In this episode of Ketamine Connections, I did something a little sneaky — I called ketamine clinics across the country as a “secret shopper.”

Not as your ketamine coach. Not as someone who has worked in preparation and integration for years. Just as a curious first-time patient asking simple questions:

What do you offer for preparation?
 What support exists for integration?

What I found was a mixed bag.

Nearly every clinic immediately discussed medical clearance, fasting instructions, medication review, and transportation logistics. All of that matters. Safety is essential. But when I asked about mental and emotional preparation — things like intention setting, nervous system regulation, or how to navigate fear — the answers were inconsistent.

Some clinics are beginning to offer intention-setting guides or pre-session conversations. Others confuse preparation with therapist-guided sessions or focus solely on the medical model. The field is evolving, but education around working with ketamine — not just administering it — is still catching up.

Integration followed a similar pattern. Many clinics collaborate with therapists or recommend sessions within 24–72 hours of infusion. That’s progress. But integration is often labeled as optional or supplementary. And if someone doesn’t know they need integration support, will they seek it out?

Probably not.

Ketamine opens a neuroplastic window. Preparation sets the tone. Integration determines whether insights become lasting change.

In this episode, I break down what proper preparation really means, why integration is the difference between “something I tried” and “something that changed my life,” and the exact questions you deserve to ask a ketamine clinic before starting treatment.

This isn’t about shaming providers. It’s about elevating the field — and empowering you to advocate for your healing.

Ketamine opens the door.
You’re the one who walks through it.

Resources Mentioned

Ketamine Starter Portal
👉 www.yourketaminecoach.com/free

Episode 28: Should You Journey Solo or With a Sitter?
A full breakdown of whether you need a trip sitter or therapist-guided session, plus a companion quiz inside the Starter Portal.

Ketamine Preparation Protocol (KPP)

👉 www.annakrishtal.com/kpp

 A comprehensive preparation program designed to help you:

• Understand how ketamine works on the brain
• Learn how the subconscious mind operates
• Set powerful, effective intentions
• Regulate your nervous system before sessions
• Navigate difficult emotions if they arise
• Make the most of the neuroplastic window afterward