Ketamine-Assisted Psychotherapy (KAP) in Las Vegas
KAP combines prescribed ketamine with trauma-informed support for depression, anxiety, PTSD, and trauma. In-person in Las Vegas. Integration available online across Nevada, Utah, New Jersey, and Colorado.
Rachel Hansen, LCSW · EMDRIA Certified Therapist
What if the part of you that feels stuck isn’t broken, it's just waiting to be met in a different way?
You’ve tried talking about it.
You’ve tried not talking about it.
You’ve whispered, “I should be over this by now.”
You’ve wondered if you’re just wired this way, or if healing just isn’t for you.
But what if the story isn’t that you’re broken?
What if your mind has been doing its best to protect you and ketamine therapy helps it finally let go?
If you’ve felt stuck in cycles of depression, anxiety, or emotional numbness, Ketamine-Assisted Psychotherapy (KAP) offers a new way through. Not by forcing insight, but by gently making space for what’s been waiting underneath.
What is Ketamine-Assisted Psychotherapy (KAP)?
Ketamine-Assisted Psychotherapy (KAP) is talk therapy with the volume turned down on your inner critic.
It combines the power of a legal, prescribed psychedelic (ketamine) with the safety of a trained therapist. Ketamine has been referred to as the "human fabric softener" by some. The medicine softens mental defenses just enough to let you access buried emotions, stuck patterns, or surprising insights. It's often things you’ve known deep down, but couldn’t quite reach.
KAP isn't about checking out. It's about tuning in, with support.
What makes KAP different from ketamine clinics or infusions?
Unlike medical-only models where you receive ketamine without therapeutic support, Ketamine-Assisted Psychotherapy (KAP) blends the medicine with intentional, guided talk therapy.
This matters deeply because the healing isn’t just in the ketamine, it’s in how you engage with the experience. Without support, powerful emotional material can surface with no container to hold it. Unfortunately, many people are left alone in a room for two hours with a blindfold and headphones (if you even get that), left to make sense of intense or vulnerable states on their own. These “ketamine mills” are a serious injustice to those seeking real healing.
In KAP, you’re supported before, during, and after each session by a trained therapist who helps you:
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Prepare your nervous system and set clear intentions
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Navigate altered states with grounding and safety
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Integrate insights into meaningful, lasting change
Grounding here means using your senses and body to stay connected to the present moment, even while the medicine shifts your usual state. This integrative approach lowers the risk of overwhelm or disconnection and increases the chances of real, sustainable healing. You’re not just having an experience, you’re transforming through it, with support every step of the way.
Psychedelic healing should never be transactional or isolating. KAP offers a relational, compassionate, and structured path toward transformation, with you at the center of it.
What to Expect From KAP Therapy in Las Vegas
1. Initial Consultation (90 mins — $450)
We'll meet to explore your goals, ask questions, and decide if Ketamine-Assisted Psychotherapy (KAP) is a good fit.
Note: Ketamine is a prescription medication. You'll need to work with a licensed psychiatrist to obtain it. I work with a trusted local providers who offer cash-pay psychiatric evaluations and prescribing services. Psychiatric fees are separate from therapy fees and vary depending on the provider. As a general reference, clients typically budget $300–$500 for the initial psychiatric evaluation and medication, with lower costs for follow-up visits. I'll walk you through the full process and, if you don't have one, connect you directly with a licensed psychiatrist once we've established fit.
2. Prep Sessions (two sessions, 45 minutes each — $225 per session)
Before your first KAP medicine session, we'll meet twice to establish safety, clarify your intentions, and make sure you feel supported and ready. Everyone doing KAP with me completes these two sessions, whether you're new to working with me or an established client, since ketamine work calls for its own dedicated preparation regardless of how well we already know each other.
Ongoing Care: KAP Medicine and Integration
Once you've completed your consultation and prep sessions, ongoing KAP care is just the two pieces below. No need to repeat the steps above for future sessions.
3. KAP Medicine Sessions (2 hours — $600 per session)
KAP medicine sessions are typically scheduled every week or two, depending on your needs and response to the work. The total number of sessions is highly individual and continually discussed together throughout treatment.
4. Integration Sessions (90 minutes — $450 per session)
After each KAP session, we meet to process what came up and begin making meaning from the experience. These sessions also include ongoing therapeutic work as needed, not just debrief, so we can keep addressing what surfaces in the space between your KAP sessions. Integration is where real change takes root.
