Ketamine-Assisted Psychotherapy (KAP)

A grounded and integrative path toward healing

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're 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's 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 (KAP) can offer a meaningful path forward if you feel stuck or have not found relief through traditional treatments.. It's most useful for individuals who are:

Addressing anxiety, OCD, or depression that hasn't responded to other treatments

Feeling stuck in long-standing emotional patterns

Open to exploring altered states as a pathway to deeper self-awareness

We'll work together to carefully assess whether KAP is the right fit for your needs and goals. Our priority is making sure you're ready, supported, and positioned to benefit safely within a therapeutic framework.

Effects of Ketamine

Emotional opennessMore access to feeling states and insight.
Reduced reactivityTemporary relief from looping patterns.
New perspectivesSpace for different viewpoints and meaning.

Our KAP Process

What to expect from start to finish:

The full KAP process typically takes place over the course of approximately 6 months, depending on your pace and schedule.

If you're considering Ketamine-Assisted Psychotherapy (KAP) with us, here's how the process typically unfolds:

Foundational Therapy Sessions

Build rapport
Assess safety
Set intentions

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/setting

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

Medical Screening

Virtual prescriber

Virtual consult 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

Dosing Sessions

~2-hour session
Therapist online
8 sessions total

Sessions are approximately 2 hours long

You'll 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'll 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

Integration Sessions

45‑min debrief
Within 1–3 days
Turn insights into action

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'll complete eight integration sessions, one after each dosing session

Follow‑Up and Long‑Term Care

Booster every 6–8 wks
Maintenance sessions
Safety check‑ins

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

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.

Foundational therapy sessions (6 minimum)$250
Dosing sessions (8 total)see below
- First hour$330
- Additional time^*$165 flat
Integration sessions (8 total)$250

^* Most dosing sessions last 90–120 minutes. In our experience, insurers typically reimburse the first hour (CPT 90837). 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.

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

Some of Journey Clinical's services may be covered by insurance depending on your state and provider.

Payment

We recognize this is a significant financial investment. That’s why you pay only after each session and receive documentation for any reimbursable visits. A structured payment‑plan option is in the works to make care even more accessible.

Pay‑as‑you‑go
total ~ $7,500(spread over ~6 months)
Insurance‑ready superbillsOON reimbursement up to 70%

Some sessions may be reimbursable through out‑of‑network benefits; we provide superbills to support that process.

Learn More

Safety and Ethical Considerations

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

We follow clear medical and ethical standards so you know what to expect, how decisions are made, and how we protect your wellbeing throughout KAP.

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 at Journey Clinical.
You receive clear guidance from Journey Clinical on dosing, set and setting, and safety planning.

Consent and Boundaries

Informed consent is ongoing and you can ask questions or pause care at any time.
Your therapist is present throughout dosing to provide monitoring and support.
A trusted support person is present at home and available during dosing.

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.
With your permission, we coordinate with your other providers to support continuity of care.

For deeper reading on methods, safety, and outcomes, see the resources below.