Group Ketamine Therapy in Los angeles

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Description
Ketamine Assisted Psychotherapy (KAP) is an emergent modality that uses an altered state induced by ketamine to help patients deepen their work in psychotherapy. KAP is often done one-on-one with a therapist, but in that format, patients do not have a community of peers to rely on for support. Group KAP can be an opportunity to do so, while also advancing individual goals. While group KAP is not a replacement for individual KAP, it is a different modality with its own unique benefits. All group members will need to be connected to another mental health resource (ex: therapist, psychiatrist, coach, group therapy etc.). The group facilitators will speak with you individually to make sure this modality is appropriate.

Facilitators
Sydney Klatt is an Associate Clinical Social Worker (#96837) and Psychotherapist who specializes in KAP. Her areas of focus are trauma-informed care, anxiety, and depression. Sydney received her master’s degree in social work from Sacramento State University, Sacramento with a bachelor’s degree in Global Studies from University of California, Santa Barbara. Sydney was trained in KAP through Fluence and the Psychedelic Coalition for Health.  She is trained in Somatic Experiencing, Narrative Therapy, CBT, DBT, and Trauma-Focused CBT modalities, as well as psychedelic integration. Her work centers the LGBTQIA+ community by providing gender-affirming and queer-positive care. Sydney has a background in trauma-informed yoga and brings the principles of yoga and mindfulness into the therapy space by inviting clients to connect with themselves through presence and awareness of physical body and breath. 

Tara Rodriquez is an Associate Clinical Social Worker (#113549) and psychedelic psychotherapist. Her areas of focus are substance use disorders, harm reduction, anxiety, trauma, life transitions, and underserved populations. She received her Master of Social Work from The Ohio State University in the Mental Health and Substance Use area of specialization. She has extensive training in ketamine-assisted psychotherapy (via Fluence and Polaris), integrative harm reduction psychotherapy, crisis intervention, and somatic methods (including integrative somatic trauma therapy, Somatic Experiencing, and Hakomi). With over four years of experience providing crisis counseling on support lines, harm reduction at festivals, and leadership in the psychedelic integration community, Tara is adept at holding space for big experiences and facilitating the change process.

Both facilitators are working under the supervision of Erica Siegal, LCSW (CA #86622).

Group Size
Each group will be a closed cohort of 6–7 participants and two facilitators.

Format
Each series will include three preparation sessions, three dosing sessions, and four integration sessions. Preparation and integration sessions will run for 1 ½ hours each via Zoom. Dosing sessions will be 3 hours each and take place in-person at a studio space at an accessible location in West LA (Palms, near the 10 and 405). During preparation, participants will get to know one another and discuss their goals and intentions for working with ketamine. They may choose to discuss their previous work with ketamine or other psychedelic substances or non-substance-induced altered states, either recreational or therapeutic (or both). We will invite conversation about expectations, desires, anxieties, and fears about the dosing session. As the facilitators, we will provide information about the ketamine experience and answer questions about the process.

The dosing sessions will include a mindfulness exercise, co-creating a sacred space, an inward-facing ketamine journey, group processing, and a light snack. Participants will receive specific instructions on supplies to bring prior to this session.

Dosing sessions will be followed by integration sessions where participants can process insights from the journey, make meaning of their experience and—most importantly—strategize about how to build practices in their life that will support these insights. The group will serve as both a supportive community and provide a level of accountability to following through on commitments to integration.

The role of the group facilitators is to cultivate a safe environment and encourage deeper intimacy in conversation, which will enhance the therapeutic component of the group. Each participant will be screened in advance for appropriateness for the group and goodness of fit within the group. We will provide supplemental materials and resources for psychoeducational purposes and to enhance contemplative practices, which will be useful during non-ordinary
states of consciousness and integration.

Preparation
We encourage group participants to prepare for the group by clarifying their intentions and desires for participating. This may involve processes like journaling, meditation or other contemplative practices or embodiment practices such as yoga or dance outside of group time. During the group time, facilitators and other group members can provide feedback on these practices, and the group may serve as a means of accountability. As the group progresses, participants will be encouraged to maintain these practices in between sessions as a means of preparing for and integrating the experiences from the medicine work. Both research and anecdotal evidence demonstrate that engagement in these practices will create better outcomes.

Pricing
The total cost for the NEST portion of the group is $1200. This works out to $60 per clinical hour of group time. (If you are also interested in an individual KAP process, that is available separately at $125–$150 per clinical hour.) We can work with you if you need to pay in installments. Additionally, we offer a very limited number of economic hardship scholarships to those in need. There is a $200 deposit required at the time of your acceptance into the group. If you have out-of-network benefits, you may be able to submit to your insurance for reimbursement. We can provide you with documentation and a list of questions to ask your insurance to see whether the group might be covered; however, we cannot guarantee reimbursement, and payment will still be expected even if you are not reimbursed.

