The Journey to Healing the Mind, Body, and Spirit
What is Ketamine Assisted Psychotherapy?
Ketamine-assisted psychotherapy (KAP) is an innovative therapeutic approach that combines the use of the medication ketamine with traditional psychotherapy techniques in a safe and supportive setting. Ketamine is a dissociative anesthetic that has been used for decades in medical settings for adults and children for pain relief and anesthesia. The World Health Organization (WHO) has listed Ketamine as an Essential Medicine since 1985 and it has been approved for use by the FDA since 1970. It is known to be the most widely used anesthetic in the world. In the last decade, research has shown that Ketamine has major therapeutic benefits for treatment resistant depression and other mental health conditions such as post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD), and substance dependency.
At Del Ray Psych, KAP is conducted with the participation of a medical provider who prescribes a low to moderate dose of ketamine in the form of a lozenge. This dose induces a relaxed state with some mild to moderate dissociative effects. A trained therapist facilitates the experience in a supportive and therapeutic environment that is accompanied with soft music and an eye mask to keep the surrounding environment as relaxed as possible. The client is typically conscious and able to interact with the therapist throughout the session. During the ketamine session, the patient is guided through a therapeutic process, which may include various psychotherapeutic techniques such as talk therapy, mindfulness exercises, or trauma-focused therapy. The combination of ketamine and psychotherapy provide the optimal environment to address a clients defenses, rewire neural pathways, and access deep feelings that may otherwise be blocked or difficult to access.
Ketamine enhances the healing in the brain by modulating certain brain chemicals, particularly glutamate, which plays a role in mood regulation and cognition. Research has shown that ketamine induces fast-acting antidepressant effects. Ketamine induces not only functional changes in the brain but also structural changes as evidenced by producing new neuronal connections and neuroplasticity. This allows the brain to “rewire” and can have a rapid and profound effect on a person's perceptions, thoughts, emotions, and behaviors. By combining ketamine administration with psychotherapy, we are able to make both treatments more effective. While ketamine helps with neuroplasticity, psychotherapy helps with addressing underlying emotional or mental blocks that can be an obstacle to deeper healing. KAP allows emotional blocks and defenses to soften allowing a person to address uncomfortable feelings and memories, potentially shortening the amount of time needed in therapy.
Questions?
Do you have questions about Ketamine-Assisted Psychotherapy (KAP) and would like to see if it is right for you? Contact us using the form below and we will get back to you within 48 hours.
Who can benefit from KAP?
Ketamine Assisted Psychotherapy can be a highly effective treatment for clients struggling with various forms of treatment resistant depression, anxiety, obsessive-compulsive disorder (OCD), Post-Traumatic Stress Disorder(PTSD), and substance use disorders.
Many people who do not have a clinical diagnosis can also benefit from KAP. The transformative psychedelic journey and powerful biochemical effects (especially new neuronal connections) can support personal healing and growth. These new neuronal connections may assist in resolving issues such as feelings of stress, extreme burnout, identity challenges, life transitions, or stagnation in one’s life.
KAP Services
We offer a variety of services to clients who are exploring different modes of administration for Ketamine Assisted Psychotherapy (KAP) whether it is oral lozenges or IV infusions. We provide 1:1 KAP, small group experiences, KAP integration, and KAP support at local infusion centers. We also integrate treatment with patients who are receiving Spravato® (esketamine nasal spray).
Our services are designed to help you safely and intentionally engage with the entire process of ketamine treatment. We believe the process begins as soon as the client sets the intention to heal. Our clinicians can work with you to provide psychoeducation, treatment recommendations, and create a treatment plan that is especially tailored for you wherever you are on your healing journey.
Interested in taking the next step for 1-on-1 Kap?
1-on-1 KAP Sessions
Our 1-on-1 KAP sessions take place in our KAP room located in Del Ray Psych and Wellness. Together with a medical professional and highly-trained psychotherapist, KAP opens up pathways to significant and rapid change. Once the therapist and client have determined suitability for KAP and conducted an intake session, the client will be referred to a collaborating medical provider for an intake. The medical professional will prescribe the medicine upon determining eligibility. Some contraindications for the use of ketamine are ongoing active substance abuse, pregnancy, nursing, psychosis, hyperthyroidism, acute mania, recent traumatic brain injury, and/or cardiovascular problems. The KAP session described below takes approximately 2.5-3 hours. Following the KAP session, there will be an integration session that will involve discussion and integration of the experience and how it pertains to the client’s current life issues.
