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How Ketamine is Changing Depression Treatment – Dr. John Krystal Explains

May 11, 2025
Dr. John Krystal, a leading psychiatrist and neuroscientist, shares his groundbreaking insights into ketamine as a treatment for depression. He describes how ketamine activates brain networks, offering rapid relief compared to traditional antidepressants. The discussion includes his journey through addiction and mental health, revealing the biological roots of these issues. Krystal also addresses concerns about ketamine's potential for abuse, advocating for its transformative benefits, especially for those with treatment-resistant depression.
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ANECDOTE

John Krystal's Early Passion

  • John Krystal's college work in methadone clinics fueled his passion for addiction and brain science.
  • Seeing friends struggle with addiction made him focus on brain molecular mechanisms of complex problems.
INSIGHT

Ketamine's Unique Brain Action

  • Ketamine targets the cerebral cortex differently than traditional schizophrenia drugs.
  • It helps restore communication in brain circuits linked to mood and cognition, benefiting depression treatment.
ANECDOTE

Rapid Ketamine Effect Surprise

  • A single ketamine dose improved depression in people ill for years, some feeling better by the next day.
  • This rapid effect was shocking because no other treatment worked so fast for long-term depression.
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