• Medical and Psychological Screening via telemed with a partnering psychiatrist at the Rivus Wellness and Research Institute
• Preparation Session with Chris Green, LMFT
• Ketamine Session with Chris' therapeutic support
• Integration Therapy with Chris to process insights and apply them to daily life

On the day of your dosing session,  please follow the directions given by the treatment team about food and medication intake. You can plan to spend approximately three hours at the clinic on the day of treatment, although this time may vary.

At the beginning of the session, you and your therapist will clarify intentions for your experience. I will encourage you to hold these intentions lightly, as resistance or attempts to control the experience can produce anxiety and stand in the way of the experience. 

I will us music and low lighting to set the tone for your session. Music serves to ground and potentially enhance or guide the experience. I'll provide playlists designed to optimize your benefit from your treatment session. I will help you to optimize set and setting through meditative practices, and/or other somatic exercises to support an open, relaxed mindset, to reduce anxiety and to ease the transition into non-ordinary states of consciousness.

Once the ketamine is administered, you will be encouraged to use an eye mask to facilitate and enhance the experience, and to help you maintain an internal focus. You will spend much of the session “going inside” or focusing on your internal experience. However, your therapist will be available throughout the session should you need support or encouragement. Your therapist will take detailed notes on all that you share in order to support recall, insight, and integration.

As the effects of the medicine wear off, you will spend time discussing and integrating your experience with your therapist. All dosing sessions will be followed by an integration session in the subsequent days or weeks after the dosing session. This is where we work together to process insights and apply them to daily life.

This work may be a good fit for individuals who:

• Have felt limited by traditional talk therapy or feel like progress is very slow

• Are living with depression that hasn’t responded to other treatments

• Are navigating the effects of trauma or PTSD

• Are seeking meaningful emotional breakthroughs or new perspectives

Here’s the simple version:

1. It helps your brain become more flexible.

· Ketamine increases neuroplasticity, meaning your brain becomes more open to change, new perspectives, and emotional healing.

2. It softens rigid patterns.

· Depression, trauma, and anxiety can create mental loops that feel stuck. Ketamine can temporarily soften those patterns.

3. It creates a calmer inner space.

· Many people describe feeling more relaxed, less weighed down, and more able to focus inward.

Before the Session: Preparation

You and Chris will:

· Discuss your history, symptoms, and goals

· Review safety and medical considerations

· Set an intention for the experience

· Talk about what the journey may feel like

· Make sure you feel supported

During the Session

Effects begin within minutes and typically last 45–90 minutes. You may experience:

· Deep relaxation or a floating feeling

· Dream-like imagery

· A shift in perception

· Emotional release or calm

· Temporary loss of awareness of the room

· A sense of spaciousness or clarity

Your therapist stays with you the entire time.

After the Session: Integration

As the medicine wears off, you and Chris will explore:

· What you felt or noticed

· Any emotions or insights that came up

· How the experience relates to your life

· Practical ways to apply what you learned

Integration is where meaningful, lasting change happens.

Before participating in Ketamine treatment, you will be carefully interviewed to determine whether you are eligible for Ketamine therapy, including a medical history, a physical exam - if deemed necessary, review of your medical/psychiatric records, a psychiatric history and administration of brief psychological tests to assess your state of mind.

• Pregnant women and nursing mothers are not eligible because of potential effects on the fetus or nursing child. The effects of Ketamine on pregnancy and the fetus are undetermined, and therefore, it is advisable to protect against pregnancy while exposing yourself to Ketamine or in the immediate aftermath of its use.

• Untreated hypertension is a contra-indication to Ketamine use as the substance causes a rise in blood pressure. Similarly, a history of heart disease may make you ineligible to participate.

• Information on Ketamine’s interaction with other medicines is only partially available, and it will be assessed as to your eligibility for KAP.

• Ketamine should not be taken if you have hyperthyroidism. There have also been reports of some decrease in immune function in patients receiving surgical doses of Ketamine.