Module 1: Introduction to Ketamine Assisted Psychotherapy

Ketamine-assisted psychotherapy (KAP) has recently emerged as one of the most innovative treatments for depression, particularly treatment resistant depression (TRD), and shows promise as well in treating anxiety, posttraumatic stress disorder and other psychological conditions. Integrating pharmacological, psychological, and archetypal/transpersonal elements, KAP represents a new synthesis (or hybrid model) of psychotherapy. Empirical results, particularly during the past decade, demonstrate that ketamine and KAP may be able to assist clinical populations whose symptoms and psychological issues have not been responsive to treatment by other means. At the same time, KAP holds promise for effective treatment of individuals with end of life anxiety, existential distress and less severe diagnoses. 

The practice of KAP, including diverse dosing strategies, allows clinicians to craft intervention strategies at both the psycholytic (trance, self-reflective) and psychedelic (transformational/transpersonal) levels of experience. This short introductory course will cover a wide range of topics to help clinicians understand the potential use and efficacy of KAP as well as other psychedelic medicines and will present the current state of the art clinical models for these treatments. Recent promising lines of research in the field will also be briefly covered. 

After completing Module 1, participants will be able to:

• Describe the various dosing strategies and routes of administration.
• Explain the difference between infusion treatment and KAP and the pros and cons of each modality.
• Describe three side effects of ketamine and how they are managed.
• Describe and summarize the three main elements of the KAP protocol and their place and value in the treatment process: preparation, experiential, and integration.
• Explain and describe the difference between psycholytic and psychedelic treatment processes.
• Discuss the importance of the intake process and considerations for a patient wanting to start KAP treatment.

Module 2: Intermediate Workshop I on Ketamine-Assisted Psychotherapy

In this workshop, we focus on several key clinical issues and relevant themes in this treatment protocol, including: Introduction to somatic psychotherapy and KAP, implementing principles and techniques of transpersonal psychology, understanding the unique transference challenges of KAP, improving individualized treatment based on case study presentations, participating in an experiential using KAP set and setting elements, music, and breakout groups for integration work.

After completing Module 2, participants will be able to:

• Describe two ways in which somatic interventions can support and facilitate self-regulation of the nervous system.
• Describe two of the major contributions of transpersonal psychology to the development of clinical protocols for KAP and psychedelic assisted psychotherapies.
• Describe the differences between integrative and disintegrative altered state experiences that patients may express in the transference.
• List three elements of set and setting considerations in KAP.
• Describe one cultural dynamic that may arise in KAP.
• Describe one transference dynamic that may arise in KAP.
   

Module 3: Intermediate Workshop II on Ketamine-Assisted Psychotherapy

In this workshop, we focus on several key clinical issues and relevant themes in this treatment protocol, including: ethical issues in KAP, work with countertransference in KAP, collaboration with outside providers of KAP clients, implementation of virtual KAP, implementation of group KAP, broad strokes overview of and integration of spiritual experiences. Teachings are appropriate for healthcare professionals as well as the general public. Healthcare professionals will be able to incorporate the tools and practices offered in this program in ways beneficial to clients or patients.
 

After completing Module 3, participants will be able to:

• List three of the common countertransference polarities therapists need to be aware of in working with KAP. 
• List two of the countransference challenges that can arise for therapists in KAP.
• List three screening criteria for membership in KAP groups.
• Describe two challenges to collaboration with an outside therapist.
• Describe two reasons why a patient may not be a good candidate for virtual KAP treatment. 
• List two challenges of integrating spiritual experiences in KAP. 

Module 4: Intermediate Workshop III on Ketamine-Assisted Psychotherapy

In this workshop, we focus on special topics in KAP, including: attachment patterns and working with  issues in KAP, exploring the relationship of substance misuse and trauma, and working with issues of substance misuse using KAP. We will focus on understanding advanced topics in KAP integration, and the possibility of using KAP in the treatment of trauma and PTSD.

After completing Module 4, participants will be able to:

• Describe two ways in which avoidant attachment patterns can be addressed in KAP. 
• Describe two ways in which trauma can emerge in a KAP session. 
• Describe two steps that a KAP clinic can take to help mitigate the risk of ketamine addiction. 
• Describe two primary ways in which the history of trauma changed the mental health field after 1980. 
• Discuss two impacts of the Drug War on BIPOC, Immigrants, and Poor People.
• Describe two problems that might arise if therapists do not spend time helping clients integrate their KAP experiences.

Module 5: Intermediate Workshop IV on Ketamine-Assisted Psychotherapy

In this workshop, we focus on special topics in KAP, including: working with diverse populations, embodying cultural humility, and weaving social justice and health equity in KAP at the personal, interpersonal, and collective levels. We will be identifying various challenging situations that can arise in KAP, exploring advanced perspectives and applications of somatic psychotherapy in KAP, and discussing self-care, consultation, and continuing education recommendations for therapists working in the field of psychedelic medicine.

After completing Module 5, participants will be able to:

• Define Liberation Psychology and identify ways to weave the philosophy and practice into your work.
• Identify areas of personal and interpersonal growth toward holding safe psychedelic spaces with clients who identity as BIPOC, LGBTQI+ and other oppressed or marginalized groups. 
• Describe two ways in which somatic interventions can support and facilitate self-regulation of the nervous system.
• List two types of somatic energy release during KAP sessions.
• Describe two ways in which the therapist’s anxiety can interfere with effectively helping clients to navigate challenging psychedelic experiences.
• List two professional activities that a psychotherapist can engage in to improve their competency around working with psychedelics therapeutically.
   

Practice Module: Training and Practice of Ketamine-Assisted Psychotherapy

In this workshop, our focus is on helping clinicians develop clinical skills needed for KAP. Clinicians will learn how to implement principles of KAP in practice, respond to common questions and challenges that can arise during KAP, gain experience playing therapist and patient in KAP, and have opportunities to observe and discuss in dyadic/triadic work with live supervision. Teachings are appropriate for healthcare professionals as well as the general public. Healthcare professionals will be able to incorporate the tools and practices offered in this program in ways beneficial to clients or patients.

After completing the Practice Module, participants will be able to:

• Describe two interventions that help create physical and emotional safety before, during, and after a ketamine therapy session.
• Describe two clinical interventions for facilitating memory of a non-ordinary states of consciousness (NOSC) experience.
• Explain a mindfulness/relaxation/breathing method that can be used to assist patients with anxiety and easing entry into NOSC
• List two emergency interventions for KAP.
• Describe two effective strategies or interventions to use with challenging emotional and spiritual experiences that might arise during a ketamine session.
• List two important follow-up methods and questions to ensure effective integration is taking place following a KAP session.

Teachings are appropriate for healthcare professionals as well as the general public. Healthcare professionals will be able to incorporate the tools and practices offered in this program in ways beneficial to clients or patients.