Coastwise Health
When traditional treatment hasn't been enough, KAP can open a new door.
Ketamine-Assisted Psychotherapy (KAP) serves as a bridge to new perspectives, offering hope for people struggling with severe depression and anxiety or PTSD, particularly when other treatments have fallen short. At Coastwise Health, our KAP work combines the therapeutic potential of low-dose ketamine with guided psychotherapy to support meaningful, lasting change.
Our KAP work features individually tailored preparation and integration phases, so that every part of the experience is personalized to your needs. Psychotherapists collaborate closely with physicians throughout the process, holding a high standard of safety while supporting therapeutic benefit.
Administration Methods: Ketamine may be administered as sublingual lozenges or via intramuscular injection, depending on your clinical needs and your treatment team's recommendations. Your physician and therapist will determine the most appropriate method for you.
Expected Effects: During a KAP session, you may experience a range of effects as the ketamine takes hold:
KAP is a structured, medically supervised process. Every client is screened before starting, and your therapist and physician guide each stage together.
The process begins with a comprehensive intake assessment to determine whether KAP is appropriate for you. This includes a thorough review of your medical history, current medications, and psychiatric background, overseen by a medical provider.
Your therapist focuses on rapport-building and psychoeducation so you feel fully prepared and informed before your first dosing session, and you tailor the experience to your goals.
In a safe clinical setting, ketamine is administered as a sublingual lozenge or intramuscular injection, with your therapist present throughout. Each session lasts approximately 3 hours, including dosing and time to settle.
Afterward, you and your therapist work through what came up so insights translate into lasting change, with ongoing integration support between sessions.
A minimum of 4 to 6 treatment sessions is typically recommended. Each session builds on the one before, creating a cumulative effect that deepens over time.
To ensure safety and the best possible experience, please follow these guidelines before each dosing session:
KAP has shown promise for a wide range of conditions. Your treatment team will help determine whether it is appropriate for your clinical picture.
For depression and anxiety disorders, especially when other treatments have not brought enough relief.
For post-traumatic stress and complex trauma that continue to drive symptoms.
For obsessive-compulsive disorder as part of a broader treatment plan.
As a support for people working through substance use and recovery.
Supportive care for people navigating end-of-life concerns and existential distress.
For disordered eating and for spiritual growth and personal transformation.
KAP combines medically prescribed ketamine with psychotherapy to create a therapeutic experience that can rapidly shift depression, anxiety, PTSD, and trauma symptoms. Ketamine creates a temporary non-ordinary state that can help clients access emotional material and form new perspectives, while trained therapists guide preparation, the session itself, and integration afterward.
Yes. KAP at Coastwise is delivered by licensed psychotherapists working alongside medical providers who prescribe and oversee the ketamine protocol. All clients are screened medically before starting, and sessions occur in a safe, clinical setting.
KAP is most often used for treatment-resistant depression (when other treatments haven't worked), anxiety disorders, PTSD, and complex trauma. It can also help people stuck in rumination or feeling disconnected from their emotions. Your treatment team will help determine whether KAP is appropriate for your clinical picture.
Coverage varies. Most PPO insurance plans do not directly cover ketamine medication for mental health, but the associated psychotherapy sessions are often covered. We can walk you through what's covered and what's out-of-pocket before you start. Call (424) 536-3002.
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