treatment + continuing care
individual KAP session. Depending on your treatment plan, your provider(s) will sit with you for the duration of the medicine experience. While most patients find 2 hours suitable for KAP, others may benefit or prefer a 3 hour session. A prescriber and/or RN is on site to provide IM injections and to ensure safety.
Intramuscular (IM) injections tend to kick in within 3-5 minutes after administration. While IM injections are used most frequently in our office, we have found that patients with a significant trauma history sometimes prefer the slower engagement offered by oral/SL ketamine. Your prescriber will talk with you about the optimal route of administration for you.
The typical outline of a KAP session starts with a provider recording your vitals - blood pressure, heart rate, and oxygenation level. We will verify that you have been fasting 4-6 hours and pretreat nausea as needed. Prior to ketamine administration, we will review your intentions, identify your chosen music playlist and make sure you are comfortable.
Ketamine is administered and your provider(s) are with you during the duration of the experience. We take notes about what surfaces for you to discuss in integration sessions. We are with you as the medicine begins to wear off and you begin the integration process.
integration. Integration sessions allow time and space to make meaning of your ketamine experiences and to integrate valuable insights gained in KAP sessions into your daily life. "Ultimately and ideally, ketamine integration is interdisciplinary (drawing on dimensions of psychology, physical activity, and artistic expression), and clients are assumed to be multi-intentioned and seeking different outcomes along spectrums of healing and/or spiritual and personal growth." ("Understanding Ketamine" training by Fluence, 2021)
We offer additional integration in the form of additional psychotherapy, neurofeedback, acupuncture, intuitive astrology, coaching, etc. Our program is unique in that you have a multidisciplinary treatment team that meets on a regular basis to coordinate care.
GROUP KAP. Group KAP offers the opportunity to experience KAP in a community of peers. While group KAP is not a replacement for individual KAP, it is a different modality with its own unique benefits. KAP groups are comprised of adults 18+ who have already safely engaged in at least one individual KAP session with a Widening Circles provider. If you are interested in joining the next group, please contact our office manager at email@example.com.
follow-up with prescriber. The follow-up with your prescriber is a time to discuss your progress and overall treatment plan moving forward. At this time, you may decide to continue with a treatment program, step down to a lesser level of care for maintenance, or resume care with your referring provider.
Continuing Care. Providers and patient determine appropriate individualized course of treatment moving forward.
KAP Continuing Care Bundles
Current research indicates six ketamine sessions as a preliminary course of treatment. After your preliminary KAP session, you may choose from one of the following bundles. Most patients are able to complete KAP in two hours. We also offer three-hour KAP sessions for those who want or need longer.
Two-hour Individual KAP sessions
1 KAP + integration session: $1100
3 KAP + integration sessions : $3300
5 KAP + integration sessions: $5500
Three-hour Individual KAP sessions
1 KAP + integration session: $1500
3 KAP + integration sessions : $4100
5 KAP + integration sessions: $7500
Rotating Group Offering
Prescriber Follow-Up, 30 min $200
Prescriber Follow-Up, 1 hr $375
Prospective Patients: If you are interested in Ketamine-Assisted Psychotherapy, please complete our KAP Screening Form. Submitting this confidential form does not constitute a provider/patient relationship.
Healthcare Providers: If you'd like to refer a patient for to Widening Circles for Ketamine-Assisted Psychotherapy, please fill out our confidential, electronic Widening Circles Healthcare Provider KAP Referral Form and we will be in touch with your patient.