Ketamine-Assisted Psychotherapy

Psychotherapy preparation and integration coordinated with medical ketamine treatment

For some people, traditional psychotherapy and other treatments bring meaningful progress, yet certain symptoms, emotional patterns, or experiences remain difficult to shift. Ketamine-Assisted Psychotherapy (KAP) may offer another treatment option to explore.

At Solution Therapy & Coaching, I provide psychotherapy for adults interested in KAP, including therapeutic preparation, ongoing psychotherapy, and integration following ketamine treatment.

I collaborate with an established ketamine treatment provider in Ontario. The medical team is responsible for assessing your medical eligibility, reviewing medications and potential contraindications, developing your ketamine treatment plan, administering the medication, and monitoring your medical safety.

My role is your psychotherapist—helping you prepare for the experience, understand your therapeutic intentions, process what emerges, and integrate meaningful insights and changes into your everyday life.

Interested in exploring whether KAP may be appropriate for you?

What Is Ketamine-Assisted Psychotherapy?

Ketamine-Assisted Psychotherapy combines medically supervised ketamine treatment with a structured psychotherapy process.

Rather than viewing ketamine as a stand-alone intervention, KAP incorporates psychotherapy before and after the medicine sessions.

Preparation helps establish safety, trust, therapeutic goals, intentions, and emotional readiness.

The ketamine treatment is medically assessed, administered, and monitored by the medical provider.

Integration helps you reflect on the experience, explore what feels meaningful, and connect emerging insights with your ongoing psychotherapy and everyday life.

Ketamine can temporarily change perception, awareness, and the experience of thoughts, emotions, time, and the body. Experiences vary considerably between individuals, and no particular experience or therapeutic outcome can be guaranteed.

How Does the KAP Process Work?

You do not need to know whether ketamine is right for you before contacting me. We can begin with a conversation and take the process one step at a time.

Step 1 — Start With a Psychotherapy Consultation

The first step is a free 15-minute consultation with me.

We can briefly discuss:

what brings you to consider KAP;
your current concerns and therapeutic goals;
previous therapy or treatment experiences;
what you hope to change or understand;
questions or concerns you have about KAP; and
whether exploring KAP further may fit with your psychotherapy goals.

This initial conversation does not determine your medical eligibility for ketamine. That assessment is completed separately by the medical provider.

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Step 2 — Medical Assessment and Eligibility

If you decide that you would like to explore KAP further, I can help connect you with the partnering medical provider.

A qualified medical clinician will determine whether ketamine treatment is medically appropriate for you.

The medical assessment may include reviewing your medical and psychiatric history, current medications, previous treatments, potential contraindications, and other relevant health information.

The decision about whether ketamine is medically appropriate—and all decisions concerning the medication itself—are made by the medical team.

Step 3 — Psychotherapy Preparation

If you are medically approved and choose to proceed, psychotherapy can help prepare you for the experience.

Preparation may include exploring your therapeutic goals, expectations, concerns, emotional readiness, coping resources, and intentions.

An intention is different from an expectation. We are not deciding what must happen during your experience. Instead, an intention provides a gentle direction while allowing the experience to unfold without pressure.

Your intention might involve:

developing greater self-compassion;
understanding recurring emotional or relationship patterns;
exploring something that feels stuck;
reconnecting with your values;
approaching difficult experiences with greater openness;
working with grief, fear, or self-criticism; or
developing a different relationship with your thoughts and emotions.

There is no need to create a “perfect” intention.

Step 4 — Medically Supervised Ketamine Treatment

The ketamine component of your treatment is provided and overseen by the medical treatment provider.

Solution Therapy & Coaching does not prescribe or independently administer ketamine.

Your medical team determines the appropriate treatment plan and is responsible for medication decisions, administration, physiological monitoring, and medical safety.

Depending on the options available to you, treatment may be coordinated through an appropriate Ontario clinic or another medically approved treatment setting. We can discuss the available options during your consultation and confirm them with the medical provider.

During treatment, experiences can vary considerably. Some people describe a quiet, inward experience, while others may notice emotions, memories, imagery, bodily sensations, or changes in perspective.

There is no “right” experience, and the goal is not to force a breakthrough or particular outcome.

Step 5 — Psychotherapy Integration

The therapeutic process does not end when the ketamine session is over.

Integration is the process of exploring what emerged and considering how it may relate to your life, relationships, emotional patterns, values, and therapeutic goals.

We might explore questions such as:

What stood out to you?
What emotions or physical sensations did you notice?
What seems meaningful now?
Did you experience yourself or a familiar problem differently?
Did anything challenge your usual assumptions or patterns?
What deserves further exploration?
Is there something from the experience you would like to bring into everyday life?

Integration may include psychotherapy, mindfulness, somatic awareness, journaling, self-compassion practices, reflection, and practical behavioural changes.

I will not impose an interpretation on your experience. You remain the primary source of meaning. Our work is to explore it together with curiosity and connect what is useful to your broader therapeutic process.

Step 6 — Continue Your Psychotherapy

KAP is not intended to replace the therapeutic relationship.

Psychotherapy can continue before, during, and after your ketamine treatment, allowing us to work with both your original goals and anything new that emerges.

