Sustained
support for
deeper change.
The Comprehensive Ketamine-Assisted Therapy Program
This longer-term ketamine-assisted therapy program (8 dosing sessions) is designed for individuals seeking depth, continuity, and integration over time. It supports meaningful shifts in long-standing emotional and nervous system patterns. Kink‑affirming, poly‑affirming, queer‑affirming and neurodivergent-affirming KAP as well as for athletes and former athletes navigating injury, identity, and the weight sport leaves behind. Available via telehealth in Washington, Idaho, and Florida.
The Comprehensive Program is designed for those seeking deeper, more sustained therapeutic work when patterns feel persistent or deeply rooted. This may include longstanding depression, anxiety, trauma, or relational dynamics that have not fully shifted through insight alone. Ketamine, when combined with skilled, trauma informed support, can help create space for meaningful nervous system change, emotional processing, and new possibilities. Over time, this work supports integration, flexibility, and lasting transformation.
There are moments when what we need is not a temporary shift, but depth and sustained support.
It is a sustained space for meaningful change.
Ketamine supports the brain’s ability to reorganize and form new patterns, helping loosen rigid cycles of thought, emotion, and nervous system response. Through neuroplasticity, this work can create opportunities for meaningful change that extend beyond temporary relief. In this immersive program (9 medicine journeys), each experience builds on the last, supporting deeper integration, greater flexibility, and more sustainable transformation over time.
With Ketamine-Assisted Therapy, you may…
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Notice shifts in mood within hours to days
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Feel more open to new perspectives and possibilities
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Loosen patterns of thought, stress, or self protection that once felt rigid
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Experience relief from the accumulated weight of trauma, masking, or chronic stress
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Build changes that feel more authentic, sustainable, and aligned with your lived reality
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Begin to release the performance-based patterns, injury trauma, and identity pressure that sport trained you to push through
This approach is often a good fit for those who have spent years feeling too sensitive, too intense, or too complicated. Ketamine-Assisted Therapy can open a different kind of space, where your brain, body, and lived experience are fully welcomed and new perspectives can begin to emerge.
What Makes Ketamine-Assisted Therapy Unique
Many people turn to ketamine after trying other treatments that haven’t brought enough relief. What makes this therapy unique is how quickly it works, how it supports the brain in healing, and how it can help even when other approaches haven’t.
Works in a New Way
Unlike traditional antidepressants, ketamine acts on different brain receptors, helping reset how your brain communicates and opening space for healing.
Fast Relief
Most antidepressants can take weeks to work. Ketamine often begins to ease symptoms within hours to days, offering hope more quickly.
Support for Suicidal Thoughts
Ketamine has been shown to reduce suicidal thinking rapidly, creating safety and space for healing when it’s needed most.
Helps When Other Treatments Haven’t
For people who haven’t felt enough change with therapy or medications, ketamine offers another path forward; one that can bring real relief.
High Response Rate
Research shows that 70-80% of people experience meaningful improvements with ketamine, even if other treatments didn’t help.
Why Therapy Matters in Ketamine-Assisted Healing
Ketamine opens a powerful window for change, but therapy is what makes those changes last. Through therapy, you’ll have support to:
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Feel safe and grounded before, during, and after treatment
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Work with what comes up, instead of feeling lost or alone in the experience
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Use the “neuroplastic window” to practice new patterns that can truly take root
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Carry insights into daily life so healing extends far beyond the session
What Happens in The Comprehensive Ketamine-Assisted Therapy Program?
Once you've completed your medical screening with Journey Clinical and are approved, you'll receive your ketamine prescription in the mail. At the same time, you'll receive your Carefully Curated Welcome Kit with thoughtful tools like a blood pressure monitor, ginger mints, premium headphones, eye mask, grounding stone, and journal to support you from the very start.
From there, the program follows a structured yet flexible flow designed to balance safety, depth, and lasting change:
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Intake – We take time to understand your story, including your history, identity, relationships, and how your body carries stress, so we can anticipate what will best support you.
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Preparation – Over 3 sessions, we practice grounding tools, clarify boundaries, and work through the Courageous You KAP Workbook to build a strong foundation of safety and readiness. Additional preparation is available if it would be helpful.
