Psychedelic Psychotherapy with Ketamine in Santa Rosa

Psychedelic experiences provide a glimpse into the vast potentials of your mind. Ketamine, a safe and legal prescription medicine, can elicit powerful non-ordinary states of consciousness. Ketamine facilitates space from ordinary thoughts and feelings allowing subconscious impressions to arise to the surface. Ketamine allows dispassionate observation and reflection on difficult emotions and memories. There may be feelings of connection, love, compassion, or spiritual oneness.

Ketamine-Assisted Psychotherapy (KAP) involves having one or more sessions to develop intentions and prepare for the session, doing the session together in our comfortable clinic space, and having subsequent therapy sessions to integrate and process the experiences. A typical KAP program has 4 – 6 ketamine sessions with preparation and integration therapy between. If we determine you’re a good fit for KAP, I’ll refer you to a partner physician who handles prescription and medication management.

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 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 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 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

  1. We begin a counseling relationship and discuss if ketamine-assisted psychotherapy is a good fit.
  2. You schedule an initial evaluation with a clinician 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.
  3. If the medical team determines that you are eligible for KAP, they will develop a personalized Ketamine prescription and outcome monitoring plan for you.
  4. The medical staff will write a ketamine prescription for you, and the first couple doses of oral ketamine will be sent to your home. You will be taught to take your vitals and self-administer the ketamine lozenges by the 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. Ketamine Dosing Session

A typical ketamine dosing session lasts between 2–3 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

Between KAP dosing sessions, we will meet for integration therapy sessions to review the memories, thoughts & insights that arose during your previous dosing session, and to prepare for the next dosing session.

5. Follow-up consultations with medical team

After our first KAP session, the 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.

Ketamine-Assisted Psychotherapy

  • My hourly rate is $180/hr, negotiable

Medical Costs

  • Medical Intake: $335 – $350 (reimbursable through out-of-network)
  • Medical Follow-up: $295 – $350 every 1 – 2 months (reimbursable through out-of-network)
  • Cost of Ketamine Lozenges: Approximately $100 per 4 sessions

How Do I Sign Up?

Schedule a free consultation to determine if psychedelic psychotherapy with ketamine in is a good fit for you. I offer sessions in-person in Santa Rosa or via telehealth throughout California.

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