Ketamine Assisted
Psychotherapy

 

What is Ketamine Assisted Psychotherapy (KAP)?

Research over the last 15 years has shown promising results in treating anxiety, OCD, PTSD and trauma with Ketamine. During a supervised ketamine session, a trained and skilled psychotherapist will help you understand and integrate the insight and wisdom that may emerge for you. 

Ketamine is a synthetic pharmaceutical drug that is approved by the FDA for use as an anesthetic for medical and surgical purposes. The dosage of ketamine used with psychotherapy is much lower than the anaesthetic dosage. The dissociative and mild psychedelic properties make it easier to move beyond our ordinary consciousness and habitual ways of thinking, and become receptive to new ways of examining the impact of our life experiences and how they shape our sense of self.  

During a Ketamine session, you will focus on an intention for the journey, and allow the medicine to open your mind and body to new ideas, memories, sensations, and experiences.

How do I start with Ketamine Assisted Psychotherapy?

Preparation phase: For new clients, we begin with 3-5 (or more) 50-minute introduction appointments to determine if we are a good fit to work together, and if KAP is the right treatment for you. Then you will be connected to my referring psychiatrist, Robert Voloshin, DO, for a medical and psychiatric evaluation to determine if ketamine is safe for you. (Ketamine can only be prescribed by a doctor and dispensed by a pharmacy and must be self-administered. The supervising psychotherapist does not provide ketamine, nor administer it.)

If you are determined to be a good candidate after a medical evaluation, you will be given a prescription for ketamine. After you are able to obtain the medicine, we will have 1-2 more appointments to clarify your intention and prepare you for the KAP session.

KAP session: Ketamine sessions are scheduled for a 3-hour time block. We open with your intention and then you take the prescription which you have brought to my office. The bulk of the medicine lasts about 1.5 to 2 hours in your system. During that time I will guide and support you, playing a customized playlist of music and taking detailed notes of your experience. (The notes and playlist will be emailed to you for personal review and reflection.)

The first part of the session is time for you to have your unique and personal experience. The second part of the session, you will have time to talk about what arose for you from the journey, and begin the integration phase.

Integration phase: The day after your KAP session I will check in with you briefly by phone or text. Within a few days, we will meet for another 50-minute session to integrate your experience. Standard practice is to schedule 2-3 integration sessions to fully explore the experience. 

Integration is as unique as you and your life experience. Depending on what feels like the right direction to take, integration may be assisted with talk therapy, making art, journaling, movement and dance, bodywork, and meditation. The purpose of integration is to explore the insights and intentions from your experience and bring them into your daily life to allow for new ways of being, feeling, moving, and thinking. 

 

The medicine opens the door,
but you are responsible for walking through.

 

If you’re curious about this work & want to schedule a consultation call,
please contact Nick here.

 

Psychedelic Integration
Counseling & Coaching

For folks who have worked with other practitioners or medicines, and are looking for additional support around the integration process, I offer adjunct integration counseling  and coaching.

With the burgeoning use of psychedelic substances and other practices of altered states of consciousness, having the right support to process and integrate these experiences is needed more than ever.

 

What is integration & why is it important?

Simply put, integration starts when the experience/trip/journey/altered state ends. As soon as you start to remember and reflect upon what happened, your mind is starting to integrate and make sense of the experience.

Working with altered states in this way can bring up different experiences: joy, bliss, ecstasy, fear, anxiety, grief, confusion, numbness, disorientation. All of these are valid and important to review and consider what it means for you now and moving forward. 

These journeys into altered states of mind can bring you new insights and inspirations, encouraging changes in your life. They can also stir up memories and feelings for days or weeks after the journey has ended.

Having the right support of someone with experience and knowledge in these realms to assist you to unpack and digest the information will allow you to get the most from your experience.

Some areas of focus for this work:

  • Preparing mentally, emotionally, physically & spiritually
  • Intention setting & clarification of goals
  • Harm reduction
  • Post care & integration
  • Longer term integration

 

If you’re curious about this work & want to schedule a consultation call,
please contact Nick here.

 

 

Nick’s training & experience specific to psychedelic therapy & integration

 

*Please note: I only work with medicine that is legal for clinical use in California.

 


 

Resources – research, journals & articles:

 

 

Videos