You'll schedule an initial evaluation with a clinician from the Journey Clinical medical team via Zoom. They'll review your medical and psychiatric history, provide education on the treatment, and determine your eligibility for KAP. If approved, they'll develop a personalized ketamine prescription and outcome-monitoring plan, and send a small supply of oral ketamine lozenges to your home — enough for your first two KAP sessions. Journey Clinical will teach you to take your vitals and self-administer the lozenges in advance of your sessions.

Once you receive your ketamine lozenges, we'll schedule preparation sessions, just like regular therapy sessions, before your first dosing session. These sessions align on the process and set intentions for your KAP work together.

A typical dosing session lasts 1–2 hours. You'll self-administer your ketamine lozenge in a comfortable, reclining position, wearing an eye mask and listening to calming music. Although the experience is largely internal, your therapist is present the entire time to hold space and provide support as needed.

Following each dosing session, we meet for integration therapy sessions to review the memories, thoughts, and insights that arose, and to prepare for the next dosing session.

After your first KAP session, Journey Clinical's medical team schedules regular follow-ups to monitor outcomes and prescribe lozenge refills as appropriate. Frequency depends on your individual treatment plan, at a minimum of once per quarter.

Ketamine is an FDA-approved medicine used off-label to treat a variety of mental health conditions, including depression, anxiety, and PTSD. It has rapidly-acting antidepressant and mood-enhancing effects that can begin within 1–2 hours of treatment and last up to two weeks. It works by blocking the brain's NMDA receptors and stimulating AMPA receptors, which are thought to help form new synaptic connections and support neural circuits that regulate stress and mood. Ketamine has also been shown to enhance overall neuroplasticity for lasting symptom improvements.

Ketamine can be administered several ways, including IV infusion, intramuscular injection, nasal spray, and sublingual lozenges. At Kula Yoga & Wellness, in partnership with Journey Clinical, we use only the sublingual lozenge form.

The effects of ketamine, which most clients find pleasant, last approximately 45 minutes. These effects can make you feel "far from" your body and facilitate shifts in perception that often feel expansive. Motor and verbal abilities are reduced, so you'll be lying down in a comfortable position throughout. Once the effects subside, the remainder of the session is spent processing and discussing the experience together. While it can be hard to articulate what happened during the experience itself, clients often find the insights gained are clear. Studies suggest benefits to mood and neurological growth can last up to two weeks after a session.

The number of sessions needed varies by individual. Most clients need at least 1–2 preparation sessions, 6–8 dosing sessions, and 6–8 integration sessions.

No separate referral is needed — we refer you to Journey Clinical for the required medical evaluation, and their team determines eligibility for treatment.

Ketamine-Assisted Psychotherapy is offered as an accessible modality. While medical intake and follow-ups are not covered by insurance, they are typically eligible for out-of-network reimbursement. See the full cost breakdown above.