Online ketamine-assisted therapy usually begins with an intake or consultation. The provider may ask about your symptoms, previous treatment, current medications, medical history, mental health history, support system, and what you hope to change. This step helps determine whether ketamine-assisted therapy may be appropriate or whether another type of care would be safer or more useful.
If ketamine-assisted therapy is a possible fit, the provider should explain the treatment model clearly. This may include who prescribes or oversees the medication, whether sessions are fully online or coordinated with another clinician, how preparation works, what monitoring is required, what to expect before and after dosing, and how integration sessions are scheduled.
Preparation sessions may help you clarify goals, discuss safety expectations, plan for support before and after treatment, and understand what kinds of emotional or physical effects may occur. If at-home ketamine treatment is part of the care model, your provider should give specific instructions for setting, timing, supervision or support-person expectations, medication storage, emergency planning, and when to seek medical help.
Integration sessions usually happen after ketamine treatment. These sessions help you process the experience, identify meaningful themes, return to your goals, and connect what happened during treatment to practical changes in daily life. Integration can be especially important for people working through depression, trauma, anxiety, grief, shame, relationship patterns, or long-standing emotional habits.
Ongoing care should include follow-up, symptom tracking, safety check-ins, and a plan for what to do if the treatment is not helping or if side effects occur. Ketamine-assisted therapy should not feel rushed, vague, or disconnected from your broader mental health care.