
Ketamine-Assisted Therapy

For decades, scientists believed that depression was due to an imbalance of neurotransmitters (chemical signals) in the brain. We now know that this is not the whole story. People with depression have fewer connections between neurons, and their brains show abnormal patterns of activity in specific neural networks.
Ketamine promotes neuroplasticity—the brain’s ability to form new neural connections—which may help restore healthier patterns of brain activity and emotional regulation. Unlike most psychiatric medications, which attempt to balance levels of neurotransmitters, ketamine sets off changes in the brain that can lead to continued benefits even after the medication leaves your body.
People with trauma, anxiety, and depression have often built narratives about themselves and the world around them that were helpful at one point, but have become entrenched, have outlived their usefulness, and are now the source of much suffering. Think of these narratives like walls that were once built to protect you, but now actually imprison you. Given the chance to break free, where would you go? What would you see? What would you learn along the way?
Ketamine reduces the activity of the brain network that generates thoughts about ourselves (the "default mode network). Because of this, ketamine offers a temporary escape from these narratives. This "departure" from the ordinary state of consciousness can be the start of a healing journey. Ketamine alone, however, cannot do all the heavy lifting to help you get better. This is why the best and long-lasting effects of ketamine therapy are achieved with concurrent and specifically integrated therapy sessions.
Ketamine can help treat various conditions
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Treatment-resistant depression
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Anxiety
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Bipolar disorder
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Chronic pain (fibromyalgia, neuropathy)
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Complex regional pain syndrome (CRPS)
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Obsessive-compulsive disorder (OCD)
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Post-traumatic stress disorder (PTSD)
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Postpartum depression

Ketamine is only prescribed by a psychiatrist. I partner with Propel Therapeutics and Journey Clinical to fulfill prescriptions.
Ketamine can be administered in a variety of ways, including IV infusion, intramuscular injection, via nasal spray and using sublingual lozenges.
In my work with Propel Therapeutics and Journey Clinical, we use the sublingual lozenge form.
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The process for KAP is as follows:
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Medical Partner ScreeningSchedule a session with our medical partners to ensure you are a suitable fit for Ketamine.
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Dosing & Integration ProcessAfter every KAP dosing session, you and I will meet for multiple integration therapy sessions to review the memories, thoughts and insights that arose during the dosing session, and to prepare for the next dosing session.
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Preparation SessionsOur first session is before taking ketamine, and we will align on the process and set intentions for their KAP work together. Preparation sessions are scheduled just like regular therapy sessions prior to the KAP dosing session; the quantity and length of these sessions is determined by your unique treatment plan. During the next session, you will self-administer your ketamine lozenge and sit in a comfortable, reclining position wearing an eye mask and listening to calming music. Although a KAP dosing session may be largely an internal experience, I am present the entire time to hold space and provide support as needed. Patients are prescribed 6-8 dosing sessions on average.
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Prescription & At-Home DeliveryIf you are deemed eligible, the medical team will prescribe the correct dose for you, and ship it to your home.

For more information about Ketamine-Assisted Psychotherapy, visit Propel Therapeutics.
Please feel free to reach out to me directly with any other questions or concerns you have about KAP.