The day of the session, we will convene and discuss intentions for the session, as well as any lingering anxieties or concerns. The doses are administered as lozenges that you hold in your mouth - there are no shots or needles involved in this preparation.

Once the medicine takes effect, you will likely want to find a comfortable lying position, on a couch or a mat on the floor. A provided eye mask is encouraged but not required, and there is music playing to accompany and “drive” the experience. The ketamine experience itself is about two hours - we will do an initial dose, followed by the opportunity for a smaller “booster” dose as the first one wears off. This phase of the session often doesn’t involve much dialogue, but talking is always an option and I’ll be right beside you if anything comes up.

As the session winds down, we can begin to reorient ourselves towards dialogue and discussion, or remain in silence if preferable. It is required to find a ride home from the office, and recommended to leave the rest of the day free of strenuous plans or activities as the medicine continues to work.

An integration session is planned to take place within the next couple days. This session is more akin to traditional talk-therapy and does not include any medicine. It is meant to strengthen and clarify the changes experienced during the ketamine session, which are often still unfolding by the time you return to the office.

A common trajectory for KAT is to do one session per week for 4-6 weeks, but that timeline is completely flexible and can be made to fit your needs. We can plan for every other week, 2-3 sessions total, 3 weeks on, 3 weeks off, etc. We are free to do what works for you and can reassess anytime.