Patients will be referred to Journey Clinical for a consultation with a prescriber who will prescribe ketamine lozenges to participants if it is determined to be clinically appropriate. We cannot guarantee that participants will receive a prescription, but we can discuss counter-indications on a general level to help determine if there are any obvious rule-outs. The clinical fee for Journey Clinical is $250 for an initial consultation—this fee is separate from NEST. Participants will be prescribed enough sublingual ketamine lozenges for the three dosing sessions, at a cost of $75. If Journey Clinical determines that you are not a good medical candidate for ketamine, NEST can refund your $200 initial deposit.

Commitment
This is a closed group, meaning that the same members will participate each time, and it will not be open to any new members for the duration of the series. Group participants will need to commit to and pay for the entire series. While conflicts may arise, the group cannot run without this full commitment, and we cannot offer any refunds for missed sessions for any reason, including illness. If unexpected circumstances do arise, we will speak with participants about potential alternatives and will make every effort to accommodate them.

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Other Questions

What if I have a bad experience?
While we cannot guarantee what sort of experience you will have during the ketamine session, some people do have challenging experiences. We will be present to support you through the dosing session. Even though the experience may be challenging, it may also bring to light important issues to address during integration.

What additional support options might be available?
For those who wish to continue working after the group is over, we will work with you to ensure that you are connected to another psychotherapist who is knowledgable about  ketamine to work with you individually.

Are people required to be in therapy for this experience?
There is no prerequisite to be in therapy to join the group, however, we require all participants to be connected with some mental health resources that they can access for support after the completion of the program. This can include an individual therapist, group therapy, psychiatrist, coach, etc. since after the group, we will not be able to provide ongoing clinical support. We will offer referral resources for people who are interested in additional treatment.

Can I join with a friend?
We will evaluate friends who wish to join on a case-by-case basis. While this may work, issues may arise in group cohesion and we may ask friends to separate.

What kinds of indications would make me a good fit for the group?
You might be a fit for the group if you are working through depression, addiction, anxiety, PTSD, and other clinical diagnoses. Some people may require a higher level of care, and during the initial assessment interview, we will determine whether we are able to accommodate you in the group.

Next Steps

If you are interested in joining the next group, please complete the following steps:

  1. Review the schedule below.
  2. Fill out the KAP group application form: https://forms.gle/2KXDtsoDqjpDRWXp8
  3. You will receive an email from one of the facilitators to schedule a free 15-minute screening/consultation call.
  4. If you are deemed preliminarily eligible for Group KAP on the screening call, you will pay a $200 deposit to hold your place in your cohort.
  5. Upon payment of your deposit, you will be sent an invitation to join our client portal to fill out initial paperwork and be referred to Journey Clinical for your prescriber consultation.

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Schedules

Cohort 1: All-Gender Cohort

Preparation (via zoom)  Tues Aug 22, 2023  6:00 PM – 7:30 PM
Preparation (via zoom)  Sat Aug 26, 2023  11:00 AM – 12:30 PM
Preparation (via zoom)  Tues Aug 29, 2023  6:00 PM – 7:30 PM
Dosing #1 (in person)  Sat Sept 2, 2023  11:30 AM – 2:30 PM
Integration (via zoom)  Tues Sept 5, 2023  6:00 PM – 7:30 PM
Dosing #2 (in person)  Sat Sept 9, 2023  11:30 AM – 2:30 PM
Integration (via zoom) Tues Sept 12, 2023  6:00 PM – 7:30 PM
Dosing #3 (in person)  Sat Sept 16, 2023   11:30 AM – 2:30 PM
Integration (via zoom)  Tues Sept 19, 2023  6:00 PM – 7:30 PM
Final Integration (via zoom) Sat Sept 23, 2023   11:30 AM – 2:30 PM

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CLICK TO FILL OUT OUR HIPAA-COMPLIANT APPLICATION FORM IF YOU ARE INTERESTED

Facilitators

Sydney Klatt, ASW

Associate Clinical Social Worker (#96837) and Psychotherapist who specializes in KAP with a focus on trauma-informed care, anxiety, and depression.

Tara Rodriquez, ASW

Associate clinical social worker (#113549) and psychedelic psychotherapist, with a focus on substance use disorders, harm reduction, anxiety, trauma, life transitions, and underserved populations.