Preparation Sessions
We ask for at least three 50-min preparation sessions if you have an ongoing therapist before your first 3-hour ketamine session, or at least 8 preparation sessions if you are not actively seeing a therapist. This preparation time gives us an opportunity to get to know you, build relational safety, review relevant logistics, and create a treatment plan that meets your needs.
Ketamine Session
Ketamine sessions usually take place at our office in Oakland, though sometimes may occur virtually (depending on your therapist's practice and your therapeutic needs). During the session, you and your therapist will check-in and review your intention for the session, as well as how you want to mark the opening of time together. After getting comfortable and making sure you're prepared for the journey, you will self-administer the lozenge at a dose that's within the range you were prescribed. Your therapist will be present with you throughout the whole 3 hours and will make space for any material that comes up. The dissociative and psychedelic qualities of ketamine may make it easier for you to discuss challenging emotional material while feeling safe, which may help you heal past experiences. You may also experience a shift in perspective, which can be an opportunity to shift out of stuck patterns via increased neuroplasticity. While no journey can be predicted and difficult experiences can sometimes arise, your therapist will treat whatever comes up as important to your healing process, supporting you along the way. By the end of the session, your support person (or driver) will arive to pick you up from the appointment and ensure you arrive home smoothly.
Integration Sessions
After each ketamine session, our therapists will usually schedule at least two 50-min integration sessions with you to make sure you get the most out of your experience. This is oftentimes where "the work" begins. You can review what came up in the session, make meaning from it, expand on your present emotional experience, and plan for ways to make sustainable changes in your life.
Sample Schedule
While it's often difficult to know exactly how many ketamine sessions may end up feeling sufficient, many share it can be helpful to have at least 3 to start in order to understand their own unique relationship with the modality. Below is a sample schedule we've included for reference, though each treatment is highly individualized and can vary greatly based on presenting concerns and therapist availability.