Ketamine-Assisted Psychotherapy

Ketamine-Assisted Psychotherapy (KAP) is an innovative healing modality that combines the medicinal effects of ketamine with the insight and connection of psychotherapy. While more traditional therapies can be effective, progress can sometimes stall – and something more is needed. KAP offers this “something more” in a supportive space where insights and difficult emotions can be worked through more easily because defenses are lowered and fear is reduced.

KAP can temporarily increase neuroplasticity—your brain’s ability to create new pathways for thought, emotion, and behavior. This can loosen long-standing patterns that contribute to emotional suffering, opening space for new perspectives and healthier ways of relating and responding. Ketamine is FDA-approved and prescribed off-label for mental health with careful screening and oversight from licensed medical providers.

How the Process Works

I work in partnership with licensed medical providers at Journey Clinical, who will meet with you for a thorough medical assessment and, if appropriate, prescribe ketamine lozenges. Dosing sessions take place remotely (with a trusted support person present) or with me in my Nevada City office (and a ride home arranged). Sessions last 2–3 hours and include preparation, medicine, and reflection. We typically meet weekly or every other week for eight dosing sessions, each followed by an integration session to help you process the experience and apply the insights that emerge.

Inside the Ketamine Experience

Ketamine is a dissociative medicine, meaning it can create a temporary sense of detachment from everyday reality and from your physical body.

You might notice:

● A feeling of lightness, floating, or relaxation
● A sense of observing yourself from a distance
● Changes in how you perceive sights, sounds, or touch
● Greater access to memories and emotions
● Dreamlike or visionary imagery

For many people, this experience feels calming and insightful; for others, it can be more intense. Whatever arises—relief, joy, sadness, or calm—is part of your process, and you’ll be supported the entire time.