Coaching focuses on non-clinical guidance, personal growth, and self-discovery. In psychedelic coaching, we explore how psychedelics can be used responsibly for insight and transformation, providing preparation and integration support outside of a therapeutic, medically supervised context. Often my coaching clients are seeking the work with the psychedelic medicine(s) (such as Iboga/Ibogaine, 5-MeO-DMT, Ketamine, Ayahuasca, Huachuma, or Psilobycin) in a country where these medicines are legally available and seeking support for their journeys before and after their medicine ceremony. Through a coaching platform, I am able to support clients around the country, as well as internationally.

If you’re dealing with complex challenges such as trauma, PTSD, or treatment-resistant depression, Ketamine-Assisted Therapy may be the best option. Therapy provides a safe, medically supervised setting where licensed professionals support your healing journey through a trauma-informed approach, using psychedelics as a therapeutic tool to facilitate meaningful change.

Ketamine is a legal, safe and effective medicine used to treat a variety of mental health conditions, including depression, anxiety and PTSD. Ketamine has rapidly-acting antidepressant and mood-enhancing effects, which can begin to take effect within 1-2 hrs after treatment and last for up to 4 weeks.

We are learning that ketamine works on many systems in the body, beyond the traditional pathways like impacting serotonin. It works by blocking the brain’s NMDA receptors as well as by stimulating AMPA receptors, which are thought to help form new synaptic connections and boost neural circuits that regulate stress and mood. Ketamine has also been shown to enhance overall neuroplasticity for lasting symptom improvement.

These same properties also provide the brain with a high flow of Brain Derived Nootropic Factors (BDNFs) for 7-10 days following the session. Usually, when not using a psychedelic paired with therapy there is no BDNF change, and we are actually working on changing the nervous system at a much slower pace with far less durability of effect in conditions resistant to standard treatments.

Due to the BDNF benefit a unique stage is then created to support robust new neural growth allowing for greater ease in integrating the understanding gained during the KAT appointment, and more easily change thoughts, behaviors, and emotions related to that processing.

Finally, usually known as an anesthetic at high doses, the fractional doses used in psycholitic (KAP) and psychedelic (KAT) doses are supportive for reducing chronic pain and inflammation. When working with KAT for chronic illness and chronic pain, often more information becomes available about how the subconscious mind is relating with this illness/pain state. Opening up this understanding can be extremely helpful for making meaning out of the challenges that one faces while living with Chronic Pain and/or Illness.

There are two ways of working therapeutically with ketamine: Ketamine-Assisted Therapy and Ketamine-Assisted Psychotherapy (KAP).

The difference between the two is whether or not we are together in session during the ketamine administration.

In KAT, IV or IM ketamine administration is completed in a clinic under medical supervision and our sessions take place before and after for preparation and integration.

In Ketamine-Assisted Psychotherapy the route of administration of ketamine is through oral lozenges that you self-administer in either a telehealth session from your home, or in my office, and I am with you through the dosing session for support and integration.

Ketamine can be administered in a variety of ways, including IV infusion, intramuscular injection, via nasal spray and using sublingual lozenges.

In my work with Journey Clinical we use the sublingual lozenge form.

I also maintain partnership with Klarisana, where IM Ketamine is offered. Klarisana also accepts Medicaid, United Healthcare and Anthem which may make them an ideal partner should you have insurance benefits.

Choosing between IV/IM (intravenous/intramuscular) route of administration ketamine or using lozenges depends on your budget, treatment goals, medical history, and comfort level.

IV/IM delivery offers a more controlled, rapid onset and is often recommended for individuals needing higher precision in dosing, or feel more comfortable with a medical team available onsite.

If you choose this route, we would meet for Preparation and Integration Sessions before and after your Dosing sessions, but would likely not be together during the dosing sessions.

Lozenges, on the other hand, are self-administered and provide a more flexible, gradual experience, making them ideal for working through what arises during the treatment while in session with me.

During your consultation, we’ll explore the best option for you based on your needs and preferences.

What is the Process for Lozenge-Based Ketamine-Assisted Psychotherapy (KAP)?

If you choose to work with ketamine lozenges through Journey Clinical in combination with psychotherapy through my practice, treatment is approached as a collaborative, trauma-informed process that includes careful assessment, preparation, medicine sessions, and integration support. The goal is not simply symptom reduction, but creating the conditions for meaningful and lasting change.

