Dive into the profound and complex world of ketamine therapy in this episode of the Talking Ketamine podcast, where we explore "The Paradox of Hope". We unpack a powerful qualitative study, "Lived Futures in Ketamine Therapy: A Qualitative Study of Hope and Temporality in Treatment Resistant Depression" , which gives us a raw, unfiltered look into the lives of individuals battling severe treatment-resistant depression. Discover the deep-seated hopelessness that years of failed treatments can create. You'll hear about the "therapeutic burden" that chips away at a person's spirit, leaving them with an "active, almost protective disbelief" in the possibility of recovery. Then, witness the shocking "temporal rupture" that ketamine's rapid effects create, forcing patients to reconcile a lifetime of futility with immediate, undeniable change. This episode explores how patients navigate the societal stigma of a drug often labeled a "party drug" and how the clinical setting provides a crucial sense of legitimacy and safety. Most importantly, we reveal how ketamine fosters a new, more resilient form of hope—one that is "grounded in real results" and tangible changes. This transformation allows patients to separate their identity from their illness , viewing it as a "brain problem" that can be fixed, rather than a personal failing. Join us as we explore how a medical innovation can fundamentally reshape what it means to heal, offering a truly "tangible, evidence-based possibility for everyone who needs it". APA Citation of Subject Study:Ninnemann, K. M. (2025). Lived futures in ketamine therapy: A qualitative study of hope and temporality in treatment-resistant depression [Doctoral dissertation, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=case1749123703760677