During your initial intake session with your Evolve therapist, you will have the opportunity to discuss your objectives for treatment, the specific concerns you wish to address, and the role of Ketamine within your therapeutic process.

 

After completing this session, you and your therapist will collaboratively decide whether to commence Ketamine dosing sessions immediately or to participate in further talk therapy and preparatory sessions as needed.

 

The following is the typical sequence to begin dosing sessions:

 

1) Initial consultation with Journey Clinical

• 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 team 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, you will schedule your 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 and set intentions for your KAP sessions. 

 

3) KAP Dosing Session: 

• A typical ketamine dosing session lasts at least 2 hours and takes place in-person at the office.

• During a dosing session, you will self-administer your ketamine lozenge with some specific direction and timing done by your therapist. When you begin the dosing regimen 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, the therapist is present with you the entire time to hold space and provide support as needed.

 

4) Integration Sessions: 

• Within 5 days or less from the KAP dosing session, you will meet for at least one (more depending on preference) integration therapy session 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.