Therapy
that expands
what is possible
Ketamine-Assisted Psychotherapy (KAP)
KAP supports change when familiar patterns feel hard to shift. By combining medically prescribed ketamine with psychotherapy, preparation, and integration, this work helps create space for new perspectives and possibilities. Offered via telehealth for clients in Washington, Idaho, and Florida.
Depression or anxiety that feels stuck
Trauma held in the body or nervous system
Where KAP Can Help
Burnout, shutdown, or deep emotional exhaustion
Ketamine-Assisted Therapy can be supportive when you’re carrying experiences that feel heavy, persistent, or hard to reach through talk therapy alone.
Chronic pain that affects daily life
Postpartum changes and identity shifts
Grief, loss, or complicated transitions
Ketamine is a legal and safe treatment that has been shown to help with depression, anxiety, PTSD, and the effects of stress and trauma. When used with the support of a trained clinician, it can open space for relief and new possibilities. Unlike some treatments that may take weeks to show effects, many people notice a shift within hours to days.
When You Need Relief That Doesn’t Take Weeks
Your mind can grow new pathways toward balance and ease
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, allows the brain to heal in ways that can create lasting change.
Lasting Change Through the Neuroplastic Window
After a ketamine session, the brain enters what’s called a neuroplastic window; a period when your brain is especially open to change and growth.
Here’s how it works, in simple terms:
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Ketamine supports your brain’s communication systems by blocking NMDA receptors and stimulating AMPA receptors.
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This increases glutamate (often called the brain’s fertilizer), which helps new connections grow.
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As a result, the brain releases growth factors that repair stress-damaged neurons and strengthen pathways that regulate mood and energy.
What this means for you:
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Patterns that once felt stuck can become more flexible.
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Shifts made in therapy are more likely to take root during this window.
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With preparation and integration, change can become lasting and sustainable long after the program is complete.
KAP Programs
Discover the KAP program that feels most supportive for you.
The Comprehensive
Ketamine-Assisted Therapy Program
A guided ketamine-assisted psychotherapy (KAP) experience designed to support:
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Stuck emotional or relational patterns that insight alone hasn’t shifted
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Relief from depression, anxiety, or the chronic weight of minority stress
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Reconnection with yourself, especially where numbness, shame, or burnout have made it hard to feel present or engaged
This program is designed for individuals seeking deeper, sustained change through ketamine-assisted therapy. KAP at Courageous You pairs medically prescribed ketamine with structured preparation, dosing support, and integration, so insights don’t stay abstract and change has room to settle and take hold in your life.
The Catalyst
Ketamine-Assisted Therapy Program
A short-format ketamine-assisted psychotherapy (KAP) program designed for focused, individual support during moments of transition or emotional stuckness.
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For when you feel stuck in anxiety, depression, or looping thought patterns
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For transitional moments like breakups, shutdowns, or inner shifts you can’t quite reach through talk therapy alone
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For when you want focused support that engages your nervous system, not just your thoughts
The Catalyst Program is designed for individuals seeking a shorter, more concentrated KAP experience. This approach pairs medically prescribed ketamine with structured preparation, dosing support, and integration to help soften rigid patterns and create space for new perspectives to emerge.
Other Ways to Work Together
Affirming care for Non-monogamous, LGBTQIA+, Kinky, and Neurodivergent folks
Alongside ketamine-assisted therapy, I also offer individual psychotherapy when space allows for people seeking care that is deeply affirming of identity, autonomy, and non-normative ways of living and relating.
Individual psychotherapy, may be a fit if you’re looking for support with:
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Anxiety, depression, burnout, or emotional overwhelm
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Identity exploration, unmasking, or self-trust
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Trauma, stress, or patterns that feel hard to shift alone
Meet Sarah Wolfer
Founder of Courageous You
Ketamine-assisted psychotherapy is the heart of this practice and the center of my work. I specialize in helping people use ketamine intentionally; within a strong, affirming therapeutic relationship, to heal long-standing patterns of depression, anxiety, trauma, and relationship pain, and to reconnect with a deeper sense of self.
As a Licensed Independent Clinical Social Worker with 14+ years of experience, I bring together intensive training in psychedelic-assisted therapy, trauma work, and relationship therapy. In 2022, I completed a year-long program with the Integrative Psychiatry Institute focused on ketamine-, psilocybin-, and MDMA-assisted psychotherapy. Since then, I’ve offered ketamine-assisted therapy as my primary modality, continually refining comprehensive programs that include preparation, medicine sessions, and robust integration so your insights become real-life change.
