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Writer's pictureDemian Gitnacht, MD, MPH, FAAFP

What is Psychedelic-Assisted Psychotherapy?

Updated: Oct 23, 2024

Picture this: you're lying on a comfortable couch, soothing music playing in the background, and you’re about to embark on a journey that's as much about healing as it is about understanding why your mind is like a tangled set of earphones. Welcome to the world of psychedelic therapy, where the bizarre meets the beneficial. From psilocybin (the active ingredient in magic mushrooms) to MDMA (ecstasy) and LSD, a variety of psychedelic medications are being researched for their potential to treat mental health conditions. These substances are showing promise in treating a range of issues from PTSD to anxiety and depression, with studies indicating they can provide profound insights and emotional breakthroughs.


First things first, ketamine is not just for horses anymore. This once purely equine anesthetic has galloped its way into the world of mental health with impressive strides. Research shows that ketamine, when used in controlled, therapeutic settings, can produce rapid relief from depression, sometimes within hours, which is much faster than traditional antidepressants that can take weeks to show effects.

 

Imagine explaining that at a dinner party: “No, Aunt Colleen, I’m not horsing around. Ketamine has been shown to rapidly alleviate symptoms of depression and anxiety!” Studies indicate that ketamine can be effective in treating major depressive disorder, treatment-resistant depression, and even acute suicidal ideation.

 

Now, let’s address the elephant in the room: why bother with psychotherapy when you can have the psychedelic experience of a lifetime? Here’s where it gets interesting. Without the guidance of psychotherapy, the profound insights gained during a psychedelic experience can be difficult to integrate into everyday life. Psychedelic-assisted psychotherapy (PAP) is crucial because it helps patients make sense of their experiences, ensuring that the profound realizations are translated into meaningful, actionable insights.

 

At Kalea Wellness, we understand the importance of not just taking the journey but making sense of it. Psychedelic-assisted psychotherapy is like having a knowledgeable tour guide in the vast, uncharted territory of your subconscious. Our physician and/or trained therapists help you navigate through the labyrinth of your mind, ensuring you don’t get stuck in a loop of “Wait, what was I thinking about again?” Research supports that combining ketamine with psychotherapy can enhance treatment outcomes, providing both immediate relief and long-term benefits.

 

Here at Kalea Wellness, we don’t just hand you the metaphorical keys to your mind and say, “Good luck, buddy!”. We provide ketamine-assisted psychotherapy that combines the chemical magic of ketamine with the supportive, interpretive power of therapy. Our approach is akin to giving you both the recipe and the chef, ensuring that your journey is both enlightening and grounded in reality.

 

Consider ketamine-assisted psychotherapy the peanut butter and jelly of mental health treatments. Sure, you can have each on its own, but together they create something that's both comforting and complete. The psychedelic experience opens doors, and psychotherapy helps you walk through them with purpose.

 

Ketamine therapy comes with its own set of unexpected benefits. Studies suggest that ketamine can enhance neuroplasticity, allowing the brain to form new connections and pathways, which can be particularly beneficial in overcoming entrenched patterns of thought and behavior. Some users report a surge in creativity, possibly due to this increased neuroplasticity. So if you've always wanted to write the next great American novel or just come up with a really good pasta recipe, ketamine might give you the edge.

 

During sessions, many people find themselves more open and connected to their therapists, clinicians, and even to their own emotions. It’s like turning on a light in a room you didn’t even know was dark. The experience can offer a fresh perspective on life’s problems, akin to viewing your worries from the top of a roller coaster—sure enough scary at first, but ultimately exhilarating. While not the primary goal, sessions can sometimes be unexpectedly fun, with moments of laughter and profound “Aha!” moments.

 

Think of psychedelic substances as powerful tools. A hammer can build a house or break a window—it’s all in how you use it. Psychedelic-assisted psychotherapy ensures that these tools are used constructively, helping you build a more resilient mind. Without psychotherapy, the psychedelic experience can be like watching a mind-bending movie without the subtitles. Sure, it’s fascinating, but good luck making sense of it all. Assisted psychotherapy helps translate these experiences into meaningful insights that can lead to real, lasting change.

 

However, it’s important to acknowledge that psychedelic medicines do not come without risks. While generally considered safe under clinical supervision, potential risks include psychological distress, such as anxiety or panic during the experience, and the possibility of exacerbating underlying mental health issues. According to a study in the Journal of Psychopharmacology, approximately 12% of participants reported significant fear during psilocybin sessions, though these effects were transient and often resolved with proper therapeutic support. Moreover, there is a risk of substance misuse and dependency with certain psychedelics, particularly with repeated, unsupervised use. These statistics underscore the importance of using these powerful substances within a controlled, therapeutic context.

 

In conclusion, ketamine therapy, especially when paired with psychotherapy by a physician and/or therapist as we do at Kalea Wellness, is not just a "trip"—it’s a journey towards healing. It’s the secret sauce that turns a mind-boggling experience into a life-changing one. So, next time someone scoffs at the idea of psychedelic therapy, just tell them: “It’s not about the 'trip,' it’s about the destination, and trust me, the view from here is pretty amazing.”


The affect of psychedelic medicine of our mind

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