Generally, we begin with an intake session which encompasses history, assessment measures, and is designed to get to know each other, establish a bond, and explore the issues to be addressed in the therapy. The KAP process is explained and questions and concerns answered. If ketamine is to be used, a decision is made together as to which method will commence treatment. Most often we begin with a lozenge session to acquaint patients with the ketamine experience, to assess sensitivity and responsivity, dosage, and to design the at-home experience. At the conclusion, a prescription for the lozenges is made through our formulating pharmacy for a limited number of them but adequate for a series of at-home sessions. No refills are provided. We have a no abuse policy and provide ketamine in a manner where that is not possible. IM sessions are done only in the office.
Our practice tends to be to work as a male/female team, this emanating from our collaborative work in the MAPS sponsored MDMA trial. We remain in active contact through email and telephone with patients doing the at-home work.
Generally, in-office sessions last two and a half to three hours and with follow-up, this represents a commitment to you and our work with you. Hence, our fees are in accord with this extended time frame. Ketamine is not yet being reimbursed by insurance, but our sessions can be partially compensated based on psychotherapy coding and we will provide billing whenever possible.
Thanks so much for your interest!
