Krystal Gable PA-C, MPAS

FAQ

Psychedelic therapy refers to the therapeutic use of psychedelic medicines like ketamine, Psilocybin, LSD, and MDMA. Studies have shown that when taken in a safe environment with therapeutic support, psychedelics can rapidly relieve symptoms of depression and anxiety. In psychedelic therapy, the participant must first undergo a medical and psychiatric intake to ensure the experience will be the right option for them. Next, the psychiatric team prepares them for the experience beforehand, discussing what to expect and how to ease their mindset leading up to it.

With ketamine-assisted therapy, on the day of treatment, a medical professional administers the psychedelic, intramuscularly, orally or through an iv while the participant lays down with an eye mask and listens to music. A guide, known as an integrator, provides breathing techniques and reassurance if adverse effects should arise. The dosing session is followed by an integration session to recount their experience, describe their feelings during and after, talk through lingering questions, and identify key insights or takeaways.

Ketamine Assisted Psychotherapy—KAP works with your conscious mind in a therapeutic process that augments the possibility for healing, growth and enhanced awareness of self and others, beyond medication alone. Ketamine when combined with psychotherapy can have long lasting results, particularly in cases of depression and PTSD, with just several doses. Book a Consultation call with our team. Once we begin our work, we decide together where you get to go and grow, then we come up with a treament plan for a clear path forward.

Ketamine is a dissociative anesthetic that elicits psychedelic-like effects. It can be used as an alternative treatment for depression, anxiety, PTSD, and other mood disorders. At certain doses, similar to traditional psychedelics, ketamine allows one to experience different planes of consciousness. click here for more information
While ketamine has been used safely since the 1960s for pain and anesthesia, just like any psychoactive medicine, it can be misused, especially at lower doses and in recreational settings. However, when ketamine is administered by a medical professional in a clinical setting with proper education and support, the likelihood of addiction is low.
The cost of treatment relates to the thoroughness of our work and the long duration of the sessions to get you the best possible outcomes as quickly as possible. Check all our pricing Here
Ketamine is legal and has a long history in medicine. In fact, because of ketamine’s long-established use cases, modern practitioners have a deep understanding of how to use ketamine safely. Ketamine therapy is legal in the United States when administered by licensed medical professionals for specific medical purposes. Ketamine is a Schedule III controlled substance in the United States, which means it is regulated by federal law, and its use is legal when prescribed by a licensed healthcare provider.
For some types of health insurance, you may be able to get reimbursed for the cost of your visit, though this is not guaranteed; you should check the out-of-network benefits of your insurance policy for further details. After your visit, you can request a receipt (or “superbill”), which details procedure codes, diagnosis, and fees paid. This superbill can then be submitted to your insurance provider for possible reimbursement to you.
We require 48 hour notice or the full fee will be charged. As sessions can be 3 hours in length, timely notice is essential to the practice. Thank you so much for your understanding!
Ketamine sessions can produce:
  1. Intense sensations of liberation, expansiveness and empowerment
  2. Deep emotions of love for Self, others and the Universe
  3. Restored faith in oneself to start moving towards self-actualization
  4. Readiness to embrace life and overcome obstacles that once hindered advancement towards aspirations
Yes. Ketamine does not have negative medication interactions with antidepressants and does not interfere with their effectiveness at the subanesthetic doses used to treat depression and anxiety.
Ketamine can be administered in a few different methods. Sublingual lozenges, intramuscular injection, intranasal spray, and intravenous infusions. There are a variety of different reasons that one may utilize one method over another. We work with the sublingual lozenges that dissolve in the mouth and are absorbed by the mucosa (lining) of the mouth, as well as intramuscular injections which have a more rapid onset of effect. The medicine is absorbed at a high rate in both of these methods.
Ketamine is off label use for most things besides anesthesia, but is safely being used to treat a number of mental health struggles. These include treatment resistant depression, major depressive disorder, anxiety, trauma, eating disorders, suicidal ideation, chronic pain, migraines/headaches, obsessive compulsive disorder, addictions, and some bipolar diagnoses. Ketamine can also aid in expanding personal and psychosocial development and growth. Some of these conditions require additional support to aid in healing. Please schedule a free consultation with our team to see if we can support you in your healing journey.

Ketamine was first approved by the FDA in 1970 and has been found to be an extremely safe and short-acting dissociative anesthetic and analgesic (pain reliever). It is FDA-approved for many indications including being the recommended anesthesia for children in emergency and operating rooms.

Ketamine has been in use for a long time and therefore has a lot of data collected on its use and safety. Ketamine has a high safety profile, meaning it is a very safe drug and has a predictable way of acting from person to person. It is, however, a medication and like any medication there is always some degree of risk. Since it works on different receptors than many antidepressants it can also be safe to use if people are taking certain prescription medications, although there are exceptions. Before starting any medication consultation with a trained physician is recommended and discussion with your primary therapist and/or psychiatrist is required. There are a few risk factors or potential complications that may exclude you from being eligible for ketamine treatment, as it may not be the right drug for you. In addition, to ensure the highest degree of safety, following the directions of your medical/therapy team is essential and immediate communication if you are experiencing adverse reactions.

There is a lot of mounting evidence that ketamine can be effective in the treatment of many psychiatric conditions, however each person is different and may respond differently. Ketamine treatments are most effective when coupled with any number of therapeutic modalities including traditional psychotherapy, integration coaching, movement modalities, meditation practices, and personal reflection.
The standard of care for the treatment of depression with ketamine therapy has evolved to 6 sessions in 3 weeks, as response is evaluated. We provide ketamine sublingual lozenge sessions to be done at home under close supervision. This protocol greatly reduces costs to clients and intensifies the therapy. We create a customized plan to best support your goals. Contact us to schedule a free 10 minute consultation.

The effects of ketamine, often described as enjoyable by most patients, last for around 45 minutes up to 1.5 hours. These sensations can lead to a sense of detachment from your body and promote alterations in perception that often carry an expansive quality. Your physical and verbal capabilities will be diminished during this time. Following the fading of these effects, the rest of our session will be dedicated to providing you with the opportunity to reflect upon and converse about your encounter. Although articulating the experience might prove challenging, individuals frequently perceive that the insights they acquire become more lucid.

The effects from a psychedelic dose of ketamine are usually felt within 10 to 15 minutes but every person has a slightly different experience. Paticipants may experience:

  • Deep relaxation
  • Calm sensation
  • Heaviness in the body
  • Visual patterns and colors
  • Separation from usual states of thinking
  • Sense of being awake but on a different plane of consciousness
  • Separation from the body
  • Limited verbal expression
  • People, places, or events from their past
Preparation for your ketamine sessions occurs well in advance. Our clinicians will help you to set clear intentions and provide guidelines for a safe and meaningful first experience. When preparing, it is important to know that if you do not feel ready at any point, you can let your provider know and we will support you the best we can until you are ready.

If you are experiencing any of the following conditions you will not be able to receive a ketamine infusion:

  • Uncontrolled high blood pressure (hypertension)
  • Unstable heart disease (arrhythmias, congestive heart failure, chest pain etc.)
  • Untreated thyroid disease
  • Active substance abuse
  • Active manic phase of bipolar disorder
  • Active delusions and hallucination symptoms (not on medications or while taking street drugs)
  • Schizophrenia