Psychedelic Psychotherapy
At Integral Therapy and Counseling, we're always looking for new and innovative ways to help our clients improve their mental health. That's why we're excited to announce our new Ketamine Assisted Psychotherapy (KAP) program. This cutting-edge treatment combines the use of ketamine, a powerful anesthetic medication, with psychotherapy to provide relief for a wide range of mental health conditions. Here is a short summary of the KAP program from start to finish: Ketamine Assisted Psychotherapy 101
Psychedelic Psychotherapy Q&A:
What is Ketamine?
Ketamine is a legal, safe and effective medicine used to treat a variety of mental health conditions, including depression, anxiety and PTSD. Ketamine has rapidly-acting antidepressant and mood-enhancing effects, which can begin to take effect within 1-2 hrs. after treatment and last for up to 2 weeks. It works by blocking the brain’s NMDA receptors structures in the brain that control memory formation and storage as well as by stimulating AMPA receptors, which are thought to help form new synaptic connections and boost neural circuits that regulate stress and mood. Ketamine has also been shown to enhance overall neuroplasticity for lasting symptom improvement.
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Ketamine can be administered in a variety of ways, including IV infusion, intramuscular injection, via nasal spray and using sublingual lozenges. In our work with Journey Clinical we only use the sublingual lozenge form.
How Does Ketamine Make You Feel?
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The effects of ketamine, which most patients find pleasant, last for approximately 45 minutes. These effects can make you feel “far from” your body, and facilitate
shifts in perception that can often feel expansive in nature. Your motor and verbal abilities will be reduced, so you’ll be lying down in a comfortable position during
the experience. Once these effects subsided, we’ll spend the remainder of our appointment giving you space to process and discuss your experience. While it may feel hard to articulate what happened during the experience, patients feel like the insights gained are none-the-less clear. Studies have shown that the benefits to mood and neurological growth can last up to two weeks after the Ketamine experience.
How Does Ketamine-Assisted Psychotherapy Work?
1. Initial consultation with Journey Clinical
● You schedule an initial evaluation with a clinician from the Journey Clinical medical team via zoom. They will go over your medical and psychiatric history with you, provide education on the treatment and determine if you are eligible for KAP.
● If Journey Clinical’s medical team determines that you are eligible for KAP, they will develop a personalized Ketamine prescription and outcomevmonitoring plan for you.
● Journey Clinical’s medical staff will write a ketamine prescription for you, and a small amount of oral ketamine will be sent to your home, enough for the first 2 KAP sessions. You will be taught to take your vitals and self-administer the ketamine lozenges by Journey Clinical’s medical team in advance of our KAP sessions.
2. Preparation sessions:
● Once you receive your ketamine lozenges, we will schedule time together for our KAP preparation, dosing and integration sessions. Preparation session(s) will be scheduled just like regular therapy sessions prior to the KAP dosing session. The goal of a preparation session(s) is to align on the process and set intentions for our KAP sessions together.
3. KAP Dosing Session:
● A typical ketamine dosing session lasts between 1-2 hours and can take place either in-person at my office, or remotely via telehealth.
● During a dosing session, you will self-administer your ketamine lozenge either in my office or in your home. You will be in a comfortable, reclining position wearing an eye mask and listening to calming music. Although a KAP dosing session may be largely an internal experience, your therapist will bepresent with you the entire time to hold space and provide support as needed.
4. Integration Sessions:
● After our KAP dosing session, you will meet for multiple integration therapy sessions to review the memories, thoughts & insights that arose during your dosing session, and to prepare for the next dosing session.
5. Follow-up consultations with Journey Clinical:
● After our first KAP session, Journey Clinical’s medical team schedules regular follow ups with you to monitor outcomes and prescribe ketamine lozenge refills, as appropriate. The frequency of follow ups depends on your unique treatment plan, at a minimum of once per quarter.
What is the Cost of Treatment?
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Ketamine-Assisted Psychotherapy is an affordable, accessible modality. Although
the medical intake and follow ups are not covered by insurance, they are eligible
for out-of-network reimbursement.
Ketamine-Assisted Psychotherapy
■ Our typical hourly rate is $250/hrJourney Clinical Medical Costs
■ Medical Intake: $250 (One-time fee, reimbursable through
out-of-network)
■ Follow-up Sessions: $150/Session (minimum of 1/quarter,
reimbursable through out-of-network)
■ Cost of Ketamine Lozenges: $75 for approximately 4-6 lozenges
(not covered by insurance)
How Do I Sign Up?
● If you would like to explore the possibility of working with me on KAP, please e-mail bsheldon@integraltherapyhp.com to discuss eligibility and next steps.What is Journey Clinical?
● Journey Clinical is a platform for licensed psychotherapists to incorporate science-based psychedelic therapies in their practice safely and effectively, starting with Ketamine-Assisted Psychotherapy (KAP). Journey Clinical’s in-house medical team determines patient eligibility, prescriptions and outcome
monitoring, while I provide the therapy. Their collaborative care model is designed to deliver personalized treatment plans to meet your individual needs and improve long-term outcomes.