Andrea Kay, RPQ

REGISTERED PSYCHOTHERAPIST-QUALIFYING
Hamilton ON
I work collaboratively and relationally, tailoring each KAP treatment to the client’s history, nervous system, and therapeutic goals. My role is both supportive and attuned—offering structure when needed, and spaciousness when the experience calls for it. Before ketamine sessions, I focus on preparation: establishing psychological safety, clarifying intentions (without rigid expectations), and building internal resources for navigating altered states. During dosing sessions, I provide grounded, non-intrusive support—helping clients stay oriented, regulated, and curious as experiences unfold. Following ketamine sessions, I guide integration through reflective dialogue, somatic tracking, metaphor exploration, and values-based meaning-making. My goal is to offer a steady, soothing, and deeply present attunement—balancing clinical base with curiosity and respect for the ineffable aspects of psychedelic experience
I am a Registered Psychotherapist (Qualifying) practicing in Ontario, specializing in ketamine-assisted psychotherapy (KAP) and trauma-informed mental health care. My clinical work bridges evidence-based psychotherapy with expanded states of consciousness, supporting clients in accessing insight, emotional flexibility, and reconnection with meaning during periods of transition, grief, depression, anxiety, and trauma recovery. I work at Field Trip Health in Hamilton, where I support clients through preparation, dosing-day psychotherapy, and post-ketamine integration. I take an integrative, client-attuned approach that draws from an array of therapeutic modalities, aligning the therapeutic process to each client’s lived experience, values, goals, and personal meaning—allowing for a tailored and responsive therapeutic journey rather than a one-size-fits-all model. I am especially attuned to shared intellectual engagement and spiritually inclined introspection, as well as to individuals who have felt “stuck” despite prior therapeutic efforts. Client–clinician collaboration is foundational to my work; I engage clients as autonomous participants in their healing, aligning pace and direction with what feels most relevant and meaningful to them. Grounded in reverence for each client’s inherent capacity to heal, I approach psychedelic-assisted psychotherapy as a shared journey—one I accompany with care, ethical integrity, and presence, supporting authentic, self-led insight and integration.
Ketamine-Assisted Psychotherapy (KAP): A specialized, in-clinic treatment combining low-dose ketamine with psychotherapy, involving 2-2.5 hour sessions to treat deep-seated mental health conditions. 1. Consultation Your journey begins with a discovery call, followed by a secure intake and a medical consultation. During this assessment, our team reviews your health history and discusses whether this treatment plan may be appropriate for your situation. 2. Preparation You’ll meet your dedicated therapist to build trust, clarify goals, and prepare emotionally before your first psychedelic-assisted therapy session. These early sessions help set a foundation for the work ahead. 3. Experience During dosing sessions, a low dose psychedelic is administered in a medically supervised setting. Your therapist remains present throughout the experience to offer support, provide grounding tools, and help you navigate thoughts or emotions that arise. 4. Integration Following each dosing session, you’ll meet with your therapist to explore themes, insights, and emotional patterns. Integration helps translate the experience into meaningful day-to-day understanding. 5. Reconnect and Reassess After completing your core sessions, we review progress together and discuss whether ongoing therapy, group support, or maintenance care may be appropriate for your goals. Psychotherapy & Counselling: Both in-person and virtual options are available, including 1-on-1 sessions, to address, depression, anxiety, and trauma. Specialized Care Pathways: Tailored programs for specific populations, including veterans and first responders, focusing on trauma-exposed histories. At-Home Psychedelic-Assisted Therapy: A supervised, in-home care model for eligible clients, where a nurse provides in-person support while a therapist joins virtually.