Ketamine-assisted psychotherapy (KAP) can support individuals struggling with depression, anxiety, PTSD, trauma-related symptoms, and mood disorders that have not fully responded to traditional treatments. It may also be helpful for people experiencing existential distress or rigid emotional patterns. KAP is a therapeutic tool that can increase psychological flexibility and insight, allowing for new ways of relating to emotions, experiences, and long-standing patterns.

Ketamine has a long history of medical use and is considered safe when administered in a controlled, clinical setting with proper screening and monitoring. Prior to treatment, clients undergo a thorough medical and psychological evaluation to assess risk factors and contraindications, and dosing is carefully managed by a licensed prescriber. Ketamine is an anesthetic that has a calming effect on the nervous system, which can reduce defensive responses and create greater capacity for emotional processing. This temporary shift can allow individuals to access and work through traumatic material that may feel blocked or overwhelming in ordinary waking consciousness. Side effects are typically short-lived and discussed in advance, and safety remains a central focus throughout the entire process.

Some clients experience a mild to moderate dissociative state, which can feel like increased distance from everyday thoughts or sensations. Most people remain aware, able to communicate, and oriented throughout the session. The intention of this work is to create what is known as a psycholytic effect, which is achieved through lower doses of medicine so the experience remains therapeutic and relational. This allows clients to stay present, talk through the session, and work actively with the therapist. Higher doses, which are more commonly associated with IV ketamine treatments, often produce deeper dissociation and typically do not include therapeutic support; in KAP, the goal is safety, collaboration, and meaningful psychological work—not loss of control.

The number of sessions varies depending on individual needs, goals, and responses to treatment. Some clients benefit from a short series of sessions, while others engage in longer-term work. KAP is often structured around preparation, medicine sessions, and integration therapy. Progress is reviewed regularly to guide next steps. There is no predetermined “one-size-fits-all” timeline.

Yes, ongoing psychotherapy is a core component of ketamine-assisted psychotherapy. The medicine alone is not the treatment—the therapeutic relationship and integration work are essential. Therapy helps prepare for the experience and make meaning of what emerges afterward. Clients may work with a therapist within our practice or an outside provider. Coordination of care is prioritized.

KAP is not appropriate for everyone, and that determination is made thoughtfully and collaboratively. If ketamine is not a good fit, we will discuss alternative treatment options and referrals. Declining or discontinuing KAP does not mean you have failed or run out of options—many paths to healing exist. This is also why we do not require monthly packages or bundled treatment plans; we believe clients should have flexibility and autonomy in shaping their care. Our goal is to support your wellbeing in the safest, most ethical, and most effective way.