Ketamine Assisted Therapy (KAT)

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Ways we use Ketamine

Ketamine Assisted Psychotherapy (KAP) is a process of preparation, experience with the medicine and integration of the material that emerges. We can use this medicine in a few different ways to process all types of trauma and lessen symptoms that keeping us from living the lives we want and deserve.

Psycholytic Dose (Low Dose): These are low doses of ketamine that allow the client to be awake, aware and able to engage in therapy. This helps to soften our “protective” parts that often keep us from accessing deeper issues we would like to work on. This is often combined with Brainspotting, EMDR and Internal Family Systems (IFS).

Psychedelic Dose (High Dose): These are higher doses of ketamine that relaxes the ego and allows the client to access a deeper sense of self and the material they are hoping to process. Clients are usually lying down, wearing eye shades and listening to music.

Review this document for a quick overview of Contraindications to Ketamine Assisted Therapy.

Ketamine Assisted Therapy (KAT) is currently offered with the following practitionors:
Melanie Reese, LMFT, CCTP

Treatment Process

Step One: 45-Minute Telehealth Consultation & Treatment Planning Session

If you are a client that is not currently working with Melanie or it has been 12+ months since your last session, you will need to schedule a Consultation & Treatment Planning session that is typically 45 minutes. This allows us to start building a connection, determine a treatment plan and make sure this is the absolute best time for you (and your nervous system) to do Ketamine Assisted Therapy. This work is difficult and vulnerable, yet beautiful and rewarding. Trust and safety in the person holding space and guiding you through such a process is important. This is a time for you to see how you feel engaging with your therapist and ensure that they are the best fit for you as well!

Step Two: Medical Screening with Medical Provider

If it is determined that KAT is a good fit, you will be connected with Andrew Dudley, a Psychiatric Nurse Practitioner that we know and trust, for a medical screening. Andrew will address any medical concerns, dosing and treatment options. We work closely with tAndrew throughout the KAT process. Scheduling and financial arrangements for medical screenings are coordinated directly with the Andrew and subject to change. You can request a session with Andrew through his client portal here.

KAT Medical Evaluation & Screening: $250
Medicine , Monitoring & Administration the day of KAT Dosing Session: $275

Step Three: Preparation Sessions

The client’s trauma history, experience in therapy, emotional flexibility, coping skills and experience with non-ordinary states are all taken into consideration in determining how many preparation sessions are needed. It is important to not rush the process to maximize its usefulness. Preparation is typically accomplished in 1-3 (or more) sessions. We address any concerns, learn grounding and mindfulness techniques, set intentions and most importantly, create safety within our therapeutic relationship. We aim to accomplish the following in Preparation Sessions:

Establish goals & intentions, review informed consent, safety & logistics and psychologically prepare
Brainspotting Session: This gives you practice in accessing deeper material, that is similar to psychedelic therapy approaches. You choose the topic you’d like to explore!

Extra sessions may be scheduled if you would like to further build trust, ask any questions about ketamine, do more Brainspotting or talk about anything you would like. We encourage you to trust yourself about what you need to feel ready.

Clients may schedule preparation sessions as needed following the initial KAT Session. They are not required after your first KAT dosing session.

Step Four: Ketamine Dosing Session

We typically do a series of 6 KAT sessions, but it is always up to the individual’s needs and therapy goals to determine the number of sessions that is right for them.

The setting is important for this work, as it serves as a support for the healing you will be doing and the experience you have with this medicine. Therefore, it is not a “clinical” setting you might typically see at a doctor’s office, rather an inviting and cozy environment! These sessions typically begin with stating intentions for the journey, a meditation and invitation to connect with the mind-body and then medicine is administered.

Your practitionor will be with you throughout the session, taking notes, holding space, providing emotional support and attending to any needs as they arise. As your journey comes to an end, the integration begins! These sessions are typically 90 min.

Depending on your therapeutic goals and how we collaboratively decide to move forward with Ketamine, you have a few options for your dosing sessions:

High-Dose Dosing Sessions:
In these sessions, clients are lying down with an eye mask and listening to music. Support is provided throughout the session, but therapeutic intervention is typically done before and after the medicine experience.