1. Comprehensive Assessment & Medical Evaluation

The process begins with both a clinical and medical assessment to determine whether ketamine-assisted psychotherapy is an appropriate fit for your needs, goals, history, and current level of support.

Medical Evaluation with Journey Clinical

You will schedule an evaluation with a licensed Nurse Practitioner or physician from Journey Clinical via secure telehealth. During this appointment, they will:

• Review your medical and psychiatric history

• Assess current medications and possible contraindications

• Evaluate safety considerations and appropriateness for ketamine treatment

• Provide education about ketamine, potential effects, risks, and expectations

• Develop an individualized prescribing and monitoring plan

If approved, Journey Clinical will prescribe a carefully titrated ketamine lozenge protocol tailored to your needs. Initial prescriptions are typically sent directly to your home pharmacy and generally include enough medication for the first several sessions.

You will also receive guidance regarding:

• Blood pressure and safety monitoring

• Medication interactions and contraindications

• Safe administration procedures

• Telehealth safety requirements

• What to expect physically and psychologically during treatment

Careful screening and monitoring are considered best practice in ketamine-assisted treatment and are essential for supporting both safety and therapeutic effectiveness.

Psychotherapy Assessment & Treatment Planning

In our early sessions together, we will also explore:

• Your goals and intentions for treatment

• Trauma history and attachment patterns

• Current symptoms and stressors

• Emotional regulation capacity and support systems

• Previous therapy experiences

• Relationship to altered states, spirituality, or psychedelics

• Current life circumstances and readiness for deeper therapeutic work

Preparation is not simply logistical. Research and clinical practice increasingly suggest that outcomes are significantly shaped by therapeutic alliance, preparation, psychological safety, expectations, and post-session integration support.

2. Preparation Sessions

Preparation sessions occur before any ketamine dosing session and are considered one of the most important parts of the process.

These sessions help create emotional safety, build trust, clarify intentions, and strengthen your ability to navigate non-ordinary states of consciousness with greater openness and resilience.

Preparation may include:

• Psychoeducation about ketamine and altered states

• Discussing intentions, fears, hopes, and expectations

• Learning grounding and resourcing practices

• Exploring themes or patterns you would like to work with

• Establishing safety and consent agreements

• Creating a supportive “set and setting”

• Discussing music, environment, touch boundaries, and support needs

• Planning for post-session integration and care

Ketamine experiences can range from calming and insightful to emotionally intense or disorienting. Challenging material is not considered a “bad trip,” but often part of the therapeutic process when approached with support and curiosity.

Research and provider consensus increasingly emphasize that integration actually begins before the medicine session itself.

3. Ketamine-Assisted Psychotherapy (Dosing Session)

Ketamine sessions may occur either remotely via secure telehealth or in-person in my office, depending on clinical appropriateness, safety considerations, and your treatment plan.

A typical lozenge-based KAP session lasts approximately 2 hours, including preparation, medicine time, and initial grounding afterward.

During the session:

• You will self-administer your prescribed ketamine lozenge

• You will be in a comfortable reclining position

• Eyeshades and a carefully curated music program are often used to support inward focus

• I remain present throughout the experience to provide support, grounding, and therapeutic guidance as needed

Experiences may include:

• Deep relaxation

• Altered perception of time or body awareness

• Emotional release

• Symbolic or dreamlike imagery

• Access to memories, emotions, or insights

• Experiences of spaciousness, interconnectedness, or self-transcendence

Some individuals remain verbally engaged throughout the session, while others move into a quieter internal process. Both are normal and welcome.

Although ketamine can produce dissociative effects, current evidence does not suggest that dissociation itself is the mechanism of healing. Rather, ketamine appears to support increased neuroplasticity, cognitive flexibility, emotional processing, and shifts in entrenched patterns.

An integrative approach that combines ketamine with psychotherapy, intentional preparation, and integration support may enhance outcomes beyond medication alone.

Telehealth Safety Requirements

If participating remotely:

• You must have a safe, quiet, private environment

• A trusted support person/chaperone must be physically present and available during the session

• You may not drive or operate machinery afterward

If participating in-office:

• You must arrange transportation home (Lyft and Uber are ok)

• Driving is prohibited until the following day

4. Integration Sessions

Integration is where insights begin to become lasting change.

