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K-Hole

Risks

Slang for the state of profound, near-catatonic dissociation a large dose of ketamine can produce — "awake but disconnected," per one addiction specialist, for up to 45 minutes.

Example: It's also the title of a 2026 BBC documentary, "Stacey Dooley: Down the K Hole," which followed patients being treated for the bladder damage that repeated, high-dose use can cause — up to ten times the clinical dose used in Spravato-style depression treatment.

What is a K-hole?

Slang for the state of profound, near-catatonic dissociation a large dose of ketamine can produce — "awake but disconnected," per one addiction specialist, lasting up to 45 minutes.

What dose of ketamine causes a K-hole?

Recreational users have reported doses up to ten times higher than the clinical range used in Spravato-style depression treatment — the same high-dose pattern linked to the bladder damage covered below.

Is going into a K-hole dangerous?

It's associated with the high, repeated recreational dosing that a 2026 BBC documentary followed into a bladder ward — the risk comes from dose and frequency, not from a single clinical-range treatment session.