Ketamine Assisted Psychotherapy (KAP)
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Ketamine Assisted Psychotherapy (KAP) is now being offered at the practice by KAP & Psychedelic trained therapist, Brittany Bowerman, in partnership with prescriber, Journey Clinical. Journey Clinical’s medical team supports clients on all medical aspects including determining eligibility, developing a custom treatment plan, prescribing the medicine, and monitoring outcomes.
KAP is a holistic modality in which Ketamine is used in conjunction with Psychotherapy to help clients experience breakthroughs in clarity and revelation and sustained improvement in symptoms. Individuals seek this cutting edge process for a number of reasons. It is evidence-based practice for treatment resistant depression, it is frequently used to help clients work through trauma and symptoms of PTSD, it alleviates anxiety, and it’s impact on neuroplasticity in the brain makes it a great treatment option for de-rooting negative beliefs. It is also evidence-based for OCD, eating disorders, and bipolar disorder.
93% of Journey Clinical patients have seen significant improvements in their depression and anxiety scores!
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. 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. We have partnered with Journey Clinical who prescribes ketamine to our clients in KAP.
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 subside, we’ll spend the remainder of our appointment creating space to process and discuss your experience. While it may feel hard to articulate what is happening during the experience, patients meet again with the therapist 1-3 days following the dosing appointment to integrate the insights from the dosing session. Studies have shown that the benefits to mood and neurological growth last long after the Ketamine experience. This benefit is boosted and extended by the work done in integration sessions.
- 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.
- Preparation sessions:
Once you receive your ketamine lozenges, we will schedule time together for our KAP preparation, dosing and integration sessions. Preparation sessions will be scheduled just like regular therapy sessions prior to the KAP dosing session. The goal of a preparation session is to align on the process and set intentions for our KAP sessions together.
- KAP Dosing Session:
A typical ketamine dosing session lasts 2-2.5 hours. During a dosing session, you will self-administer your ketamine lozenge in my office. 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 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 our first KAP dosing 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.
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.
If you are interested in starting KAP or have additional questions please do not hesitate to reach out to Brittany Bowerman at:
Please read for the latest information and research on KAP:
- Review of The Ketamine Papers: Science, Therapy, and Transformation edited by Phil Wolfson, M.D., and Glenn Hartelius, Ph.D.
- Ketamine Assisted Psychotherapy (KAP): Patient Demographics, Clinical Data and Outcomes in Three Large Practices Administering Ketamine with Psychotherapy
- Toward Synergies of Ketamine and Psychotherapy