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Psychedelic, Spravato, and Ketamine Assisted Psychotherapy (KAP) is a holistic therapy which combines talk therapy with psychedelics as an adjunct to help eligible patients to experience profound breakthroughs and lasting improvement. It is especially effective for depression, anxiety and PTSD - particularly when other treatments haven't been as effective.
Ketamine based products (such as Spravato) is a legal, safe, and effective medicine used to treat a variety of mental health conditions. It is not addictive in this format. It has rapid antidepressant and mood enhancing effects, often noticeable within hours and can last for weeks. It works by targeting the neurotransmitter glutamate, which influences mood and thought patterns. It promotes neuroplasticity - the brain's ability to form new connections. Ketamine products can be administered in a variety of ways, including IV infusion, intramuscular injection, nasal spray, and sublingual lozenges. Journey Clinical uses the sublingual lozenge form.
Dosing varies from product to product. Spravato is dispensed in your prescribing doctors office whereas Ketamine lozenges are taken while in a therapy session. During a Ketamine lozenge dosing session, you will self-administer your ketamine lozenge either in your therapist's office or in your home. You will be in a comfortable, reclining position wearing an eye mask and listening to calming music. Although a KAP dosing session may be largely an internal experience, your therapist will be present with you the entire time to hold space and provide support as needed. A Spravato session will not be accompanied by your therapist, the sessions are done prior to and right after the dosing in your prescriber's office.
The effects of ketamine, which most patients find pleasant, lasts for approximately 45 minutes. These effects facilitate shifts and perception that can often feel expansive in nature. Many people report having unique experiences that can be emotional and sometimes visual that can give you a break from habitual thoughts and gain a new perspective on situations. Your motor and visual abilities will be reduced, so you'll be lying down in a comfortable position during the experience. Once these effects subside, your psychotherapist will spend the remainder of your appointment giving you space to process and discuss your experience. While it may feel hard to articulate what happens during the experience patients feel the insights gained are clear.
Psychedelic treatment consists of separate sessions for the administration of one dose, with 6-8 doses recommended. Psychedelic treatment consists of approximately 2 – 5 preparatory sessions, followed by 6 – 8 dosing sessions with an integration session within days of each dosing session. The preparatory session is a psychotherapy session for setting the intentions for your dosing session (one hour). These are general ideas for a broader theme such as "Wanting to feel a sense of calm.", "Wanting to be open to new experiences", etc. (Intention is not "to forget my trauma", "erase the memory of...").
The Ketamine dosing session (not Spravato) with your therapist is the actual self-administering of your lozenge that lasts about two hours. The first half hour will be re-establishing the intention of your Ketamine journey and preparing the setting. The next hour will be the self-administration of the Ketamine with a 45-minute journey. The last half hour is sharing your experience with your therapist.
The sessions following a dosing appointment are the integration sessions. You will meet for multiple integration therapy sessions to review the memories, thoughts & insights that arose during your dosing session, and to prepare for the next dosing session. The neuroplasticity that takes place with the journey allows for longstanding beliefs and behaviors to soften and allow new beliefs and behaviors to begin faster than without Ketamine.

1. If you are a new client, the psychotherapist will schedule a free 15-minute consultation to ensure a therapeutic good fit for you. From there, your psychotherapist will schedule an intake appointment. If you are an existing client, your therapist will refer you to Journey Clinical for Ketamine lozenges or work with your provider to start the process.
2. Psychotherapy Intake (new clients only): One hour session with your psychotherapist to get to know your, your needs and identifying goals for treatment.
3. If using Journey Clinical - Consultation: One hour session for an initial evaluation with a clinician from the Journey Clinical medical team via zoom. They will go over your medical and psychiatric history with you, provide education on the treatment and determine if you are eligible for KAP. If Journey Clinical’s medical team determines that you are eligible for KAP, they will develop a personalized Ketamine prescription and outcome monitoring plan for you. Journey Clinical’s medical team will send a small amount of oral ketamine directly to your home, enough for the first 2 KAP sessions. You will be taught to take your vitals and self-administer the ketamine lozenges by Journey Clinical’s medical team in advance of our KAP sessions. To be eligible, you must have a KAP psychotherapist.
4. Preparation sessions: A one-hour psychotherapy session with your psychotherapist in which you set your intention for your ketamine dosing session based on your goals in therapy.
5. KAP dosing session: A two-hour psychotherapy session with your psychotherapist in which you self-administer your ketamine lozenge. (half hour reviewing intentions and preparing, one hour of medication journey, half hour reviewing discoveries of journey)
OR
Spravato dosing in your prescriber's office.
6. Integration sessions: One-hour psychotherapy session with your psychotherapist to review memories, thoughts and insights that arose during your dosing session and integrate these into therapeutic goals.
There are usually a few psychotherapy sessions prior to the next dosing session for integration, therapeutic work, goal setting and intention setting for the next dosing session. The typical time between dosing sessions is two - four weeks.
It is recommended to do six to eight rounds of dosing with Ketamine.
Journey Clinical is a platform for licensed psychotherapists to incorporate science-based psychedelic therapies in their practice safely and effectively, Ketamine-Assisted Psychotherapy (KAP). Journey Clinical’s in-house medical team takes on patient eligibility, prescriptions and outcome monitoring, while a licensed KAP psychotherapist takes on the therapy. This collaborative care model is designed to deliver personalized treatment plans to meet your individual needs and improve long term outcomes.

Depending on your insurance plan, the therapist, medical intake, psychiatry follow ups, medication management and psychotherapy sessions are covered by insurance or eligible for out-of-network reimbursement. FSA (medical flex spending) can also be used.
Concierge home services are available upon request at an additional cost to you for your psychotherapy dosing sessions.
Psychotherapy Sessions
Visit the insurance tab to see the insurance accepted by Gina Reed, LCSW.
One-hour sessions are covered by insurance companies. The second hour of a dosing session is NOT covered by any insurance company - this cost of one hour would be the client's responsibility. Ask about package specials if paying privately.
Psychotherapy intake (1 hour): $200
Psychotherapy Session (1 hour) (Cost for 2nd hour of dosing session with insurance and not reimbursable): $180
Dosing sessions (2 hours): $350 (for private pay of both hours)
Concierge home service: $300 (1 hour) (verify your service area) This is NOT covered by insurance and not reimbursable.
Medication - if using Journey Clinical
First time patients:
Initial medical consultation: $250
Non-covered services (including medication): $112 (includes two dosing sessions)
Follow-up treatment:
Follow up Medical Consultation: $150 (1 time per quarter)
Non-covered services (including medication): $208
https://journeyclinical.zendesk.com/hc/en-us/articles/28002696219028-Insurance-FAQs
