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Specialties

Ketamine-Assisted Psychotherapy (KAP)

A grounded and integrative path toward healing.

KAP as Part of a Larger Journey

Ketamine-Assisted Psychotherapy (KAP) can be a powerful catalyst for emotional healing, especially when approached with intention and support. At CALM, we see KAP as one part of a larger journey, a practice that deepens and complements the work you are already doing to understand yourself and heal.

We strongly recommend a consistent baseline of care before, during, and after the KAP journey. KAP can be done on its own, but it is most effective when embedded in a larger healing framework.

Ketamine's effects can include enhanced emotional openness, reduced reactivity, and temporary relief from symptoms of anxiety, depression, and obsessive thought patterns. In a therapeutic setting, this creates space for new perspectives, deeper insight, and meaningful breakthroughs.

Is KAP Right for You?

Ketamine-Assisted Psychotherapy may offer a meaningful path forward if you feel stuck or have not found relief through traditional treatments. It is most useful for individuals who are:

  • Addressing anxiety, OCD, or depression that has not responded to other treatments
  • Feeling stuck in long-standing emotional patterns
  • Open to exploring altered states as a pathway to deeper self-awareness

Effects of Ketamine

In a therapeutic setting, ketamine creates conditions that support deeper emotional work.

  • Emotional Openness

    More access to feeling states and insight that may be difficult to reach in ordinary consciousness.

  • Reduced Reactivity

    Temporary relief from looping thought patterns, defensive responses, and entrenched emotional habits.

  • New Perspectives

    Space for different viewpoints, fresh meaning-making, and breakthroughs that carry forward into integration.

Our KAP Process

What to expect from start to finish

The full KAP process typically takes place over the course of approximately six months, depending on your pace and schedule.

If you are considering Ketamine-Assisted Psychotherapy (KAP) with us, here is how the process typically unfolds.

Foundational Therapy Sessions

Minimum of 6 sessions (more if needed to establish safety and readiness)

  • Opportunity to strengthen the therapeutic relationship
  • Space to build coping skills and deepen self-awareness before KAP
  • Preparation for ketamine work, including:
    • Clarifying intentions, hopes, and goals
    • Exploring concerns, expectations, and safety planning
    • Establishing grounding and coping tools
    • Understanding the dosing process and set and setting

After your third session, if KAP appears clinically appropriate, we will refer you to our medical partner, Journey Clinical, for a comprehensive evaluation.

Build rapportAssess safetySet intentions

Medical Screening

  • Virtual consultation with Journey Clinical to review your medical and psychiatric history
  • If approved, ketamine lozenges are prescribed and shipped to your home
  • Ongoing contact with Journey Clinical to adjust dosing or care as needed
Virtual prescriber

Dosing Sessions

Sessions are approximately 2 hours long

  • You will be in a quiet, comfortable setting with optional music or eye mask
  • Your therapist will be present throughout to provide support and ensure safety
  • A trusted support person must be present in your home, available if needed
  • The first two dosing sessions are exploratory to find your optimal dose
  • After this, you will meet again with Journey Clinical to confirm the dosage and receive your remaining prescription
  • Clients typically complete eight dosing sessions in total, scheduled over several weeks
  • In some cases, up to two in-home dosing sessions may be offered at the beginning of your KAP journey, discussed on a case-by-case basis
~2-hour sessionTherapist online8 sessions total

Integration Sessions

Integration is a vital part of the healing process. This is where insights become lasting change.

  • After each dosing session, we meet for at least one 45-minute integration session
  • Typically scheduled within 24 to 72 hours when neuroplasticity is at its peak
  • Make sense of emotional, somatic, or visual material
  • Reflect on themes or breakthroughs that arise
  • Connect the experience to your ongoing healing process
  • Use tools like mindfulness, somatic practices, or creative reflection to deepen integration
  • You will complete eight integration sessions, one after each dosing session
45-min debriefWithin 1-3 daysTurn insights into action

Follow-Up and Long-Term Care

  • After completing your full KAP series, continued support is encouraged through therapy or booster dosing sessions every 6 to 8 weeks, if appropriate
  • Many clients find benefit in occasional dosing sessions for maintenance or deepening work
  • Continued care with your therapist and prescriber ensures ongoing alignment and safety
Booster every 6-8 weeksMaintenance sessionsSafety check-ins

Investment

Ketamine-Assisted Psychotherapy involves both medical and therapeutic services. Below is a breakdown to help you understand the financial commitment and plan ahead.

Therapy Costs

CALM Therapy

All therapy sessions are billed directly through our practice. Some sessions may be reimbursable through out-of-network benefits and we provide superbills to support that process.

  • Foundational therapy sessions (6 minimum)$250/session
  • Dosing sessions (8 total)
    • First hour$330
    • Additional time$165 flat
  • Integration sessions (8 total)$250/session

Most dosing sessions last 90 to 120 minutes. Insurers typically reimburse the first hour. Any time beyond that is usually out-of-pocket, so we cap it at a flat $165 instead of a second full-hour charge.

Medical Costs

via Journey Clinical

Journey Clinical is a separate medical provider that handles all evaluations and prescriptions related to ketamine. Some services may be covered by insurance depending on your state and provider.

  • Initial medical consultation$250
  • Ketamine lozenges (starter dose for 2 sessions)$97
  • Follow-up medical evaluations (required at least once per quarter)$150
  • Prescription refills (up to 6 doses)$163

Payment model

Pay-as-you-go

No upfront payment required

Estimated total

~$7,500

Spread over approximately six months

Insurance-ready superbills

Out-of-network reimbursement up to 70%

Learn more about fees and insurance

Safety and Ethical Considerations

Your safety, dignity, and informed choice guide every stage of care.

  • Medical Oversight

    A licensed prescriber at Journey Clinical reviews your health history and current medications to confirm that ketamine is appropriate and safe. Dose selection and any adjustments are handled by the prescriber.

  • Consent and Boundaries

    Informed consent is ongoing and you can ask questions or pause care at any time. Your therapist is present throughout dosing and a trusted support person is present at home during sessions.

  • Professional Ethics

    We follow licensed professional ethics standards and state regulations for psychotherapy. We maintain clear therapeutic roles and boundaries, with confidentiality and informed consent at the core.

Further Reading & Resources

If you want to learn more about KAP methods, safety, and outcomes, these resources are a good place to start.

Ready to Learn More?

If you are curious whether KAP might be a good fit, reach out to schedule a consultation. We will answer your questions and help you understand whether this approach makes sense for where you are.

Schedule a Consultation