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Ketamine Assisted Psychotherapy

Ketamine is not a shortcut. In the right hands, with the right container, it can open something that has been closed for a long time. But what happens in that opening depends entirely on what surrounds it.

This is not cookie-cutter KAP. I work slowly, carefully, and with a specific population in mind.

A little science

Ketamine works differently than most medications used in mental health. Rather than simply adjusting neurotransmitter levels, it temporarily increases neuroplasticity, the brain's capacity to form new connections and patterns. This creates a window of flexibility in the nervous system that is usually not available.

For people whose patterns are deeply held, whether through trauma, chronic self judgment, emotional inhibition, or long-term depression, that window matters. It is not magic. But it is a real physiological opening, and what you do with it determines whether it holds.

Who I work with

I work with complex nervous systems. People who carry significant trauma history, deep attachment wounds, or a long-standing difficulty accessing their own emotional experience. People who judge themselves relentlessly and cannot find a way out of it. People whose grief has been inhibited for so long it has nowhere to go. People who have had difficult experiences with psychedelics before and need a clinician who will not flinch.

I also work with people who would not describe themselves as suffering at all. High achievers who have built impressive lives and still feel like something is quietly off. Not broken, not in crisis, just slightly outside of themselves and unable to name why. That particular disconnection responds well to this work.

This work is not for everyone and I am careful about fit. If your nervous system needs slow, careful, attuned support, you are likely in the right place. If you are looking for a fast transformation or a peak experience, I am probably not the right provider.

My approach

I do not direct the experience. I co-create it.

During the session I am tracking your nervous system in real time. Watching where the medicine goes. Following it rather than leading it. The ketamine will take you somewhere. My job is to be present enough that when an opening appears toward self acceptance, self trust, or something that has long been avoided, I am there to gently point at it.

I am still fully myself in the room. Direct, warm, attuned. I am not a neutral observer. But I have no agenda for where the experience goes. The medicine knows things I do not. I follow it.

Stability over peak

A peak experience without ground does not hold. I have seen this enough times to be clear about it.

My orientation in this work is always toward stability first. We do not rush into the medicine. Preparation is real and thorough. We build the container together, establishing safety, trust, and a shared understanding of what we are working toward, before anything else happens.

Integration is where the real work lives. After the session, the nervous system is still flexible and the insights are still available but they need somewhere to land. We work carefully in the days and weeks that follow to make sure what opened actually roots into your daily life rather than fading like a dream.

What to expect

Multiple preparation sessions before the medicine session. We do not begin until the container feels solid.

A slow, attuned medicine session with full clinical presence throughout.

Dedicated integration sessions afterward, as many as your system needs.

An approach calibrated to your specific nervous system, not a protocol.

Additional Ketamine Info

Currently, ketamine is the only legal psychedelic medicine available to mental health providers for the treatment of emotional suffering. KAP is an effective method for decreasing depression and anxiety in a home or private practice setting, especially for patients with severe symptom burden.

We believe ketamine can benefit patients with a wide variety of diagnoses, especially when administered with psychotherapy. Over the past several years, ketamine has gained mainstream acceptance as an intervention for treatment resistant depression (TRD), Post Traumatic Stress Disorder (PTSD) Major Depressive Disorder (MDD) and others. Ketamine offers a unique experience that facilitates both experiential and psychological work at a deeper level than regular Psychotherapy alone.

While scientists are still trying to work this out exactly, the research so far shows that ketamine works by changing the way our brain cells communicate. Ketamine also blocks a receptor in our brains called NDMA that is thought to play a role in depression. Overall ketamine is thought to create neuroplastic changes in the brain which facilitates the growth of new neuropathways. Which is a fancy way of saying that it basically re-wires your brain. Some experts compare ketamine’s effect on the brain to a hardware fix on a computer versus a software fix (which is compared to antidepressants).

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