Therapy
to break patterns
& ignite change
The Catalyst Ketamine-Assisted Psychotherapy
When things feel heavy or unmoving, this focused ketamine-assisted psychotherapy (KAP) offering opens space for shift. The Catalyst meets stuck places with care and momentum. Kink‑affirming, poly‑affirming, queer‑affirming and neurodivergent-affirming KAP. Available via telehealth in Washington, Idaho, and Florida.
​The Catalyst is a focused, shorter-format Ketamine-Assisted Psychotherapy program for when you’re stuck in a specific groove. That might look like a depressive low, looping anxiety, or a relational block that insight alone hasn’t shifted. Ketamine is a legal, safe treatment that when combined with skilled support can create space for relief and new possibilities. Sometimes, even a small shift can make a meaningful difference.
Sometimes we don’t need a year to turn things around, just a powerful moment of support.
It is a concentrated dose of change.
Ketamine works by helping the brain form new connections and restore balance to the systems that regulate mood and energy. This process, known as neuroplasticity, supports healing in ways that can create lasting change. Even in a shorter-format program (2 medicine journeys), this kind of shift can open new pathways forward.
The Catalyst may be a good fit if you are experiencing:
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The Plateau: You have insight and self awareness, yet familiar patterns still feel hard to shift. You are ready for movement, not more circling inside the same internal or relational loops.
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The Life Pivot: You are moving through a breakup, transition, or moment of personal redefinition. You want support that helps your nervous system and mind meet what is changing with more steadiness and ease.
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The Adjunct: You are already working with a therapist you trust and want to continue that relationship. You are seeking a somatic and biological catalyst to deepen the work already underway.
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This approach is not about starting over. It is about creating conditions where change can feel more accessible, more sustainable, and more aligned with who you are and how you move through the world.​
Turbo-Boost Your Current Therapy
Supercharging Your Healing Ecosystem
Whether you are deep in therapy, moving through life transitions, or working with patterns that feel difficult to shift, The Catalyst is designed to support and amplify what is already in motion. This shorter format KAP program can serve as a catalyst for momentum, helping loosen rigid patterns, deepen self understanding, and open space for meaningful change across the emotional, somatic, and relational systems that shape your life.
Already in therapy? The Catalyst offers a focused boost. We do deep work here and you carry the insights back. I’m happy to collaborate with your therapist.
Turbo-Boost Your Life Changes
Starting a habit, ending a pattern, or launching something big? Ketamine opens a window for change. The Catalyst helps you lock it in.
Turbo-Boost Your Relationships
Stuck in conflict with a partner or polycule? The Catalyst can soften defenses and reopen connection. Available for individuals, couples, and poly systems.
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 Catalyst 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 Catalyst follows a thoughtfully paced flow crafted to hold you with safety, invite depth, and support meaningful, lasting shift.
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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 repeats 2 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 Catalyst Isn't the Only Path...
If you’re feeling the pull to go deeper or you already know you need more time and spaciousness, our Comprehensive KAP Therapy program might be a better fit.
This 5–11 month container offers ongoing support, 8 ketamine journeys, and space to explore trauma, attachment, and long-held patterns with care and consistency.
We stay with you through every step
Our Catalyst Ketamine-Assisted Therapy Program Includes
Available via telehealth in: Washington/Florida/Idaho
13+ Hours of Individual Therapeutic Support over 3-7 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'll take time to get to know each other, explore your history and goals, and begin building the trust and safety that the work ahead requires. From here, we move into preparation with a clear, grounded foundation.
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Your Courageous You KAP Kit — everything you need for your dosing experience, thoughtfully assembled and delivered to your door — is included with your intake session.
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$250 (intake session + KAP kit)
4 Preparation Sessions
We begin with four 50-minute preparation sessions to build safety, clarity, and readiness, with additional preparation available if needed.
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Preparation Sessions are $200 (50 minutes) per session.
2 Ketamine Journeys
After preparation is complete, we move into a series of 2 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.
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Initial therapist-supported session $595 (3 hours) per session.
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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.
​Additional therapist-supported dosing sessions (if desired):
$200 (50 minutes) per session $395 (2 hours) per session
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3 Integration Sessions
Each dosing session is followed by a 50-minute integration session, typically scheduled the next day or within 72 hours. These first two 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.
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$200 per session (50 min) | $350 per session (90 min)
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 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
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.
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​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.
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In this program, we use sublingual ketamine lozenges. These are small tablets you hold in your mouth, swish for about 12-15 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 + 2 Doses of Ketamine
This includes medical intake and screening, along with medication for your 2 medicine sessions, to ensure a safe and well-supported start to treatment.
$362
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 your interactive workbook and await your first preparation session.
Frequently Asked Questions
Is ketamine-assisted therapy safe?
Safety is a central part of the Catalyst Ketamine-Assisted Psychotherapy (KAP) Program. Before beginning, every client completes a therapeutic consultation and a medical screening to determine whether ketamine-assisted psychotherapy is a safe and appropriate option.
