Ketamine Assisted Psychotherapy treatment
Over the years of clinical investigation and routine use in sedation, sub -anesthetic dosages have been found to be most effective at promoting mood recovery, while at the same time minimizing side effects. The intravenous method delivers sub anesthetic dosages more reliably than oral, nasal or intramuscular methods.
The basis of benefit is neuroplasticity, a lasting reprogramming of neural circuits that ketamine promotes. For the beneficial reprogramming effect to be sustained, it is important for the patient to have both sustained exposure to the influence of the medication and to learn new cognitive and behaviour approaches to address negative mood states.
From arrival at the clinic to meeting criteria to go home the time may vary depending on the person and the dosage in a session. However, most patients are able to complete the cycle in less than two hours.
In session hypertension and a mild dissociative state may occur. The frequency of each of these most common side effects is approximately 30%. Most patients do not require medication for these symptoms and side effects rapidly dissipate, often within 5 minutes after discontinuing the infusion. This is another reason why we prefer the intravenous method.
Cardiovascular conditions such as accelerated hypertension, unstable angina, aortic or cerebrovascular aneurysm may be worsened by the acute effects of ketamine and are considered contraindications for the treatment in professional guidelines and in drug precautions and warnings from the manufacturer.
Guidelines recommend that patients should decrease doses of drugs in the sedative, anxiolytic and hypnotic categories such as lorazepam (Ativan), zopiclone, zolpidem (Imovane, Ambien) as well as medical cannabis.
Although ketamine has been used successfully in some centres for the treatment of alcohol dependency or abuse, best results will be achieved if the person can maintain abstinence from alcohol for at least 40 days.
Dr. Cooper can prescribe medications to support abstinence, but if you are currently alcohol dependent you must have a medically supervised detoxification with the support of your family physician or other practitioner.
Our guidance is to refrain from these activities for at least 24 hours after a treatment session. We recommend that post session you spend the time reflectively and restfully.
The initial treatment cycle of 6 treatments costs between $600 and $800 per session. For a total cost range of $3600 and $4800, included in this price is the in-person psychotherapy sessions.