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Ketamine-Assisted Psychotherapy (KAP)

A grounded and integrative path toward healing

Ketamine-Assisted Psychotherapy (KAP) can be a powerful catalyst for emotional healing, especially when approached with intention and support. At CALM, we see KAP as one part of a larger journey, a practice that deepens and complements the work you're already doing to understand yourself and heal.

We strongly recommend a consistent baseline of care before, during, and after the KAP journey. KAP can be done on its own, but it's most effective when embedded in a larger healing framework.

Ketamine's effects can include enhanced emotional openness, reduced reactivity, and temporary relief from symptoms of anxiety, depression, and obsessive thought patterns. In a therapeutic setting, this creates space for new perspectives, deeper insight, and meaningful breakthroughs.

Our KAP Process

What to expect from start to finish

The full KAP process typically takes place over the course of approximately six months, depending on your pace and schedule.

If you're considering Ketamine-Assisted Psychotherapy (KAP) with us, here's how the process typically unfolds:

  1. Foundational Therapy Sessions

    • Minimum of 6 sessions (more if needed to establish safety and readiness)
    • Opportunity to strengthen the therapeutic relationship
    • Space to build coping skills and deepen self-awareness before KAP
    • Preparation for ketamine work, including:
      • Clarifying intentions, hopes, and goals
      • Exploring concerns, expectations, and safety planning
      • Establishing grounding and coping tools
      • Understanding the dosing process and set/setting

    After your third session, if KAP appears clinically appropriate, we'll refer you to our medical partner, Journey Clinical, for a comprehensive evaluation.

  2. Medical Screening

    • Virtual consultation to review your medical and psychiatric history
    • If approved, ketamine lozenges are prescribed and shipped to your home
    • Ongoing contact with Journey Clinical to adjust dosing or care as needed

  3. Dosing Sessions

    • Sessions are approximately 2 hours long
    • You'll be in a quiet, comfortable setting (with optional music or eye mask)
    • Your therapist will be present throughout to provide support and ensure safety
    • A trusted support person must be present in your home, available if needed
    • In some cases, up to two in-home dosing sessions may be offered at the beginning of your KAP journey, discussed on a case-by-case basis
    • The first two dosing sessions are exploratory to find your optimal dose
    • After this, you'll meet again with Journey Clinical to confirm the dosage and receive your remaining prescription
    • Clients typically complete eight dosing sessions in total, scheduled over several weeks

  4. Integration Sessions

    Integration is a vital part of the healing process. This is where insights become lasting change.

    • After each dosing session, we meet for at least one 45-minute integration session
    • Typically scheduled within 24 to 72 hours when neuroplasticity is at its peak
    • Make sense of emotional, somatic, or visual material
    • Reflect on themes or breakthroughs that arise
    • Connect the experience to your ongoing healing process
    • Use tools like mindfulness, somatic practices, or creative reflection to deepen integration
    • You'll complete eight integration sessions, one after each dosing session

  5. Follow-Up and Long-Term Care

    • After completing your full KAP series, continued support is encouraged through therapy or booster dosing sessions every 6 to 8 weeks, if appropriate
    • Many clients find benefit in occasional dosing sessions for maintenance or deepening work
    • Continued care with your therapist and prescriber ensures ongoing alignment and safety

Is KAP Right for You?

Ketamine-Assisted Psychotherapy (KAP) may offer a helpful option when you're feeling stuck or haven't found relief through traditional methods. It's most useful for individuals who are:

  • Addressing anxiety, OCD, or depression that hasn't responded to other treatments
  • Feeling stuck in long-standing emotional patterns
  • Open to exploring altered states as a pathway to deeper self-awareness

We'll work together to carefully assess whether KAP offers meaningful support for you. Our priority is making sure you're ready, supported, and positioned to benefit safely within a therapeutic framework.

Investment

Ketamine-Assisted Psychotherapy involves both medical and therapeutic services. Below is a breakdown to help you understand the financial commitment and plan ahead.

Medical Costs (via Journey Clinical)

Journey Clinical is a separate medical provider that handles all evaluations and prescriptions related to ketamine.

  • Initial medical consultation: $250
  • Ketamine lozenges (starter dose for 2 sessions): $97
  • Follow-up medical evaluations: $150 (required at least once per quarter)
  • Prescription refills (up to 6 doses): $163

Some of Journey Clinical's services may be covered by insurance depending on your state and provider. You can check your benefits here or read more about coverage.

Therapy Costs (Our Practice)

All therapy sessions are billed directly through our practice. Some sessions may be reimbursable through out-of-network benefits; we provide superbills to support that process.

  • Foundational therapy sessions (6 minimum): $250 per session
  • Dosing sessions (8 total):
    • First hour: $330
    • Additional time: Flat rate of $165
  • Integration sessions (8 total): $250 per session

Most dosing sessions last 90 to 120 minutes. The structure above helps you maximize insurance reimbursement while keeping overall costs more predictable.

Estimated Total Cost: $7,460 (spread over approximately six months)

Clients pay for each session individually after it takes place. There's no upfront payment required.

We recognize that this is a significant financial investment. That's one of the reasons we use a flat-rate model for dosing support and provide insurance-ready documentation for reimbursable sessions. We're also actively working on building a payment plan option to make the process more accessible.

Clients who have completed this process often tell us that it was a meaningful, transformative investment in their healing.

Safety and Ethical Considerations

  • Remote-first model: All KAP sessions are currently conducted via secure telehealth. While some providers offer in-person sessions, our practice is fully virtual for now.
  • Optional in-person dosing (limited): For clients who strongly prefer to begin with in-person dosing, we may be able to offer up to two house-call sessions. This option depends on your location, timing, and clinical fit. If available, additional travel fees may apply.
  • Chaperone support: For remote dosing, a trusted support person must be present in your home during the session. They do not need to participate, but should be nearby in case of any safety concerns.
  • Medical oversight: All medical decisions, including screening, prescribing, and follow-up, are handled by licensed prescribers at Journey Clinical.
  • Ethical foundation: I follow all professional and legal guidelines for the safe, ethical, and compassionate delivery of psychedelic-assisted therapy.

Further Reading & Resources