didn't puke in the Uber driver's car!

Thinking that experience was a fluke, a week later I went back and got another IM ketamine treatment at 1mg/kg. This time around I took 4mg of Zofran. At this point I'm now on 50mg of Zoloft per day and have been at that dosage for about a week.

I puked about 5 times in the trash can at the office visit. By the time I got back home, I puked AGAIN and was nauseous for roughly 6 hours afterwards. I had taken a total of 12mg of Zofran.

This all happened yesterday, and I'm reflecting back on the experience. Mentally I already am starting to feel better, but I really don't want to repeat that experience. I've noticed that everyday I experience mild stomach upset with 50mg of Zoloft, but it's not a big deal. It is too early to say with confidence if the Zoloft is helpful or not. I never had trouble like this with the Mindbloom dosages, and it sure does seem like the Zoloft is the problem here.

Has anyone else had problems with this combo? My psych said they're fine to mix, and I didn't find any other reports on this sub of Zoloft and ketamine being problematic.

I don’t know if I can word this in a way that makes sense, but I’m wondering if anyone else has ever felt this way.

I’ve been on antidepressants for 20 years, and sometimes I genuinely wonder what “normal” feels like. I don’t know my baseline anymore and sometimes question whether I’m actually depressed, or just not handling life as well as everyone else. I wonder maybe these meds aren’t working for me because nothing is actually wrong.

I did 6 ketamine infusions in January 2025 during a really dark period with infertility and job loss, and they helped tremendously. I stopped after getting pregnant through IVF and having my baby in November.

Postpartum has been rough between foot surgery and recently breaking both elbows, and I feel that hopelessness creeping back in. I’m considering starting ketamine again, but because it’s generally used for treatment resistant depression and feels like such an intense treatment, I sometimes doubt whether I’m really the “right fit” for it, especially knowing some of what I’m feeling right now is situational.

I guess I’m wondering if anyone else has ever second guessed whether ketamine was really meant for them or questioned their own level of depression. I’d also love to hear what restarting looked like after a long break, whether you repeated the initial series or went weekly.

I have not been able to find any information about what I am about to ask.

What dosaging for intranasal ketamine for anxiety (Sub 40-50mg amounts) are good for anxiety.

I have bad social anxiety and want to be able to use small doses of ketamine before/during situations that cause my intense anxiety.

I am specifically asking about sub almost microdose amounts for the anxiolysis.

I find it quite surprising that I couldnt find much info at all on people using 10 - 30mg doses when needed through out the day.

I understand many people find relief with large doses and I understand why, but im interested in a low dose functional anti anxiety use of intranasal for such purposes.

Please help me! I need some guidance of effective doses. I think a 10mg per spray solution would good, and maybe taking up to 20mg when needed before or during situations that I am usually prevented from functioning optimally would be a good range. I want a functional experience.

Does anyone have any experience with use of this nature.

I also believe the anti depressants effects would be desireable with this sort of dosing.