Ketamine-Assisted Therapy
Ketamine-assisted therapy (KAT) is a unique therapeutic method used to address a variety of mental health conditions, including depression, post-traumatic stress, chronic pain, addiction, and some forms of anxiety. It involves the use of the psychoactive substance ketamine in conjunction with other modalities to enhance and deepen the therapeutic process. The use of ketamine-assisted psychotherapy and other integrative forms of treatment can amplify and prolong the curative effects of ketamine.*
At Sage, we offer ketamine-assisted therapy as part of our comprehensive and holistic approach to wellness. We have found that this unique type of treatment is most effective when paired with other forms of therapy that complement and deepen the work.
In addition to integration counseling, we offer various integrative modalities such as acupuncture, bodywork, nutrition counseling naturopathy, and somatic therapy, to support ongoing improvements in your daily life.
Call today to schedule an appointment or use this form to book a free, 15 minute non-medical consultation to determine whether our integrative approach to ketamine-assisted therapy is right for you.
Phone: (510) 681-2470 / Email: [email protected]
At Sage, we offer ketamine-assisted therapy as part of our comprehensive and holistic approach to wellness. We have found that this unique type of treatment is most effective when paired with other forms of therapy that complement and deepen the work.
In addition to integration counseling, we offer various integrative modalities such as acupuncture, bodywork, nutrition counseling naturopathy, and somatic therapy, to support ongoing improvements in your daily life.
Call today to schedule an appointment or use this form to book a free, 15 minute non-medical consultation to determine whether our integrative approach to ketamine-assisted therapy is right for you.
Phone: (510) 681-2470 / Email: [email protected]
Sage Integrative Health was featured on NPR in October 2023.
Sage client "Didi" and her therapist Genesee Herzberg are interviewed regarding Ketamine-Assisted Therapy at Sage.
Sage client "Didi" and her therapist Genesee Herzberg are interviewed regarding Ketamine-Assisted Therapy at Sage.
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Your Ketamine-Assisted Therapy Treatment Journey
1
Screening & Onboarding with your
Care Coordination Expert
Care Coordination Expert
After completing your new patient intake form, you'll complete a phone screening with your Care Coordinator who listens to your symptoms and concerns, answers any questions you might have about your treatment journey, and ask you any clarifying information to determine if ketamine therapy may be a beneficial treatment in your case.
2
Medical Evaluation & Therapist Matching
Our care coordinator will help you schedule your Medical Evaluation with an in-house prescribing physician for psychiatric assessment, and to make sure Ketamine Therapy is a medically appropriate treatment route for you. They will also work to match you with a therapist on our team, based on your preferences, symptoms, and needs. You will be scheduled for a 20-30min initial discovery call with your matched therapist, so that you can make sure it feels like a good match.
3
3-6 Preparatory Sessions
Once you are cleared for treatment by your prescribing physician and your therapist matching is complete, you will meet with your therapist for 3 - 6 preparatory sessions. These sessions will support you in clarifying your treatment goals and lay the groundwork for the deeper work that will be uncovered during your ketamine sessions.
4
Your first Ketamine Session
The ketamine session itself typically lasts 3 hours if in person, and 2-3 hours if virtual. Your therapist will be with you throughout the ketamine session, either in person or over video/phone. While there are many possible routes of administration, we primarily work with sublingual lozenges or intramuscular (IM) injections of ketamine.
5
2 Integration Sessions
After your first KAT session, you will have at least 2 integration sessions in which we will help you integrate your experience during the ketamine session, discuss how you responded to the medicine, and determine an individualized course of treatment moving forward.
6
Going forward with Ketamine & Integration Sessions
In most cases, multiple ketamine sessions are necessary in order to experience lasting effects. We recommend at least 3 ketamine sessions, with a strong encouragement to complete at least 6 sessions, as this medicine has a cumulative effect and is most beneficial after multiple treatments. Each ketamine session is followed by 2 integration sessions. In some cases, patients who have completed at least 3 in-office sessions may become eligible for closely-supervised at-home lozenge sessions to help make the treatment more affordable.
Ketamine is a psychoactive drug classified as a dissociative anesthetic. It was first synthesized in 1962 and has been used in the United States as an anesthetic in medical settings since 1970. It is on the World Health Organization's List of Essential Medicines Ketamine has been used off-label in sub-anesthetic doses for the past 20 years to treat chronic pain, symptoms of depression, anxiety disorders and a variety of other mental health concerns, thanks to its rapid onset antidepressant effects, sometimes providing nearly immediate relief from emotional and physical pain.
While the antidepressant effects tend to be temporary after a single ketamine treatment, multiple treatments have proven to have a cumulative effect, showing lasting positive shifts in mood and successfully alleviating symptoms in approximately 30 - 60% of individuals with treatment-resistant depression.
In low doses, ketamine can serve as a supportive adjunct to psychotherapy, as it provides an opportunity for the temporary softening of the psychological defenses, allowing for deeper self reflection and psychotherapeutic processing for a more effective treatment.
In moderate doses, ketamine has psychedelic effects, which have been shown to facilitate profound transpersonal experiences. These types of experiences can help people in a variety of ways, offering important clarity and insight into one's struggles, adding a spiritual dimension to ongoing therapeutic work, and facilitating a sense of meaning and interconnectedness.
While the antidepressant effects tend to be temporary after a single ketamine treatment, multiple treatments have proven to have a cumulative effect, showing lasting positive shifts in mood and successfully alleviating symptoms in approximately 30 - 60% of individuals with treatment-resistant depression.
In low doses, ketamine can serve as a supportive adjunct to psychotherapy, as it provides an opportunity for the temporary softening of the psychological defenses, allowing for deeper self reflection and psychotherapeutic processing for a more effective treatment.
