What Really Happens in a Ketamine-Assisted Psychotherapy Session

If you’ve been curious about Ketamine-Assisted Psychotherapy (KAP) but aren’t sure what actually happens in a session, you’re not alone. I get tons of questions about the process of KAP from clients and have presented on the topic to many therapists who are curious about what this powerful process looks like.

👉 (For a deeper overview of what KAP is, how it works, and who it’s for, check out my comprehensive guide to Ketamine-Assisted Psychotherapy — HERE).

Preparation: Setting the Stage for Safety

Before a dosing session takes place, there are several steps that happen to prepare you. Preparation involves creating safety and building a strong therapeutic relationship because for a session to be truly fruitful, there must be trust — and you must feel grounded.

I meet with clients for several sessions prior to the first dosing session to establish that trust. During those sessions, we discuss your trauma history, relationship history, and goals for treatment. We also begin to work toward those goals in talk therapy. We’ll address any fears you may have about the dosing process and spend a lot of time helping you feel comfortable in your body and with your emotions — an important resource to return to after your dosing session.

I’ll also help you prepare an intention for your session based on your goals, personal history, and the work we’ve already been doing together.

In addition to our preparation sessions, you’ll be referred to a medical provider for a full evaluation. The doctor ensures that there are no contraindications and prescribes the correct dosage for you.

The Medicine Session: What It Feels Like

On the day of your dosing session, you’ll arrive at my office — a space that should already feel familiar and safe since we’ll have been meeting there beforehand. The environment is calm and inviting.

We’ll begin by checking in and discussing any fears or anxiety about the session — this is completely normal, especially if it’s your first KAP experience. Together, we take time to sit with those fears, rather than push them away. We listen to the parts of you that may be hesitant, allowing them to feel heard and supported, and then gently move forward once those parts feel safe.

You’ll be asked to bring a pillow, blanket, eye mask, your prescribed medication, and any comfort items such as a favorite stuffed animal or photo. I’ll provide headphones and guide you through a short grounding meditation to help you relax and feel at ease.

Once you’re ready, you’ll take a small dose of the ketamine. The medication comes in the form of a lozenge that dissolves in your mouth. You’ll swish it around for several minutes before spitting it into a cup I provide. I keep track of time and remain with you for the entire session to ensure your safety and comfort.

For your first dosing session, a lighter dose is usually recommended to see how your body responds. With a lower dose, you’ll remain awake and able to speak, while feeling deeply relaxed and more connected to yourself. Most people describe a sense of quiet presence — as if the “background noise” in their mind has been turned down — allowing for deep therapeutic work and access to insights that are often difficult to reach through talk therapy alone.

Each dosing session lasts about three hours, with the effects of the medicine lasting between 45 minutes and 1.5 hours. You’ll have plenty of time for grounding, being in the medicine, and gently coming back before we move into integration.

Integration: Making Meaning Afterward

Integration is the most important part of the KAP process. It’s where you take what you’ve been shown and weave it into your everyday life. This is what creates lasting change — when insights move from thoughts into embodied awareness, shaping how you think, feel, and act.

Ketamine creates a window of neuroplasticity in the brain — a period of about 3–5 days when your brain is more open to new pathways and possibilities. During this time, you’ll have a follow-up integration session where we process your experience and begin translating the insights into action.

You’ll also be encouraged to focus on healthy habits such as nutrition, movement, rest, and meaningful connection. During this neuroplastic window, these behaviors “stick” more easily and help you anchor the transformation you’ve begun.

Integration is where the real magic happens. In my intensive work with clients — [link to intensives blog] — this phase is often where people experience the deepest breakthroughs. Old patterns begin to dissolve, and new ways of relating to yourself and others take root.

The Bottom Line: Deep Healing Is Possible

Ketamine-Assisted Psychotherapy isn’t a shortcut — it’s a doorway. When combined with intentional preparation, skilled therapeutic guidance, and deep integration, KAP can help you access parts of yourself that have long been blocked by pain, fear, or shame. Whether you’re working through trauma, relationship wounds, or emotional stuck points, the process offers a profound opportunity for healing and clarity.

If you’re curious about what this might look like for you, I encourage you to read my full guide to Ketamine-Assisted Psychotherapy — for a deeper understanding of how it works and who it can help.

And if you’ve been considering doing deeper work — individually or with your partner — you can explore my therapy intensives — to see how KAP can be integrated into a transformative, focused healing experience.

✨ Ready to experience what’s possible when science, compassion, and connection meet?
Book a free 15-minute consultation to see if a KAP session or intensive might be the next step in your healing journey.