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Intentions & Environment – Together we clarify your hopes and co-create the setting; through music, comfort items, and rituals, that will help you feel steady and supported.
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Medicine Journey – During your first dosing session, you’ll take sublingual ketamine and settle into an inward-focused state with my guidance and presence throughout.
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Ongoing Dosing Options – After your first two therapist-supported journeys, you may choose the level of support that feels most appropriate for your remaining sessions. Some clients continue with therapist presence, while others invite a trusted support person or chaperone of their choosing.
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Processing & Anchoring – During the medicine experience, emotions, imagery, or physical sensations may arise. You are invited to notice, stay curious, and allow experiences to unfold while we gently support integration of meaningful insights.
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Closure – Each session ends with grounding and orienting so you leave feeling safe and steady.
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Integration – Integration sessions take place the next day or within 72 hours of each dosing session to help maximize the therapeutic benefits. In these sessions, we weave your experiences into daily life through reflection, somatic processing, and practical application. This cycle of dosing and integration repeats 8 times, followed by a final follow-up session.
What It Feels Like
Many people describe ketamine sessions as entering a dreamlike or meditative state. Physically, your body often feels heavier, softer, and deeply relaxed. Some people notice their breathing slowing, muscles unclenching, or a gentle warmth spreading through the body. Others describe a sense of floating, as if being carried or held.
Alongside the physical shifts, the mind may open in new ways. You might:
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Experience colors, sounds, or sensations that feel richer or softer
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Notice memories resurfacing with more clarity or compassion
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Feel waves of calm moving through the body
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Rest in a state of quiet stillness where the mind finally eases
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Sense a deepened connection to yourself, others, or something larger
Every journey is unique. Some sessions bring reflection and insight, while others offer a soothing spaciousness. What matters most is that you’ll be supported the whole time with grounding practices, an attuned presence, and a safe container to explore whatever arises in both body and mind.
We stay with you through every step
Our Comprehensive Ketamine-Assisted Therapy Program Includes
Available via telehealth in: Washington/Florida/Idaho
16+ Hours of Individual Therapeutic Support over 5-11 months with Certified Psychedelic-Assisted Therapist, Sarah Wolfer
Medical Oversight and Medication Support
Journey Clinical licensed medical providers handle medical intake and screening, ketamine prescribing for nine medicine sessions, ongoing monitoring, and secure home delivery of medication. Medical services are billed separately, with details shared below.
Intake Session
This is where your journey begins. We take time to understand your story: your history, identity, relationships, and how your body carries stress. Your Welcome Kit and KAP Workbook are included with your intake session.
$250
3+ Preparation Sessions
We practice grounding tools, clarify boundaries, work through the Courageous You KAP Workbook, set intentions, and co-create your setting through music, comfort items, and rituals. Additional preparation is available if it would be helpful before your first journey.
Preparation Sessions are $200 (50 minutes) per session.
8 Ketamine Journeys
After preparation, we move into 8 ketamine journeys designed to support depth, safety, and nervous system integration. Your first two journeys are always therapist-supported, with my guidance and presence throughout.
Session 1 (3 hours): Your intro to KAP. You take lozenge 1, then 2, then 3. You can always stop, and you don’t have to take all three. $595
Session 2 (2 hours): You take lozenges 1, 2, and 3, with my guidance and presence throughout. $395
After your second journey, you return to Journey Clinical to review how the medicine is working and decide your dose for your remaining 6 sessions.
Sessions 3 to 8: Choose the level of support that feels right, and you can adjust as we go.
Guided: high-dose KAP with me (2 or 3 hours). $395 (2 hours) or $595 (3 hours)
Self-led: High-dose KAP at home. Dosing support: your chaperone
9 Integration Sessions
Each dosing session is followed by an integration session, the next day or within 72 hours, to help maximize the therapeutic benefits. We weave your experiences into daily life through reflection, somatic processing, and practical application.
After sessions 1 and 2 (50 minutes): $200 per session
After sessions 3 to 8 (50 or 90 minutes): $200 (50 minutes) or $350 (90 minutes)
Final follow-up session after your last dose (50 or 90 minutes): We reflect on what’s shifted, what you’re carrying forward, and what support you want next, including ongoing therapy or other next steps. $200 to $350
Extra integration sessions between dosing sessions are available as clinically relevant.