In moderate doses, ketamine has psychedelic effects, which have been shown to facilitate profound transpersonal experiences. These types of experiences can help people in a variety of ways, offering important clarity and insight into one's struggles, adding a spiritual dimension to ongoing therapeutic work, and facilitating a sense of meaning and interconnectedness.
We will start with a phone screening in which we will discuss your symptoms and determine whether ketamine-assisted therapy (KAT) might be of benefit to you. If so, you will meet with our prescribing physician for an initial consultation and psychiatric assessment. If you qualify for our program after the intake, you will be scheduled for preparatory sessions in which you will get to know the therapist who will be supporting you in your treatment, and prepare for your KAT session. There will be a minimum of three preparatory sessions before your first KAT session. In many cases, more than three preparatory sessions are indicated.
The ketamine therapy session itself typically lasts 3 hours if in person, and 2-3 hours if virtual. Your therapist will be with you throughout the ketamine session, either in person or over video/phone. While there are many possible routes of administration for your dose of ketamine, we primarily work with sublingual lozenges, rather than ketamine infusions. The effects begin to appear after about 15- 20 minutes, peak for about 40 minutes, and dissipate over the following 1-2 hours. On occasion we also offer intramuscular (IM) injections. In this instance the ketamine is given as a shot into the deltoid or gluteal muscle. Onset is typically within 5 minutes and lasts about 60 minutes. Positive impacts on mood have been shown to last over the following days and sometimes weeks in all modes of administration.
After your first KAT session, you will have at least 2 integration sessions in which we will help you integrate your experience during the ketamine session, discuss how you responded to the medicine, and determine an individualized course of treatment moving forward. Generally, multiple ketamine sessions are required in order to experience lasting effects. We recommend a commitment to at least 3 ketamine sessions, as this medicine tends to have a cumulative effect and is most beneficial after multiple treatments. We also offer closely-supervised at-home lozenge sessions, once you have become familiar with the medicine and its effects, to help make the treatment more affordable.
During the course of treatment, medication follow up appointments with the prescriber are required at minimum every three months, or at the time an additional refill is needed. Please contact us directly for more detailed information and to answer any questions you might have regarding KAT as a treatment for depression or any other mental health concern.
The ketamine therapy session itself typically lasts 3 hours if in person, and 2-3 hours if virtual. Your therapist will be with you throughout the ketamine session, either in person or over video/phone. While there are many possible routes of administration for your dose of ketamine, we primarily work with sublingual lozenges, rather than ketamine infusions. The effects begin to appear after about 15- 20 minutes, peak for about 40 minutes, and dissipate over the following 1-2 hours. On occasion we also offer intramuscular (IM) injections. In this instance the ketamine is given as a shot into the deltoid or gluteal muscle. Onset is typically within 5 minutes and lasts about 60 minutes. Positive impacts on mood have been shown to last over the following days and sometimes weeks in all modes of administration.
After your first KAT session, you will have at least 2 integration sessions in which we will help you integrate your experience during the ketamine session, discuss how you responded to the medicine, and determine an individualized course of treatment moving forward. Generally, multiple ketamine sessions are required in order to experience lasting effects. We recommend a commitment to at least 3 ketamine sessions, as this medicine tends to have a cumulative effect and is most beneficial after multiple treatments. We also offer closely-supervised at-home lozenge sessions, once you have become familiar with the medicine and its effects, to help make the treatment more affordable.
During the course of treatment, medication follow up appointments with the prescriber are required at minimum every three months, or at the time an additional refill is needed. Please contact us directly for more detailed information and to answer any questions you might have regarding KAT as a treatment for depression or any other mental health concern.
Ketamine is used off-label for a variety of mental health challenges, including depression, chronic pain, anxiety, post traumatic stress disorder, and addiction.
Some medical and psychiatric conditions need to be treated before you can safely work with KAT. These include hallucinations, untreated mania, cardiovascular disease, uncontrolled hyperthyroidism, increased intracranial pressure, cystitis, or evidence of liver disease.
A psychiatric intake process regarding your mental health history will help you determine if you are an appropriate candidate for this work.
Some medical and psychiatric conditions need to be treated before you can safely work with KAT. These include hallucinations, untreated mania, cardiovascular disease, uncontrolled hyperthyroidism, increased intracranial pressure, cystitis, or evidence of liver disease.
A psychiatric intake process regarding your mental health history will help you determine if you are an appropriate candidate for this work.
Fees
Psychiatric Intake
$400 (Psych NP) - $600 (MD)
Preparation and Integration sessions
$250-$280
Ketamine assisted therapy session
$1000-$1120
Medication refill/psychiatric follow-up
$200 (Psych NP) - $300 (MD)
While KAT is highly individualized and based on your unique circumstances and needs, the start of a typical KAT program at Sage includes:
- 1 Psychiatric Intake (required)
- At least 3 Preparatory Sessions
- 3 KAT treatment sessions with a skilled therapist
- 3 Integration Wellness Sessions (Acupuncture, Bodywork, or Integrative Medicine)
- 6 Integration Sessions (2 after each Ketamine session)
We're here for you when you're ready.
If you're interested in ketamine assisted therapy, reach out to us below
Ketamine Assisted Therapy Providers
- Marriage & Family Therapist
- Somatic Experiencing & Massage Therapy
- Associate Marriage and Family Therapist
- Clinical Psychologist
- Clinical Psychologist
- Marriage and Family Therapist
- Associate Marriage and Family Therapist
- Jason Butler, PhDClinical Psychologist
- Associate Marriage & Family Therapist
- Associate Marriage and Family Therapist
- Marriage and Family Therapist
- Marriage and Family Therapist
- Clinical Social Worker
- Psychological Associate
- Marriage & Family Therapist
