Ketamine-Assisted Psychotherapy

Ketamine-Assisted Psychotherapy in Tacoma, WA and Online

You won’t be sitting alone with the experience. Preparation, a guided dosing session, and integration, with your therapist present the whole way through, in person or by video.

I’m Lizz Jenkins, M.Ed, LMHC, a licensed mental health counselor in Washington State. I offer ketamine-assisted psychotherapy (KAP) in person in downtown Tacoma and online for clients located in Washington.

Yet sometimes the very strengths that have helped us survive can also become limitations.

  • We analyze our emotions instead of feeling them
  • We understand our wounds without fully healing them
  • We fall into patterns of anxiety, depression, or burnout, often as a result of an untamed or hyper-active mind

For some, the mind becomes a brilliant protector, helping us make sense of life while quietly keeping deeper emotions, memories, and truths at a safe distance.

Ketamine may loosen that grip. Many people describe greater openness, expanded awareness, self-compassion, and a sense of connection, or access to parts of themselves that have stayed hidden beneath habitual thinking. In that state, it can be easier to soften the inner defenses that keep us stuck and connect more directly with the emotional, somatic, and intuitive layers of experience.

Ketamine is a medical treatment, not a spiritual practice, and you don’t need to identify as spiritual to benefit from KAP. Experiences vary from person to person.


Not a Room You Sit in Alone: How KAP Differs From a Ketamine Clinic

Ketamine-only treatments, such as IV infusion clinics or Spravato, can be a good fit for some people. But if you’ve wondered where the insights go once the medicine wears off, you may want something more relational.

Ketamine-only clinicKAP with me
Who is with youOften a medical team monitoring you; therapy is typically separate or not includedYour therapist is with you for the entire dosing session, from preparation through landing
PreparationOften a medical screening2 to 4 sessions to build trust, set intentions, and plan for safety
After the sessionTypically no built-in follow-up therapyDedicated integration sessions to translate insight into daily life
FocusPrimarily symptom reliefSymptom relief and lasting change through relationship, body, and meaning
PersonalizationOften standardized protocolsA plan built around your goals, coordinated with your medical provider

This is a general comparison. Every clinic is different.


My Approach: Ketamine as a Catalyst, Integration as the Work

I view ketamine as a catalyst rather than the source of healing. The medicine may create new openings, but lasting change happens through integrating those experiences into everyday life.

My role is to help you prepare intentionally and safely, meet whatever arises with curiosity and self-compassion, and translate meaningful insights into embodied change. Together we create a space where intellect, emotion, body, and intuition can work together rather than separately.

KAP is not primarily about analyzing problems or finding the “right” answers. It creates room for new experiences of:

  • Safety where there was once fear
  • Compassion where there was once self-judgment
  • Connection where there was once isolation
  • Possibility where there was once certainty that nothing could change

With the right support, these experiences can become the foundation for lasting change.


How Ketamine-Assisted Psychotherapy Works

  • KAP has three phases: preparation, dosing, and integration.

    1. Preparation (2 to 4 sessions, including your intake)

    We build the therapeutic container, set intentions, and prepare for dosing so the process is safe, grounded, and personal to you.

    2. Dosing Sessions (about 2 to 2.5 hours)

    I’m with you the entire time as you prepare, take the medicine, move through the experience, and land gently. We begin processing what unfolded before the session ends. A course of treatment often includes 6 to 10 dosing sessions, though fewer or more may be helpful.

    3. Integration Sessions (55 minutes)

    Integration is where the shifts from dosing become part of your daily life, and it’s the most important part of the work. Integration sessions may also include trauma processing when material surfaces during dosing. During active treatment, most clients meet with me twice a week, once for dosing and once for integration, though plans vary.

  • I’m trained in both. Psychelytic (low-dose) KAP typically keeps you more present and able to talk through what’s arising as it happens. Psychedelic KAP uses higher doses and tends to be a deeper, more inward experience. Which fits best depends on your goals, your comfort, and the treatment plan you develop with your medical provider.

