When facing a situation that few have done before, there are usually more questions than answers. Ketamine as a treatment for depression, especially TRD, is still in its infancy. Many trials and errors occur in order to produce the desired results. Here at NeuroMend, we have put in over a thousand hours into the research and development of how we use ketamine as an anti-depressant. While opening our own clinic, we have learned a lot. As always, when undertaking a task that few have attempted, expectation often differs from reality. Listed below are a few of our experiences we would like to share with you.