Rachel Pires, LCSW

How the work is structured depends on which door you're entering through — weekly individual therapy, a Ketamine Immersion, or a standalone intensive — but the underlying approach is consistent across all of them: I hold pacing and safety while you do the work, following what your system is ready to process rather than pushing past it. Individual therapy. We start with an initial session to get oriented — history, what's brought you here, what you're hoping to move through. From there, most clients meet weekly. Standard sessions run 60-75 minutes; extended 90-minute or 2-hour sessions are available when deeper processing calls for more room. Between sessions, I ask clients to notice what surfaces, so the work builds session to session instead of starting over each time. Ketamine-assisted psychotherapy. [Confirm before publishing: whether prep and integration sessions are required around every dosing session, or offered as optional.] The work moves through preparation — orienting to the medicine, naming intention, building the safety the deeper work rests on — the dosing session itself, and integration afterward, where we metabolize what came up and translate it into something usable in daily life. Ketamine Immersions follow that same arc in a group format: co-facilitated, in-person, monthly, with the added dimension of being witnessed by others going through it alongside you. Intensives. For clients who want concentrated, goal-specific work rather than an open-ended weekly commitment, I also offer half-day, full-day, and multi-day intensive formats. Clinically, I move between EMDR/AIP, somatic and body-based work, attachment-focused and psychodynamic frameworks, and ego state work, depending on what a given session calls for. Many of my clients are therapists themselves, so I also hold the layer of what it means to be doing this work while you're usually the one holding the room for everyone else.