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The program includes preparation, supported medicine sessions with blood pressure monitoring, and integration to help you make sense of the experience. Even in a shorter format, care is taken to create a grounded and supportive container where ketamine is paired with intentional psychotherapy rather than used on its own.
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Ketamine-assisted psychotherapy is not appropriate for everyone. Certain medical or psychiatric conditions may require additional evaluation or may make this approach unsafe. Screening, preparation, and clinical support are built into the Catalyst Program to help ensure the process is approached thoughtfully, safely, and at a pace that feels manageable.
What happens during a ketamine-assisted psychotherapy session?
During a ketamine-assisted psychotherapy session, you take a carefully prescribed dose of ketamine in a comfortable and supportive setting. Many people describe entering a more inward, reflective state where thoughts, emotions, and memories may feel easier to explore from a different perspective.
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You typically wear an eye mask and listen to music while the medicine takes effect. The experience usually lasts about 45 to 90 minutes. The goal is not to force insights or control the experience, but to allow whatever arises to unfold with curiosity and support.
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In the Comprehensive KAP Program, the first medicine session with Sarah is three hours to allow time to move slowly, create a supportive container, and ensure you feel grounded throughout the experience. After the first session, the level of therapist presence can vary depending on your needs. Some clients prefer two to three hours of therapeutic support, while others may choose self-led dosing sessions if they feel comfortable with that structure and budget is a consideration.
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All sessions are conducted through telehealth, and every medicine session requires a trusted in-person chaperone to support safety and comfort during the experience.
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After the medicine portion of the session, we spend some time gently reflecting on the experience. Deeper integration work typically happens during the integration session scheduled within the following 24 to 72 hours, when the brain is more open to learning and new perspectives.
What is integration and why does it matter?
Integration is the process of making sense of what emerged during a ketamine session and translating those insights into meaningful change in daily life.
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During integration sessions, we explore themes, emotions, and realizations that came up during the experience. This might include reflecting on patterns in relationships, processing difficult emotions, or identifying small steps that support lasting change.
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Integration sessions are typically scheduled within 24 to 72 hours after a ketamine experience, when the brain may be more open to learning and new perspectives. This window can help support the process of turning insights into lasting shifts in thought patterns, behaviors, and emotional responses.
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Ketamine can open a window for new perspectives, but integration therapy is what helps those insights become part of everyday life. In the Comprehensive KAP Program, integration is a core part of the process rather than something that happens after the fact.
Who is the Catalyst Program a good fit for?
This program is a good fit if you are curious about ketamine-assisted psychotherapy, new to this approach, or looking for a shorter and more accessible way to begin. It offers a structured and meaningful experience while allowing you to move at a pace that feels manageable.
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It can serve as a thoughtful introduction to this work, giving you a sense of how ketamine-assisted therapy feels and how it can support you. For some, this program stands on its own and offers meaningful shifts within a shorter timeframe. For others, it can be continued into a longer program to extend and build on the work over time.
How is the Catalyst KAP Program different from your other KAP programs?
The Catalyst KAP Program is designed as a shorter, more contained introduction to ketamine-assisted psychotherapy. It includes preparation, supported medicine sessions, and integration, allowing you to explore this work in a structured and intentional way without committing to a longer program from the start.
This program is often a good fit for people who are curious about ketamine-assisted therapy, looking for a focused reset, or wanting to begin this work at a more accessible pace. While the timeline is shorter, the process still centers preparation and integration so that insights from the experience can be meaningfully explored and applied.
Other KAP options offer different levels of depth and focus. The Comprehensive KAP Program is designed for deeper, longer-term work with more extended support over time. The Somatic EMDR KAP Program integrates ketamine therapy with body-based and EMDR-informed trauma processing. Preparation & Integration Support is also available for those receiving ketamine through another provider.
During your free consultation, we can explore which option best fits your goals, pacing, and the level of support you are looking for.
How long does the Catalyst KAP Program take?
The Catalyst KAP Program typically takes about 2 to 4 months, depending on how the sessions are spaced. Some clients choose to schedule medicine sessions about every two weeks, while others prefer a slower pace of about once a month to allow more time for reflection and integration between experiences.
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This pacing allows space for meaningful preparation, medicine sessions, and integration work so that insights from the experience can be explored and applied over time.
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During your consultation, we can talk through the different pacing options and determine a timeline that feels supportive and realistic for you.
What if I feel nervous about doing ketamine therapy?
Feeling nervous about trying ketamine-assisted psychotherapy is very common. Many people feel some uncertainty before their first medicine experience, especially if they have never had a psychedelic or altered-state experience before.
​​Preparation sessions are an important part of the process and are designed to help you understand what to expect, explore your intentions, and develop tools that can help you feel grounded and supported during the experience.
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You are never expected to rush into the process. We move at a pace that feels thoughtful and supportive, and the goal is to create an environment where you feel safe, informed, and well prepared before any medicine sessions take place.
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.