02/02/2026
Sharing a conversation about KAP in adolescents from the pediatric perspective with an international colleague in the UK one week, while catching up with another colleague in Australia who is working with ket@mine, psil@cabin and MD*A in patients w eating disorders is to recognize the global scope of psychedelic medicines. The roll out is uneven and context dependent and patients are engaging in medical tourism to places outside the US, as well as to states that have legalized pathways (OR, CO, NM) to avail of life saving treatment by the thousands.
As board certified pediatricians we are part of the frontline of care in mental health in adolescents and the AAP recognizes the important role of the pediatric care provider in the detection, diagnosis and treatment of mental health conditions.
The story of how I came to practice ketamine therapy after 25years in pediatrics, and why it necessitated a shift into a fairly nascent field, occurs on the backdrop of a massive decline in the mental health of children and families. It became a moral dilemma for me — knowing there is a cure (not just management, but a cure), and that applying this modality early instead of waiting until treatment resistance has set in, can give back years to a young person’s life, health back to their family system and shift their identity from broken to whole, was one I could not wait on.
No one should have to wait on a solution to make its way through while years of life are being lost to disability and suffering.
This conversation and many more will need to be had in countless ways until we get to a place where the stigma is overcome by the reality: it works.
This is medical neuromodulation that is on par with neurosurgery — pathways are reignited, capabilities are uncovered and the nervous system is regulated to create lasting and remarkable changes to how we function.
The future of this medicine is emerging slowly, but surely, and it’s an honor to represent what best practice looks like for practitioners and parents alike in the adolescent and young adult.