Sustained
support for
deeper change.
The Comprehensive Ketamine-Assisted Therapy Program
This longer-term ketamine-assisted therapy program (9 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. 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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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.
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Fast Relief
Most antidepressants can take weeks to work. Ketamine often begins to ease symptoms within hours to days, offering hope more quickly.
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Support for Suicidal Thoughts
Ketamine has been shown to reduce suicidal thinking rapidly, creating safety and space for healing when it’s needed most.
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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.
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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 Better U and are approved, you’ll receive your ketamine prescription in the mail. At the same time, I’ll send you a Courageous You Welcome Kit with thoughtful tools including your 200+ page interactive workbook, ginger mints, headphones, eye shades (and more) to help you feel supported 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 4 sessions, we practice grounding tools, clarify boundaries, and work through the Courageous You KAP Workbook to build a strong foundation of safety and readiness.
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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 therapist-supported journey, you may choose the level of support that feels most appropriate for future 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 typically repeats 9 times, depending on your needs and goals.
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.
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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
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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.
The Comprehensive Isn't the Only Path...
The Catalyst is a high-impact KAP intensive designed for quick, meaningful shifts. It includes 5 powerful ketamine journeys, intentional preparation and integration, and targeted support to help you move through what's been stuck.
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This is therapy with a clear beginning, middle, and end ideal if you’re seeking a reset, not a deep dive. Whether you’re navigating a life transition, hitting a therapeutic plateau, or craving momentum, The Catalyst offers a focused, shorter-term path forward without the longer commitment of a full program.
We stay with you through every step
Our Comprehenive Ketamine-Assisted Therapy Program Includes
Available via telehealth in: Washington/Florida/Idaho
17+ Hours of Individual Therapeutic Support over 5-11 months with Certified Psychedelic-Assisted Therapist, Sarah Wolfer
Medical Oversight and Medication Support
Better U’s 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.
4 Preparation Sessions
We begin with four 50-minute preparation sessions to build safety, clarity, and readiness, with additional preparation available if needed.
9 Ketamine Journeys
After preparation is complete, we move into a series of 9 ketamine journeys, designed to support depth, safety, and nervous system integration. The first dosing session (3 hours) is held with my therapeutic presence via telehealth, allowing space for guidance, stabilization, and orientation to the medicine experience. This initial therapist-supported session is included in the total program cost.
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Following this initial session, dosing may continue at a pace of approximately every 1 to 4 weeks, depending on what best supports your nervous system and individual needs. Clients may choose to have my therapeutic presence or a trusted support person of their choosing for subsequent sessions. Additional therapist-supported dosing sessions are available and may be scheduled as desired at an additional cost.
10 Integration Sessions
Each dosing session is followed by a 50-minute integration session, typically scheduled the next day or within 72 hours. These first nine integration sessions focus on grounding and meaning-making, helping you translate medicine insights into daily life. A final integration session one month after your last dose supports consolidation and next steps. Integration sessions can be extended to 90 minutes if additional processing is helpful.
Carefully Curated KAP Kit
Everything you need for your dosing experience, thoughtfully assembled and delivered to your door.
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Eye mask and premium headphones for sensory comfort and music immersion
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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.
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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 Better U 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
$326
Avg Monthly Cost
11 month Program
The program averages $326/month when done over 11 months, paid session-by-session as you progress, for a total of $3595. No lump sum required upfront. Better U's medical oversight fees (approximately $592) are billed separately by their team. Preparation and integration sessions are 50 minutes and billed at $200 per session, the initial therapist-led dosing session is 3 hours at $595, and optional future therapist-supported dosing sessions may be scheduled for 2 hours at $395 or 3 hours at $595.
I can provide OON Superbills that you can submit to your insurance company for potential reimbursement for all preparation and integration sessions. You can also use HSA/FSA funds if applicable.
The program details shown here are for illustrative purposes only. Structure, pacing, duration, and costs may change based on your needs and the clinical course of care.
Partnering with Better U for Your Care
As a Better U KAP Provider, I partner with their specialized medical team to ensure your care is safe, thorough, and well-supported. Better U 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.
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In this program, we use sublingual ketamine lozenges. These are small tablets you hold in your mouth, swish for about 12 minutes, and then spit out. This method is gentle, safe, and effective for at-home treatment.​​
Medical Care That Supports You
Better U Care Includes
Initial Medical Consultation/ Medication
This includes medical intake and screening, along with medication for your 9 medicine sessions, to ensure a safe and well-supported start to treatment.
Access to Better U Companion App + Extra Resources
Clients also receive access to Better U’s companion app, which includes supportive tools and resources designed to complement the therapy process. Better U's costs include features such as the Brain Box, along with guided materials that help reinforce preparation, reflection, and integration.
$592
Total Program Cost
Better U’s medical services are billed separately. Costs include a medical intake and screening, medication for the nine dosing sessions, and additional support provided by their team throughout treatment. Clients receive preferred pricing through Better U as part of my partnership with their clinical network.
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.