Setting Up Ketamine Assisted Psychotherapy Practice
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This document provides information and guidance for starting a ketamine assisted psychotherapy practice. It discusses treatment indications for ketamine therapy including treatment resistant depression, anxiety, PTSD, and addictions. It also lists contraindications. Treatment approaches for ketamine are described, including low and moderate to high dosing. A sample treatment protocol is outlined involving medical and psychological assessment, in-office sessions, at-home sessions, and maintenance phases. Training resources for ketamine therapy are listed. Considerations for a ketamine practice such as vision, education, set and setting, staff training, protocols, partnerships, and adverse events are reviewed.
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Setting Up Ketamine Assisted Psychotherapy Practice
- 1. Starting a Ketamine Assisted Psychotherapy (KAP) Practice Veronika Gold, LMFT Gregory Wells, PhD
- 2. Why Ketamine? Why Now?
- 3. Treatment Indications ◇ Treatment Resistant Depression ◇ Anxiety Disorders ◇ PTSD ◇ Addictions ◇ OCD ◇ Psycho-spiritual growth Contraindications ◇ Personality Disorder ◇ Delusional Disorder ◇ Bipolar with caution ◇ Untreated HTN ◇ Cardiovascular Disease ◇ Kidney disease or impairment
- 6. Non-directive, supporting emerging experience. A Manual for MDMA- assisted Psychotherapy in the Treatment of Posttraumatic Stress Disorder Michael C. Mithoefer, M.D. Other contributors: June Ruse, Psy.D Annie Mithoefer, B.S.N., Lisa Jerome, Ph.D., Rick Doblin, Ph.D., Elizabeth Gibson, M.S., Marcela Ot’alora G.,L.P.C.
- 7. Treatment Approaches Low Dose ◇ Empathogenic Experience - Trance-like state ◇ Psycholytic Therapy ◇ Allows for ongoing communication ◇ Induces mild dissociation, mildly anesthetic, yet present and relaxed state ◇ Generally low-risk; low side Moderate to High Dose ◇ Out of Body Experience (OBE) ◇ Near-Death Experience (NDE) ◇ Ego-Dissolving Transcendental experience ◇ Moderate to profound dissociative sedation, may be similar to high dose classical psychedelics ◇ Potential for side effects; not suitable for
- 8. Treatment Protocol for Lozenge Sessions ◇ Medical and Psychological Assessment and Intake Session ◇ 1-2 in office sessions with low-moderate dose lozenges ◇ Education and guidance to prepare for at-home low dose sessions ◇ 6 at-home low dose sessions over 2-week period ◇ Therapist contact after every at-home session ◇ Patient required to have own therapist for weekly sessions ◇ Maintenance phase: less frequent sessions and/or IM sessions
- 9. Patient’s First At-Home Ketamine Session I am emerging which has been such a beautiful and powerful theme of this journey… most profoundly experienced in ways that are deeper than words could ever describe…both giving birth to myself and being birthed by myself, I could experience myself mothering me, guiding me, I was able to experience myself as my own therapist.
- 10. • Vision and mission of your practice • Education and Training • Set and Setting – preparation, approach, integration • Staff training • Protocol • Partnerships • Outcome measures and data collection • Preparation for Adverse Events Entrepreneurship in Ketamine Therapy
- 11. ◇ theketaminetrainingcenter.com and The Center for Transformational Psychotherapy Phil Wolfson and Julane Andries in San Anselmo, CA ◇ Kriya Institute Raquel Bennett in Bay Area TRAINING IN KETAMINE ASSISTED PSYCHOTHERAPY
- 12. polarisinsight.com veronika@polarisinsight.com greg@polarisinsight.com Polaris Insight Center 4257 18th St. San Francisco, CA 94114 415.400.5722 THANK YOU!