Eligible diagnoses include and are not limited to*:

• Anxiety (e.g., GAD) 

• OCD 

• Adjustment disorders 

• Depression (e.g., MDD) 

• Bipolar 

• Primary addiction disorder 

• Trauma (e.g., PTSD) 

• Eating disorders 

• Other conditions (e.g., somatoform disorders)

*KAP eligibility Is determined by the Journey Clinical Team at time of evaluation.

Who is NOT an appropriate KAP referral? 

The Journey Clinical medical team reviews the below considerations when determining KAP eligibility for clients: 

• Uncontrolled substance use disorders 

• Contraindicated psychiatric disorders 

• Unstable medical conditions

The effects of ketamine, which most patients find pleasant, last for approximately 45 minutes. These effects can make you feel “far from” your body, and facilitate shifts in perception that can often feel expansive in nature. Your motor and verbal abilities will be reduced, so you’ll be lying down in a comfortable position during the experience. Once these effects subside, we’ll spend the remainder of our appointment giving you space to process and discuss your experience. While it may feel hard to articulate what happened during the experience, patients feel like the insights gained are none-the-less clear. Studies have shown that the benefits to mood and neurological growth can last up to two weeks after the Ketamine experience.

1. Initial consultation with Journey Clinical 

• You schedule an initial evaluation with a clinician from the Journey Clinical medical team via zoom. They will go over your medical and psychiatric history with you, provide education on the treatment and determine if you are eligible for KAP.

• If Journey Clinical’s medical team determines that you are eligible for KAP, they will develop a personalized Ketamine prescription and outcome monitoring plan for you.

• Journey Clinical’s medical staff will write a ketamine prescription for you, and a small amount of oral ketamine will be sent to your home, enough for the first 2 KAP sessions. You will be taught to take your vitals and self-administer the ketamine lozenges by Journey Clinical’s medical team in advance of our KAP sessions. 
  

2. Preparation sessions:

• Once you receive your ketamine lozenges, we will schedule time together for our KAP preparation, dosing and integration sessions. Preparation session(s) will be scheduled just like regular therapy sessions prior to the KAP dosing session. The goal of a preparation session(s) is to align on the process and set intentions for our KAP sessions together. 

3. KAP Dosing Session:

• A typical ketamine dosing session lasts between 1-2 hours and can take place either in-person at my office, or remotely via telehealth.

• During a dosing session, you will self-administer your ketamine lozenge either in my office or in your home. You will be in a comfortable, reclining position wearing an eye mask and listening to calming music. Although a KAP dosing session may be largely an internal experience, I will be present with you the entire time to hold space and provide support as needed. 

4. Integration Sessions:

• After our KAP dosing session, we will meet for multiple integration therapy sessions to review the memories, thoughts & insights that arose during your dosing session, and to prepare for the next dosing session. 

5. Follow-up consultations with Journey Clinical:

• After our first KAP session, Journey Clinical’s medical team schedules regular follow ups with you to monitor outcomes and prescribe ketamine lozenge refills, as appropriate. The frequency of follow ups depends on your unique treatment plan, at a minimum of once per quarter. 

Follow-up Consultations with Journey Clinical :

• After our first KAP session, Journey Clinical’s medical team schedules regular follow ups with you to monitor outcomes and prescribe ketamine lozenge refills, as appropriate. The frequency of follow ups depends on your unique treatment plan, at a minimum of once per quarter.

Dosing sessions can last anywhere from 1-3 hours depending on how the medication impacts you.

Dosing sessions are facilitated either
1. in our office
2. in your home with therapist attending virtually or
3. self-guided in your own home without a therapist present (when appropriate)

**Please note that while our team is present to guide the journey and provide psychological support, you will receive your medication delivered to your home ahead of time and you will be “self-dosing” by following the medical provider’s instructions.

Therapy costs

Our typical hourly rate is $175/hr. 

• The first hour of your dosing session can be billed to Insurance if in network. Subsequent hours are self pay.

• Integration sessions can also be billed to insurance.

Journey Clinical Medical Costs 

• First-time patients

  • Initial medical consultation with Journey Clinical: $250

  • Cost of medication: $88 (enough for 2 sessions)

• Ongoing treatment

  • Follow-up medical consultation with Journey Clinical $150 (at least 1X per quarter)

  • Cost of medication: $148 (enough for up to 6 sessions) 

**Please note that Journey Clinical is a separate entity and their fees are subject to change but not be reflected here. You may ask for a fee schedule directly from Journey Clinical prior to medical intake.

• How Do I Sign Up?
  If you would like to explore the possibility of integrating KAP into your treatment, please speak to your therapist or email amanda@willowjourneywellness.com to discuss eligibility and next steps. 

• What is Journey Clinical?
  Journey Clinical is a platform for licensed psychotherapists to incorporate science-based psychedelic therapies in their practice safely and effectively, starting with Ketamine-Assisted Psychotherapy (KAP). Journey Clinical’s in-house medical team takes on patient eligibility, prescriptions and outcome monitoring, while I take on the therapy. Their collaborative care model is designed to deliver personalized treatment plans to meet your individual needs and improve long-term outcomes. 

Additional Resources: 

• 1. Paradigms of Ketamine Treatment by Raquel Bennett, Psy.D. for MAPS
  2. Ketamine Assisted Psychotherapy (KAP): Patient Demographics, Clinical Data and Outcomes in Three Large Practices Administering Ketamine with Psychotherapy - research study by Jennifer Dore et al, 2018
  3. Ketamine for Depression and Mood Disorders by Erica Zelfand, ND for Townsend Letter
  4. Ketamine-Facilitated Psychotherapy for Trauma, Anxiety, and Depression by goop
  5. Ketamine Assisted Psychotherapy with Jonathan Sabbagh of Journey Clinical - Psychology Talk Podcast