The ketamine creates a window. The psychotherapy is what happens inside it.
Ketamine-Assisted Psychotherapy pairs a controlled medicine with structured therapeutic work. The ketamine is not the treatment. The psychotherapy is. What ketamine does is create a window of neurobiological flexibility that can make the therapeutic work more accessible and more lasting.
I provide all of the psychotherapy: preparation sessions before dosing, presence during the experience, and integration afterward. The medical side -- eligibility screening, prescription, and ongoing monitoring -- is managed by Better U's clinical team, working in a coordinated care model alongside me.
Ketamine temporarily quiets overactive threat circuits, stimulates new neural pathways, and triggers rapid synaptic growth -- creating a window for therapeutic work that is harder to access otherwise. For the full clinical picture, download the guide below.
Quiets overactive threat and rumination circuits.
Stimulates new synaptic pathways.
Triggers rapid neural growth -- much faster than talk therapy alone.
Each session builds on the last.
Neural rewiring begins.
Best window for integration sessions.
Elevated neuroplasticity can last up to three weeks.
From Better U's outcomes data across more than 200,000 sessions. These reflect symptom reduction rates. Consistent with what is observed clinically and anecdotally.
200,000+ sessions · Better U internal outcomes data · Outcomes consistent with clinical and anecdotal observation
You complete an intake with Better U's clinical team. They assess medical eligibility and handle the prescription. Most people can begin within four days of enrolling. Billed separately from my fees.
A thorough intake together -- your history, what has brought you here, what you are hoping to shift, and whether KAP is the right fit. We build a treatment plan that guides the work ahead.
We set intentions, explore what you are hoping to open up, and address any anxiety about the experience. Preparation meaningfully shapes what emerges during dosing.
You self-administer the lozenge or tablet and move through the experience with me present. Sessions can be in person or remote. The number of sessions depends on which treatment track we determine is the right fit.
We meet after each dosing session -- ideally within the 24 to 72-hour neuroplasticity window -- to work with what came up. This is where insight becomes usable. This is where we write the new story.
Better U conducts check-ins throughout your treatment to monitor outcomes and manage prescription refills. Coordinated separately from our sessions.
Both packages include the combined total of my psychotherapy fees and Better U's medical fees. Better U's portion is billed directly through them and is frequently reimbursable through out-of-network insurance benefits. The discounted Better U rates shown here are available exclusively to clients who enroll through Willow & Teak -- please reach out before enrolling with Better U directly.
Initial psych evaluation and treatment plan (90 min) · 2 preparation sessions (50 min each) · 9 dosing sessions (2 to 3 hrs each) · 9 integration sessions (50 min each) · Better U medical care 9 sessions · Better U companion app access
Includes the same structure of preparation, dosing, and integration across 5 sessions rather than 9. A good starting point for people who want to experience KAP and assess its fit before committing to the full recommended course.
The Better U medical rates shown here are discounted partner rates available exclusively to clients who come through Willow & Teak. Please reach out before enrolling with Better U directly so I can connect you properly. Better U's fees are eligible for out-of-network reimbursement depending on your insurance plan. If you are not found medically eligible, your evaluation fee is refunded in full.
KAP tends to be most effective for people with treatment-resistant depression, anxiety, PTSD, and OCD -- particularly when other approaches have been only partially helpful, or when someone is looking to accelerate momentum in their therapeutic work.
Research is also showing meaningful early promise in the treatment of addiction, where ketamine's disruption of entrenched reward and craving circuits may create a window for lasting change that other interventions have struggled to reach.
It is not for everyone, and eligibility involves both medical and clinical factors. If you are curious, the best place to start is a conversation. Reach out directly and we will talk through whether this feels like the right direction, and what that process would look like for you specifically.
Treatment-resistant depression, anxiety, PTSD, and OCD, particularly when other approaches have been only partially helpful. Early research is also showing meaningful promise in addiction treatment.
Addiction risk in clinical KAP is shaped by context, intent, and structure -- not pharmacology alone. The model is specifically designed to interrupt reinforcing patterns through limited dosing, therapeutic framing, and integration-based follow-up. This distinction is not incidental to the model. It is the model.
Effects begin within 20 to 45 minutes and last approximately 45 to 60 minutes. Most people experience a sense of distance from the usual self-narrative and a loosening of ordinary time and space orientation. I am present throughout.
The best place to start is a conversation. Medical eligibility is assessed separately by Better U. Reach out and we will talk through whether this fits your situation specifically.
