For clinicians practicing ketamine-assisted psychotherapy, choosing between psychedelic and psycholytic dosing can be challenging. The decision goes beyond intensity and involves intention, safety, and therapeutic pacing. This article briefly explains how psychedelic and psycholytic dosing differ and how each approach may support patient care. Psychedelic dosing uses higher ketamine doses to create profound shifts in awareness, often leading to visuals, ego softening, and deep insight. These immersive experiences can help disrupt rigid thought patterns in conditions like PTSD or depression and typically involve minimal verbal interaction during the session.