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Ketamine-Assisted Psychotherapy (KAP) serves as a complementary approach to psychotherapy, aimed at maximizing the positive effects of your treatment.

Ketamine is a legal, safe, and effective treatment for mental health conditions such as depression, anxiety, and PTSD when used under the guidance of clinicians. Its antidepressant and mood-enhancing effects are rapid, often beginning within 1-2 hours after treatment. Ketamine works by blocking NMDA receptors in the brain and indirectly stimulating AMPA receptors, which helps form new synaptic connections and strengthens neural circuits that regulate stress and mood. This action enhances overall neuroplasticity, leading to lasting improvements in symptoms. Ketamine can be administered in various ways, which you can learn more about below.

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Why Ketamine-Assisted Therapy?

While research into ketamine treatment is ongoing, it is known that ketamine works primarily on the GABA receptor, indirectly influencing the neurotransmitter glutamate, often referred to as the brain's "fertilizer." This process leads to the production of a critical growth factor that aids in the repair of neurons damaged by stress and mental illness.

After a ketamine treatment, this mechanism creates a "neuroplastic window," a period during which the brain is particularly receptive to change. This window provides an opportunity for individuals to make shifts in internal patterns and behaviors that previously felt difficult or stuck. Ketamine treatment can improve mood within hours to days and support the regeneration of nerve cells over time. I often discuss with clients the importance of "seizing the neuroplastic window" after a Ketamine-Assisted Psychotherapy (KAP) session. The changes made during this period are more likely to become lasting, helping the brain and body establish new, more adaptive patterns.

How is it Different?

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Ketamine works on a different receptor and modulates glutamate.

Why is therapy crucial in Ketamine-Assisted Therapy?

Safe Environment to Explore

Having a therapist present to create a safe and supportive space for you has been shown to help in several ways. As your therapist, I can help you manage any intense or challenging emotions that arise during the experience and help with integrating your newfound insights into your everyday life.

Preparing you for What’s to Come

The preparation for KAP is a major contributing factor for the quality of the ketamine experience and the therapeutic outcomes. Preparation can include discussing intentions for the sessions, addressing fears and concerns, and helping to build a supportive mindset for the experience ahead.

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Ongoing Monitoring and Support

Having me present allows for ongoing monitoring of your mental health throughout treatment. I can help you assess your progress, adjust the treatment plan as needed, and provide additional resources or support when necessary. This ongoing therapeutic support can also prevent potential risks or challenges that may arise during your ketamine treatment.

Ketamine’s Effects Enhance Therapy

Ketamine promotes a time-out from your ordinary way of thinking, relief from negative thought processes, and an expansiveness of self in the larger sense. These effects enhance your ability to engage in meaningful psychotherapy during and after ketamine administration.

Therapy Improves Results of Ketamine

Studies have shown that working with a trained psychedelic-assisted therapist, like myself, throughout ketamine treatment can lead to stronger and longer-lasting results. Because the window of time during ketamine treatments can be a crucial aid to changing your habits and thought patterns, exploring your feelings and goals can be especially effective during this time.

Therapy Can Help you Get to the Root of It

Revisiting the past can be hard, especially if you’ve been through trauma or suffered from PTSD. Ketamine can make this smoother, and having a trained guide to help you navigate these waters, can help you feel safe to address and heal your core wounds and find greater mental stability.

If you would like to learn more about ketamine-assisted therapy, check out our blog for the latest insights, tips, and strategies for a successful KAP journey.

Here Are Your KAP Options at Courageous You

Individual Ketamine-Assisted Therapy

I specialize in working with LGBTQIA+, neurodivergent, and non-monogamous individuals navigating depression, anxiety, PTSD, adjustment disorders, and identity-related concerns. My ketamine-assisted therapy integrates the Internal Family Systems (IFS) approach, offering a safe space to explore and heal deep emotional patterns. Treatment typically includes 2–4 prep sessions, 6–8 dosing sessions (spaced 2-4 weeks apart), and integration sessions after each dose. While I focus on these communities, I welcome clients from all backgrounds ready for meaningful, transformative healing. 

Ketamine-Assisted Relationship Therapy

I work with all types of relationships—couples, polycules, adult family members, friendships, relationship anarchists, and life partners, to heal and strengthen connection. Using ketamine-assisted therapy alongside the Gottman Method, CBT, and Internal Family Systems (IFS), I support clients in uncovering emotional patterns, improving communication, and rebuilding trust. Ketamine can deepen emotional insight, creating space for healing and mutual growth in a supportive, safe, and non-judgmental environment.