  • I offer KAP in partnership with Journey Clinical or alternatively with a local prescriber at Tacoma Integrative Psychiatry. Their medical providers determine your eligibility, develop your treatment plan, prescribe the medication, and monitor outcomes. I collaborate with your medical provider so your treatment plan works alongside your therapeutic goals. You can learn more about KAP on Journey’s education page.

  • Ketamine-Assisted Psychotherapy (KAP) consisted of 3 types of sessions: Preparation, Dosing, and Integration.

    During preparation, you will spend 2-4 sessions (including an intake) building the container (therapeutic alliance), setting intentions, and preparing for dosing sessions to ensure safety, effectiveness, and best practices for KAP.

    In a course of KAP treatment, 6-10 dosing sessions is often recommended, though fewer or more sessions may be warranted or helpful. During dosing sessions, you will spend 2-2 1/2 hours with the therapist while you prep for, administer the dose, experience the journey, and then land gently with the therapist’s support to begin to process what unfolded during the experience.

    During active KAP treatment you typically meet with your therapist twice per week, once for dosing and once for integration, though individual treatment plans may vary.

    Integration sessions are where the magic happens! These are the most important session to help translate shifts during dosing into every day life. Integration sessions may also include trauma-processing to work through material that emerged during dosing.

  • In-person sessions take place on Friday mornings and afternoons in a private, comfortable office in downtown Tacoma, with natural light, high ceilings, and its own private waiting area.

  • Online sessions let you be in the comfort of your own home while I provide presence, guidance, and containment by video. Telehealth is available to clients located in Washington State during their session.

    Because I’m not physically with you, a chaperone or safe adult must be present in your home during every dosing session. They aren’t there to intrude on your therapy, only to provide any practical support you may need.

  • To make KAP more accessible, in-person group sessions for the right fit are coming soon.

    • Group dosing: $150 for a 3-hour group experience (cannot be billed to insurance)
    • Group integration: a 60-minute virtual session four days later, $60 per session
    • Schedule: dosing on Friday afternoons, integration the following Tuesday morning
    • Commitment: Minimum 4 group dosing sessions and 4 group integration sessions

    If you’re interested, let me know in your consultation.

Who Ketamine-Assisted Psychotherapy May Help

KAP may be worth exploring if you:

  • are struggling with anxiety, depression, trauma-related symptoms, or burnout
  • have done talk therapy, reading, or meditation and still feel stuck in your head
  • want more than symptom relief and are ready to do the integration work

Ketamine isn’t appropriate for everyone. Eligibility is determined by the prescribing medical providers. Certain conditions, such as some cardiovascular conditions, a history of psychosis, or pregnancy, may rule it out.

Cost and Insurance

KAP often costs less than many other ketamine treatments, though it’s still an investment of time and resources.

Sessions With Me

SessionFeeInsurance
Preparation and integration (55 min)$150Covered by insurance if you have Premera/Blue Cross or Optum/United
Dosing session (about 2 hr 20 min)$325If billing insurance or submitting for out-of-network reimbursement, the first hour can be covered, lowering the cost to $175 per session

Medical Costs Through Journey Clinical*

VisitConsultation feeMedication (always out of pocket)
KAP intake/consultation$250$112 (2 doses)
KAP follow-up/consultation$150$208 (4 to 6 doses)

*Journey Clinical can bill Cigna, Aetna, United, or Regence for part or all of the intake/consultation fees. Coverage varies by plan, so bring your questions to your free consultation.

Ready to See If KAP Is Right for You?

If you’re curious about a more personal, supported way to work with ketamine, I’d love to talk.

The information on this page is educational and is not medical advice. Ketamine-assisted psychotherapy is not appropriate for everyone, and individual results vary. If you are in crisis or need immediate support, call or text 988 (Suicide & Crisis Lifeline).