Ketamine-Assisted Psychotherapy (KAP) – Frequently Asked Questions

1. What is Ketamine-Assisted Psychotherapy (KAP)?

KAP combines the therapeutic use of ketamine with psychotherapy to help individuals process and integrate emotional experiences. Ketamine can induce a non-ordinary state of consciousness, which can make it easier to access emotions, shift perspectives, and reduce mental health symptoms.

2. What conditions can KAP help treat?

KAP is often used to support individuals experiencing:

  • Treatment-resistant depression

  • PTSD

  • Anxiety disorders

  • Grief and loss

  • Existential or identity distress

  • OCD

  • Certain trauma-related conditions

3. How does ketamine work?

Ketamine affects the brain’s glutamate system and may help create new neural connections. It is thought to "loosen" rigid patterns of thought and mood, making therapy more effective and insights more accessible.

4. What is the structure of a KAP session?

Sessions usually follow this format:

  • Preparation Session(s): To build rapport, clarify intentions, and create a sense of safety.

  • Dosing Session: You receive ketamine in a comfortable setting while supported by your therapist.

  • Integration Session(s): These are follow-up sessions focused on reflecting, processing, and applying insights from the experience.

5. Is ketamine legal and safe?

Yes, ketamine is an FDA-approved medication, and when administered in a controlled setting under the supervision of trained professionals, it is considered safe. Side effects are generally short-lived and manageable.

6. How is the ketamine administered?

In my practice, ketamine is administered in the form of a rapid-dissolving troche (a small lozenge placed under the tongue). This route is safe, effective, and allows for a gentle entry into the therapeutic experience. The dosage is prescribed and monitored by a collaborating medical provider, and sessions are conducted in a supportive, structured environment to ensure comfort and safety.

7. Will I lose control or be unconscious?

No. Most clients remain conscious and aware during sessions. While experiences can feel dreamlike or deeply introspective, you will be able to communicate and stay connected to the therapeutic process.

8. Is KAP right for everyone?

Not everyone is a good candidate for KAP. Contraindications include certain medical or psychiatric conditions (e.g., uncontrolled high blood pressure, active psychosis). A thorough screening and collaboration with a prescribing provider ensures safety.

9. How many sessions will I need?

The number of sessions varies depending on individual goals and treatment response. Some clients find benefit in a few sessions, while others may engage in ongoing work over weeks or months.

10. Will my insurance cover KAP?

Most insurance plans do not currently cover KAP. However, some may cover integration or preparation sessions as standard psychotherapy. Check with your insurance provider or contact me for more information about pricing.