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 two preparatory sessions before your first KAT session. In many cases, more than two preparatory sessions are indicated. Note that we are offering virtual sessions as appropriate to accommodate for COVID-19 safety.
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. 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 of ketamine. In this instance the ketamine is given as a shot into the deltoid or gluteal muscle. Onset of ketamine is 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 of ketamine is needed. Please contact us directly for more detailed information and to answer any questions you might have.