Individual PSYCHOTHERAPY/Sex therapy (Accept Carefirst/Medicare/OON Varies)
You are not defined by the issues that bring you to therapy. Therapy is a journey to better understand and work through the issues that impact your intimate, social and or work relationships. Let's work together to address the issues that prevent you from finding a work-life balance or care properly for your health and well-being. And when you are ready, let's explore the impacts of traumatic experiences. It is my goal to help you connect the dots of your inner experience to your daily struggles. These realizations can be frightening, but they are also powerful motivators for change.
During these 50 minute therapy sessions, we work together. I give feedback, pose challenges, and make observations that you are encouraged to think about, reject, or elaborate on. This type of open dialogue helps you work on your emotional awareness and understanding. Better awareness and understanding enhances confidence and the ability to connect with others in healthy ways.
Couples Psychotherapy/Sex Therapy
Couples work is intense and it is very different than individual therapy. Sessions are 110 minutes long and in person where possible. Insurance is not accepted. It is not unusual that one person is driving the couple towards therapy. Even with this power dynamic, I will teach each of you how to be present in therapy and with one another. I will help you learn to listen to one another with empathy and to truly partner in your marriage. The process can bring deeper understanding, painful truths and even uncover lost joy.
If you are a couple that wants to learn to work better together, learn to separate respectfully, or curate desire and arousal, know that these goals require generosity and the willingness to be vulnerable. These skills can be learned with a skilled therapist. Are you ready to get what you want out of your relationship?
Together, we will explore how to better communicate and get you and your partner’s needs met. Relationships are work, and with hard works comes great reward.
KEtamine assisted psychotherapy (KAP) for Individuals or couples
For some people or couples, traditional talk therapy and medication haven’t been enough to break through depression, anxiety, trauma, or a persistent sense of being stuck. Ketamine Assisted Psychotherapy (KAP) combines the therapeutic use of ketamine with skilled psychotherapeutic support - helping access insight, process stuck emotions and build lasting change.
For new clients with an existing therapist, consent to partner with your therapist is paramount to safe and successful outcomes. For new clients without an active therapist our clinicians can work with, six (6) individual sessions or couple sessions prior to administering KAP are required.
How KAP works practically: Ketamine is a dissociative medicine. At the dose used in KAP, ketamine can produce a temporary altered state of consciousness. This state often allows people to step outside their usual patterns of thinking, self-criticism, and defense. Ketamine in a clinic is focused on symptom relief. KAP application of the medicine helps loosen rigid patterns and make sense of internal processes, feelings and thoughts.
Who benefits from KAP: KAP is often explored by people navigating the following,
Treatment-resistant depression
Anxiety
PTSD
Grief and loss, fear of death of self or others
Existential distress
Feeling “stuck” despite years of therapy
Who Should Not Pursue KAP: Certain medial and psychiatric conditions make ketamine inappropriate or require additional caution, including but not limited to uncontrolled high blood pressure, certain heart conditions, active psychosis or personal family history of certain psychotic disorders, and pregnancy. A full medical and psychological screening (we can provide a referal) is required before any treatment decision is made.
The Treatment Process
Initial Consultation - We take Carefirst and Medicare, OON is $200. A conversation, in person, to understand your history, goals, and whether KAP may be a good fit. We’ll answer your questions and outline next steps.
Screening - ~$400 with outside psychiatrist. Comprehensive psychological and medical screening, including collaboration with a prescribing medical provider, to determine appropriateness and safety. We can make referrals for appropriate care.
Preparation Sessions - We take Carefirst and Medicare, OON is $200. For new clients that are in therapy with a clinician currently, only one preparation session is required. If you are new and are not currently in therapy, six (6) sessions are required.
Dosing Sessions - Typically 4-6 sessions. Insurance does not cover dosing sessions $600/session. Conducted in a calm, supportive setting with your therapist present throughout. Sessions typically last 2.5-3 hours each session.
Integration Sessions - 15-30 minutes 2-3 days following dosing sessions $0. Meet via tele-health to weave the experience into your broader therapeutic work.