New Clients

I DO have a couple immediate spots for brief Ketamine-Assisted Psychotherapy. If you’re interested in this treatment, please see http://www.juliacounseling.com/2023/06/ketamine-assisted-therapy/ . I consult with a client’s long-term therapist during this process.

For other services, like Sex Therapy or EMDR, I’m not currently taking new clients. I’m working through a waitlist that’s several months long. When I take new clients again or re-open the waitlist, I’ll definitely update this post 🙂

New Office Location

My office is upgraded as of January 22, 2024! Those who know me know this search has been a year in the making. In the end, I’m collaborating with one of my favorite healing spaces: Arbor Vitae!

Arbor Vitae is only 5 blocks from my current office. It also houses 4 yoga studios; a float spa; saunas; a cold plunge; multiple massage therapists; an acupuncturist; and other healers. There’s also a cafe on site. The building has more plants than some retail nurseries!

Arbor Vitae translates to “tree of life” and is also the name of the white matter in the brain that processes sensory and motor information. I look forward to seeing you there!

Beliefs about Growth & Change

Here are the nuts and bolts–what I think I know about change and resilience

  • The capacity to fully experience both pleasant and unpleasant experiences is key. A wide Window of Tolerance is healthy.
    • Avoidance and denial are only useful short-term survival strategies. Are you able to fully experience and express your unpleasant experiences in real time? Or the soonest appropriate time? This is what grief processing is all about. Grief work is not about recurring thought-cycles from the past; however, it includes honoring the deep emotional truth you feel presently. If the pain is not honored, it may be waiting in the wings to surprise you and project itself into even more situations down the road. Take your devastation seriously (yet don’t act impulsively). Acceptance and meaning develop out of emotional truth (both pleasant and unpleasant truths).
    • Less discussed is Positive Affect Tolerance. Positive affect tolerance is the ability to fully embrace pleasant experiences (love, joy, success, etc). Many folks harbor unconscious fear when a pleasant experience presents itself because they are bracing themselves from future disappointment and pain. They would rather control their experience than ride the emotional highs and lows. This emotional numbing is an understandable strategy yet ultimately limits internal and external connections.
  • Grief is a part of life. If you want to possibly skip the expense of therapy in your healing journey, you may want a grief processing strategy. Here’s one option and another
  • Identify the emotional longing underneath your disappointments, frustrations, and desires. What are you truly longing for? It may not be in line with your initial words or assumptions. For example, if you’re overtly wanting sex, you might be longing to play, be cherished, or to connect. Once you clearly identify your deep emotional longing, you can generate additional approaches.
  • When magic happens in therapy, it’s usually around a Corrective Emotional Experience. If a client is repeating any unconscious patterns, assumptions, and solicitations, I do my best to respond in a way that is helpful, yet goes off-script from the pattern. Relational dynamics that are experienced earlier in life sometimes become expected, maybe even facilitated, unconsciously. The corrective emotional experience can open doors that may increase relational options outside of therapy. This kind of exploration is a huge part of what makes therapy different from other relationships, like friendships or colleagues.
  • Projections. There are a million things I could say about projections. They can wreck havoc on relationships or, if brought to awareness, can be useful in self-development. Recognizing projections can lead to healthy vulnerability and communication. Everyone makes projection errors. When we recognize projections, we can practice self-compassion and repair.
  • Inner child. Self-parenting is cheesy but real, valid, and often necessary. Neglect is gradually healed by taking the inner child seriously and responding with appropriate, consistent self-care (and community-care if you can find it). Our younger selves can be attended to in the here & now.

Ketamine-Assisted Therapy: Procedures, Safety, and Science

I graduated from the Integrative Psychiatry Institute this May! 250 hours of education in psychedelic-assisted therapy was time well-spent.

I’ll be offering ketamine-assisted psychotherapy, starting in July. In addition to treating my own clients, I’m supporting other local therapists and their clients, offering brief treatment that augments their current work. A round of ketamine-assisted psychotherapy with me would include:

  • consultation with the primary therapist
  • preparation meeting(s) with the client
  • a 3 hour medicine meeting (the last hour we talk/process)
  • a follow up integration meeting (client creates a plan that applies our treatment to broader mental health concerns)
  • consultation and referral back to the primary therapist and any additional resources

Safety:

Ketamine involves altered states of consciousness that can increase client vulnerability, client or therapist projection, and risk of blurred boundaries. I heard some horror stories on the Cover Story podcast. For the safety of everyone,

  • medicine meetings are videotaped and securely stored according to HIPAA protocols
  • I’m not offering therapeutic touch. I’m trained in therapeutic touch but not offering it. We can identify several grounding substitutes
  • there is no communication between client and therapist between meetings, except to schedule meetings, or in case of an extreme emergency (this is true for non-ketamine clients as well)
  • clients are welcome to bring a calm, quiet support person observe medicine meetings

Mechanism of Action:

If you’d like to know about the science of ketamine, it’s mechanisms of action, and research studies, neuroscientist Dr. Andrew Huberman can help! https://www.hubermanlab.com/episode/ketamine-benefits-and-risks-for-depression-ptsd-and-neuroplasticity

I’d be happy to answer any questions! julia@juliacounseling.com

Closing Lawrence Office

I am closing my Lawrence office as of December 15th, 2017 and am working full-time at my Overland Park location. Current Lawrence clients have been notified. Previous Lawrence clients are welcome to meet me in Overland Park and/or obtain referrals to additional therapy services.

Celebrating 5 Years

My counseling business just turned 5 years old! In this time, I have connected with hundreds of clients; upgraded my licensure; taught several college courses; and continued my education.