Who Is KAP Therapy For?
KAP is for people who’ve done the journaling, read the books, said “I’m fine” more times than they can count, and still feel like something’s stuck.
It’s for the ones who are tired of looping in talk therapy but not ready to give up.
For the ones who don’t just want to feel better; they want to feel real.
It could be for you if:
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You’ve tried everything, and you’re still carrying heaviness that won’t lift
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You’re not afraid to feel, but you are afraid nothing will change
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You’re curious about what healing could look like when your mind steps out of the way for a moment
KAP is a doorway, not a shortcut or a magic trick.
And if you’re willing to walk through with support, it might show you something your regular mind never could.
Why People Choose to Work With Me in Ketamine-Assisted Therapy
My training includes IPI's 150-hour Psychedelic-Assisted Therapy Training Program, with a dedicated module on ketamine-assisted psychotherapy. As part of that training, I sat with someone else's journey, completed my own supervised journey, and practiced integration firsthand, not just studied it from the outside. I work from the nervous system, not just trauma history. This work only goes as far as your sense of safety allows.
Whether you’re stepping into altered states for the first time or you’ve been walking this path for years, I’m here to help you stay rooted, resourced, and open to the process.
I bring a trauma-informed, nervous-system-first lens to every KAP journey. I also have a background in substance abuse counseling, which means if you're coming to this work with a complicated relationship with substances, you don't have to explain yourself or brace for judgment. I understand that relationship, and I hold it with you, not manage it at you.
I stay current with the latest in KAP research and best practices so you don’t have to navigate the unknown alone.
If you're feeling cautious or uncertain that’s okay. We’ll go at your pace. Your nervous system sets the tempo, not me.
If you're also curious about other forms of psychedelic healing, I offer psychedelic integration support for those working with other medicines or processing past experiences.
How to Prepare for Ketamine Therapy
Ketamine therapy isn’t something you do, it’s something you let happen.
And yes, that’s terrifying.
It’s also the point.
You can make tea, dim the lights, choose a playlist that sounds like space and feels like home. You can set intentions, clear your calendar, and put your phone on airplane mode.
You should do all of that.
Just know: once the medicine kicks in, you might forget where your legs are.
This isn’t a mind-trip with subtitles. It’s a dissociative dive into the unknown. You may feel like you’re watching your life from another planet. You might cry. You might laugh. You might think nothing happened, until three days later when you realize your usual spiral never showed up.
So here’s what actually helps:
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Boundaries: Real ones. Physical and emotional. Tell your people what’s happening. Make sure no one walks in on you mid-cosmic rebirth asking if you’ve seen the remote.
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Comfort: Blanket. Sleep mask. Water bottle. Bathroom trip before you start (trust me).
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Music: It matters more than you think. Avoid lyrics in your language. Avoid free trials with ads. Avoid your “Cleaning the Kitchen” playlist. (I am happy to offer recommendations and work with you on creating a playlist that is yours.)
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Support: Afterward, don’t pretend you’re fine. Be slow. Be soft. Integration is where the meaning lands so don’t skip that part.
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Permission: You’re allowed to not understand what just happened. You’re allowed to not explain it to anyone. You’re allowed to simply rest.
You can’t plan the trip, but you can pack well.
And no, you’re not doing it wrong. That feeling of total weirdness? That is the work.
FAQ: Ketamine Assisted Psychotherapy (KAP)
Las Vegas • In-person Therapy Nevada
Q. How Does Ketamine-Assisted Psychotherapy Work?
Ketamine-Assisted Psychotherapy (KAP) is a therapeutic approach that combines the use of prescribed ketamine with talk therapy. Ketamine can create a window of neuroplasticity and emotional openness, allowing you to access thoughts, memories, or emotions that may be hard to reach in regular therapy. New clients complete a consultation and two prep sessions before starting, and every KAP medicine session is followed by integration to help process what came up and make it meaningful and lasting.
Q. How long will I need to be in Ketamine-Assisted Psychotherapy (KAP) for depression?
The duration of treatment varies, but here’s a general outline:
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Initial Phase (4–8 weeks):
Most clients begin with 3–6 KAP sessions, spaced about 1–2 weeks apart, along with preparation and integration therapy. Many notice meaningful shifts within the first few sessions. -
Continuation Phase (1–3+ months):
Some continue with monthly KAP sessions and ongoing talk therapy to support long-term healing and integration. -
Long-Term Support (as needed):
You may transition to traditional therapy or return for occasional booster sessions. This process is highly individualized.