Individual KAP Session Format:
During a KAP session, you will discuss intention setting, partake in a meditation and breathing exercise, guided journey (60-75 minutes), post-journey integration. Snacks and drinks are also included in this session.
*In order to partake in a KAP session, you MUST complete a medical and mental health intake to be cleared. Medical and mental health intakes are only needed once regardless of how many individual and group sessions will be booked.
Pricing:
One (1) mental health intake with a Del Ray Psych Clinician (50-60 mins) - $200
One (1) medical intake with a ketamine prescriber (if needed, we can provide you with a recommendation) - approx. $400 (plus prescription for ketamine costs)
Lozenge KAP session with licensed therapist* (2.5-3 hrs) - $650 (includes eye mask, journal, snack, drink)
*Certain parts of the treatment process are eligible for Out of Network Insurance Reimbursement
KAP Integration Therapy
The therapeutic benefits of ketamine are most robust when integrated intentionally into your broader psychotherapy process. Our therapists provide structured KAP integration sessions to help you process, make sense of, and apply the insights and emotional experiences that arise during your ketamine journeys. Integration is how long term and lasting change begins — helping you bridge the gap between the psychedelic experience and real-life healing.
Spravato® Support
For those prescribed Spravato® (Esketamine) through a medical provider, we offer therapeutic support alongside your treatment. While Spravato® administration takes place in a medical setting, we provide dedicated pre and post session therapy to help you prepare for, process, and maximize your treatment.
KAP Support During Infusions
For clients undergoing IV ketamine infusions at partnering clinics, we offer support by accompanying you to the infusion center during your treatment. Having a trained clinician at one's ketamine infusion can help a patient derive more meaning from their ketamine journey, provide a feeling of support and safety, and prompt a patient to intentionally explore and process emotions and trauma that may be difficult to do alone. We also work collaboratively with medical providers to create a cohesive treatment plan to ensure that your psychological needs are honored throughout the medical treatment process.
Pricing:
Integration Session (Virtual/In-person at Del Ray Psych & Wellness Office) - $200-$225
Off-Site Session (at infusion clinic) - $300
Interested in Our KAP Integration Services?
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Client Testimonial
“I began my first KAP journey really not knowing what to expect, but I knew I was in good hands with Dr. Fisher. I claimed I just wanted to see "what came up," and take it from there. I have always dealt with anxiety and fluctuating depression, but more recently trauma from having had cancer. The subsequent course of my journeys was nothing short of life changing. I have always been a huge proponent of traditional talk therapy, but KAP accomplished more than I ever knew possible in a matter of weeks.
Never did I feel like I was in over my head or out of control during the sessions. These are professionally guided and supervised and can be tailored to what you and your therapist deem fit. The realizations that came to light during my journeys brought years of questions and wonder to a satisfying close and allowed me to move on in so many ways. I look forward to continued work together to address even deeper revelations that came about during my initial sessions.
To be able to conclude a single journey and have so much insight into unanswered questions was worth every amount of money, time, and effort. I feel like a new person because of this treatment and am excited to see how the field continues to develop.”
-KAP Client, Alexandria, VA
Ketamine Assisted Psychotherapy FAQs & Resources
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Ketamine is a FDA approved anesthetic agent originally developed in 1962. It has been used primarily as an induction agent for general anesthesia in surgery for children, adults, and animals. Ketamine has a remarkable safety track record, hence its use in the pediatric population. Recently, it has been discovered that ketamine can be highly effective in treating depression, PTSD, Fibromyalgia, and other conditions.
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Ketamine is only available by prescription from a medical provider, a physician or nurse practitioner. Reach out to get a list of preferred providers.
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The short answer is, yes. Our practice procedures require you to be cleared by a medical professional.
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Ketamine is not recommended for clients who have cardiovascular conditions such as uncontrolled hypertension. Clients with active mania or a history of psychotic illnesses (e.g., schizophrenia) should not take ketamine, as there could be severe risks. Ketamine is also not indicated for clients who are actively abusing substances or have abused ketamine in the past.
