Service · Specialty
Ketamine-Assisted Psychotherapy
An evidence-based treatment for depression, anxiety, PTSD, and treatment-resistant conditions. Not a drip clinic. A therapeutic process, held from preparation through integration.
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What KAP actually is
Ketamine-assisted psychotherapy uses low doses of ketamine, given via injection or sublingually, inside a carefully designed therapeutic frame. The medicine opens a window. The therapy is what you do with it.
This is different from IV ketamine clinics. The neurobiological benefit of ketamine is real, but the research shows consistently that the psychotherapeutic context — who holds the session, how you prepare, what you do afterward — shapes the outcome significantly.
Our clinicians have practiced ketamine-assisted psychotherapy since 2017, with training through the Psychedelic Research and Training Institute and Polaris Insight Center, and continued learning as the field develops.
Who this is for
- Treatment-resistant depression, after several antidepressants have fallen short
- Anxiety disorders, including generalized anxiety and panic
- PTSD and complex trauma
- OCD
- End-of-life distress
- Personal growth and exploration, with the right indication and preparation
Not appropriate for
- Active psychotic disorders or personal/family history of psychosis
- Uncontrolled hypertension or significant cardiac conditions
- Active mania
- Active substance use
- Current dissociative disorders
- Pregnancy
- Active substance use disorder (case-by-case evaluation)
This list is not exhaustive. Medical and psychiatric screening is part of the preparation process.
Ketamine tends to have a cumulative effect. Most people who benefit from KAP stay for a course of 4–6 medicine sessions, with preparation and integration around them — not a single dose. This isn’t a fixed protocol; we adjust as things unfold.
The arc of treatment
01
Preparation
Before any medicine session we spend time building the container: what you're bringing, what you're hoping for, and the IFS framework we'll use to navigate. Preparation does real work. It shapes everything that follows.
02
Medicine sessions
Ketamine is given via injection or sublingually in a comfortable setting with eyeshades and carefully chosen music. Your clinician is present with you throughout. Sessions are typically 2–3 hours including the active medicine phase and the landing period. We debrief briefly at the close.
03
Integration
This is where most of the work happens. Integration sessions help you make sense of what came up, identify what shifted, and translate it into how you actually live. IFS earns its keep here. The parts that showed up during the medicine often have more to say.
The IFS lens
How parts work shapes the whole process
I work from an IFS-informed frame throughout KAP. Internal Family Systems treats the psyche as a system of parts: protectors, exiles, and the Self underneath them. This isn’t metaphor you have to believe in; it’s a practical map for what actually happens in altered states.
In preparation, we identify the parts likely to show up and establish language for working with them. During medicine sessions, parts often become more accessible — easier to approach, easier to hear. In integration, the IFS frame helps make sense of what appeared and what it was trying to say.
The training I completed through Moxie School specifically integrates IFS with psychedelic-assisted therapy. It’s the lens I’ve found most useful in this work.
My training
Trained by people who built the field
I began KAP training in 2017 in the San Francisco Bay Area, mentored by some of the clinicians who helped develop the modern protocols for psychedelic-assisted therapy.
Since then, I’ve completed advanced training through PRATI (Psychedelic Research and Training Institute) and Moxie School’s IFS-informed psychedelic therapy program. I continue to stay current with the evolving literature and clinical practice in the field.
How the medicine is given
Ketamine can be given several ways. Here it is given by injection or as a sublingual lozenge, in the office, chosen with you based on what suits your treatment. Both leave room to stay in contact and do the therapeutic work alongside the medicine instead of afterward.
An IV line, a cannula and a monitor bring a clinical atmosphere with them. For people whose difficulty is bound up with medical trauma, that setting can work against the session before it starts.
When ketamine isn’t the right treatment
Not everyone is a candidate, and screening happens before anything is scheduled. Every prospective patient has a full psychiatric and medical review, including blood pressure and relevant labs. Reasons ketamine may be set aside include:
- A history of psychotic illness
- Uncontrolled high blood pressure
- Certain cardiac conditions
- Pregnancy, or trying to conceive
- Some liver or bladder conditions
- A previous poor response to ketamine
Some medications also blunt ketamine’s effect or change how it feels, so we go through your full list before deciding anything. If ketamine isn’t right, I will say so, and we will talk about what else is.
Needs your review
This screening list is reconstructed from notes, not from your SOP document. Check it against SOPs Rev. 06/05/2026 before publishing, then delete this box.
How this differs from mail-order ketamine
Mail-order services send the medicine to your home with little oversight and no one in the room. Here there is thorough preparation, professional monitoring during an in-office session, and real integration afterward. Ketamine-assisted psychotherapy needs careful medical supervision and skilled guidance. Managing a powerful experience alone is a different thing entirely.
KAP questions
All FAQ →KAP can be a powerful option for treatment-resistant depression, anxiety, PTSD, OCD, and some kinds of growth work. It isn't right for everyone. Medical conditions, psychiatric history and life circumstances all bear on it, and we'll work that out together in preparation. We'll figure that out together in preparation.
Ketamine produces a quieter, more open, more interior state. It usually lasts 45 to 60 minutes from peak to landing. You'll be in a comfortable space with eyeshades and music, and Your clinician is present with you throughout. Most people describe the experience as gentle and meaningful rather than overwhelming.
A typical course is 4–6 medicine sessions with preparation and integration around them. It isn't a fixed protocol. We adjust as things unfold.
Integration is where most of the actual change happens. It's the work after a medicine session of making sense of what came up, noticing what's shifted, and translating insight into the way you actually live. It's also where the IFS lens is most useful.
No. IV ketamine infusion clinics focus on the neurobiological effects of the drug, often without a psychotherapeutic frame. KAP sets the medicine session inside a therapeutic arc of preparation, dosing and integration, with a clinician who holds the whole process. The research strongly supports this model.
Yes. Ketamine is an FDA-approved medication. Using it in a psychotherapeutic context is an evidence-supported off-label practice that has been refined over two decades of research and clinical work.
Ready to learn more?
The first step is a brief call to see if KAP is a good fit and what preparation would look like.
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