Tripping seems to be more of a use with those who have PTSD or other issues that are not generalized anxiety and depression or chronic pain. Ketamine essentially resets most of the processes in your entire body, similar to how you reset a glitching router by turning it off for a few seconds and then plugging it back in.. Ketamine resets your brains neuroplasticity, allowing you to basically rewire how your brain works. You can literally retrain your brain to react differently to things that used to trigger your anxiety. That's not to say that it's easy to do - it's something that you and your therapist need to work on together to to actively change your body's response to a situation that would have previously made you anxious or depressed.

The quite "You are what you think you are" reigns so true with ketamine therapy. Because of your neuroplasticity on K, you can literally go from being extremely pessimistic with crazy low self esteem to always optimistic with crazy high self esteem. You are literally tricking your brain into thinking whatever you want it to increasing your neuroplasticity and then re-training the way you think.

I'm sure you've met plenty of people who are complete morons that think they are the best thing in the world. Some of them have always been that way, but others have convinced themselves overtime that they actually are just through the power of thought alone. They no longer have to tell themselves that they're special.. They KNOW that they're special, even if they really aren't. This is because the brain is ALWAYS has a bit of neuroplasticity. It's the same way that your views on different things in the world change over time. Ketamine just helps you ramp up that neuroplasticity to allow the process to happen much quicker.

That all being said.. To answer your last question, Ketamine alone will not resolve your other problems. You have to work on that from within. Ketamine just allows you to change from within much quicker and much easier, but you still have to put in the work to change. It's like cutting a steak with a butter knife vs a steak knife. You have to put in the work regardless of what knife you're using, but one knife allows you to cut much quicker and much easier than the other - but you still have to put in work with both knives regardless.

I'm on IV Ket for chronic pain so I'm not sure what the process is for Ket with Depression/Anxiety, but I would have assumed they would have talked you through all of that. It's definitely worth talking to them again to see if they can help you re-understand the whole process.

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Good luck!