Sarah Wolfer, LICSW

Ketamine-Assisted Psychotherapist
Lynnwood WA
Working with me isn't just about the ketamine, it's about having a real therapeutic relationship that holds you through the whole experience, from the first conversation to the last integration session. I work from a somatic, parts-informed, and deeply relational foundation. That means before we ever get near a medicine session, we spend time actually getting to know each other and getting you ready, not just intellectually, but also in your body and nervous system. I want every part of you to feel oriented and supported going in, including the parts that might be nervous, skeptical, or unsure. During medicine sessions I'm with you via telehealth, present and attuned throughout. Afterward, integration is where I invest just as much care, helping you make meaning of what arose, translate insight into your actual life, and work somatically with whatever the experience touched. I also bring a lens that most KAP providers simply don't have: I'm queer, neurodivergent, non-monogamous, and kink-informed myself. My clients are people who've often spent years in care that didn't fully see them, and I take seriously what it means to finally be in a room, even a virtual one, where they don't have to explain themselves. That safety isn't incidental to the work. For many of my clients, it's part of what makes the healing possible.
I'm Sarah Wolfer, LICSW, a licensed therapist with 14 years of experience and a deep specialty in Ketamine-Assisted Psychotherapy. I founded Courageous You as a fully virtual practice serving adults in Washington, Idaho, and Florida, built specifically for the communities I know and belong to: queer and LGBTQIA+ folks, neurodivergent humans, people in non-monogamous and polyamorous relationships, and those in kink and BDSM communities. I came to psychedelic-assisted therapy because I kept seeing the limits of what talk therapy alone could do for people carrying deep, body-held pain and I wanted to offer something that could reach further. I completed a year-long psychedelic therapy training program through the Integrative Psychiatry Institute, which included ketamine, psilocybin, and MDMA-assisted therapy, and I've been offering KAP since 2022 in partnership with Journey Clinical, who handles all medical screening, oversight, and prescription management. What I bring to this work isn't just clinical training, it's lived experience. I share the identities of the communities I serve, which means my clients don't spend our time together explaining their pronouns, their relationship structures, or why their brain works the way it does. They just get to just do the work. All sessions are fully virtual, from the comfort of your own home.
Courageous You offers several Ketamine-Assisted Psychotherapy programs, all delivered fully via telehealth in partnership with Journey Clinical, who provides medical screening, oversight, and prescription delivery directly to your home. The Somatic EMDR KAP Program integrates ketamine therapy with Somatic EMDR for clients where trauma and nervous system healing are at the center of the work. This is my most comprehensive trauma-focused offering. The Comprehensive KAP Program is a full-depth psychotherapy-centered ketamine program with structured preparation, 8 supported medicine sessions, and deep integration work across 4-11 months. The Catalyst KAP Program is a shorter, more focused option designed for clarity, momentum, and targeted change; a good fit for people who are ready to move and want a defined container (including 2 medicine sessions) to do it in. KAP Preparation & Integration is available for clients who are receiving ketamine through another provider but want dedicated therapeutic support to prepare well and integrate meaningfully. All programs include a curated KAP kit delivered to your home, a 200+ page printed workbook, access to a private online resource portal with guided somatic practices and educational content, and direct access to me throughout. Full program details are available at courageousyoutherapy.com.