Ketamine Assisted Psychotherapy for Trauma
Ketamine is a hot topic at the moment. I have been asked a lot about ketamine, met with doctors about the process of Ketamine in Sugar Land and thought that it would be really important to share with Southern Pine readers. I have asked my friend Shay, a certified KAP provider to talk about Ketamine Assisted Psychotherapy for Trauma so that you have all the information and can make the decision that is right for you. Here is what Shay had to say.
Your Most Common Questions Answered about Ketamine for Trauma
Ketamine Assisted Psychotherapy (KAP) has emerged as a promising treatment offering hope to individuals who have not found relief in traditional therapy.
As this approach gains recognition, many people have questions about how it works, is it safe, and if it might be right for them.
My name is Shay. I am a somatic trauma specialist, licensed therapist, and Ketamine Assisted Psychotherapist in San Diego, CA.
What is Ketamine Assisted Psychotherapy?
Ketamine Assisted Psychotherapy combines the use of ketamine- a dissociative anesthetic medication- with psychotherapy in a structured way.
Clients are referred by their therapist to a medical provider who screens the patient for fit.
If the patient is a good candidate for KAP, the medical provider will write out the prescription and (in my case) the medication is sent to the client.
During KAP sessions, clients receive a carefully controlled dose of ketamine that they self administer, while working under a trained therapist in a supportive environment.
Sessions can be conducted in person or remotely with a chaperone.
The ketamine helps create a different therapeutic state for the client that can facilitate:
Reduced psychological defenses
Increased neuroplasticity (the brain’s ability to create new connections and networks)
Allow access to difficult emotions and memories
Facilitate deeper therapeutic breakthroughs.
How Does Ketamine Help with Trauma
Neurobiological Effects
Ketamine works by blocking NMDA receptiors in the brain, which leads to
Rapid antidepressant effects that can be felt within hours or days
Increased Brain-Derived Neurotropic Factor production, which promotes new neural connections
Reduced activity in the Default Mode Network, which is typically overactive in trauma survivors.
Therapeutic Benefits
For trauma survivors KAP can
Create distance from traumatic memories
Reduce hypervigilance and anxiety
Allow processing of difficult experiences without overwhelm
Break through treatment-resistant symptoms
What Conditions can KAP Treat?
KAP has shown promise for treatment-resistant depression and various trauma-related conditions.
PTSD (Post-traumatic stress disorder)
Complex PTSD
Anxiety disorders
Chronic pain with psychological components
Substance use disorders
Suicidal ideation
What Does a KAP Session Look Like?
Pre Session Preparation
Preparation is Key for KAP.
In my case this involves referral for a medical screening for a client who I already have a therapeutic relationship with.
Medical screening and assessment by a doctor.
Discussion of intention and goals during sessions prior to dosing session.
Creating a safe and comfortable environment for dosing session.
During the Session
I do sessions remotely with clients. Prior to dosing I will confirm that my client has a trusted chaperone present.
Client will self-administer sublingual ketamine and swish the medicine. After swishing they spit the medicine out and the chaperone disposes of it.
I monitor my client continuously via a HIPAA compliant platform throughout the journey.
Integration
I personally offer my clients a mini-brainspotting session after the dosing if the experience left a positive body feeling so that we can start to wire that in.
I meet with clients 24-48 hours after dosing to process the experience and make some meaning.
Clients identify insights and breakthroughs via art, words, mind maps, or talking with me.
Client and I develop strategies based on what appeared in the dosing session.
Is KAP Safe?
Let’s talk about the elephant in the room. With Matthew Perry’s death involving ketamine, clients ask me about the safety. I was hesitant to provide KAP until I did further research and saw the science about neuroplasticity and FDA approval for treatment-resistant depression.
Medical Safety
When overseen by and following protocols provided by qualified professionals in appropriate settings, ketamine has a good safety record.
FDA-approved for medical use since 1970
Well-understood side effects and contraindications
Continuous monitoring during sessions
Reversible effects that wear off within hours
Psychological Safety
Sessions conducted with trained therapists
Careful screening for contraindications by medical professionals
Supportive, controlled environment
Integration support to process experiences
Potential Side Effects
Common temporary effects may include:
Dissociation or feeling “disconnected" from the body
Nausea (anti nausea medication provided prior to dosing session)
Dizziness
Increased blood pressure and heart rate
Vivid or unusual thoughts
Who is a Good Candidate for KAP?