Summary:
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Short-term: 4–8 weeks for initial relief
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Medium-term: 3–6 months for deeper work
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Long-term: As needed for maintenance and support
Q. Do you accept insurance for KAP?
Thrive Well Therapy is a private-pay practice, and I don't bill insurance directly for any session. If you have out-of-network benefits, I can provide a superbill on request. One note: insurance reimburses based on standard session-length billing codes, not the actual session length or rate I charge. A 90 minute session billed under a standard psychotherapy code will typically only be reimbursed at whatever your plan allows for that code, which is often far less than what you actually paid. I'd rather tell you that upfront than have a superbill turn out to be more symbolic than useful. The ketamine prescription itself comes from a separate licensed psychiatrist, and coverage for that medication depends on your plan, that's a conversation to have directly with your prescriber.
Q. How often are KAP sessions scheduled?
Most clients schedule one KAP medicine session every 1–2 weeks. This allows time for proper integration and emotional processing between sessions. The pace depends on your goals, symptoms, and nervous system capacity.
Q. What are integration sessions and how often do you need them?
Integration sessions help you process, ground, and apply insights that arise during KAP. Most people schedule one integration session within a few days after each ketamine session, and some continue with weekly therapy during the course of treatment.
Integration is essential to making the experience meaningful and lasting.
Q. Do you provide the Ketamine?
No, I do not prescribe or dispense ketamine. You’ll need a prescription from a licensed psychiatrist. If you don’t have one, I can refer you to trusted providers. It is often covered by insurance.
The medication can be provided in the form of a lozenge or a nasal spray, which you would bring to session and administer during our KAP session together.
Q. Who is KAP for?
KAP is for people experiencing depression, anxiety, PTSD, or emotional numbness—especially if traditional talk therapy hasn’t brought the relief you're seeking. It may be right for you if:
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You feel stuck in recurring patterns
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You’re open to exploring non-ordinary states of consciousness
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You want a safe, guided therapeutic container for psychedelic healing
Q. Is KAP safe?
Ketamine has a long-established safety profile when used responsibly under medical supervision. KAP sessions are conducted in a controlled, therapeutic environment. You’ll be carefully screened beforehand to make sure this approach is appropriate for your mental and physical health.
Q. Is ketamine safe if I have a history of addiction?
Yes... and it depends. Ketamine has a low risk of physical dependency when used in a structured, therapeutic setting, but if you have a history of substance use or addiction, it’s important to proceed with care.
I have a background in substance abuse counseling, which means I understand the complexity of that history and I'm not going to treat it as a disqualifier or a liability. We'll assess together whether KAP is appropriate for you, and if it is, we'll build a treatment plan that honors both your healing goals and your relationship with substances, with honesty and care throughout.
Q. Can you do Ketamine-Assisted Psychotherapy (KAP) online?
While some providers offer fully online KAP, I believe the medicine sessions are safest and most effective when done in person. Because of the unique nature of KAP, I want to ensure you have the highest level of support during your medicine experiences, which is best provided in a controlled, in-person setting where I can respond in real time to your needs.
I do offer virtual preparation and integration sessions as needed, which can be done from the comfort of your home. These sessions allow us to establish safety, clarify your intentions, and process your experiences together, while still preserving the personal, in-depth support that is at the heart of KAP.
Your safety, comfort, and wellbeing are my highest priorities, and I’ve structured my practice to reflect that.
Q. How do I prepare for a KAP session?
New clients complete an initial consultation and two 45 minute prep sessions before their first KAP medicine session. These cover your history, current stability, intentions, and what to expect, so we're both ready before we begin. Once you've completed this process, future KAP sessions only require the medicine session itself and integration afterward.
Q. How do I get started with KAP?
Book a free 20-minute consultation to explore if KAP is right for you. We'll discuss your goals, answer questions, and talk through next steps.
You don’t have to figure this out alone.
Book a free consult to explore if KAP might be the shift you’ve been searching for.
KAP medicine sessions are in-person only in Las Vegas. Preparation and Integration sessions are available virtually throughout Nevada, New Jersey, Utah, and Colorado.