A photo of brightly colored trees in Central Park, NYC compliments the description of Ketamine-Assisted Psychothrapy (KAP), a service offered by Josh Stieber, PhD at Winding Elm Psychotherapy.

Ketamine-Assisted Psychotherapy

What is Ketamine-Assisted Psychotherapy?

Ketamine-Assisted Psychotherapy (KAP) is type of psychotherapy that combines elements of traditional talk therapy with the benefits of Ketamine. In a therapeutic setting, Ketamine can help minimize anxious, depressive, and other challenging feelings, allowing for a deep inward journey. Many people who have undergone these journeys describe combinations of the following experiences: a dream-like state with imagery that holds important meanings, the ability to access then release emotions like grief or anger that have held them back in life, messages of wisdom and guidance from deeper parts of the psyche, and a greater sense of connectedness with other people and with nature.

Neurologically, Ketamine 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, making it easier to adopt more fulfilling perspectives and behaviors.

Is Ketamine Safe?

Tragic incidents of recreational Ketamine use understandably may lead to concern for safety. However, Ketamine is a legalized medicine and, when used therapeutically, procedures are in place to prioritize safety. A thorough health screening is conducted by an MD to advise whether candidates have any health issues or medications would lead to risks. Then, the therapy sessions in which Ketamine is used are conducted with constant supervision from myself–a licensed psychologist–in a comfortable therapy office. 

What to Expect

Ketamine-Assisted Psychotherapy consists of several stages:

  1. Initial Consultation (15 mins):
    Any active or prospective client can consult with me about whether KAP is a good fit. If we are in agreement to move forward, then…
  2. Medical Screening:
    I collaborate with with Isha Health, a team of doctors who partner with clinicians to provide responsible Ketamine-Assisted Psychotherapy. You would be screened by a specialist from the Isha Health Medical Team. If it is safe to proceed, they would prescribe Ketamine for you to bring to the dosing sessions. The Medical Team also provides follow-up check-ins as your Ketamine journey progresses.
  3. Preparatory Sessions (1 hr):
    You and I then meet for several sessions prior to the session(s) in which you take the Ketamine. We discuss more of what to expect during the dosing session as well as review your goals for what you hope to learn and gain from this journey.
  4. Dosing Session(s) (3 hr):
    This is the extended session in which you take the Ketamine. If you are comfortable with it, you will wear eyeshades, listen to music, lay down, and settle into your journey. Some people primarily stay inward throughout the session while others pause to share or talk through what is happening. There will be time at the end to debrief and prepare to transition back into your day.
  5. Integration Sessions (1 hr):
    Within a few days of a dosing session, we will meet to discuss what came up for you during your Ketamine journey. We can explore confusing parts, celebrate breakthroughs, strategize how to incorporate lessons learned, or whatever else helps to support you.

    Steps 3-5 can be repeated and, often, at least 2 Dosing Sessions (with integrations in between) are recommended.

    Here is an example of a course of treatment, though this can vary based on the needs of each client:

         Consultation
         Medical Screening
         Preparation Session 1
         Preparation Session 2
         Dosing Session 1
         Integration Session 1
         Dosing Session 2
         Integration Session 2
         Integration Session 3

    Next, KAP can continue in a similar format, can end, or can transition to traditional individual therapy.

Acknowledgement

The principles that inform Ketamine-Assisted Psychotherapy are influenced by a long lineage of healing traditions that incorporate and honor plant-based medicines. These traditions began with and have been preserved by Indigenous Peoples across generations. I could not do this work without the wisdom and dedication of the Peoples that have taught these healing traditions. To learn more, click here.

A portion of fees from my Ketamine-Assisted Psychotherapy work will be donated to The Rainforest Foundation, a non-profit that works to preserve the land and rights of Indigenous Peoples in South America where some of these healing traditions originated.