Overview

Ketamine-Assisted Psychotherapy (KAP) is a treatment model that blends the physiological properties of ketamine with the relational, psychological, and symbolic dimensions of psychotherapy. Although ketamine has been used in medicine for over fifty years, its therapeutic potential has only recently been understood with enough clarity to guide clinicians through safe, structured, and transformative practice. What distinguishes KAP from standard pharmacologic treatment is simple and profound: the medicine alters consciousness in ways that open a unique therapeutic window. When ketamine is combined with preparation, therapeutic presence, and structured integration, it becomes more than a rapid-acting antidepressant - it becomes a catalyst for psychological insight, emotional release, and reorganization of outdated internal models. This manual introduces clinicians to Intramuscular (IM) KAP, a route of administration that is increasingly preferred for its predictable pharmacokinetics, smoother ascent, and deeper symbolic potential. While the advanced manual explores the nuanced depth psychology behind these processes, this chapter offers the essential foundation needed to practice KAP safely and competently

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