KETAMINE ASSISTED PSYCHOTHERAPY (KAP or KAT)
At Be Balanced Counseling, we provide both psychedelic dose KAP or low dose KAP in the office depending on your needs. KAP stands for Ketamine Assisted Psychotherapy or Ketamine Assisted Therapy (KAT). It is a coordinated effort between the client, the therapist, Amy Burnside, and one of our medical partners which may be a nurse practitioner, naturopathic doctor, or medical doctor.
Why Consider Ketamine?
Ketamine is an alternative medicine for the treatment of depression, anxiety, PTSD, OCD, eating disorders, substance use disorder, and acute suicidality.
Ketamine does not carry the same side effect profile as more traditional antidepressants - serotonin selective reuptake inhibitors, or SSRIs. For people who’ve had difficulties with SSRIs or in which SSRIs have not worked, ketamine may be a better option. It works faster than traditional antidepressants, and the neuroplasticity (brain flexibility) effects are strong, meaning the results are deeper than surface-level symptom relief. It is well known to produce new connections in the brain, taking advantage of the neuroplasticity effect.
Ketamine opens a neurobiological window and quiets the DMN (Default Mode Network). The DMN is responsible for rumination about the past and worry about the future. This quieting allows for a broader perspective, a re-ordering of priorities, and less preoccupation with habitual negative narrative. It creates a window of opportunity for learning new and healthier patterns of thought which is where psychotherapy during and after the ketamine experience becomes so powerful. This window, however, is temporary without integration so it is important to pick a KAP provider who also provides between session integration and guides the client to integrate on their own, as well.
Many clients describe their experience as feeling more open, having a sense of expansiveness, having an increase in clarity, feeling calmer, or feeling like they’ve released emotions or heavy burdens they’ve been carrying.
At Be Balanced Counseling, our KAP provider, Amy Burnside uses advanced, trauma-informed therapies which are well aligned with ketamine such as Internal Family Systems therapy (IFS) or EMDR. These therapies, in combination with ketamine, can help clients uncover and heal the root cause of symptoms, behavioral patterns, emotional reactivity, addictive behaviors, relationship challenges, self-esteem issues, and loss of sense of self and a renewed sense of possibility.
Psychedelic Dosing or Mid-Dose Ketamine?
A psychedelic dose or mid-dose KAP session will take place over 3 -6 sessions with the research supporting 6 sessions with integration sessions in between. We will work with you and your budget to find a combination that works best for you while still aligning with the research.
During the session you will be in an altered state. Some of the things you may experience are:
A feeling of being held and supported from within even during difficult emotions
A feeling of lightness or floating
A feeling of belonging or connection to something larger
A gentle lifting of emotional weight
Seeing things from a different perspective
Feeling less attached to old narratives
Mental openness or possibility
Feeling connected to memories
A sense of inner wisdom or guidance
Gentle imagery, colors, or symbolic imagery
During the dosing session:
You’ll be in a comfortable, private therapy room
You will have soft lighting, blankets, and calming music
Your therapist will help you relax before taking the medicine and ensure you feel safe and supported
Your blood pressure and heart rate will be checked for safety
Your therapist will be by your side the entire time to support your medicine journey
Sessions last 2 - 2.5 hours
Low Dose (Psycholytic) Ketamine?
Psycholytic or lose dose Ketamine allows us to use low levels of the medicine, ketamine, to assist in the healing process. It produces an immediate state of calm and ease, and a sense of mental spaciousness. Since Ketamine is in the “dissociative” class of medication, a client can experience their difficult emotions with a sense of psychological space, but without a sense of being overwhelmed. Clients are more open and calm, it can be easier for them to open up and get to the internal spaces that need attending and healing. It is a way to soften one’s protector parts of themselves (IFS therapy term) or what some others may call defenses or defense mechanisms. Using this dose, the client is able to talk and process with the therapist. In this approach the client and therapist are doing therapy together, while using the low dose medicine as a tool. The most common therapy that Amy uses in this treatment is called IFS therapy (Internal Family Systems). Additionally, she may use EMDR therapy, if appropriate. Amy has advanced training in both modalities and has achieved one of the highest levels of training, which is certification.
During the dosing session:
You’ll be in a comfortable, private therapy room
You will have soft lighting, blankets, and calming music
Your therapist will help you relax before taking the medicine and ensure you feel safe and supported
Your blood pressure and heart rate will be checked for safety
Your therapist will be by your side actively doing psychotherapy with you
Sessions last 75-90 minutes
The Process and How We Work Together At Be Balanced Counseling:
Initial Consultation & Screening (meet with the therapist - 60 min)
We begin with a detailed assessment to understand your history and ensure KAP is appropriate for you. We use this time to get to know your symptoms and the goals you have for yourself and your treatment. We collaborate closely with medical prescribers who handle the medical evaluation and ketamine dosing and prescription.
Medical Evaluation (with one of our medical provider partners - 60 min)
The provider will review your medical history, medications and supplements you are taking and ensure Ketamine is safe for you.
Preparation Session(Meet with therapist - 50 min.)
Before your first medicine session, we meet to set intentions, discuss what to expect, and help you feel grounded and supported.
Preparation lays the foundation for a meaningful experience.Dosing Session/Medicine Journey (with the therapist - 2-2.5 hours)
3-6 sessions (research recommends 6 sessions)
Integration Sessions
After each ketamine journey, within 24-72 hours, we meet to help you process what came up. We may use IFS, EMDR, or other ways to help you integrate.
This step is where healing deepens—insight becomes action, and emotional openings turn into lasting change.
Rates & Fees:
KAP Intake Evaluation | Amy Burnside, LCSW
$190 for 60 minutes
KAP Medical Evaluation | varies by medical provider (we will give you a referral)
Prices and insurance vary
KAP preparation session | Amy Burnside, LCSW
$175 for 50 minutes
Dosing Sessions/Medicine Journeys (choose low or mid-dose)
Psychedelic/Mid-dose | lead by Amy Burnside, LCSW | See above for the description of the experience
$400 - $500 for 2-2.5 hours
3-6 sessions
Psycholytic/low-dose | lead by Amy Burnside, LCSW | See above for description of the experience
$250 for 75 minutes
Integration sessions beyond the KAP session
$175 for 50 minutes
Ketamine oral troches (sublingual ketamine)
*Cost varies based on client’s standard pharmacy insurance benefits. Most insurances cover the medication.
Articles and Videos
Ketamine & Depression: How it Works - Yale Medicine Explains (youtube.com)
CONTACT US
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If you are seeking a therapist who combines compassion and attunement with evidence-based expertise, and who has done their own therapy, then let’s talk. Together, we will explore the roots of your symptoms and work towards your long term well-being.