Ketamine-assisted psychotherapy (KAP) pairs low, medically supervised doses of ketamine with psychotherapy before, during, and after each session. Ketamine can temporarily loosen the rigid patterns of thought and feeling that keep depression, anxiety, and trauma stuck; the therapy is what turns that opening into lasting change. At Crown, KAP is offered by therapists trained in the approach. Prescribing, medical screening, and dosing supervision are handled by a licensed prescriber, and your Crown therapist provides the preparation, in-session support, and integration work around it.
This may be a good fit if…
- ✓Depression that hasn’t responded to therapy and medication
- ✓Anxiety or trauma symptoms that feel entrenched despite good treatment
- ✓Feeling stuck, numb, or unable to reach what you already understand intellectually
- ✓Existential distress, grief, or a serious illness
- ✓People already in therapy who want to deepen the work with a structured, supported experience
Key benefits
For When Other Things Have Not Worked
Ketamine acts on a different system from standard antidepressants, which is why it can reach people who have already tried several without response.
The Therapy Is the Point
Medicine without integration tends to fade. Preparation and integration sessions are where the change is consolidated, and they are part of the protocol rather than an add-on.
Speed Where Speed Matters
Effects on mood, and on suicidal thinking, can appear within hours to days rather than the four to six weeks a conventional antidepressant needs.
Screened Before It Is Offered
Medical and psychiatric screening comes first. We would rather tell someone this is not appropriate for them than proceed where it is not safe.
Honest About Cost and Limits
It is not a cure, the effects are not permanent, and insurance coverage is inconsistent. You get the real expected cost before you commit to anything.
Preparation Comes First
Before any dosing session, you and your therapist build the foundation: your history and intentions, what a session feels like, how to work with difficult moments, and the grounding skills you’ll use. Preparation usually takes two to three sessions and is never skipped.
Supported Dosing Sessions
Ketamine is prescribed and supervised by a licensed prescriber who screens you medically and sets the dose and format. Your therapist is with you for the session itself, holding a calm, structured space — present when you need support and quiet when you don’t.
Integration Is Where the Change Happens
The days after a session are unusually open. Integration sessions help you make sense of what came up, connect it to your life, and translate it into concrete shifts in how you think, relate, and act. This is ordinary psychotherapy, done at a moment when it can reach further.
Part of Your Broader Care
KAP is not a replacement for therapy or medication; it sits inside a treatment plan. We coordinate with your prescriber and any other providers, and the same therapist stays with you through preparation, dosing, and integration.
What to expect
- 1
Consultation with a KAP-trained therapist to see whether the approach fits
- 2
Medical evaluation and screening with a licensed prescriber
- 3
Two to three preparation sessions
- 4
Dosing sessions with your therapist present, on the schedule your prescriber sets
- 5
Integration sessions after each dosing session, then a plan for what comes next
Ready to start?
Tell us a little about yourself and we will match you with one of the therapists who offer ketamine-assisted psychotherapy.
Get matched →Therapists who offer ketamine-assisted psychotherapy
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