+1 (917) 442-7592 megan@megangewitz.com

Ketamine-Assisted Psychotherapy

Ketamine-Assisted Psychotherapy

I have been trained in Ketamine-Assisted Psychotherapy (KAP) through Fluence, and have attended an experiential, retreat-style training for therapists through Living Medicine Institute.

I am currently offering Ketamine-Assisted Psychotherapy (KAP) in partnership with an organization called Journey Clinical.

KAP is a holistic modality in which ketamine is used as a complement to psychotherapy to help eligible patients experience more frequent breakthroughs and sustained improvement in symptoms. I take on the psychotherapy portion of the experience, while Journey Clinical’s medical team supports you on all medical aspects such as determining eligibility, developing a custom treatment plan, prescribing the medicine, and monitoring outcomes.

In my work with clients, I have seen first-hand the benefits Ketamine-Assisted Psychotherapy can provide towards healing from complex PTSD. I have personally witnessed dramatic results in my clients who have felt stuck and unable to move out of a depressed or suicidal state enough to be able to take the necessary steps to improve their lives.

I have seen clients shift from treatment-resistant depression and suicidal thinking to feeling hopeful, optimistic, and willing to create the daily habits needed to lead a fulfilling life in just one to two KAP sessions.

I have also witnessed clients gain the ability to fully integrate new, reality-based beliefs about themselves and their value in the world and in their relationships. Beliefs they were often able to achieve intellectually through therapy but, due to extensive childhood trauma, had been previously unable to act from.

Please click here for more information about KAP and to explore whether it may be a good fit for you.

 

About Ketamine:

  • Ketamine is a legal, safe, and effective medicine used to treat a variety of mental health conditions, including depression, anxiety, and PTSD.
  • Ketamine has rapidly acting antidepressant and mood-enhancing effects, which can begin to take effect within 1-2 hours after treatment and last for up to 2 weeks.
  • Ketamine works by blocking the brain’s NMDA receptors as well as by stimulating AMPA receptors, which are thought to help form new synaptic connections and boost neural circuits that regulate stress and mood. It has been shown to enhance overall neuroplasticity for lasting symptom improvement.
  • Ketamine can be administered in a variety of ways, including IV infusion, intramuscular injection, via nasal spray, and using sublingual lozenges. In my work with Journey Clinical we only use the sublingual lozenge form.
  • The effects of ketamine last for approximately 45 minutes and may cause a feeling of being far away from your body as well as noticeable shifts in perception and awareness, often of an expansive and positive nature. Your motor and verbal abilities will be reduced, so you’ll be lying down in a comfortable position during the experience. Once the effects subside, we’ll spend the remainder of our appointment giving you space to process and discuss your experience.
Sound Healing Bowls

How Does KAP Work?

  • Initial consultation with Journey Clinical: You start by scheduling an initial evaluation with a clinician from the Journey Clinical medical team via Zoom. They will go over your medical and psychiatric history with you, provide education on the treatment, and determine if you are eligible for KAP. If Journey Clinical’s medical team determines that you are eligible for KAP, they will develop a personalized ketamine prescription and outcome monitoring plan for you. Journey Clinical’s medical staff will write a ketamine prescription for you, and a small amount of oral ketamine will be sent to your home, enough for the first 2 KAP sessions. You will be taught to take your vitals and self-administer the ketamine lozenges by Journey Clinical’s medical team in advance of our KAP sessions.
  • Preparation sessions: Once you receive your ketamine lozenges, we will schedule time together for our KAP preparation, dosing, and integration sessions. Preparation sessions will be scheduled just like regular therapy sessions prior to the KAP dosing session. The goal of a preparation session is for us to align on the process and set intentions for our KAP session together.
  • KAP Dosing Session: A typical ketamine dosing session lasts between 1-2 hours and takes place remotely via Zoom. During a dosing session, you will self-administer your ketamine lozenge in your home. You will be in a comfortable reclining position, wearing an eye mask, and listening to calming music. Although a KAP dosing session may be largely an internal experience, I will be present with you the entire time to hold space and provide support as needed.
  • Integration Sessions: After our KAP dosing session, we will meet for multiple integration therapy sessions to review the memories, thoughts & insights that arose during your dosing session, and to prepare for the next dosing session.
  • Follow-up consultations with Journey Clinical: After our first KAP session, Journey Clinical’s medical team schedules regular follow-ups with you to monitor outcomes and prescribe ketamine lozenge refills, as appropriate.

 

    Helpful Resources:

    1. Paradigms of Ketamine Treatment by Raquel Bennett, Psy.D. for MAPS https://maps.org/news/bulletin/paradigms-of-ketamine-treatment-spring-2019/
    1. Ketamine Assisted Psychotherapy (KAP): Patient Demographics, Clinical Data and Outcomes in Three Large Practices Administering Ketamine with Psychotherapy – research study by Jennifer Dore et al, 2018 https://www.tandfonline.com/doi/full/10.1080/02791072.2019.1587556
    1. Ketamine for Depression and Mood Disorders by Erica Zelfand, ND for Townsend Letter https://www.townsendletter.com/article/438-ketamine-for-depression-and-mood-disorders/
    1. Ketamine-Facilitated Psychotherapy for Trauma, Anxiety, and Depression by goop https://goop.com/wellness/health/ketamine-facilitated-psychotherapy/
    1. Ketamine Assisted Psychotherapy with Jonathan Sabbagh of Journey Clinical – Psychology Talk Podcast https://www.spreaker.com/user/11347814/ketamine-assited-psychotherapy-with-jona

    Schedule a complimentary phone or video consultation now by clicking the button below.

    I had been going to other therapists for a couple of years but it was until I started DBT that my life radically changed for the better. My experience in DBT would not be the same without Megan though. She is genuine, extremely knowledgeable, professional, understanding and above all truly caring of her clients. With hard work and Megan‘s support, I went from having extreme distressed and life-threatening experiences to living a life in which I am constantly working towards self development, growth and happiness. Words do not express how thankful I am to have Megan as such an integral part of my life. 

    A. S.

    Former Client

    “You were born with wings, why prefer to crawl through life.”

    – Rumi

    Contact

    Megan Gewitz, LCSW
    Midtown West, NY DBT Therapist
    Phone: +1 (917) 442-7592

    Location

    119 West 57th St. Suite 1100
    New York, NY 10019

    Availability

    Monday: 1pm–9pm

    Tuesday: 1pm–9pm

    Wednesday: 1pm–9pm

    Thursday: 7am–5pm

    Friday – Sunday: Closed

    Contact

    Megan Gewitz, LCSW
    Midtown West, NY DBT Therapist
    Phone: +1 (917) 442-7592

    Location

    119 West 57th St. Suite 1100
    New York, NY 10019

    Availability

    Monday: 1pm–9pm

    Tuesday: 1pm–9pm

    Wednesday: 1pm–9pm

    Thursday: 7am–5pm

    Friday – Sunday: Closed

    Megan Gewitz Psychotherapy