This article follows the author’s experience with ketamine-assisted psychotherapy at Field Trip Los Angeles and compares it with a prior ketamine treatment program at Ketamine Healing Clinic of Los Angeles. It focuses on how ketamine sessions were structured, how therapy was integrated, and what kinds of issues came up during treatment. The piece describes ketamine being used to address anxiety, depression, body image concerns, and lingering symptoms of chronic Lyme disease, including fatigue, irritability, and insomnia. It also notes the practical difference between clinic models: one with psychotherapy support during and after ketamine sessions, and another with briefer check-ins and more of the integration happening independently. The article is most relevant for readers considering ketamine-assisted psychotherapy, as well as anyone interested in how psychedelic therapy may be structured in practice. It gives a straightforward, first-person view of the potential benefits and limitations of combining ketamine with psychotherapy.