Following your ketamine session, we will meet for integration therapy to help process and make meaning of what emerged during the experience and how it connects to your daily life, relationships, nervous system patterns, and healing goals.

Integration sessions may include:

• Exploring emotional themes, imagery, or memories

• Supporting nervous system regulation

• Processing grief, trauma, or difficult material

• Translating insights into behavioral change

• Deepening self-compassion and self-understanding

• Supporting relationship repair and communication

• Encouraging pacing, self-care, and embodiment practices

• Tracking shifts in mood, functioning, and meaning-making

Integration is not viewed as a single follow-up session, but an ongoing process that unfolds over time and often continues between medicine sessions and long after treatment ends.

Research increasingly supports the importance of psychotherapy and integration support in helping sustain ketamine’s benefits and translating neuroplasticity into meaningful psychological and behavioral change.

5. Ongoing Monitoring & Follow-Up

Journey Clinical’s medical team will continue to monitor your treatment response and prescribing needs through periodic follow-up appointments.

This may include:

• Reviewing symptom improvement and side effects

• Monitoring safety and medication response

• Adjusting dosing protocols when appropriate

• Coordinating care collaboratively with me as your therapist

Frequency of follow-up appointments varies depending on your treatment plan and clinical needs, though medical reassessment is required at minimum every few months.

Throughout treatment, we also continue evaluating:

• Clinical progress

• Emotional safety and stabilization

• Integration capacity

• Whether ongoing KAP remains clinically appropriate and beneficial

Ketamine-assisted psychotherapy is most effective when approached as part of a larger healing process that includes therapeutic relationship, nervous system support, meaning-making, and integration into daily life.

If you choose to work with intramuscular (IM) ketamine through Klarisana in combination with psychotherapy through my practice, treatment is approached as a collaborative, trauma-informed process that includes comprehensive assessment, careful preparation, medicine sessions, and ongoing integration support.

IM ketamine can create rapid shifts in mood, perspective, emotional processing, and nervous system functioning. While many individuals seek KAP for symptom relief, the deeper goal is supporting meaningful and lasting change through an integrative therapeutic process.

Please note: Klarisana currently offers IM ketamine treatment. If IV ketamine is determined to be the most appropriate route of administration for your needs, I can coordinate referral and collaborative care with one of my trusted clinical partners who provides IV ketamine services.

1. Comprehensive Assessment & Medical Evaluation

After I submit your referral to Klarisana, you will schedule an initial medical evaluation with a provider from the Klarisana medical team via secure telehealth.

During this consultation, Klarisana’s medical team will:

• Review your medical and psychiatric history

• Assess current medications and potential contraindications

• Evaluate appropriateness and safety for ketamine treatment

• Provide education about IM ketamine and what to expect

• Discuss risks, benefits, and monitoring procedures

• Develop an individualized treatment and outcome monitoring plan

Careful screening and ongoing monitoring are considered essential best practices in ketamine-assisted treatment.

If approved for treatment, you will then coordinate your first medicine session with Klarisana. We typically complete 2–3 preparation sessions together before beginning ketamine administration sessions, though timing and pacing may vary depending on your clinical needs, goals, and history.

Psychotherapy Assessment & Treatment Planning

In our initial therapy sessions, we will also explore:

• Your reasons for seeking KAP

• Trauma history and attachment patterns

• Current symptoms and life stressors

• Previous therapy experiences

• Emotional regulation and nervous system capacity

• Support systems and relationships

• History with altered states or psychedelics

• Intentions, fears, hopes, and treatment goals

This phase helps establish the therapeutic alliance and creates the emotional foundation necessary for deeper work. Research increasingly suggests that preparation, therapeutic relationship, expectation management, and integration significantly influence outcomes in psychedelic-assisted therapies.

2. Preparation Sessions

Preparation sessions occur before any ketamine medicine session and are considered a central part of the therapeutic process.

Preparation is not simply educational or logistical. These sessions help create safety, trust, grounding, and psychological readiness for working with non-ordinary states of consciousness.