My approach to KAP is relational, somatic, and collaborative. Sessions are structured and evidence-informed, but also deeply human and flexible. Together, we create a therapeutic container that is safe enough for you to soften defenses, meet yourself honestly, and explore new possibilities with curiosity rather than shame. Journey Clinical provides the medical evaluation and prescribing, which allows me to focus fully on your psychological, emotional, and relational process.
My Style:
📣 Supportive ✅ Compassionate 🤝 Collaborative
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Frequently Asked Questions
What is Ketamine-Assisted Therapy?
Ketamine-assisted psychotherapy combines prescribed ketamine with skilled therapeutic support to help you access deeper states of consciousness where healing unfolds more rapidly. The medicine gently softens psychological defenses, creating space to process trauma, depression, anxiety, and relationship patterns with greater clarity and less emotional overwhelm. Each program includes comprehensive preparation sessions, the medicine experience itself, integration support, ketamine prescription with medical evaluation and follow-up, plus a welcome kit containing everything you need: a 200+ page KAP workbook, eye mask, headphones, anti-nausea support, fidget toys, and additional resources to support your journey.
Is ketamine safe?
When administered in a clinical setting with proper screening and monitoring, ketamine has an excellent safety profile. I use sub-anesthetic doses significantly lower than those used in medical procedures. Every client completes a comprehensive medical and psychological screening with Journey Clinical to ensure eligibility. I monitor you throughout each session, and we maintain strict safety protocols.
Who is ketamine-assisted therapy a good fit for?
Research supports KAP for treatment-resistant depression, anxiety, PTSD, complex trauma, neurodivergence, OCD, relationship difficulties, and existential distress (among others). Many clients also seek KAP for personal growth, creative blocks, and exploring identities. During our consultation, we’ll discuss whether KAP aligns with your specific goals. You’ll also receive a medical consultation with Journey Clinical (via telehealth) to determine your medical eligibility. If you are not eligible, Journey Clinical reimburses the cost of the intake, so there’s no financial risk.
What is the difference between your 8-dose Comprehensive Program and 2-dose Catalyst Program?
The Comprehensive 8-dose Program provides deep, sustained transformation through bi-weekly or monthly sessions over 6-10 months, with extensive preparation and integration support. This program is ideal for complex trauma, long-standing depression, or significant life transitions.
The Catalyst 2-dose Program offers a focused intensive for clients seeking a breakthrough or acceleration in their existing therapy. This condensed format works well for specific issues, creative blocks, or as an adjunct to ongoing psychotherapy elsewhere.
Do you offer any therapy without ketamine?
Yes, I maintain limited availability for traditional psychotherapy and relationship therapy specifically for clients who are queer, non-monogamous, neurodivergent, or kinky. These sessions are offered on a case-by-case basis when KAP isn't appropriate or desired. This ensures these communities retain access to affirming, specialized care.
What happens during a KAP medicine session?
Each 2-3 hour session includes: settling in and intention-setting (15-30 minutes), ketamine administration via lozenge (45-60 minutes of medicine experience where you remain conscious but inwardly focused), and integration processing while the effects gradually diminish. You'll be in a comfortable, private space with eye shades and music designed to support your journey. I'm present throughout, offering gentle guidance as needed.
How should I prepare for my medicine session?
Preparation is a core part of every program; not something you’re expected to figure out on your own. You’ll receive four dedicated preparation sessions where we clarify your intentions, build skills for navigating altered states, and create a plan for support before, during, and after your medicine experiences. You’ll also get a 100–200 page interactive KAP workbook, access to an online portal with an ever-growing library of videos, and additional resources designed to help you feel informed, grounded, and thoroughly prepared for your ketamine sessions.
What is integration?
Integration is the process of making meaning from your ketamine experiences and turning your insights into real, lasting change in your daily life. Every KAP program includes a dedicated 50‑minute integration session after each medicine session, so you are never left to “figure it out” on your own. During these integration sessions, we explore what came up for you, connect it to your history and goals, and identify concrete practices and shifts you can make between sessions. You’ll also receive integration practices and resources to use on your own, so your work continues to deepen in between medicine sessions.
