Using Ketamine as a surgical anaesthetic and giving it to outpatients to self administer nasally are two completely different use cases with different risk prof

Using Ketamine as a surgical anaesthetic and giving it to outpatients to self administer nasally are two completely different use cases with different risk profiles. The risk of abuse and addiction from using ketamine in a surgical setting is incredibly low. That's not necessarily the case (in fact, it definitely isn't) for nasal spray given as a treatment for depression. Same drug, but completely different use case. It's very well known that it's a physically safe drug, but there is a definite risk of abuse and addiction, as evidenced by the number of people I know with ketamine abuse problems. It's not a drug that should just be given out willy nilly to everyone with depression, in fact a lot of people I know who have problems with ketamine abuse are clinically depressed or have other mental health issues.