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In this segment of the YouTube video, Dr. David Perlmutter argues that while ketamine can be a transformative treatment for depression, the current clinical model treats it too reductionistically—as a simple IV procedure that does not require therapeutic accompaniment. He highlights that many clinics administer ketamine in group settings with minimal oversight, often relying only on a circulating nurse. Perlmutter stresses that ketamine, like other psychedelics, acts as a nonspecific amplifier of consciousness and can provoke intense, frightening experiences if patients lack proper support. The speaker calls for a more integrated approach that includes therapists or sitters to ensure safety and therapeutic integration during ketamine sessions.

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