Feeling Good vs. Feeling “High”: Making Sense of Post-Ketamine Uplift

Many patients describe feeling unusually well during and immediately after ketamine therapy or esketamine (Spravato) — clearer, lighter, more open. That uplift can be therapeutic, time-limited, and safe in a supervised Spravato clinic. Naming it well matters. What follows is language you can use with yourself and with loved ones, plus how clinicians work with this window to support ketamine for depression.

Talking about Ketamine Therapy without stigma 

Relief, euphoria, and why words matter

There’s a difference between relief (symptoms ease; life feels workable) and euphoria (a brief, elevated mood). After ketamine treatment, some people feel relief, some feel a calm buoyancy, and some feel simply “more themselves.” Using neutral language — “I felt lighter,” “my thoughts loosened,” “colors looked brighter” — honors your experience without implying recreational use. Clinicians at Lumin Health often frame this uplift as a therapeutic reprieve that can reduce hopelessness and support engagement in care.

Talking with loved ones about the experience

If family or friends worry you felt “high,” you might say: “This didn’t fix everything, but for a few hours I felt less stuck — like my brain had more room.” Emphasize the clinical setting (monitoring, vital-sign checks, observation time) and that effects typically resolve the same day. If helpful, invite a loved one to read about what sessions feel like and why dissociation can be part of therapeutic work.

What clinicians see in practice

Time-limited uplift as a therapeutic reprieve

In clinical practice, it’s common to see a short window — often within hours to a few days after dosing — when mood feels lighter and effort feels more possible. Not everyone experiences this, and intensity varies, but when it appears, teams use it to practice next steps while motivation is accessible. This uplift is expected to fade; the goal is to turn it into traction, not to chase it.

Using uplift to practice healthier patterns

During this window, simple, repeatable actions (sleep cues, regular meals, a brief walk, a small outreach to a friend) help new pathways “take.” Many patients and therapists pick one behavior to rehearse in the 24–72 hours after ketamine treatment or Spravato treatment, when the brain’s learning systems may be more receptive. This isn’t about intensity; it’s about consistency. See Neuroplasticity Window for why small steps matter.

When “good” feels confusing

Curiosity over certainty

Feeling better — especially after long depression — can be disorienting. Curiosity helps: What feels different? What felt possible today that didn’t last week? It’s okay if answers are subtle. Clinicians normalize that perception shifts (including feeling “spacious” or noticing colors more vividly) can accompany symptom relief and don’t require grand explanations.

Bringing questions to psychotherapy

Bring two or three observations to your next session: “My inner critic was quieter,” or “I started tasks more easily.” Together you can turn these into small, trackable goals for the coming week. Psychotherapy during this period can translate uplift into lived routines — one of the ways ketamine therapy moves from a brief lift toward steadier change. See Therapy + Ketamine for ideas on timing and focus.

Please note that we may refer to ketamine, esketamine, and Spravato relatively interchangeably. This is due to the inherent similarities in chemical makeup between ketamine and esketamine, and their similar effects on mental health conditions. In the event that this creates confusion, don't hesitate to reach out to Lumin Health staff to ask any questions about treatment at hello@lumin.health or by scheduling a free consultation.