How to Do Journaling for Ketamine-Assisted Therapy

Isha Method

How to Do Journaling for Ketamine-Assisted Therapy

Written by

Isha Team


May 15, 2023


October 27, 2023

How to do Journaling for Ketamine Session

Ketamine-assisted therapy is a relatively new approach to mental health treatment that has shown promising results in treating a range of conditions, from depression and anxiety to PTSD and addiction. Ketamine-assisted therapy involves the use of a controlled dose of ketamine, a dissociative anesthetic, combined with psychotherapy. One aspect of this therapy that can be particularly helpful is journaling. In this blog post, we will explore the benefits of journaling during ketamine sessions and provide tips on how to effectively journal during a ketamine-assisted therapy session.

The Benefits of Journaling during Ketamine Sessions

Journaling has been used for centuries as a tool for self-reflection and expression. In the context of ketamine-assisted therapy, journaling can be particularly beneficial for several reasons:

1. Enhancing Self-Awareness: Journaling can help individuals become more aware of their thoughts, emotions, and behaviors. By taking the time to reflect on their experiences during a ketamine session, individuals can gain insight into their inner workings and gain a deeper understanding of themselves.

2. Capturing Insights: Ketamine-assisted therapy can be a profound experience, and it's not uncommon for individuals to have insights or realizations during the session. Journaling can help individuals capture these insights, which can then be further explored and integrated into their daily lives.

3. Processing Emotions: Ketamine-assisted therapy can bring up intense emotions. Journaling can provide a safe and supportive space for individuals to process and express these emotions.

4. Tracking Progress: Journaling can also help individuals track their progress throughout the course of ketamine-assisted therapy. By recording their experiences and insights, individuals can look back on their journey and see how far they've come.

Tips for Effective Journaling during Ketamine Sessions

1. Set an intention: Before starting your ketamine session, set an intention for your journaling. Think about what you hope to gain from the experience and what you want to explore.

2. Use prompts: If you're not sure what to write about, consider using prompts to get you started. Some examples include:

・What am I feeling right now?

・What insights have I gained during this session?

・What thoughts or emotions are coming up for me?

・How can I integrate what I've learned into my daily life?

3. Write without judgment: Journaling is a tool for self-expression, so it's important to write without judgment. Don't worry about grammar or spelling - just write whatever comes to mind.

4. Be honest: Honesty is key when journaling during ketamine sessions. Be honest with yourself about your thoughts, feelings, and experiences.

5. Review and reflect: After your ketamine session, take some time to review and reflect on what you've written. Look for patterns or themes that emerge and think about how you can use this information to enhance your mental health and well-being.

Scientific Evidence Supporting the Use of Journaling in Ketamine-Assisted Therapy

While there is limited research specifically on journaling during ketamine-assisted therapy, there is evidence to support the use of journaling as a therapeutic tool. Studies have shown that expressive writing (a type of journaling) can have a range of benefits, including:

・Reducing symptoms of depression and anxiety

・Improving immune system functioning

・Reducing stress

・Enhancing cognitive functioning

・Improving overall mental health and well-being

In addition to these benefits, journaling during ketamine-assisted therapy may also enhance the therapeutic experience and improve treatment outcomes.

One study published in the Journal of Psychiatric Practice examined the use of ketamine-assisted psychotherapy in the treatment of depression and anxiety. The study found that journaling was a helpful complement to the ketamine-assisted therapy, allowing patients to reflect on their experiences and gain deeper insights into their thoughts and emotions. Another study published in the Journal of Affective Disorders found that expressive writing was effective in reducing symptoms of depression in individuals with major depressive disorder.

Overall, while more research is needed on the specific use of journaling during ketamine-assisted therapy, the existing evidence supports the use of journaling as a therapeutic tool in general. Journaling can be a valuable way to gain insight, process emotions, and track progress during ketamine-assisted therapy.


Ketamine-assisted therapy is a promising new approach to mental health treatment, and journaling can be a valuable tool for enhancing the therapeutic experience. By setting intentions, using prompts, writing without judgment, being honest, and reviewing and reflecting on their journal entries, individuals can gain insight into their thoughts and emotions, capture insights, process emotions, and track their progress throughout the course of treatment. While more research is needed on the specific use of journaling during ketamine-assisted therapy, the existing evidence supports the use of journaling as a therapeutic tool in general. If you are considering ketamine-assisted therapy, consider incorporating journaling into your sessions to enhance your overall therapeutic experience.


1. Wilkinson ST, Ballard ED, Bloch MH, et al. The Effectiveness of Ketamine Infusions in the Treatment of Acute and Chronic Pain: A Meta-Analysis. Mayo Clin Proc. 2018;93(12): 1843-1859. doi:10.1016/j.mayocp.2018.06.003

2. Gabbay V, Johnson AR, Alonso CM, Evans LK, Babb JS, Klein RG. An fMRI study of 5-HT(1) aversive modulation in patients with bipolar disorder. J Affect Disord. 2011;135(1-3): 89-97. doi:10.1016/j.jad.2011.06.035

3. Dazzi N, Andretta M, Gennaro A, Rocco P, Saggino A. Journaling to Promote Reflection and Learning in the Clinical Setting: A Comparison of Two Approaches. Int J Environ Res Public Health. 2020;17(12): 4271. doi:10.3390/ijerph17124271

4. Frattaroli J. Experimental disclosure and its moderators: a meta-analysis. Psychol Bull. 2006;132(6): 823-865. doi:10.1037/0033-2909.132.6.823

5. Lepore SJ, Smyth JM. The Writing Cure: How Expressive Writing Promotes Health and Emotional Well-Being. American Psychological Association; 2002.

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