KAP Integration Sessions - Documentation Toolkit
Help clients carry the medicine experience into daily life, and document the psychotherapy that makes integration possible.
Integration is where clients begin to revisit, process, and translate what emerged during a ketamine session. It may include emotional opening, difficult material, subtle shifts, body-based awareness, relational insight, questions of meaning, disappointment, or the slow work of trying something different in ordinary life.
The KAP Integration Progress Note Toolkit gives therapists a practical, evidence-informed structure for documenting this work clearly and thoughtfully.
Rather than writing “processed ketamine experience,” this toolkit helps you capture the actual psychotherapy involved in integration: post-session assessment, safety screening, emotional processing, somatic tracking, client-led meaning-making, values clarification, relational work, behavioral experiments, stabilization, care coordination, and treatment planning.
Inside this toolkit, you’ll receive:
A comprehensive KAP integration progress note template
Integration-session documentation prompts
Medical-necessity language
Diagnosis, symptom, functional-impairment, and treatment-goal linkage
Post-session status assessment prompts
Mental-status and risk-assessment framework
Screening prompts for sleep disruption, mood changes, dissociation, substance use, functioning, and safety
Client-led meaning-making language
Emotional-processing documentation prompts
Somatic-processing documentation prompts
Values, relationships, and behavior-change prompts
Documentation guidance for spiritual or existential material
Language for flat, disappointing, subtle, or difficult sessions
Stabilization and risk-escalation guidance
Post-ketamine stabilization checklist
Prescriber-collaboration and scope-of-practice language
Individual in-person integration note example
Virtual integration example involving prescriber coordination
Group integration note example
Couples integration note example with one dosing partner
Brief integration note version
Audit-readiness checklist
Common integration-documentation mistakes and stronger alternatives
This toolkit helps therapists document integration as more than a conversation after dosing. It supports notes that reflect the depth of the work: helping clients stay with what emerged, make meaning at their own pace, strengthen regulation, and bring insight into relationships, values, routines, and daily life.
Best for: KAP therapists, psychotherapists providing post-dose support, clinicians offering virtual integration, KAP group facilitators, couples KAP therapists, and practitioners who want a stronger framework for documenting the longer-term psychotherapy of KAP.
Format: Digital download
Important note: This resource is educational and should be adapted to your professional license, state laws, payer requirements, practice policies, prescriber protocols, and actual services provided. It does not replace medical advice, medication management, legal advice, billing guidance, crisis assessment, or professional consultation.