Preparation sessions may include:

• Psychoeducation about ketamine and altered states

• Discussing intentions and treatment goals

• Learning grounding and nervous system regulation skills

• Clarifying consent, boundaries, and support needs

• Exploring fears, expectations, or uncertainties

• Establishing therapeutic trust and rapport

• Discussing music, eyeshades, and the medicine environment

• Preparing for emotional material that may arise

• Planning for post-session support and integration

Ketamine experiences can range from calming and expansive to emotionally intense or disorienting. Challenging experiences are not viewed as “bad trips,” but often as meaningful therapeutic material when approached with appropriate support and pacing.

Preparation also helps cultivate what psychedelic clinicians often refer to as “set and setting,” meaning the internal mindset and external environment that shape the experience and its therapeutic potential.

3. Ketamine Administration Sessions

Ketamine administration sessions take place at one of Klarisana’s clinic locations under medical supervision.

A typical ketamine administration session lasts approximately 1.5–2 hours, including medical intake, medicine administration, recovery time, and stabilization afterward.

During the medicine session:

• Ketamine is administered intramuscularly (IM) in the clinic

• You will be in a comfortable reclining position

• Eyeshades and carefully curated music are often used to support inward focus

• Clinic staff monitor your physical safety and vital signs throughout the experience

• Support staff are available if emotional or physical support is needed during the session

Many people experience:

• Deep relaxation

• Altered perception of time or body awareness

• Emotional release or insight

• Dreamlike imagery or symbolic experiences

• Increased access to memories or emotions

• States of spaciousness, interconnectedness, or self-transcendence

While medicine sessions are often deeply internal experiences, you are not expected to “perform” or force insight. The process unfolds differently for each person and often differently from session to session.

Current research suggests ketamine’s therapeutic effects likely involve multiple mechanisms, including enhanced neuroplasticity, increased cognitive flexibility, interruption of rigid depressive patterns, emotional processing, and nervous system shifts.

Research also increasingly supports combining ketamine with psychotherapy and integration support rather than relying on medication effects alone.

4. Integration Sessions

Integration is the process of helping the experience become meaningful, embodied, and sustainable in daily life.

Following each ketamine administration session, we will meet for an integration therapy session to process what emerged and support ongoing therapeutic change.

Administration and integration sessions are designed to work together:

• One medicine session

• Followed by one or more integration sessions

Integration sessions may include:

• Exploring memories, emotions, imagery, or insights

• Supporting nervous system regulation and stabilization

• Processing trauma material or emotional breakthroughs

• Identifying patterns, defenses, or core beliefs

• Translating insight into behavioral change

• Strengthening self-compassion and relational awareness

• Encouraging pacing and self-care

• Supporting meaning-making and embodiment

• Preparing for future medicine sessions if appropriate

Integration is not viewed as a single conversation after ketamine, but as an ongoing and often nonlinear process that unfolds over time.

Research and clinical consensus increasingly emphasize that integration support is one of the most important factors in helping psychedelic experiences translate into lasting therapeutic benefit.

5. Ongoing Care & Maintenance Planning

The frequency and duration of ketamine treatment varies based on your unique symptoms, history, nervous system patterns, goals, and response to treatment.

Some individuals experience substantial relief after an initial treatment series, while others benefit from periodic maintenance sessions over time.

Together, we will continue monitoring:

• Symptom improvement

• Emotional and nervous system stability

• Functional changes in daily life

• Relationship patterns and coping

• Integration progress

• Whether ongoing KAP remains clinically appropriate and beneficial

There may also be periods where additional integration therapy is recommended even after medicine sessions have concluded, as deeper therapeutic material often continues unfolding afterward.

Ketamine-assisted psychotherapy is most effective when approached not as a stand-alone medical intervention, but as part of a larger healing process that includes preparation, relational safety, psychotherapy, nervous system support, and intentional integration.

My Hourly Rate
$225/hr

Treatment via Journey Clinical

• Medical Intake: $250 (One-time fee, reimbursable through out-of-network)

• Follow-up Sessions: $150/Session (minimum of 1 per quarter, reimbursable through out-of-network)

• Cost of Ketamine Lozenges: $75 for approximately 4-6 treatment doses (not covered by insurance).

Treatment via Klarisana

• In-Network with Colorado Medicaid, Anthem, and United Healthcare

• Colorado Medicaid has $0 personal cost.

• Commercial health plan costs vary depending on your plan. Please reach out to them directly for benefits check and cost responsibility.