Helping Clinicians Build Thoughtful, Ethical Ketamine-Assisted Therapy Practices
Professional Offerings
Explore the options that best suit you or your organization
Clinical Supervision (WA)
I offer Washington State–approved clinical supervision for therapists who want to build competence and confidence in trauma-informed, ethical ketamine-assisted therapy. My supervision supports clinicians who are integrating KAP into their work or preparing to do so, with attention to clinical responsibility, scope of practice, and client safety.
How we will work together:
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Review clinical cases involving ketamine-assisted therapy or psychedelic-informed work
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Strengthen assessment, readiness, and pacing for KAP clients
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Explore ethical considerations including consent, power, boundaries, and scope of practice
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Support integration work when clients bring material from ketamine or other altered-state experiences
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Attend to self-of-therapist dynamics when working with dissociation, trauma, or expanded states
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Build confidence in documentation, clinical decision-making, and risk awareness
Supervision is available to Washington State pre-licensed clinicians seeking approved hours, and is tailored to your level of experience with ketamine-assisted therapy.
Training
I offer in-depth training for clinicians and organizations seeking to build ethical, well-integrated ketamine-assisted therapy practices. These trainings focus on the clinical realities of KAP, including preparation, dosing support, integration, consent, and the relational and nervous system dynamics that emerge when working with altered states. Trainings are tailored to your setting and level of experience, whether you are new to ketamine-assisted therapy or refining an existing program.
Participants will gain:
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A clear framework for ethical ketamine-assisted therapy, including preparation, dosing support, and integration
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Tools for assessing readiness, pacing treatment, and supporting clients through vulnerable or expanded states
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Guidance on consent, power dynamics, and scope of practice in psychedelic-informed work
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Strategies for integrating ketamine experiences into ongoing psychotherapy and daily life
Speaking Engagements
I offer speaking engagements for conferences, organizations, and professional communities seeking grounded, accessible education on ketamine-assisted therapy and psychedelic-informed care. My talks bridge clinical research, real-world practice, and ethical reflection, helping audiences understand not just what ketamine-assisted therapy is, but how to engage it responsibly and thoughtfully.
Speaking engagements may include:
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An overview of ketamine-assisted therapy and how it differs from infusion-only or medicine-first models
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Ethical considerations in KAP, including consent, power dynamics, and scope of practice
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Preparation and integration as central components of effective ketamine-assisted therapy
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Clinical reflections on trauma, dissociation, and nervous system regulation in altered states
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Emerging trends and lessons learned from real-world ketamine-assisted psychotherapy practice
Talks are customized for clinical audiences, training programs, conferences, or organizations seeking thoughtful, evidence-informed perspectives on KAP.
Consultation
I offer individualized consultation for clinicians and organizations seeking strategic support with ketamine-assisted therapy program design and clinical decision-making. Consultation is well suited for independent practitioners, group practices, and clinics who want to build or strengthen KAP offerings that are ethical, well-structured, and clinically sound. Consultation focuses on the systems and structures that support effective ketamine-assisted therapy, including program flow, preparation and integration models, collaboration with medical providers, and risk-aware clinical processes.
Through consultation, you can:
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Develop or refine a ketamine-assisted therapy program that fits your clinical setting
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Clarify preparation, dosing support, and integration structures
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Strengthen collaboration between therapists and medical prescribers
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Address ethical considerations, scope of practice, and risk management
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Problem-solve complex cases or program challenges as they arise
Meet Sarah Wolfer
Founder of Courageous You
With over 14 years of clinical experience, I specialize in ketamine-assisted psychotherapy and the thoughtful integration of psychedelic-informed care into real-world clinical practice. I work with clinicians and organizations who want to offer ketamine-assisted therapy in ways that are ethical, relational, and grounded in preparation and integration rather than protocol alone.
