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Because the treatment has a different effect. I will My Retirement Vehicule Lawn Mower Vintage Thirts I haven’t done as much research into ketamine treatment, so please correct me if I’m wrong. But my understanding is that ketamine acts more by directly suppressing the negative feelings, whereas psilocybin forces you to confront and work through those issues in a much more subjective way. To the extent that, after the drug has worn off, the experience can permanently alter your way of thinking in a way that allows you to heal. Whereas with ketamine, the drug itself IS the treatment.