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    Ketamine-Assisted Psychotherapy (KAP)

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    Ketamine Therapy

    This safe and effective treatment helps you move beyond suffering and into a life that is more enjoyable. It is safe, researched, and VERY effective, with immediate effects. We are meant to feel good (most of the time) and this medicine can help you with that.

    Ketamine is a gentle psychedelic that bridges the gap between our defenses and deep psychological healing by the use of an altered state.

    Ketamine-assisted Psychotherapy (KAP) refers to a series of sessions, including both “regular” therapy and experiential sessions using the medicine with the therapist’s guidance.

    If you have seen other therapists or counselors for years and made little progress, you might consider working with psychedelics like ketamine.

    Transcend Your Limitations.

    What my clients have to say

    “My experience with Keli and ketamine assisted psychotherapy have been truly astounding and immensely positive. My experience with KAP thus far has been very promising in terms of reducing the long-standing effects of PTSD, depression, and anxiety in my life. KAP sessions have allowed me to break down the barriers that I’ve maintained internally for nearly my entire life that have previously inhibited me from making the progress I was hoping for with SSRIs and talk therapy alone. The insights I have gained during ketamine assisted therapy sessions have actually taken root in my life and have helped me develop new habits, ways of thinking, and the resilience to no longer view myself as a passive bystander in my own life. Previously, I felt that most of the individual work I was doing in therapy was in vain and nothing was “sticking”, and with KAP I have found that this treatment modality has greatly helped in finally moving my life and my mental health in the right direction. If you have the opportunity/desire to work with Keli, I highly recommend getting in touch. She has become such a calming, healing, and uplifting presence in my life, and I’m truly grateful to be one of her clients.”

    FG from Colorado

    “KAP has helped me understand my trauma in ways that would have remained inaccessible without it. It helped me reflect on the pain in new ways and get past some old grooves in my brain. It is not a cure-all, and I have much more healing to do, but I have felt much less dissociated and much more compassionate in my day-to-day life. I can say without a doubt that it has had many more positive effects than other therapies I have tried.”

    L from Colorado

    “Keli’s guidance paired with the ketamine journey are a powerful combination. While on the ketamine journey, the experience was vast, deep, and multi-faceted. It made previously inaccessible things accessible. Keli used these openings to help me dig deeper, make sense of complex experiences, see things more holistically, and integrate the journey. She was able to see threads of continuity in my therapy sessions and the ketamine journeys to help me face into some significant patterns and let them go. Ultimately, I feel more liberated and have noticed subtle but significant changes in the way my mind works. I now more easily access my truth even if it is not comfortable.”

    Andie P.

    “My experience doing KAP therapy with Keli has been life changing. Her holistic approach to the experience made me feel very comfortable and at ease. I was able to tap into things I don’t think I would have in any regular therapy sessions. Things have become much clearer and lighter in my everyday life. I feel empowered and like the tools I’ve learned to self soothe and manage my anxiety are clearly apparent. I’d been in the painstaking process of unlearning my coping mechanisms and unraveling my traumas for a long time. The heaviness I had felt on my chest and the depression is no longer there after KAP. I feel like it streamlined my healing and made things click. I am a happier and healthier version of myself thanks to KAP and Keli. Her calming support and kindness has been a safe space for me through a lot. I have so much gratitude for her. Thank you so much Keli!”

    M from Austin, TX

    Ketamine-Assisted Psychotherapy (KAP) 101

    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 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 with Journey Clinical we only use the sublingual lozenge form.

    How Does Ketamine Feel?

    ● The effects of ketamine, which most patients find fairly pleasant, last for approximately 45-90 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, clients usually feel like the insights gained are none-the-less quite clear. Studies have shown that the benefits to mood and neurological growth can last up to two weeks after a 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 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 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 in my presence. 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.

    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.

    Follow-up consultations with Journey Clinical:

    ● After two KAP medicine sessions, 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.

     Ketamine-Assisted Psychotherapy

    ■ My typical hourly rate is $165/hr for individuals and $195/hr for couples.

     Journey Clinical Medical Costs

    ■ Medical Intake: $250 (One time fee, reimbursable throughout-of-network) per person

    ■ 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, use the contact form here on my website 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 takes on patient eligibility, prescriptions and outcome monitoring, while I take on the therapeutic responsibilities. Their collaborative care model is designed to deliver personalized treatment plans to meet your individual needs and improve long-term outcomes.

    More Helpful Resources:

    1. Paradigms of Ketamine Treatment by Raquel Bennett, Psy.D. for MAPS

    2. Ketamine Assisted Psychotherapy (KAP): Patient Demographics, Clinical Data and Outcomes in Three Large Practices Administering Ketamine with Psychotherapy – research study by Jennifer Dore et al, 2018

    3. Ketamine for Depression and Mood Disorders by Erica Zelfand, ND for Townsend Letter

    4. Ketamine-Facilitated Psychotherapy for Trauma, Anxiety, and Depression by goop

    5. Ketamine Assisted Psychotherapy with Jonathan Sabbagh of Journey Clinical- Psychology Talk Podcast

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