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Routes of administration of ketamine include intravenous, intramuscular, intranasal, and sublingual/bucal. At Del Ray Psych & Wellness, we currently use sublingual/bucal which is compounded ketamine lozenges (self-administered sublingually/bucally and held under tongue for several minutes).
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The experience of a ketamine journey can vary from person to person, and it depends on factors such as the dosage, setting, and individual characteristics. However, there are some common elements that are often reported:
Dissociation: Ketamine is known as a dissociative anesthetic, which means it can induce a sense of detachment from one's body or surroundings. During a ketamine journey, you may experience a shift in your perception of reality, feeling disconnected from your body or a sense of floating or out-of-body experiences.
Altered Sensations: Ketamine can distort your sensory perception, leading to changes in how you perceive sounds, colors, and textures. Some people report enhanced or distorted sensations, while others may experience a blurring or merging of sensory inputs.
Emotional Effects: Ketamine can elicit a range of emotions, which can vary from euphoria and relaxation to introspection and introspective experiences. Some individuals may experience a deep sense of peace and contentment, while others may confront difficult emotions or memories.
Time and Space Distortion: Ketamine can alter your perception of time and space. It may feel as if time is slowing down or speeding up, and your sense of spatial awareness may be distorted.
Insights and Transcendent Experiences: Ketamine journeys can be accompanied by profound insights, self-reflection, and a sense of transcendence. Some individuals report gaining new perspectives on their lives, increased self-awareness, or a feeling of connectedness with something larger than themselves.
Visual Imagery: Ketamine can also induce vivid and immersive visual imagery, often described as dream-like or hallucinatory. These visual experiences can be abstract, colorful, or symbolic.
It's important to note that the effects of ketamine can vary depending on the dose and the context in which it is administered. In therapeutic settings, the experience is typically guided by a trained professional who can help create a safe and supportive environment to navigate the journey.
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Ketamine journeys, particularly when used in a therapeutic context, have been associated with several short-term and long-term benefits. It's important to note that the research in this area is still ongoing, and the effects can vary between individuals. Here are some potential benefits:
Short-Term Benefits:
Rapid Mood Improvement: Ketamine has shown promise in rapidly reducing symptoms of depression, anxiety, and other mood disorders. Many individuals report experiencing an immediate improvement in their mood and a temporary relief from emotional distress.
Enhanced Emotional Insight: Ketamine can facilitate introspection and self-reflection, allowing individuals to gain new insights into their emotions, thoughts, and behaviors. This increased awareness can support personal growth and promote a deeper understanding of oneself.
Increased Relaxation and Stress Reduction: Ketamine's anesthetic properties can induce a state of deep relaxation and calmness. This can provide temporary relief from stress, tension, and physical discomfort.
Long-Term Benefits:
Sustained Mood Improvement: While the immediate mood-enhancing effects of ketamine may be temporary, there is evidence to suggest that ketamine-assisted therapy can lead to sustained improvements in mood and a reduction in depressive symptoms over time, even after the ketamine sessions have ended.
Improved Treatment-Resistant Conditions: Ketamine has shown promise in treating individuals with treatment-resistant depression, post-traumatic stress disorder (PTSD), and other challenging mental health conditions. It may offer an alternative treatment option for those who have not responded to traditional therapies.
Enhanced Resilience and Coping Skills: Through the insights gained during ketamine journeys and the therapeutic support provided, individuals may develop enhanced resilience, self-compassion, and new coping mechanisms. These skills can help individuals better navigate life's challenges and maintain their mental well-being in the long term.
It's important to note that ketamine journeys should always be conducted under the supervision of trained professionals in a controlled and therapeutic setting. Furthermore, individual responses and outcomes can vary, and ketamine should not be seen as a universal or standalone solution for mental health conditions.
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A Psychedelic Therapist is a person who is a trained mental health professional that provides support and assistance to someone undergoing a psychedelic experience. The therapist's primary role is to create a safe and supportive environment for the individual, ensuring their physical and emotional well-being throughout the session. Therapists also help process the individual’s experience, transcribe the experience in a journal, and guide through the experience. They may also have expertise in mindfulness, meditation, and other contemplative practices that can help the individual navigate the psychedelic experience. Having a therapist present during a psychedelic therapy session can help minimize the risk of adverse reactions and ensure that the individual receives the maximum benefit from the treatment.