Medical Provider Only: High Dosing Session with Psychiatric Nurse Practitioner, Andrew Dudley. Andrew is trained to work with Ketamine and support clients during a dosing session and will be the only practitioner present for the session.
(Andrew: $375 per 90-min dosing session)

**Some prefer for the therapist to be in this session. You may choose to have Melanie in the dosing session with you. In this case, Andrew Dudley will provide medical oversight and administration of medicine only. He will remain onsite for the duration of your session, but will not remain in the room. ***
(Melanie: $300 per 90-min dosing session; Andrew: $275 for medical oversight and medication administration; $575 Total)

Low-Dose Dosing Sessions:
In these sessions, clients are administered very low doses that allow for them to still interact with therapeutic interventions such as IFS, EMDR, Brainspotting, etc.
Therapist & Medical Provider: During low-dose sessions, you will work with Melanie for therapeutic intervention. Andrew Dudley will provide medical oversight and administration of medicine only. He will remain onsite for the duration of your session, but will not remain in the room.
(Melanie: $300 per 90-min dosing session; Andrew: $275 for medical oversight and medication administration; $575 Total)


Step Five: Integration Sessions

One of the most important aspects of this work is the integration of your experience. In order to get the most from your dosing sessions, it is highly recommended to schedule an integration session within 48-72 hours of your KAT session. The neuroplasticity of your brain and nervous system are at its highest during this time, so is our ability form new thought patterns!

Clients are provided lots of resources for preparation and integration that is highly encouraged to engage with outside of these sessions. It is also highly encouraged that you discuss this work with your primary therapist and use those sessions to process difficult material that may have come up during your sessions. Everyone moves through this differently and we trust and encourage you to check in with what you need.

*If you need additional support, we also have highly trained trauma therapists in our practice that are available.

Are You Qualified to do this work?

ketamine assisted psychotherapy

This is an important question! In order to create the safety needed, I know it’s important for some to know exactly what qualifies me to work in this capacity. For that purpose, I will share my experience below. If working with a provider with more experience would be better suited for you, we are happy to connect you with another provider!

Melanie’s Experience with Psychedelic Assisted Therapy

  • First and foremost, my training and over 10 years of experience as a trauma therapist and my personal experiences with psychedelics have been my biggest teachers in how I work with clients in this space. 
  • I have trained with MAPS for MDMA Assisted Therapy and stopped short of the 1 week in-person experience due to COVID and plan to complete this in the next cohort with MAPS. 
  • I have completed the program with the Psychedelic Coalition for Health: Psychedelic Assisted Therapy & Integration Training + Psychedelic Medicine Education & Advocacy. This gave me hands on experience in facilitating psychedelic journeys and learned from some of the best in this field about working with psychedelic medicine, including Lauren TausRick DoblinCarl HartOmid NaimBen Malcom, Melissa Whippo and Sunny Strasburg to name a few! 
  • I am currently in on-going trainings with a ketamine specific training program with Polaris Insight Center, one of the leading training institutes in the field of Ketamine Assisted Therapy. 
  • I am a Co-Founder and board member of a legal Psychedelic Church in Alabama (my home state!). Our mission is to provide safe and legal access to psychedelic medicine for the purposes of personal healing and growth. 
  • I am also involved in local and international consultation groups and community groups that support practitioners working with with psychedelic medicines.
  • I have guided over 100 hours of Ketamine Assisted Therapy sessions and supervise therapists learning to work in this capacity.
  • I offer workshops aimed at supporting therapists in learning how to support their clients that are engaging in psychedelic medicine.
  • I have had the privilege of guest lecturing at Vanderbilt School of Nursing on Psychedelic Assisted Therapy and Ketamine Assisted Therapy in a clinical setting.
  • I have also presented on Brainspotting and Psychedelic Assisted Therapy

treatment costs

Financial Resources for Psychedelic Therapy:

If your insurance covers out of network providers, you may be eligible for reimbursement. The best way to find out is to call your insurance company and ask. If your plan covers out of network providers, we can send you a superbill receipt and you may be eligible for reimbursement. Websites like https://getbetter.co/ or https://reimbursify.com/ can help with this.

Thank You Life is a non-profit organization working to eliminate the financial barrier for those seeking psychedelic therapy services. https://thankyoulife.org/

Healing in the Margins is a local non-profit that helps provide funding for marginalized individuals in the LGBTQIA+ and BIPOC communities.

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Financial Investment

Preparation and integrations sessions vary, depending on the individual needs of the client. KAT dosing sessions are typically 90-minutes. Pricing is based on the therapist’s standard hourly session rate.

Melanie’s Rates:
45-min Consultation & Treatment Planning: $150
1-Hour Preparation & Integration Sessions: $200
1.5-Hour Preparation, Dosing & Integration Sessions: $300

You may view THIS DOCUMENT for an overview of the KAT Process and the associated costs.

Important Notes:

  • Clients may schedule single sessions and pay as you go, or schedule multiple sessions at a time.
  • It is highly recommended to schedule these sessions as soon as possible to ensure availability in the time frame that is needed.
  • Clients may cancel for any reason within 48 hours of sessions.
  • Clients may add additional prep or integration sessions, as needed. You may also work with another therapist for additional integration or trauma work. Trauma Therapy of Nashville therapist’s rates are $100-$185.

Ready to get Started?

If you haven’t already, check out our Frequently Asked Questions for more information about Ketamine Assisted Therapy. For more information or to schedule an appointment, email: Admin@TraumaTherapyNashville.com

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