My professional work focuses on helping therapists build confidence and clarity when working with ketamine-assisted therapy, including assessment, readiness, dosing support, integration, and collaboration with medical providers. I bring a systems-level lens to KAP, supporting clinicians not just in individual sessions, but in building sustainable, responsible programs that center consent, safety, and clinical accountability.
I am a Licensed Independent Clinical Social Worker and Washington State–approved clinical supervisor. I completed advanced training in psychedelic-assisted therapy through the Integrative Psychiatry Institute, with focused education in ketamine-, psilocybin-, and MDMA-assisted psychotherapy. Ketamine-assisted therapy is the primary modality of my clinical work, and my approach is shaped by years of hands-on experience delivering comprehensive KAP programs that include preparation, medicine sessions, and robust integration.
My Style:
📣 Supportive ✅ Compassionate 🤝 Collaborative
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Frequently Asked Questions
What kinds of professionals do you work with?
I work with licensed therapists, pre-licensed clinicians, and organizations who are offering or preparing to offer ketamine-assisted therapy. This includes clinicians seeking Washington State–approved supervision, as well as licensed providers looking for consultation, training, or education related to KAP. Many of the professionals I work with support clients navigating trauma, dissociation, chronic stress, or complex relational systems and want guidance that is clinically grounded, ethical, and practical rather than protocol-only.
Do you offer individual clinical supervision?
Yes. I offer Washington State–approved individual clinical supervision for therapists who need supervision hours toward licensure, as well as licensed clinicians seeking ongoing supervision while working with ketamine-assisted therapy or psychedelic-informed care. Supervision may include case consultation related to KAP, assessment and readiness, preparation and integration work, ethical decision-making, and self-of-therapist reflection when working with altered states.
Do you offer group supervision?
Yes. I periodically offer structured group supervision for clinicians working with ketamine-assisted therapy or psychedelic-informed clinical work. Groups focus on case consultation, ethical reflection, clinical reasoning, and skill development related to preparation, dosing support, and integration. I do not always have an active group running, but if you have a small cohort interested in group supervision, I am open to exploring the creation of a new group.
How do consultation sessions work?
Consultation sessions are designed for licensed clinicians or organizations seeking targeted support around ketamine-assisted therapy. You bring specific questions, cases, or program-level challenges, and we work collaboratively to clarify options and develop concrete next steps. Consultation may focus on KAP program design, preparation and integration structures, collaboration with medical providers, ethical considerations, or complex clinical presentations. Sessions are flexible in frequency and scheduled based on your needs.
Can I consult with you even if I don't currently offer KAP?
Yes. Consultation is available whether you are actively offering ketamine-assisted therapy or exploring it as a future direction. Many clinicians I work with are in an early learning or planning phase and want support clarifying fit, ethics, scope of practice, and next steps before launching a KAP offering. Consultation can also support clinicians whose clients are engaging ketamine therapy elsewhere and want help with preparation, integration, or clinical decision-making.
Do you offer training for whole teams or organizations?
Yes. I offer customized trainings for group practices, clinics, organizations, and professional communities seeking education in ketamine-assisted therapy and psychedelic-informed care. Trainings are tailored to your team’s experience level and goals and may be offered as workshops, retreats, or multi-session learning series.
What topics do your trainings cover?
Training topics are centered on ketamine-assisted therapy and may include:
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Foundations of ketamine-assisted therapy and how it differs from infusion-only models
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Preparation and integration as core components of effective KAP
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Ethical considerations, consent, and scope of practice
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Working with trauma, dissociation, and nervous system activation in altered states
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Collaboration between therapists and medical prescribers
Are your trainings appropriate for beginners?
Yes. Trainings are designed to meet participants where they are. For clinicians new to ketamine-assisted therapy, trainings focus on foundational concepts, ethical orientation, and practical frameworks. For more experienced teams, we move into clinical nuance, integration challenges, and complex case considerations.
Do you offer continuing education credits?
