KAP: Ketamine Assisted Psychotherapy

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In the ever-evolving landscape of mental health treatment, Ketamine Assisted Psychotherapy (KAP) emerges as a beacon of hope for those battling with depression, anxiety, PTSD, and trauma. This innovative treatment combines the psychological insights of psychotherapy with the pharmacological effects of ketamine, offering a new horizon in mental health care.

What is Ketamine Assisted Psychotherapy?

Ketamine, traditionally used as an anesthetic, has shown remarkable efficacy in treating various mental health disorders when used in controlled, therapeutic settings. KAP involves administering a low dose of ketamine under medical supervision, followed by psychotherapy sessions. This combination allows for deeper psychological work, as ketamine can create a unique mental state conducive to therapeutic insights and emotional processing.

Who Can Benefit from KAP?

Ketamine Assisted Psychotherapy is particularly beneficial for individuals who have not found relief from traditional treatment methods. It's especially effective for:

Depression: KAP can offer rapid relief from depressive symptoms, even in treatment-resistant cases.
Anxiety: Patients often experience a reduction in anxiety levels, gaining new perspectives on their fears and worries.
PTSD: KAP can help process traumatic memories in a safe and controlled environment.
Trauma: It provides an opportunity to confront and heal from deep-seated emotional wounds.

The Benefits of KAP

The unique advantage of KAP lies in its ability to offer quick and lasting relief from symptoms. Some of the key benefits include:

Rapid Symptom Relief: Unlike traditional antidepressants that may take weeks to work, ketamine can alleviate symptoms within hours or days.
Enhanced Psychotherapy: Ketamine’s psychoactive properties can deepen therapeutic sessions, making them more effective.
New Neural Pathways: Research suggests ketamine promotes neuroplasticity, potentially 'rewiring' the brain to respond more healthily to stress and trauma.
Holistic Treatment: By combining medication with psychotherapy, KAP addresses both the biological and psychological aspects of mental disorders.

A Safe and Controlled Environment

Safety is paramount in KAP. Treatments are conducted under strict medical supervision, ensuring the appropriate dosage and monitoring of the patient's response. The psychotherapeutic component is integral, allowing for the processing and integration of experiences facilitated by ketamine.

Moving Forward with KAP

KAP isn’t a one-size-fits-all solution, but for many, it represents a new chapter in their mental health journey. It's essential to consult with healthcare professionals to determine if KAP is the right option. With ongoing research and positive patient outcomes, Ketamine Assisted Psychotherapy continues to shine as a promising tool in the battle against mental health disorders.

Ketamine-Assisted Psychotherapy (KAP) 101

I offer a therapeutic modality called Ketamine-Assisted Psychotherapy (KAP) in partnership with an organization called Journey Clinical. 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.

https://www.psychologytoday.com/us/blog/new-beginning/202208/introduction-ketamine-assisted-psychotherapy

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, ©Journey Clinical Inc 2023 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 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 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 ©Journey Clinical Inc 2023 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.

How Do I Sign Up?

If you would like to explore the possibility of working with me on KAP, please schedule a consultation 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 therapy. Their collaborative care model is designed to deliver personalized treatment plans to meet your individual needs and improve long-term outcomes.

Helpful Resources:

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

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