Ketamine has a long history of safe use in both anesthesia and psychiatry. When used responsibly in a medical setting—at low doses and under supervision—it does not cause physical dependence or cravings like opioids or stimulants do.

That said, ketamine can be misused in recreational settings, especially at high doses or frequent use without structure. Some individuals may chase the dissociative effects or emotional relief it provides, leading to psychological over-reliance.

In a professional therapeutic context, these risks are carefully managed. Sessions are spaced appropriately, doses are controlled, and support is offered throughout the experience. The goal is healing—not escape.

The key to avoiding misuse is intention, supervision, and integration. Used this way, ketamine is not only non-addictive—it can actually help reduce patterns of emotional or behavioral dependence by helping people reconnect with their emotions and values.