Ketamine-Assisted Therapy
(KAT) in New York

Conditions Supported by KAT

KAT has shown significant promise in supporting individuals navigating:

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• Treatment-Resistant Depression

• Severe Anxiety and Rumination

• Trauma and PTSD

• Existential Crisis and Stagnation

• The Fear of Death and Dying

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Our Collaborative Care Model with Journey Clinic

We offer flexible options to suit your needs, comfort level, and location within New York State.​​

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• The Medical Component (Journey Clinic)

Journey Clinic's specialized medical team manages all medical aspects. This includes the intake consultation to assess eligibility, the development of a personalized treatment plan, the prescription of the ketamine (sublingual lozenges mailed directly to your home), and ongoing medical monitoring.

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• The Therapeutic Component (Igor Light, LMHC)

I manage the psychotherapy framework. This involves the initial referral, preparation sessions, support and supervision during the dosing sessions, and the crucial post-session integration work.

 

KAT Modalities Available Across New York

We offer flexible options to suit your needs, comfort level, and location within New York State.​

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• In-Person (Rochester, NY)

The therapist and client meet in person at my Rochester office for the KAT session. This modality provides the highest level of direct support and is available for individuals or couples.

 

• Remote (Online via Zoom)

The therapist and client meet via a secure Zoom connection for the KAT session. This offers accessibility for clients across NYS and is available for individuals or couples.

 

• Self-Guided (Hybrid Model)

In certain cases, after an established therapeutic relationship and initial supervised sessions, clients may opt for a self-guided dosing session at home with a therapist check-in immediately before and after. This modality strictly requires a trusted in-person chaperone (a friend or family member) to be present with the client during the session for safety.

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The KAT Process: Step-by-Step

The KAT process is structured to ensure safety, comfort, and maximize the potential for growth. ​

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1. Initial Consultation and Referral

After our initial consultation, if we determine that KAT may be beneficial for you, I will submit a referral form through the secure Journey Clinic portal on your behalf.

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2. Medical Intake

You will then attend an intake consultation with the Journey Clinic medical team (via telehealth). They will conduct a thorough assessment to determine if you are medically eligible for KAT.

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3. Treatment Plan and Prescription

If eligible, you will receive a personalized treatment plan and dosing strategy. The sublingual ketamine prescription will be processed and mailed directly to your home.

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4. Preparation Sessions (1-2 Weeks Prior)

Before the first dosing session, we will meet for at least one (often more) preparation session. These sessions are crucial for clarifying your intentions, establishing a strong therapeutic alliance, discussing the process, and preparing you for the experience.

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5. The Dosing Session (2-3 Hours)

During the dosing session, you will take your vitals (if remote) and self-administer the ketamine lozenge under my guidance. I will be present throughout the session (see Modalities below) to provide support, ensure safety, and facilitate the therapeutic process. Clients often listen to curated music and wear an eye mask to support an inward journey.

 

6. Integration Sessions (Within 1 Week After)

We will meet shortly after the dosing session (usually within 24-48 hours). This is the most crucial phase, where we process the experience and translate the insights gained into lasting changes in your life.

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7. Follow-Up and Continuation

A typical course of treatment involves multiple cycles of dosing and integration. You will also have brief (30-minute) follow-up consultations with the Journey Clinic medical team for prescription refills and outcome monitoring.

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Fees and Insurance

• KAT is a specialized, private-pay service.

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• The psychotherapy components of KAT (preparation, the extended dosing session, and integration) are generally not covered by standard insurance plans (Aetna, Optum, Carelon).​

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• You will pay Journey Clinic directly for the medical consultation and the cost of the medicine. You will pay me directly for the psychotherapy services.​

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• We offer KAT in structured packages to ensure commitment to the full therapeutic process. Please contact me for detailed information on package pricing.