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FAQ

Common questions about Ketamine Therapy.

  • What conditions do you treat with psychedelic Ketamine Assisted Psychotherapy (KAP)?
    We offer KAP for the following conditions: Depression Anxiety PTSD (developmental trauma) Palliative Care Chronic Pain We do not currently offer KAP for the following conditions OCD Bipolar 1 (manic phase) Psychotic disorders Personality disorders If your condition is not listed, please feel free to contact our office for a consult. Our mission is accessible treatment, and we want to help!
  • Is Ketamine safe and legal?
    Ketamine is safe When administered according to best practice protocols, ketamine is extremely safe. Ketamine has been around since the 60s and is on the WHO's list of essential medicines. There are hundreds of medical journal articles testifying to its safey and efficacy. It is hard to find any medicine with a safety track record and safety profile (for adults and children) like ketamine. Ketamine is not only phsyically safe, but safe psychologically. Known as the "forgiving psychedelic", there is no record of any pyschological damage caused by ketamine when administered in a controlled, therapeutic enviroment. Ketamine is legal Ketamine is a legally prescribed medication. All Keter Briyut clients undergo a complete psych-med intake and screening process with our Psychiatrist to ensure treatment is safe and appropriate.
  • Is Ketamine a psychedelic?
    The term "psychedelic" carries significant cultural connotations. It originates from Latin words meaning "mind manifesting." Many well-known psychedelics such as LSD, Peyote, Psilocybin, and Ayahuasca (DMT) work through common pathways in the brain involving serotonin receptors, specifically the 5HT-2A receptors. In contrast, Ketamine operates through the glutamate system. Experts in the field agree that the doses of ketamine used in KAP (Ketamine-Assisted Psychoherapy) truly evoke a "mind manifesting" experience, although certain aspects of this experience, its characteristics or signature, differ. Ketamine tends to provide a more introspective experience; therefore, we utilize eye shades and music to enhance the introspective nature of the experience.
  • What does Ketamine feel like?
    Ketamine operates on the brain's glutamate system, much like alcohol and nitrous oxide (commonly known as laughing gas). Individuals often describe the initial effects of ketamine as resembling the relaxed state induced by a few glasses of wine or the sensations experienced during dental nitrous oxide administration. Another notable aspect that many people report is a profound and heightened connection to music, perceiving it as alive and deeply impactful.
  • Is Ketamine addictive?
    Ketamine is a schedule III drug. Drugs in this class tend to have “very minimal potential for addiction”. However abusive and addictive behaviors with relation to the ketamine experience occur. The most common pattern is that there is a desire or preference to be in the ketamine state of awareness as opposed to our day-to-day reality. In KAP, access to the medication is strictly controlled. We monitor for behaviors that might indicate the emergence of dependence and actively guard against it.
  • What medical conditions are "rule outs" for KAP treatment?
    Generally speaking, there are very few rule outs for treament. Hard Rule Outs Schizophrenia: Immediate Family History Of Pregnancy or Planned Pregnancy Current Psychosis or Active Mania Uncontrolled Hypertension History of Ketamine or Anesthesia Reaction with or without Malignant Hypothermia Acute Intoxication or Alterned Mental Status Taking MAOIs Mental Impairment Needs Substance Abuse Treatment First Soft Rule Outs (may accept for treatment upon consultation with other client providers) Current Alcohol Dependance Postpartum or Breast Feeding History of Cardiac Rhythm Disturbance History of Cardiac and/or Circulatory problems History of Respiratory problems History of Seizures Liver conditions (Cirrhosis, etc) Hyperthyroid Renal Failure and Dialysis Current Subtance Abuse Treatment
  • How is the Ketamine administered?
    Because of its chemical properties ketamine is easy to administer using a number of different routes. In research settings it’s usually administered with an IV. We believe use of IVs medicalizes the process and interferes with the set and setting clients are trying to establish. Several of our clients have visited IV clinics and prefer KAP because of the feeling of safety and support that they receive from our KAP trained facilitators. At Keter Briyut, we use primarliy Inter-Muscular (IM) ketamine in the form of an IM injection administered by a medical professional. The first session, we administer a low dose injection, in order to see how the client will respond to the medicine. For the second session, we may administer a higher dose, which can produce a more transformative experience. The IM experience comes on in 5-7 minutes and usually has a peak experience of 15-30 minutes, and then gently curving back to a peaceful and gentle slow return. This slow return to ordinary consciousness is knows as the "long tail" and is an incredibly therapeutic part of the experience.
  • How many treatments do I need for results?
    Our treatment philosophy revolves around utilizing minimal medication to achieve optimal and long-lasting outcomes. As the field of KAP (Ketamine-Assisted Psychotherapy) continues to evolve, we are continuously learning and refining our approach. Typically, clients embark on a series of three or four fully prepared and integrated KAP sessions, spaced out over a period of 2-6 weeks. Following each session, we assess together how you are responding to the treatment. It's important to note that some clients have experienced remarkable and enduring responses even after a single session. However, our standard approach involves the initial three treatments to establish a solid foundation for progress. After completing these initial sessions, clients often transition into a "maintenance" phase, where they receive one to three treatments per year. These treatments become an integral part of their mental health and wellness regimen, offering opportunities for profound personal growth and enhanced resilience with each session.
  • Can I continue to take my regular medications while using Ketamine?
    Ketamine generally has favorable interactions with most medical and psychiatric medications. However, there are a few exceptions that necessitate a temporary hold before the treatment session. Medications such as benzodiazepines, ADHD medications, or mood stabilizers like lamotrigine may diminish the effectiveness of ketamine, requiring a "day of" hold. At Keter Briyut, we prioritize the safety and well-being of our clients. As part of our comprehensive approach, every client undergoes a thorough medical intake and screening process. This includes a detailed analysis of your current medications to ensure a tailored and appropriate treatment plan. By carefully assessing your medication regimen, we can optimize the effectiveness of the ketamine treatment and ensure its compatibility with your existing medications.
  • Can I receive KAP in my home?
    Ensuring emotional and physical safety is our top priority at Keter Briyut. Currently, we exclusively offer in-person KAP (Ketamine-Assisted Psychotherapy) sessions in our clinic, where we can provide a controlled and secure environment. However, our preparation and integration sessions, facilitated by our KAP-trained professionals, have the option to be conducted remotely through telehealth. We understand that there are client who, because of physical or time constraints , may have a need for in-home sessions or concierge services. While these options are not currently available, we have plans to explore and potentially offer them in the future. Any arrangements for in-home sessions or concierge services would be determined on a case-by-case basis, taking into consideration individual needs and ensuring the utmost safety and well-being of our clients.
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