Ketamine-Assisted Psychotherapy

I will not rescue you, for you are not powerless.
I will not fix you, for you are not broken.
I will not heal you, for I see you in your wholeness.
I will walk with you through the darkness as you remember your light.

-The Medicine Woman’s Prayer

Megan Carnahan sitting next to a smiling client in a recliner chair in a ketamine-assisted psychotherapy session

What is Ketamine Assisted Psychotherapy (KAP)?

Ketamine Assisted Psychotherapy (KAP) is an innovative approach to traditional talk therapy that combines the use of ketamine with psychotherapy to facilitate growth and healing.

Ketamine, a "dissociative anesthetic," produces a shift in consciousness, creating a sense of detachment from the usual way we experience reality. At low doses, administered during therapy sessions, ketamine opens up an expanded state of awareness. This allows for new perspectives on life challenges and offers freedom from the usual anxieties and mental patterns. The combination of ketamine and psychotherapy helps integrate these experiences in real-time, enhancing the potential for lasting change.

In some cases, ketamine can facilitate psychedelic experiences, including expanded consciousness and spiritual connections. These effects are similar to those seen with other psychedelic substances that have been used successfully in therapy to reduce emotional pain and distress. Ketamine is the only legal medication in Iowa for psychedelic-assisted therapy at this time.

Megan Carnahan taking notes next to a client wearing an eye mask during a ketamine-assisted psychotherapy session

What does a KAP session look like?

Before beginning KAP, we will meet at least twice to ensure you're prepared for the experience. These sessions will provide an opportunity to discuss your intentions, review informed consent, and become familiar with the space and process.

KAP sessions are typically scheduled once a week for 6-8 weeks. Each session lasts 2-3 hours. Your session starts with the ketamine administration, followed by a period of deep introspection. As you return to an ordinary state of awareness, we will explore your experience and integrate the insights gained into your daily life.

How is Ketamine administered?

In my practice, ketamine is administered either through sublingual dissolving tablets or an intranasal spray. These methods are non-invasive and allow for psychotherapy to take place during the treatment, making it an easier option for those who are hesitant about injections. I work closely with your prescriber to customize your ketamine treatment plan, adjusting dosage, frequency, and intervals between sessions to best meet your needs.

Megan Carnahan holding a client's hand during a ketamine-assisted psychotherapy session

Issues that may respond to KAP:

Ketamine Assisted Psychotherapy can be helpful for a variety of emotional and psychological concerns, including, but not limited to:

  • PTSD / Trauma

  • Depression

  • Anxiety

  • Unresolved childhood issues

  • Rejoining life after a major illness

  • Grief & Loss

  • End-of-life distress

How does ketamine work in the brain?

Ketamine works in the brain by interacting with the NMDA receptor and increasing the activity of glutamate, a neurotransmitter. This process can help enhance mood, decrease anxiety, and alleviate cravings associated with addiction. Ketamine also supports neurogenesis (the growth of new brain cells) and reduces inflammation in the brain and body. These effects can create new pathways for healing, leading to improvements in mood, relationships, and overall enjoyment of life.

Check out this 2-minute video on the neuroscience of ketamine.

Does ketamine have any side effects?

Side effects are typically mild and short-lived, occurring only during or immediately after the session. Common side effects include mild nausea, dizziness, derealization (feeling disconnected from reality), and drowsiness. These effects usually resolve quickly after the session ends.

Contact us today to schedule a free consultation to see if Ketamine-Assisted Psychotherapy is right for you

“I was struggling emotionally due to coping with past trauma. Right away I felt comfortable with Megan and appreciated her easy-going nature. The journey that brought me to where I am today wasn't easy but it was definitely worth it. I couldn't have done it without her guidance.”

Vivianne K.