Ketamine-Assisted Therapy vs. Traditional Antidepressants

April 15, 2025
4 min read
Traditional antidepressants have been the go-to for decades, but everyone is fast realizing they don’t work. If symptom management isn’t enough, what does real healing look like? And how does Ketamine-Assisted Therapy offer a different path to recovery?
Traditional antidepressants have been the go-to for decades, but everyone is fast realizing they don’t work. If symptom management isn’t enough, what does real healing look like? And how does Ketamine-Assisted Therapy offer a different path to recovery?

For decades, traditional antidepressants have been the first-line treatment for depression, prescribed by psychiatrists and healthcare providers as the gold standard. But a growing number of people are starting to question them. Despite being widely recommended, these medications often fail to deliver real relief. Some take them for months - sometimes years - without significant improvement. Many feel emotionally numb, disconnected, or trapped by side effects that make life just as unbearable as the condition they were meant to treat.

The reality is, antidepressants weren’t designed to heal the root causes of depression. They attempt to manage symptoms, often with mixed results, and for many, the trade-offs aren’t worth it. If you’ve ever thought, There has to be something better than this, you’re not alone. More people are searching for alternatives - treatments that offer deeper healing rather than just temporary symptom control.

One of those emerging treatments worthy of mention is Ketamine-Assisted Therapy (KAT). Unlike the traditional antidepressants, it doesn’t take weeks or months to start working. It operates on an entirely different mechanism, offering rapid relief for those who have struggled with treatment-resistant depression. But before we explore KAT let’s take a hard look at why the current system is failing so many people.


The Hidden Flaws of Traditional Antidepressants

Most antidepressants (like SSRIs and SNRIs) are based on the chemical imbalance theory: the idea that depression is caused by low serotonin or norepinephrine levels. These drugs work by increasing those neurotransmitters in your brain.

Sounds logical, right? Here’s the problem:

  • Depression isn’t just about serotonin: Research shows that depression is much more complex, involving brain inflammation, stress hormones, and disruptions in neural connectivity, not just low serotonin levels.

  • Antidepressants take weeks to work - if they work at all:  Many people wait 4-6 weeks to see if an SSRI helps, only to find out it doesn’t. Then they have to switch medications and start the process all over again.

  • Emotional numbing is real: Some people on antidepressants say they don’t feel sad - but they also don’t feel happy. Their emotions become blunted, making life feel dull and robotic.

  • Side effects can be worse than the depression itself: Weight gain, fatigue, sexual dysfunction, and withdrawal symptoms make it hard for many to stick with these medications.

In short, antidepressants operate on a decades-old theory that doesn’t fully explain what’s happening in the depressed brain. But what if there was a treatment that worked differently, one that didn’t just boost serotonin but actually rewired the brain?

Why Ketamine-Assisted Therapy Is Different for Depression

Ketamine works in a way that no traditional antidepressant does. Instead of targeting serotonin, it acts on glutamate, the brain’s most abundant neurotransmitter.

Why does this matter?

1. It Repairs the Brain - Fast

Depression physically changes the brain, causing neurons to shrink and connections to weaken. Ketamine on the other hand triggers the growth of new synapses - essentially “rebuilding” broken pathways in your brain. This process, called synaptogenesis, is why many people feel better within hours or days instead of weeks.

2. It Helps the Brain Process Trauma

Unlike SSRIs, which just mask symptoms, ketamine enhances neuroplasticity - the brain’s ability to change and adapt. This means it doesn’t just dull negative feelings, it actually helps people process past traumas in a healthier way.

3. It Works for People Who’ve Tried Everything Else

For those with treatment-resistant depression (people who’ve tried multiple medications with no success), ketamine therapy offers a new hope. Studies show that 50% to 70% of these individuals experience relief with ketamine therapy. Personally, Enthea has seen a 67% improvement with major depressive disorder conditions. 

4. It’s NOT a Daily Pill

Traditional antidepressants require daily use, and missing doses can lead to withdrawal. Ketamine, however, is administered in controlled sessions (very low doses) - typically once a week or less - so there’s no need for daily medication.

What About Safety?

Understandably, many people worry about ketamine’s safety, especially since it was originally used as an anesthetic but here’s what’s important to know:

  • It’s administered under medical supervision. Unlike recreational use, KAT is done in controlled, professional settings where doses are carefully measured.

  • FDA approval is already happening. Esketamine (a nasal spray version of ketamine) has been FDA-approved for treatment-resistant depression, signaling confidence in its safety and efficacy.

  • It’s not a forever treatment. Many people only need a few sessions to experience lasting benefits, unlike traditional antidepressants that require indefinite use.

The Bottom Line: Should You Try It?

If you’ve been struggling with depression and traditional antidepressants haven’t worked - or have left you feeling disconnected from life - Ketamine-Assisted Therapy might be worth exploring.

It’s not “just another pill”. It’s a fundamentally different way of treating depression at its core, rather than just patching over symptoms.



If you’re curious about Ketamine-Assisted Therapy and whether it could be the right solution for you, Enthea is here to help. Our team of compassionate professionals are dedicated to providing safe, effective, and personalized care to those seeking innovative mental health treatments.

Reach out to us today to learn more about KAT, we’re here to support you every step of the way.

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