Ketamine Assisted Psychotherapy (KAP)

RISE Ketamine Assisted Psychotherapy (KAP) for Chronic Pain, PTSD, Chronic Depression and Anxiety

As Ketamine research is providing hope for treatment-resistant depression, anxiety and PTSD we are also seeing increased evidence for use with chronic pain. Ketamine, a commonly used anaesthetic causes disassociation from one’s body and sense of self. This disassociation can feel like an out of body experience in which you are able to have space from pain and depression. In higher doses of ketamine individuals will report no pain for one to two hours and at lower doses, pain is less. After the first treatment with ketamine, many people will feel relief for around fourteen days. The treatments become less frequent and can be stretched out even further with counselling and other wellness treatments.

By disassociating completely from our body we get a chance to reset the nervous system. Our sessions are held in a safe and supported therapeutic environment allowing for a slow re-integration into the body. While we track this body integration we can bring awareness to holding patterns and areas of tension to be released. Although physical and emotional pain may return to the body again we are able to explore this with a sense of spaciousness and relaxation. When we are able to utilize this awareness we are actually changing our brain and turning down the pain alarm system. Treatments seem to become less and less over a 6 month period when combined with counselling. Following the six month treatment period, only an occasional treatment is often required. This is a new type of therapy for chronic pain but research is available with promising initial findings confirming what we are seeing at RISE.

Costs are approximate and a better estimate can be provided during the assessment. Our goal is to make the treatment fit your needs.

KAP groups offered through RISE are approximately $250 this is a full day treatment.

One on one treatments is also available for approximately $360 to $500 this is also a full day.

An assessment is required as ketamine is not right for everybody!

KAP treatments are fully supported by Tara and Dr Kailia.

 

Ketamine Resources:

 

Ketamine Q & A
Do I need a driver when taking Troches, Nasal Sprays, or Capsules at RISE?

Yes.

Do I need a driver for the full treatment day?

Yes.

Should I take my usual medications?

Yes, especially blood pressure medications. Medications to avoid:

  • ­  Bupropion (because of observed anxiety and agitation during treatment)

  • ­  Lamotrigine (because it blocks the effect of ketamine)

  • ­  Stimulants, such as ADHD medications, coffee, energy drinks (can lead to anxiety and

    agitation and blood pressure elevation)

  • ­  Benzodiazepines such as valium, clonazepam, Ativan

­  Alcohol: avoid the night before, the day of, and the day after treatment

Can I go back to work after a troche treatment?

This is not recommended or ideal for treatment. If you have a safety-sensitive position you cannot go back to work.

Can I eat before treatment?

You can eat a light breakfast or lunch, try to avoid heavy foods such as red meat and dairy.

Bring a lunch for the full day and snacks for spray/ troche. Light meals are usually best. Most likely you will not want to go out in public to eat, so prepare to be in the clinic for the day.

How long will I be in the clinic for Troche?

90 minutes to 2 hours.

How long is Day Treatment?

4­5 hours, this includes a short break with 3.5 ­ 4 hours of counseling.

How often will I need to repeat the treatment?

This depends, studies have shown that some of the positive effects can last up to 14 days after treatment. Often, people feel their nervous systems have been ‘reset’ and they feel a shift in perspective that is more long-lasting. Others find they require monthly treatments for 6 months to a year and then only an occasional session. Dr Kailia and Tara can help you come up with an individualized care plan during your assessment.

What can I expect after leaving the clinic after troche, spray, treatment?

Research suggests that 50­70% of individuals with chronic depression and suicidal ideation feel relief from these symptoms immediately following treatment.

Common responses include: relaxation, decreased pain and anxiety, a sense of contentment, feeling slowed down, sometimes the opposite ­ feeling energized, a general sense of well­being, hope, joy, feeling of awe. Occasionally people feel low ­ we encourage time for rest and integration, a couple quiet days in nature is ideal. Occasionally people might feel increased pain, this is rare but can happen; reach out for support if this happens (try booking counselling, massage or acupuncture as sometimes we need extra support after a big treatment like this).

Should I bring anything for the day treatment?

Light lunch, comfy clothes, a journal, any extra bedding that might help support you ­ we have yoga mats, bolsters, pillows and blankets. An item of comfort can also help such as a special blanket or memento.

What are the risks associated with ketamine?

The development of tolerance or dependence is low, but possible risk and almost non­existent in clinical settings. Bladder or bowel problems have not been reported in clinical settings, only street use. Ketamine can (but doesn’t always) increase the blood pressure.

When is ketamine NOT recommended?

Please book an assessment to discuss …
If you have a history of disassociation (this feels like an out of body experience, you might lose time, people tell you that you said or did things you don’t remember)
If you have heart disease or hypertension.
For individuals with paranoid, delusions or hallucinations.

What else can help make this treatment work for me?

Ideally, we suggest a few months of counselling before doing this treatment and ongoing counselling after. A minimum of 2 sessions at RISE is required.

Why is psychotherapy or counselling so important with ketamine?

Ketamine is a psychedelic medicine. Hallucinations are common. We have noticed that individuals who have done counselling before seem to benefit the most from this treatment. We would consider Ketamine Assisted Psychotherapy to be a serious treatment that should not be taken lightly. We can overcome a lot in a psychedelic session but the work we do ahead of time prepares us for this.