What to Expect: The KAP Process

KAP is not a single event. It is a journey that unfolds in distinct phases, each with its own purpose and its own kind of preparation. Like any meaningful therapeutic endeavor, it asks for your commitment and your trust. What it offers in return is access to parts of yourself that ordinary conversation rarely reaches.

The process moves through five steps.

Step 1 · Consultation

We begin with a phone conversation that is unhurried, exploratory, and without obligation. This is a chance for you to share what brings you here, what you're hoping for, and any questions you're carrying. It is equally a chance for me to understand whether this work, and this particular practice, is the right fit for you. Not everyone is a candidate for KAP, and that conversation matters.

Step 2 · Prescription

If we decide to move forward together, the next step is a referral to a ketamine prescriber , an Atlanta-based psychiatrist or an online medical provider, who will conduct a medical evaluation to assess your candidacy and determine the appropriate dosage. Once prescribed, the ketamine is mailed directly to you from a pharmacy. It comes in the form of a nasal spray or sometimes a lozenge. You will bring your medicine with you to each experiential session.

Step 3 · Preparation

Before we ever work with the medicine  we meet, typically for three to five sessions,  to lay the ground for what is to come. This is not preliminary work in the sense of something to get through. It is foundational. Preparation sessions are where trust is built, where your history and intentions begin to take shape, where you develop a felt sense of safety in the process and with me as your guide.

Clients who arrive at the experiential session having done this preparation enter the medicine space with more focus, more openness, and greater capacity for the kind of encounter that can shift things. We will also discuss the practical elements of the session: what to expect, how to prepare your body and mind, and how to arrange safe transportation home.

Step 4 · The Experiential Session

You arrive at my office with your ketamine. We take time to settle, to create the right inner and outer conditions for the work. When you are ready, you take the medicine. With nasal spray we can redose every 15 minutes which allows us  a great deal of flexibility in finding  the right dose for you.

The session lasts approximately two hours in total. The full effects of the ketamine, the altered state, the expanded awareness, the temporary quieting of the ordinary mind, last roughly about an hour. During this time, I am present with you throughout, offering guidance and making sure you feel safe and available to receive the maximum benefits of the journey.

What happens in that window is different for everyone. Some people encounter imagery, emotion, or memory. Others experience a profound stillness, a dissolution of the usual boundaries of self, a felt sense of something larger. Many describe it as the most significant inner experience of their lives, not because it is dramatic, but because something that had been inaccessible suddenly becomes available.

When the medicine has passed, we spend time together beginning to touch what emerged…the images, the feelings, the insights, the questions. This initial processing is the first step of integration.

Step 5 · Integration

In the days following an experiential session, the brain remains in a heightened neuroplastic state, more open, more malleable, more capable of forming new patterns. This window is precious, and we use it intentionally.

Within approximately 48 hours of each experiential session, we meet for a full integration session. This is where the real work of transformation often happens,  not in the medicine space itself, but in the careful, unhurried process of understanding what you encountered there, and beginning to weave it into the fabric of your daily life.

Integration is not about explaining away the experience. It is about honoring it, and asking what it is asking of you.

The Full Arc

While the experiential sessions themselves, typically three to five,  form the heart of the KAP process, they do not stand alone. The consultation, preparation, and integration sessions together create a container that is held, coherent, and oriented toward lasting change rather than temporary relief.

This is a significant undertaking, in both commitment and cost. KAP is not covered by insurance and represents a meaningful financial investment. Many people find that what it makes possible, the shifts that years of talk therapy had not been able to reach,  makes it one of the most worthwhile investments they have made in themselves. For detailed information about pricing, please visit the FAQ section.

Some things cannot be rushed, analyzed, or willed into being. They can only be made possible. This work makes them possible.

For couples, the process has its own particular shape, one that honors the presence of two people, two histories, and a shared longing for something different. I'd welcome the chance to walk you through what that looks like during our free consultation.