Ketamine works differently than traditional antidepressants. Instead of targeting serotonin like SSRIs, ketamine interacts with the brain’s glutamate system—specifically by blocking NMDA receptors. This action triggers a cascade of effects that promote neuroplasticity, or the brain’s ability to form new connections.

One of the key outcomes is the increased production of Brain-Derived Neurotrophic Factor (BDNF)—a protein sometimes referred to as “Miracle-Gro for the brain.” BDNF supports the growth of new neurons and strengthens connections between existing ones, which may help improve mood, emotional regulation, and cognitive flexibility.

Researchers are still learning exactly why ketamine is so effective for conditions like depression, anxiety, PTSD, and chronic pain, but we know it does more than just lift symptoms—it helps the brain reorganize itself in lasting ways. Ketamine also has anti-inflammatory properties, which may further contribute to its positive effects on both mental and physical health.

In short, ketamine doesn’t just mask symptoms—it can create the internal conditions needed for deeper healing and long-term change.

A Helpful Analogy:

Imagine your brain as a ski slope. Over time, skiing the same trails creates deep grooves like repetitive thought patterns. Ketamine acts like a fresh snowfall, smoothing out the slopes and giving you the chance to explore new pathways-- new ways of thinking, understanding yourself, and processing emotions.

The ketamine experience is unique to each person, and greatly varies depending on the dosage, but many describe it as a shift in awareness—something between deep meditation and a dreamlike state. You may notice a softening of your usual mental defenses, a sense of spaciousness, or a different perspective on long-held thoughts and emotions.

Some people experience gentle visuals, floating sensations, or a sense of disconnection from the physical body—often referred to as a “dissociative” or expanded state. Others report accessing buried memories, connecting with younger parts of themselves, or feeling strong emotional release. There may be moments of insight, clarity, or even profound calm.

Because ketamine quiets the brain’s fear center and increases neuroplasticity, it allows you to explore your inner world with less anxiety and more curiosity. It can open a doorway to parts of the psyche that are often hard to reach in everyday consciousness—making space for healing, reframing, and integration.

Not every session is dramatic or intense. Some are quiet and reflective, while others are more vivid or emotional. Whatever arises, I’ll be present with you throughout the session to support your safety, guide you gently, and help you make sense of your experience.

Your therapy needs are unique. Some people come seeking short-term, focused support, while others are drawn to deeper, longer-term work to heal early wounds or long-standing patterns that take time and care to explore.

For new clients, I typically recommend beginning with weekly or bi-weekly sessions. Meeting consistently helps us build trust, maintain momentum, and create the conditions for meaningful, lasting change.

When engaging in KAP, I generally suggest committing to 4–12 dosing sessions, each followed by an integration session to help process insights and support sustained transformation. Regular sessions are important—spacing them too far apart can slow the progress and make it harder to build on the work we’re doing.

That said, the process is always collaborative. We’ll adjust the pace as needed to ensure it continues to support your goals and meet you where you are.

Ketamine has gained attention for its rapid and often profound effects—especially in cases where traditional treatments like SSRIs or pain medications have fallen short. Research suggests that ketamine may offer faster relief with fewer long-term side effects than many conventional medications.

Its ability to ease symptoms of depression, anxiety, and chronic pain—often within hours or days—has made it a promising option for those seeking alternatives to standard pharmaceutical approaches. For many, ketamine offers not just symptom relief, but a path to deeper emotional healing and transformation.

1. Referral & Registration
   If we decide KAP may be a good fit, I’ll refer you to Journey Clinical, where you'll register as a client.

2. Medical Evaluation
   You’ll meet virtually with a licensed medical provider from Journey Clinical. They'll conduct a thorough psychiatric and medical assessment to determine whether ketamine is safe and appropriate for you.

3. Prescription & Delivery
   If approved, the provider will prescribe a ketamine lozenge or troche (dissolvable tablet). The medication is then delivered to your home or to a designated pharmacy, depending on the treatment plan.

4. Ongoing Medical Monitoring
   Journey Clinical remains available to you throughout your treatment for any medical questions or concerns. They also conduct periodic follow-ups to monitor your response to the medication.

As your therapist, I’ll coordinate closely with Journey Clinical and guide you through the therapeutic side of your KAP experience—from preparation to dosing sessions to integration—ensuring that you feel supported every step of the way.

The KAP process includes multiple components—preparation, dosing, and integration—each designed to support a safe and meaningful therapeutic experience.

Session Fees:

• Preparation & Integration Sessions: $225 for each 50-minute session

• Dosing Sessions: $650 for a full 3-hour in-office session

These fees cover the psychotherapy component only. Medical intake and the prescription of ketamine are handled separately through Journey Clinical, our prescribing medical partner.

