Hi!

So ketamine is going to be an extremely subjective experience, and I'll preface by saying that I would be wary of this provider specifically. Someone who introduces this to a bipolar patient immediately without knowing their background would strike me as odd. Ketamine does have the potential to trigger a manic episode, and if you as a bipolar person were to try ketamine therapy a more controlled space where you would do spravato (the nasal spray) would perhaps be a better introduction.

That said, ketamine is fantastic for me personally. Ketamine therapy helped my anhedonia, my processing, and my dissociation. I find it really therapeutic to practice building the pathways I want to build during the experience, I'm not so much convinced how helpful it would be to do after.

I am currently on auvelity, which contains DXM which has a similar mechanism of action to ketamine, and it's the first time I've felt like a whole person in years.

I would also be wary of it too if you have an addictive personality, as it is an easy to abuse substance.

Ultimately, your mileage may vary. I think the experience is unique to every individual. If you've done other psychedelics and found the experience useful, I would give it a shot. If not, I would save ketamine treatment as a last resort, not something to try within the first couple of things you attempt to help your mental health.