Carefully Curated KAP Kit
Everything you need for your dosing experience, thoughtfully assembled and delivered to your door - included with your intake cost.
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Eye mask and premium headphones for sensory comfort and music immersion
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Clinical-grade blood pressure monitor for safe check-ins
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Ginger tea and mints for nausea support if needed
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Grounding items for nervous system regulation
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A premium journal for reflection and integration
24/7 Online Resource Portal
A secure resource hub you can access anytime between sessions -included as part of the program.
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A growing library of guided somatic practices, breathwork, meditations, and educational content
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Preparation and integration worksheets and videos designed specifically for KAP clients
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Audio practices to support grounding, regulation, and stability when you need it
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On-demand access to resources that meet you where you are
Printed KAP Workbook (200+ pages)
A comprehensive printed workbook included in your KAP kit, designed to support you before, during, and after medicine work.
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Accessible education to demystify ketamine
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Guided preparation for mind and body
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Structure for navigating medicine sessions
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Reflection and integration prompts to support meaning-making
Therapist and Chaperone Guides
Clear guides to support the people involved in your care.
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External Therapist Guide: KAP protocols and collaboration support
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Chaperone Guide: Dosing-day safety, boundaries, and presence
Integrated Care and Ongoing Support
You’re not alone in this process.
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Collaboration with your outside therapist when/if desired to support aligned care
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Direct coordination with Journey Clinical to monitor response, adjust dosing, and ensure safety
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Ongoing communication and documentation to support continuity of care
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Direct access to Sarah for guidance, questions, and real-time support throughout the program
I can provide OON Superbills that you can submit to your insurance company for potential reimbursement for preparation and integration sessions. You can also use HSA/FSA funds if applicable.
We also partner with Thrizer to help simplify the reimbursement process. Click here to check if your insurance may cover your sessions.
Program structure and pacing are flexible and may be adjusted to support your clinical needs, preferences, and capacity. Optional add-on sessions are available, while the program’s starting cost remains the same.
Partnering with Journey Clinical for Your Care
As a Journey Clinical KAP Provider, I partner with their specialized medical team to ensure your care is safe, thorough, and well-supported. Journey Clinical handles the medical side of treatment reviewing your health history, determining eligibility, prescribing ketamine lozenges, and monitoring outcomes while I guide you through the therapeutic process.
In this program, we use sublingual ketamine lozenges. These are small tablets you hold in your mouth, swish for about 12-15 minutes, and then spit out. This method is gentle, safe, and effective for at-home treatment.
Medical Care That Supports You
Journey Clinical Care Includes
Initial Medical Consultation + First 2 Doses
This includes medical intake and screening, along with medication for your first 2 medicine sessions, to ensure a safe and well-supported start to treatment.
Follow-Up Medical Consultation + Remaining 6 Doses
After your first two dosing sessions, you will meet with Journey Clinical for a follow-up medical appointment to check in on how things are going and to finalize the dosage for your remaining six sessions. Once that appointment is complete, the medication for those remaining 6 medicine sessions will be shipped directly to your home.
$720
Total Program Cost
Journey Clinical's medical services are billed separately. Costs include a medical intake and screening, medication for the eight dosing sessions, and additional support provided by their team throughout treatment. Clients receive preferred pricing through Journey Clinical as part of my partnership with their team.
What are the Next Steps?
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Schedule your Free Consult with Sarah to see if this is the right fit for you.
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We come up with treatment plan and type, and schedule your treatment start date.
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Receive your welcome kit, ketamine prescription, and interactive workbook and await your first preparation session.
You don’t need the full program to work with me. If you’re getting ketamine through another provider (infusions, lozenges, or another route), I offer preparation and integration sessions to help you feel grounded beforehand, process what comes up, and stabilize the shifts afterward.
Already receiving ketamine somewhere else? I can support you before and after.
Preparation
Build safety and steadiness before your medicine work. We may clarify intentions, explore hopes or fears about altered states, build somatic and grounding tools, and shape your setting. Some people need one or two sessions, others prefer a longer arc.
