Ketamine-Assisted Psychotherapy (KAP)
I offer a therapeutic modality called Ketamine-Assisted Psychotherapy (KAP) in partnership with an organization called Journey Clinical.
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 takes on patient eligibility, prescriptions and outcome monitoring, while I take on the therapy. Their collaborative care model is designed to deliver personalized treatment plans to meet your individual needs and improve long-term outcomes.
What is Ketamine-Assisted Psychotherapy (KAP)?
Ketamine-Assisted Psychotherapy (KAP) is a holistic modality in which ketamine is used as a complement to psychotherapy to help eligible patients experience more frequent breakthroughs and sustained improvement in symptoms. I take on the psychotherapy portion of the experience, while Journey Clinical’s medical team supports you on all medical aspects. This includes determining eligibility, developing a custom treatment plan, prescribing the medicine and monitoring outcomes. Below is more information about KAP to help you navigate if it may be a good fit for you.
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 hours after treatment and last for up to 2 weeks. It works by blocking the brain’s NMDA receptors 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.
Ketamine can be administered in a variety of ways, including IV infusion, intramuscular injection, via nasal spray and using sublingual lozenges. In my work with Journey Clinical we only use the sublingual lozenge form.
How Does Ketamine Feel?
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 subside, we’ll spend the remainder of our appointment giving you space to process and discuss your experience. Studies have shown that the benefits to mood and neurological growth can last up to two weeks after the Ketamine experience.
What are the steps of Ketamine-Assisted Psychotherapy?
1. Initial consultation with Journey Clinical
You schedule an initial evaluation with a clinician from the Journey Clinical medical team via telehealth. 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 outcome monitoring 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, I will be present with you the entire time to hold space and provide support as needed.
4. Integration sessions
After our KAP dosing session, we 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?
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.
○ Journey Clinical Medical Costs
Initial medical consultation with Journey Clinical: $250
Cost of medication for the first 2 sessions: $85
Cost of Ketamine-Assisted Psychotherapy: My private pay hourly rate is $150/hr. If you elect to use an insurance with which I am credentialed, some of these hours might be eligible for reimbursement. Each psychotherapy dosing session will last for 2-3 hours depending on your needs.
Follow-up medical consultation with Journey Clinical: $150 (at least 1X per quarter)
Cost of medication for the next 6 sessions: $145
How Do I Sign Up?
If you would like to explore the possibility of working with me with KAP, please e-mail me at greerlcsw@gmail.com to discuss eligibility and next steps.
Helpful Resources:
Paradigms of Ketamine Treatment by Raquel Bennett, Psy.D. for MAPS
Ketamine Assisted Psychotherapy (KAP): PatientDemographics,ClinicalData and Outcomes in Three Large Practices Administering Ketamine with Psychotherapy - research study by Jennifer Dore et al, 2018
Ketamine for Depression and Mood Disorders by Erica Zelfand, ND for Townsend Letter
Ketamine-Facilitated Psychotherapy for Trauma, Anxiety, and Depression by goop
Ketamine Assisted Psychotherapy with Jonathan Sabbagh of Journey Clinical - Psychology Talk Podcast