How do I know if I'm a good candidate for KAP?
The best way is to schedule a consultation where we'll review your mental health history, medical background, current medications, and treatment goals. Generally, KAP may not be appropriate for individuals with certain cardiovascular conditions, uncontrolled hypertension, active psychosis, or specific medication interactions. We'll determine eligibility together during our intake process.
How much does treatment cost?
Pricing depends on the program you choose and is all-inclusive:
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Comprehensive 8-Dose Program: $6,880
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Catalyst 2-Dose Program: $3,102
Both programs include four preparation sessions, all medicine sessions, 50-minute integration sessions after each dosing session, ketamine prescription with medical evaluation and follow-up, a welcome kit (200+ page KAP workbook, eye mask, headphones, anti-nausea support, fidget toys and more), access to the online portal with videos and resources, and between-session support materials.
Payment is structured as pay-as-you-go, so the full amount is not due upfront. I also offer limited sliding-scale spots for those who are unable to pay the full cost of the program, which discount about 12% off the total program cost; please inquire about availability.
Do you accept insurance?
I don’t directly bill insurance, but I provide superbills you can submit for potential out-of-network reimbursement for the psychotherapy portions of treatment. Ketamine administration itself is typically not covered by insurance. I recommend contacting your insurance provider beforehand to understand your out-of-network mental health benefits. You can also use this link to check your estimated out-of-network coverage for sessions at Courageous You: mentaya.com/b/courageousyou
How soon can I start?
The first step is to schedule a free consultation with me (Sarah) to explore whether KAP aligns with your goals and needs. If you appear to be a good candidate, I’ll refer you to Journey Clinical to determine medical eligibility. Scheduling depends on compatibility between your availability and the medical provider’s, but determining medical eligibility typically takes about one week. A few days after that, you should recieve your ketamine prescription from them and your welcome kit from us delivered to your home. Once medically cleared, we begin the intake and preparation phase, which usually lasts one month (4 sessions). After that foundation is set, we move into the medicine dosing session phase of treatment.
Can I continue working with my current therapist while doing KAP with you?
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.
Who is not a good candidate for KAP?
KAP may not be appropriate for individuals with uncontrolled hypertension, certain cardiovascular conditions, active psychosis or mania, severe liver disease, or those taking specific medications that interact with ketamine. Substance use disorders require careful screening. You review all of this during your consultation and medical evaluation with Journey Clinical.
Do you offer group KAP sessions?
Currently I offer only individual and relationship KAP programs. Group formats are something I may develop in the future as the practice evolves.
What does a ketamine session actually feel like?
Most clients describe it as a deeply inward experience where your normal thinking patterns soften. You might experience vivid imagery, emotional release, new perspectives on old problems, or a sense of connection to something larger. Some sessions are profound and mystical; others are subtle but equally meaningful. There's no "right" experience.
I identify as queer, non-monogamous, neurodivergent, or kinky; do you have experience with these communities?
Yes, deeply. I maintain limited availability for traditional psychotherapy (without ketamine) specifically for these communities because I believe you deserve affirming, knowledgeable care whether or not you choose KAP. My KAP programs are also explicitly designed to be identity-affirming and culturally competent.
How is your approach different from ketamine infusions at a clinic?
Ketamine infusions focus primarily on the biochemical effect of the medicine. My approach is psychotherapy-centered: we use ketamine as a tool within a therapeutic relationship, with extensive preparation, active support during sessions, and deep integration afterward. This combination produces more profound and lasting change than medicine alone.
What are your qualifications for providing KAP?
I’m a licensed independent clinical social worker (LICSW) with 14 years of experience as a therapist, and I’ve been offering ketamine-assisted therapy since 2022. My training includes a year-long program through the Integrative Psychiatry Institute that covered ketamine, psilocybin, and MDMA-assisted psychotherapy, along with training programs I have taken in Somatic EMDR therapy, the Gottman Method (Levels 1 & 2), Emotionally Focused Therapy, and TF-CBT. I’m always pursuing additional trainings to deepen my skills and stay current in this evolving field.
I also bring many years of personal experience with psychedelics, which informs my empathy and understanding of these medicines. I work under the medical supervision of Journey Clinical, which handles all medical screening and prescription management, allowing me to focus entirely on the therapeutic process. I love this work and feel honored to guide clients through such profound healing.