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
  • two integration meetings (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