How Much Should Americans Worry About Elon Musk's Ketamine Use? (Shayla Love, The Atlantic) [View all]

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https://www.theatlantic.com/health/archive/2025/03/ketamine-effects-elon-musk/681911/

How Much Should Americans Worry About Elon Musk’s Ketamine Use?
Excessive use of the drug can make anyone feel like they rule the world.

By Shayla Love
March 5, 2025, 12:53 PM ET


Last month, during Elon Musk’s appearance at the Conservative Political Action Conference, as he hoisted a chain saw in the air, stumbled over some of his words, and questioned whether there was really gold stored in Fort Knox, people on his social-media platform, X, started posting about ketamine.

Musk has said he uses ketamine regularly, so for the past couple of years, public speculation has persisted about how much he takes, whether he’s currently high, or how it might affect his behavior. Last year, Musk told CNN’s Don Lemon that he has a ketamine prescription and uses the drug roughly every other week to help with depression symptoms. When Lemon asked if Musk ever abused ketamine, Musk replied, “I don’t think so. If you use too much ketamine you can't really get work done,” then said that investors in his companies should want him to keep up his drug regimen. Not everyone is convinced. The Wall Street Journal has reported that Musk also takes the drug recreationally, and in 2023, Ronan Farrow reported in The New Yorker that Musk’s “associates” worried that ketamine, “alongside his isolation and his increasingly embattled relationship with the press, might contribute to his tendency to make chaotic and impulsive statements and decisions.” (Musk did not respond to my requests for comment. In a post on X responding to The New Yorker’s story, Musk wrote, “Tragic that Ronan Farrow is a puppet of the establishment and against the people.”)

Ketamine is called a dissociative drug because during a high, which lasts about an hour, people might feel detached from their body, their emotions, or the passage of time. Frequent, heavy recreational use—say, several times a week—has been linked to cognitive effects that last beyond the high, including impaired memory, delusional thinking, superstitious beliefs, and a sense of specialness and importance. You can see why people might wonder about ketamine use from a man who is trying to usher in multi-planetary human life, who has barged into global politics and is attempting to reengineer the U.S. government. With Musk’s new political power, his cognitive and psychological health is of concern not only to shareholders of his companies’ stocks but to all Americans. His late-night posts on X, mass emails to federal employees, and non sequiturs uttered on television have prompted even more questions about his drug use.

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Research has not yet established the side effects of long-term ketamine therapy, but older studies of recreational users offer some insight on heavy, extended dosing. Celia Morgan, now a psychopharmacology professor at the University of Exeter, in England, led a 2010 study that followed 120 recreational ketamine users for a year. Even infrequent users—those who used, on average, roughly three times a month—scored higher on a delusional-thought scale than ex-ketamine users, people who took other drugs, and people who didn’t use drugs at all. Those who averaged 20 uses a month scored even higher. People believed that they were the sole recipients of secret messages, or that society and people around them were especially attuned to them. The psychological profile of a frequent ketamine user, Morgan and her team concluded, was someone who had “profound” impairments in short- and long-term memory and was “distinctly dissociated in their day-to-day existence.” Morgan's study was not designed to determine whether people who are more likely to be delusional are also more likely to recreationally use ketamine, but Morgan told me that stopping the drug, in most cases, will dramatically reduce these side effects.

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