Ketamine-Assisted Therapy
At R4, ketamine is not offered as an isolated experience. When ketamine is determined to be an appropriate part of your care, it is incorporated into the R4 Method through preparation, regulation, a clinically monitored medicine session, and intentional integration.
The medicine is one part of the process. What surrounds it matters.
Prepare with intention.
Before your medicine session, we identify what you are bringing into the experience and what you hope to understand, explore, or approach differently.
Preparation may incorporate tools such as a Life Timeline, Identity Map, Relationship Map, and guided intention-setting and supportive therapy weaved throughout. The purpose is not to predict what will happen during ketamine, but to enter the experience with greater awareness and intention.
Build the capacity to stay present.
Before entering an altered state, you learn practical strategies for grounding, recognizing activation, and returning to a greater sense of safety within your body.
Depending on your needs, this may include breathwork, somatic practices, heart-rate variability training, or other guided regulation techniques.
These become tools you can draw upon before, during, and after the medicine experience.
Enter the medicine experience.
Ketamine is administered in a private, supportive setting with clinical monitoring and a psychiatric nurse practitioner present throughout the session.
Ketamine temporarily alters perception and may create greater flexibility in familiar patterns of thought and emotion. Experiences vary widely. Some people encounter new perspectives, emotional material, imagery, memories, or a sense of distance from deeply established patterns. Others experience something quieter or more subtle.
There is no “right” experience to have.
Ketamine may create the opening. It does not determine what comes next.
Bring the experience back into your life.
Integration begins after the medicine session.
Rather than treating what happened during ketamine as an isolated experience, we explore what felt meaningful, what may have shifted, and what deserves further attention.
From there, insight becomes action—through intentional changes in patterns, relationships, boundaries, routines, or the way you respond to yourself and your life.
The goal isn't to preserve the ketamine experience.
It's to build from it.
Every R4 ketamine cycle brings together four essential elements:
Treatment begins with a Foundations Session to evaluate clinical appropriateness, discuss potential risks and benefits, answer your questions, and determine whether ketamine is the right next step.
