Integrative therapy
Ketamine-assisted psychotherapy (KAP) is a structured, therapist-supported process for working with non-ordinary states of consciousness. The aim isn’t escape — it’s reorientation: stepping outside of automatic thought patterns and habitual ways of relating, so new perspectives and possibilities can emerge.
The work uses altered states to help loosen rigid patterns, disrupt unhelpful narratives, and access aspects of the self that are often difficult to reach in ordinary consciousness. But the experience itself isn’t the point. What matters is how it’s understood, worked with, and carried into daily life.
Ketamine supports the process. It doesn’t replace the work.
(Note: Currently, ketamine is the only psychedelic medicine available for use in an outpatient clinical setting. We expect to work with additional substances as they become approved for medical use.)
KAP can create openings for work that hasn’t moved through insight or conventional treatment alone — when it’s the right fit and held in the right structure.
This service may be a fit, if you’re looking for:
This isn’t a standardized protocol, a prepackaged process, or whatever’s trending.You won’t get basic underloaded band exercises, a passive quick fix, or have to commit to coming in for a lifetime. It’s not insurance-driven care that depends on a physician’s script and a 15-minute clock. And it’s not narrowly focused on a single symptom while ignoring the rest of you.
KAP is a time-intensive, multi-step process. Services may include a mix of insurance and cash-pay components depending on the structure and the provider. Some elements — including the medicine itself and certain assessment components — may be out-of-pocket. HSA/FSA accepted. We’ll walk through the full structure and costs before you commit, so you can make an informed decision about whether this is the right work for you right now.
Ketamine has a long medical history — it’s been used as an anesthetic for over fifty years and has a well-established safety profile when administered in a clinical setting with proper screening. In the doses used for KAP, the medical risks are manageable for most people, but there are contraindications (certain cardiovascular conditions, psychotic disorders, active substance use issues) that we screen for carefully in the assessment phase. Ketamine has misuse potential, particularly when used recreationally or outside clinical structure. The way KAP is structured here — limited sessions, clinical supervision, integration-focused — is designed specifically to use the therapeutic potential of ketamine without the patterns that lead to misuse.
Sessions take place in a clinical setting designed to be both safe and comfortable. You’ll be reclined, with eyeshades and music if you choose. A medical provider monitors physiological response throughout, and your therapist is present for the session. The experience itself typically lasts 45-60 minutes, with additional time before and after for grounding and initial processing. You don’t drive yourself home afterward, and most people benefit from clearing the rest of the day. The specifics of dosing, route of administration, and session structure are individualized — we’ll walk through them in preparation.
The biggest difference is the role of psychotherapy. Many ketamine infusion clinics offer the medicine as a standalone medical treatment — you come in, receive an infusion, leave, and the clinical relationship ends there. That model can produce short-term symptom relief for some conditions, but it doesn’t include the therapeutic structure that helps the experience translate into durable change. Our model centers psychotherapy across all four phases. Ketamine is one tool inside that work, not the work itself.
The assessment phase is built to answer that. It’s a careful conversation about your medical and psychiatric history, what you’re hoping to work on, what you’ve already tried, and what’s going on in your life right now. Some people are ready and clinically appropriate. Some are clinically appropriate but not at the right point in their lives to do this work. Some aren’t a fit for KAP at all — and in those cases we’ll be honest about it and help orient you toward what would actually be useful. The assessment isn’t a formality, and “no” or “not yet” are real possible outcomes.
KAP fits inside a broader picture of care — most participants are also working with a therapist, a psychiatrist, or both, and many continue that care during and after the KAP process. Some medications interact with ketamine or affect how the work moves, so part of the assessment phase is reviewing your current medications and coordinating with your other providers when appropriate. We’d rather coordinate carefully than try to operate in isolation.
