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What is Ketamine-Assisted Therapy?

What is Ketamine-Assisted Therapy (KAT), why is it helpful, and what to consider to get the most out of your experience

In addition to its anti-depressant effects and helping to recalibrate the nervous system from hypervigilance to a greater sense of safety, especially when anxiety is overwhelming the system, Ketamine has a dissociative quality. It can create a sense of being separate from your body or mind, like stepping back from your usual way of experiencing yourself. At first, this might feel confusing or even disorienting. But there’s a paradox here: sometimes it’s in that very separation that we find a deeper kind of center.

When we’re too close to our pain or patterns, it can feel overwhelming. Dissociation with ketamine gives us just enough space to see more clearly. That distance can bring relief. And as we gently return from that state, we often find ourselves more anchored - more able to discern what’s ours, what’s not, and where our true center really is.

With ketamine-assisted work, dissociation can be both the challenge and the gift. The medicine creates space between mind and body, self and sensation. This separation offers relief from intensity and a new vantage point - an ability to observe rather than be engulfed. From this disoriented state, clients can begin to notice: I am not my pain. I am not my overwhelm. I can choose how to return.

After sitting in nearly 1,500 KAT sessions with folks who are diagnosed with major depression, suicidal ideation, anxiety, PTSD, OCD, addiction, relational trauma, and even trauma from other psychedelic experiences and groups, there are a few things I feel are essential to positive outcomes:

Have someone who is trained sitting with you in the room.

There are clinics that just offer the medicine and leave people alone to journey by themselves, often with a video camera so they can monitor several people at once. We have many people who have had negative experiences in these situations come to our clinic to not only deal with the original issues that brought them to KAT, but now layered with the trauma of having a challenging or traumatic experience at one of these clinics.

It’s not just about the medicine - it’s about the experience AND especially the integration process.

Psychedelics open the doorway to seeing yourself and your relationship to the world and others differently, without support before, during, and after - you might have cool experiences, but not know how to manage and integrate those experiences so they create lasting change. They may possibly create more problems - as can any medicine.

Microdosing Ketamine is NOT a good idea.

Especially if you are working with any kind of addiction issue. It can be addictive when not used correctly, and also create secondary health issues if not monitored and administered properly. This includes the at-home ketamine prescription companies. 

Ketamine, especially, has a cumulative effect.

So really managing your expectations around what you hope and expect it (and other psychedelic medicines) to do, especially when compared to other’s experiences is important.

Whether you are doing Ketamine-Assisted Therapy (KAT) with me or another practitioner/clinic, I offer integration support through the Relational Energenetics™ model where we explore your Human Design and your Energetic Attachment Style™ along with energy & somatic tools to help you move into Sovereign & Secure attachment with your Self and to create new patterns of relating with yourself and others.

I also offer Masterclass trainings and certification for therapists, and coaches and psychedelic guides who would like to learn how to use Relational Energenetics™ with their own patients and clients. For more information, check out www.alignyourdesign.com

To explore KAT in Bend, OR please reach out to BrightMind Integrative Psychiatry and ask about our services.

If you are working with another practitioner or clinic and would like support through Relational Energenetics™ and the therapeutic coaching I offer, schedule a brief consultation and I can help you decide whether individual work or our next group coaching cohort would be a good fit.

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