Medical Costs Through Journey Clinical:

• Initial medical evaluation and the first two doses of ketamine: $338. May be eligible for partial insurance coverage depending on your plan.

• Follow up medical consultation and medication for six to nine additional sessions: $298. May be eligible for partial insurance coverage depending on your plan.

Insurance Coverage:

While ketamine has shown great promise, infusion and injection-based ketamine treatments are not yet widely covered by insurance, even when administered by in-network physicians.

However, the psychotherapy portions of treatment—including the intake, preparation, and integration sessions—may be reimbursable through your insurance if you have out-of-network benefits. These sessions are billed similarly to traditional therapy.

Dosing sessions are not typically covered or are only partially reimbursed, since they are significantly longer than standard therapy sessions (typically 2–3 hours). I’m happy to provide documentation (superbills) for any part of the process that may be eligible for reimbursement.

If you have questions about coverage or how to navigate the insurance process, I’m happy to help.

Ketamine is in every hospital around the world. It's on the World Health Organization’s list of top ten essential medicines and has a high safety profile. It was first synthesized in 1962 and originally used in medical and veterinary settings for its pain-relieving and anesthetic properties. By the 1970’s and 80’s researchers began exploring its psychiatric benefits, but it wasn’t until the early 2000’s that a growing body of research revealed ketamine’s profound potential for mental health treatment. It is currently the only legal psychedelic approved for use in psychotherapy in the United States, and it is now safely and legally used  by licensed professionals across the country.   

When used responsibly and in the right setting, ketamine is considered safe for most individuals. It is a Schedule III medication, meaning it is FDA-approved for medical use and requires a prescription. While the risk of physical dependence is low to moderate, psychological dependence can occur if the medicine is misused—highlighting the importance of working with a trained, licensed professional.

In KAP set and setting are essential. Your state of mind (set), the therapeutic environment (setting), and ongoing psychological support all play critical roles in creating a safe and effective experience. Sessions are conducted in a calm, supportive space, with your physical and emotional well-being monitored throughout.

Ketamine is not for everyone, and safety begins with a thorough medical and psychiatric evaluation. If you're approved for treatment, we’ll move forward with intention, care, and the understanding that healing happens best within a trusted therapeutic relationship.

While ketamine is FDA-approved as an anesthetic, it is not currently FDA-approved for the treatment of depression, anxiety, or other mental health conditions. Its use in psychotherapy is considered off-label—a common and legal practice in medical treatment. [Learn more about off-label use here.]

Potential Side Effects

Ketamine treatment is generally well-tolerated, but possible side effects may include:

• Altered sense of time or perception

• Blurred vision or changes in sensory experience (e.g., synesthesia)

• Anxiety or restlessness

• Nausea or vomiting

• Dry mouth or loss of appetite

• Elevated blood pressure or heart rate

• Confusion or mental fog

• Slurred speech or dizziness

• Nystagmus (rapid eye movements)

In rare cases, chronic heavy use may cause urinary symptoms such as increased frequency, pain, or reduced bladder function.

To ensure your safety and promote a positive outcome during ketamine treatment, please follow these guidelines:

• Do not drive or operate heavy machinery after a session—wait until after a full night’s sleep

• Avoid alcohol and hangovers before treatment

• Do not take benzodiazepines or stimulants 24 hours prior to your session

• Continue antihypertensive medications as prescribed

• Avoid solid food for 4 hours and liquids for 2 hours before treatment

• Ketamine sessions should only be conducted with a trained professional present to monitor your safety

If you have questions about whether ketamine is right for you, I’m happy to discuss your concerns and collaborate with your medical provider.

While Ketamine-Assisted Psychotherapy can be deeply healing for many, it’s not the right fit for everyone. KAP may not be appropriate for individuals with:

• A history of psychosis, schizophrenia, or certain types of bipolar disorder

• Are currently experiencing manic symptoms

• Uncontrolled high blood pressure or serious cardiovascular conditions

• Current substance dependence or active addiction (case-dependent)

• Severe dissociative disorders that may be exacerbated by ketamine

• Certain pregnancy or breastfeeding conditions (consult with your prescribing provider)

• Medical contraindications as determined by a prescribing physician

Part of the KAP process includes a thorough medical and psychiatric screening conducted by Journey Clinical, the prescribing medical partner I work with. This ensures safety and appropriateness before treatment begins.

If KAP isn’t the right option for you, I’m happy to explore alternative therapeutic approaches that support your healing path.