For some people, the most meaningful work happens gradually as insights from the experience are explored and translated into changes in everyday life.

Why Is Psychotherapy Important in KAP?

Ketamine does not do the psychological work for you.

Psychotherapy provides continuity and a therapeutic framework around the medical treatment.

Before treatment, we focus on preparation, trust, intentions, expectations, emotional readiness, and therapeutic goals.

During the overall treatment process, psychotherapy provides continuity and a place to explore changes as they emerge.

After treatment, integration helps you make sense of the experience and consider how insights can become meaningful and sustainable changes in your life.

The objective isn't simply to have an altered-state experience. The therapeutic work is about what you learn, how you understand it, and what you choose to do with it.

Who Might Consider KAP?

You may want to learn more about KAP if you:

continue experiencing significant emotional or psychological difficulties despite previous treatment;
feel that certain patterns remain difficult to change through psychotherapy alone;
have not experienced the improvement you hoped for from previous approaches;
are interested in ketamine-assisted or psychedelic-assisted psychotherapy; or
want to understand whether another treatment option could complement your ongoing psychotherapy.

Interest in KAP does not necessarily mean ketamine is medically appropriate for you.

Medical eligibility is determined individually by the medical provider.

If ketamine isn't appropriate for you—or you decide that it isn't something you want to pursue—we can still explore other psychotherapy approaches.

A Collaborative Approach to Your Care

One of the benefits of this model is that you do not necessarily have to leave your existing psychotherapy relationship to explore ketamine treatment.

With your consent and when clinically appropriate, your psychotherapy and medical treatment can be coordinated while each provider remains within their respective professional role.

Solution Therapy & Coaching provides the psychotherapy component.

The partnering medical provider manages medical eligibility, ketamine treatment, medication decisions, and medical monitoring.

This allows psychotherapy to remain focused on you, your goals, and your longer-term therapeutic work.

Frequently Asked Questions

Do I need to know whether I qualify for ketamine before contacting you?

No. You can start by booking a free consultation with me. We can discuss your reasons for considering KAP and whether taking the next step toward a medical assessment may make sense.

Can you determine whether ketamine is medically safe for me?

No. As your psychotherapist, I can help you explore KAP from a therapeutic perspective, but medical eligibility is determined by the partnering medical provider.

Do I need a referral from my family doctor?

You can begin by speaking with me about your interest in KAP. If you wish to proceed, I can help you understand the next step for connecting with the medical provider and obtaining the appropriate medical assessment.

Can I continue working with you as my psychotherapist?

Yes. Continuity of psychotherapy is an important part of this collaborative approach. I can provide preparation, integration, and ongoing psychotherapy while your medical provider manages the ketamine component of your treatment.

What is KAP integration therapy?

Integration is psychotherapy focused on processing and understanding experiences, emotions, perspectives, or insights that emerge in connection with ketamine treatment.

The emphasis is not simply on remembering the experience. We explore what is meaningful, what requires further therapeutic attention, and whether anything can be translated into healthier patterns or practical changes in your everyday life.

How many ketamine treatments will I need?

There is no single treatment plan appropriate for everyone. The number, frequency, route, and other medical aspects of ketamine treatment are determined by your medical provider according to your individual circumstances.

Where is ketamine treatment provided?

Treatment options depend on your location, medical needs, and the services currently available through the partnering provider. During the consultation process, we can discuss available options in Ontario and connect you with the medical team for current treatment locations and arrangements.

Is KAP covered by insurance?

Coverage varies by insurance plan and by the services being provided.

Psychotherapy provided by a Registered Social Worker may be eligible for reimbursement under many extended-health benefit plans, depending on your individual coverage. Medical ketamine treatment and related medical services may be subject to different coverage.

You should confirm your specific benefits directly with your insurer.

What if I decide not to proceed with ketamine?

There is no obligation to proceed.

Learning about KAP or completing an initial consultation does not commit you to treatment. If you decide against ketamine—or the medical provider determines that it isn't appropriate—we can continue psychotherapy and explore other approaches.

Can KAP guarantee that I will feel better?

No. Individual responses vary, and no specific result can be guaranteed.

KAP should be approached as one possible treatment option within a broader therapeutic process rather than as a guaranteed or immediate solution.

Curious About Ketamine-Assisted Psychotherapy?

You don't need to make a decision about ketamine treatment before reaching out.

The first step is simply a conversation.

During a free 15-minute consultation, we can discuss what you're experiencing, what you've already tried, why you're considering KAP, and whether exploring a medical assessment may be an appropriate next step.

If you decide to explore KAP further, I can help connect you with the partnering medical provider while continuing to support the psychotherapy side of your treatment.

Solution Therapy & Coaching provides psychotherapy services related to KAP, including preparation, integration, and ongoing psychotherapy. Ketamine is a prescription medication and is not prescribed or independently administered by Solution Therapy & Coaching. Medical eligibility, contraindication screening, medication decisions, ketamine administration, treatment planning, and medical monitoring are the responsibility of the treating medical provider. Information on this page is provided for educational purposes and does not constitute medical advice. Ketamine and KAP are not appropriate for everyone, and treatment outcomes cannot be guaranteed.

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