Group Ketamine-Assisted Therapy

I offer virtual ketamine-assisted therapy (KAP) in small groups of up to 4 participants, where the healing power of community enhances the therapeutic experience. Group KAP combines ketamine’s transformative effects with shared insight and support, helping participants reframe beliefs, reduce isolation, and foster a deep sense of belonging. I run short- and long-term groups for LGBTQIA+, neurodivergent, and non-monogamous individuals, and also offer private group sessions. Group work is a more affordable option—and a powerful one. Learn more by scheduling your free consultation. 

What At-Home Ketamine-Assisted Therapy at Courageous You Includes

Free Consultation with Courageous You

Initial Screening (and follow-up screening(s) as needed) with Journey Clinical

Welcome Kit delivered at home including eye shades, blood pressure monitor, a journal, and more 

Ketamine Prescription delivered to you

Step by Step Guidebook with everything you need to get ready for your KAP journey

2-4 Preparations Sessions to get you ready

6-8 Ketamine Dosing Sessions depending on Clinical Necessity

Integration Therapy Sessions following every dosing session 

Support at every step

Journey Clinical

I am a Journey Clinical KAP Provider. This means that I deliver KAP in my practice in partnership with an organization called Journey Clinical, which has a specialized medical team that determines medical eligibility for KAP, prescribes ketamine lozenges, and supports me in monitoring health outcomes. In my work with Journey Clinical, we exclusively use the sublingual lozenge form of ketamine administration. This involves dissolving a small tablet in your mouth, swishing it for 12 minutes, and then spitting it out. 

 

Medical intake and follow ups with Journey Clinical as well as the dosing sessions with me are mostly not covered by insurance, but they are eligible for out of network reimbursement. Here’s a breakdown of the expected costs of treatment.

Pricing with Journey Clinical

Initial Medical Consultation

  • $250 Screening + Intake

  • $88 (Medication for 2 dosing sessions)

  • $338 total

Follow-up Medical Consultation

  • $150 (1x per quarter)

  • $148 (Medication for remaining 6 dosing sessions)

$636 total JC estimated costs for 8 dosing sessions

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Pricing with Courageous You

The cost for Ketamine-Assisted Therapy varies by type of KAP you are seeking (individual, relationship, polycule, or small group) and the number of sessions you need. Accessibility to my communities is an important value of mine so I offer a variety of options for KAP treatment at various price points.  The full program cost ranges from $3468 - $7828 depending how many preparation and dosing sessions are needed.  You can see the full breakdown HERE

Preparation Sessions

  • Generally 2-4 sessions recommended

  • 50 minutes

  • $200 per session - See full estimated cost breakdown HERE.

Dosing Sessions

  • 2.5-3 hours

  • $595 per session

Most often clients need 6-8 dosing sessions but this varies person by person.

 

See full estimated cost breakdown HERE.

Integration Sessions

  • All dosing sessions require integration sessions scheduled within 72 hours of each dosing session. 

  • 50 minutes

  • $200 per session.

See full estimated cost breakdown HERE.

KAP Group

Small group KAP is a more affordable option and the cost varies by the type of group, number of participants, and number of sessions. Inquire about available group offerings by scheduling a free consultation.

I have transitioned to an entirely private pay therapy practice, however as an out-of-network provider, I can provide you with superbills that often lead to partial reimbursement from your insurance company. I also accept HSA cards and have limited sliding scale spots based on need and availability. 

 

You can schedule a free consultation to discuss all the options and see if KAP would be a good fit for you. 

What are the Next Steps?

1

Schedule your FREE Consult with Sarah to see if this is the right fit for you.

3

We come up with treatment plan and type, and schedule your treatment start date. 

4

Receive your welcome kit, ketamine prescription, and week by week guidebook and await your first preparation session. 

Whether you're seeking to heal past traumas/ PTSD, find relief from chronic depression or anxiety, overcome current challenges around life and relationships, explore your gender identity or expression, learn to navigate your sexuality, figure out your philosophies around relationship structures and ideals, or you simply want to recharge your batteries and address your mental health, ketamine-assisted therapy with Courageous You could be the perfect chance to prioritize your health and well-being.

Ketamine-Assisted Therapy Begins Here

You are one click away from a healthier relationship with yourself. Fill out the form below for a FREE CONSULTATION.

Contact us

Courageous You Founder and Ketamine-Assisted Therapist, Sarah Wolfer, LICSW
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2024 - Courageous You PLLC - WA State

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