Cops on Ketamine? Largely Unregulated Mental Health Treatment Faces Hurdles

Ketamine-assisted psychotherapy is gaining traction among first responders in North Carolina as a potential treatment for severe depression and trauma-related symptoms like PTSD. The story follows Waynesville Police Sgt. Paige Shell, who began ketamine therapy after years in law enforcement contributed to poor sleep, depression, and suicidal thoughts. After a course of sessions, she reports improvements like better sleep, fewer severe days, and easier stress management, though it has not been a sudden cure. The article emphasizes that evidence for efficacy and safety is still developing, while access and quality vary widely. It highlights regulatory gaps, with inconsistent state oversight and federal rules that do not clearly set dosing, administration, safety protocols, or provider training. It also notes concerns about side effects and psychological vulnerability, plus barriers such as stigma within police culture and high out-of-pocket costs.