For my internal medicine rotation, I wrote a paper on NMDA receptor antagonism in the treatment of chronic pain. It seems that these drugs are a sort of 'reset button' on neural memory; tolerance to drugs, chronic pain, and negative thought loops are all forms of reinforced neural pathways. The reinforcement comes from the neurons inserting more NMDA receptors (actually ion channels) in the cell membrane, so that they can depolarize and fire more easily. Jamming these ion channels brings the cells back to their original firing threshold.
I think the clinical use of DXM and ketamine (to say nothing of any PCP analogs!) will always be controversial, because people not ready for an all-out mystical experience (that's most people), tend to find them highly frightening in psychoactive doses. Memantine, however, is a gem -- it's highly specific to the NMDA receptor, unlike the others just mentioned. I think it has great potential for treating a number of psychiatric and psychosomatic illnesses which are a result of reinforcing the wrong neural pathways over time.
I love theanine, too. 200mg of that, and I feel like a million dollars. I'd recommend anyone with minor depression, anxiety, or anger management issues start taking it.