Continuing education credits are available for select workshops and trainings. When CE credits are offered, this will be clearly noted in the training description. I am continuing to expand CE-eligible offerings focused on ketamine-assisted therapy and psychedelic-informed clinical practice.
Can you help with building or restructuring a private practice?
Yes. Consultation can include support with building or restructuring a practice when it relates to ketamine-assisted therapy or psychedelic-informed care. This may include pricing and program structure, KAP workflows, informed consent processes, documentation, policies, and systems that support preparation and integration. The focus is on aligning your clinical values with sustainable, ethical KAP offerings rather than general practice coaching.
Can I bring administrative or business questions, or is consultation only clinical?
You can bring both. Consultation often includes a mix of clinical and operational questions because offering ketamine-assisted therapy responsibly requires aligned systems. This may include program design, scheduling and pacing, collaboration with medical providers, documentation considerations, and communication with clients and referral partners.
Do you provide consultation on Ketamine Assisted Therapy?
Yes. Ketamine-assisted therapy consultation is a core offering. Consultation may cover ethics, client selection and readiness, preparation models, dosing session structure, integration planning, scope of practice, and collaboration with prescribers. I also support clinics and organizations building or refining comprehensive KAP programs.
Can you help me design or revise my relationship therapy offerings?
In limited and specific ways, yes. Consultation may include support around how relationship and systems work interfaces with ketamine-assisted therapy, such as working with clients in relational networks, coordinating care, or integrating relational material that emerges through KAP. This is not general relationship-therapy program design, but rather KAP-adjacent support when relevant.
How do I know if your consultation or supervision style is right for me?
You may be a good fit if you value clarity, ethical rigor, consent-centered care, and thoughtful pacing over quick fixes or rigid protocols. My style is direct, collaborative, and grounded in real clinical experience with ketamine-assisted therapy. I prioritize transparency, curiosity, and practical application. A brief consult call is often the best way to assess fit before moving forward.
Do you work with organizations that are early in their ketamine-assisted therapy journey?
Yes. I work with clinics and organizations that are early in exploring ketamine-assisted therapy and want grounded guidance before moving forward. Support may include foundational education, ethical orientation, role clarity between therapists and prescribers, and early program design considerations. The focus is on helping teams build a responsible, well-structured KAP offering rather than rushing implementation.
Can you help teams navigate ethical concerns or repair challenges within KAP programs?
Yes. Consultation can support teams in addressing ethical concerns, missteps, or tensions that arise within ketamine-assisted therapy programs. This may include clarifying what occurred, naming impact, identifying repair steps, and strengthening policies or processes to reduce future risk. The goal is accountability and learning that supports client safety, clinical integrity, and program sustainability.
What formats do you use for trainings?
Trainings may be offered as live virtual workshops, multi-session series, half-day or full-day trainings, or custom formats based on organizational needs. All trainings are interactive and include clinical examples, applied frameworks, and tools participants can use immediately within ketamine-assisted therapy or psychedelic-informed practice.
How do you set pricing for supervision, consultation, and trainings?
Pricing is based on service type, format, duration, and group size. Supervision, consultation, and training are priced differently to reflect scope and preparation time. Clear pricing and expectations are provided before scheduling so organizations and clinicians can make informed decisions.
Do you offer sliding scale or reduced fee options for clinicians?
I hold a limited number of reduced-fee consultation or training spots for clinicians and organizations with demonstrated financial need or those serving under-resourced communities. Availability varies, and you are welcome to inquire directly.
Can consultation include self-of-therapist work related to KAP?
Yes. Consultation may include self-of-therapist reflection as it relates to ketamine-assisted therapy, including countertransference, nervous system activation, burnout, or personal responses that arise when working with altered states. This work stays clinically relevant and focused on how your internal experience impacts ethical decision-making and client care within KAP.
How do you maintain confidentiality in consultation and supervision?
You share only what is necessary to discuss the case. We protect client anonymity and follow state specific supervision and consultation guidelines. For organizations, we also review internal confidentiality needs.