Ideal Candidates
Individuals with treatment-resistant trauma symptoms
Those who haven't responded to traditional therapies
People seeking accelerated healing
Individuals with stable support systems
Those committed to the integration process
Contraindications
KAP may not be suitable for individuals with:
Uncontrolled high blood pressure
History of psychosis or schizophrenia
Active substance abuse
Certain heart conditions
• Pregnancy
How Many Sessions Are Typically Needed?
The number of sessions varies based on individual needs:
Initial series: Often 3-6 sessions over several weeks
Maintenance: Some may benefit from periodic "booster" sessions
Integration sessions: Regular therapy between ketamine sessions
Total treatment duration: Can range from weeks to months
The first session conducted with my clients is always at a half dose to determine how they will respond to the medicine.
Our next session is at their choice, continue with half dose or progress to a full dose.
Therapy session can also be conducted with low doses of ketamine for a less than psychedelic effect.
What Should I Expect During Recovery?
Initially you may feel a little groggy and tired but that will wear off within a couple hours.
Immediate Aftereffects (Hours)
Gradual return to normal consciousness
Possible continued insights or emotional processing
Need for rest and hydration
Avoid driving or operating machinery for the rest of the day
Short-term (Days to Weeks)
Potential mood improvements
Increased emotional flexibility
New perspectives on traumatic experiences
Continued integration work with therapist
Long-term (Months)
Sustained symptom improvement
Enhanced coping strategies
Improved relationships and functioning
• Possible need for maintenance sessions
After a recent dosing session with a client who smokes marijuana multiple times a day, the client reported no urge to smoke and abstinence for 72 hours.
This client also reported better sleep and lack of body pain which is the reason they started smoking.
How Do I Find a Qualified Provider?
I am in San Diego and work with Dr. Peter Kass as well as with Journey Clinical.
Look for Providers With:
Training and ketamine experience
Specialized training in KAP
Trauma-informed therapy background
Proper licensing and certifications
Questions to Ask:
What is your training and experience with KAP?
How do you screen candidates?
What safety protocols do you follow?
What does your integration process look like?
What are your success rates with trauma patients?
Cost and Insurance Considerations
Keep in mind that costs will vary by location and provider. Remote sessions via sublingual tablet may be less expensive than IV sessions in a center.
Typical Costs
Sessions can range from $500-$1500+ per treatment
Initial consultations may have separate fees
Integration therapy sessions are additional
Insurance Coverage
Coverage varies widely by provider and plan
Some insurance companies are beginning to cover KAP
HSA/FSA funds may be applicable
Many providers offer payment plans
Preparing for Your First Session
Before Treatment:
Complete all medical screenings
Discuss medications with your provider
Arrange transportation home or for a chaperone if dosing remotely
Set intentions for your healing journey
Ensure you have support available
Day of Treatment:
Eat a light meal 3-4 hours before; fasting at least 3 hours prior due to potential nausea.
Wear comfortable clothing
Bring any comfort items (music, blanket)
Arrive with an open, curious mindset
If dosing at home ensure that you won’t be interrupted by phone calls, family or pets
The Future of KAP for Trauma
Research continues to expand our understanding of ketamine's therapeutic potential. Ongoing studies are exploring:
Optimal dosing protocols
Combination with other therapies
Long-term outcomes
Applications for specific trauma types
Final Thoughts
Ketamine Assisted Psychotherapy represents a significant advancement in trauma treatment, offering hope for those who have struggled with traditional approaches. While it's not a magic cure, KAP can be a powerful tool for healing when used appropriately with qualified providers.
If you're considering KAP for trauma, take time to research providers thoroughly, understand the commitment involved, and ensure you have adequate support systems in place. With proper preparation and professional guidance, KAP may offer a path toward healing and recovery that seemed previously impossible.
Remember that healing from trauma is a journey, and KAP is one tool among many that can support your path to wellness. Always consult with qualified healthcare providers to determine if this treatment approach is right for your specific situation.
Work With Shay
Shay is a Licensed Clinical Social Worker in California specializing in somatic trauma therapy. Shay has contributed to articles in National Geographic, Yahoo! Life, Parade, Psychology.org, and The Flow Space magazine.
If you are in California and interested in doing KAP remotely reach out to Shay via email shay@OvercomeAnxietyTrauma.com or 858-321-6355. Shay has a waitlist available for new clients.