Sessions: 50 to 90 minutes, $200 to $350 per session
Integration
Help your experience turn into lived change. Ideally within 72 hours of your ketamine session, we reflect across emotional, somatic, and relational layers, explore what feels significant or unresolved, and identify realistic shifts to carry into daily life. When deeper material comes up, we can bring in Somatic EMDR.
This work complements the medical care you're already receiving. You keep working with your infusion center or prescriber for dosing and medical follow up, and with your consent I can coordinate with them or your ongoing therapist. It can stand alone, or grow into the full program if you'd like.
Frequently Asked Questions
Is ketamine-assisted therapy safe?
When it’s medically screened and guided, it’s considered safe for most people. Journey Clinical reviews your health history and your current medications, and prescribes. Please don’t change any medication on your own. Common side effects include nausea, dizziness, headache, and a temporary rise in blood pressure, which usually pass within a couple of hours. You’ll monitor your blood pressure at home using the monitor in your Welcome Kit, and I’m with you throughout every therapist-led session to ensure safety.
Who is ketamine-assisted therapy a good fit for?
People with longstanding depression, anxiety, trauma, or relational patterns that haven’t fully shifted through insight or other treatments alone. It’s often a good fit if you’ve felt too sensitive, too intense, or too complicated for other approaches. Journey Clinical’s medical team reviews your health history and makes the final call on eligibility. If ketamine isn’t safe for you, I’ll help you explore other options.
What if I feel nervous about doing ketamine therapy?
Nerves are very common, and they’re welcome here. That’s what preparation is for. We practice grounding tools, set up your space, and agree on how to support you if things get intense. You decide how much feels right for you, and you never have to take all three lozenges. Integration sessions help us work with whatever came up.
What happens during a ketamine-assisted psychotherapy dosing session?
We go over everything in preparation, so nothing is a surprise. Your first session is 3 hours, and your second is typically 2 hours. We start by connecting over video, grounding together, checking in on how you’re feeling, including your blood pressure, and revisiting your intentions. Then you settle in with an eye mask, headphones, and music while I stay with you throughout. We close every session with grounding and orienting so you leave feeling safe and steady, and we follow with an integration session within 72 hours.
Do I need someone with me? What’s a chaperone?
Yes. For every dosing session, you’ll have a trusted adult with you in your home, called a chaperone. This is true whether your session is therapist-led or self-led. Your first two journeys are always therapist-led, which means I’m with you throughout while your chaperone is nearby. After that, you can keep me present or choose self-led sessions, where you dose with your chaperone and we meet afterward for integration.
A chaperone’s role is simple. They’re a calm, trusted presence who is nearby if you need anything. They don’t need any special training. It can be a partner, a friend, a family member, or another trusted adult. Your program includes a Chaperone Guide so they know what to expect.
What’s the difference between KAP and Somatic EMDR KAP?
Both paths start the same way and share the same foundation: a free consult, Journey Clinical’s medical screening, an intake, preparation, and 8 dosing sessions with integration afterward. KAP is medicine-supported therapy for open, exploratory depth. It’s a good fit if you want to loosen rigid patterns, ease the weight of chronic stress or masking, and build changes that feel authentic and sustainable. Somatic EMDR KAP adds EMDR processing to work with specific memories, injuries, or experiences, and includes extra preparation first. You don’t have to choose now. We can decide together, and the free consult is a good place to talk it through.
Is this program affirming for queer and neurodivergent clients?
Yes, and these are communities I’m part of. As someone who is queer, non-binary, non-monogamous, kinky, and neurodivergent myself, I bring both lived understanding and clinical skill to this work. You don’t have to explain or defend your identity or relationships here, and you won’t have to educate me about your community. When ketamine brings up themes around identity, relationships, or desire, we treat them as meaningful parts of your story, not symptoms to fix. We’ll also shape the experience around how your brain and body work, including pacing, sensory environment, and communication.
What if I already have a therapist?
Absolutely; all programs work beautifully as an adjunct to existing therapy. If you don’t currently have a therapist, I can continue as your therapist after the KAP program (as long as I have space for this). If you already have a therapist, KAP can be a powerful add-on, and with your permission, I’ll collaborate closely with them throughout the process. I’m very hands-on with other professionals when that feels good to you, and I love coordinating care to ensure your therapist is informed about what KAP entails and how to best support you through each phase of the work.