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Clinical Services at InnerMost
Blending science, empathy, and personalized care to support your healing journey.
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Treatment Session
Administration methods: IV infusion, intramuscular injection, or sublingual lozenges
• Process: Check-in, vital signs, ketamine administration (30–60 min)
• Environment: Calm setting, optional eye mask and relaxing music
• Safety: Vitals checked at start and end
• Duration: 90–120 minutes including recovery
3.
Treatment Session
Ketamine Therapy
Spravato
Psychotherapy
Integration & Harm Reduction
Ketamine therapy
A safe, proven therapy that helps you break free from patterns and rediscover purpose.
What is Ketamine Therapy?
Ketamine therapy combines ketamine with therapeutic guidance to help you overcome entrenched patterns, process trauma, and rediscover purpose.
At InnerMost, we view ketamine as a catalyst for change, supported by expert clinicians to ensure lasting results.
Together, they can help you:
Break free from repetitive thought patterns.
Process and heal from trauma.
Reconnect with purpose and motivation.
Why Ketamine?
Ketamine has been shown to reduce depressive symptoms within hours, with relief lasting up to two weeks after a single treatment. For many, conventional medications like antidepressants suppress symptoms without addressing the deeper root causes of suffering—up to 85% of individuals don’t respond to these treatments.
- Ketamine is FDA-approved for therapeutic use in the United States.
- Ketamine is a safe, well-studied medicine that has been used in clinical settings for over 60 years.
- The World Health Organization lists ketamine as one of the 100 most essential medicines in the world.
Benefits
- Feel Relief: Restores brain connections impacted by stress and trauma, interrupts depressive cycles, and quiets intrusive thoughts.
- Gain Perspective: Surfaces insights, releases repressed emotions safely, and opens space for reflection, compassion, and healing.
- Create Lasting Change: Enhances neuroplasticity to support healthier patterns, lifestyle shifts, and renewed motivation for daily life and relationships.
Who Does Ketamine Therapy Help?
We work with people who are navigating and managing the following health conditions and associated challenges:
Depression
If you feel stuck in a cycle of sadness or hopelessness, Ketamine Therapy can help you find light and motivation again.
Anxiety Disorders
If constant worry or tension is weighing you down, Ketamine Therapy can help you feel calmer and more at ease.
Trauma & PTSD
If past events still trigger fear or pain, Ketamine Therapy can help you process and heal those memories.
Suicidal Ideation
If you’re feeling trapped in dark thoughts, Ketamine Therapy can help you find relief, safety, and hope.
Addiction & Substance Use Disorder
If substances have become a way to cope, Ketamine Therapy can help you address the root causes and build healthier patterns.
Complex, Chronic Illness
If living with a long-term condition feels overwhelming, Ketamine Therapy can help you process emotions, heal from feeling disbelieved, and rebuild trust in your body.
Ketamine Therapy at InnerMost
There are two ways to access Ketamine Therapy at InnerMost:
Ketamine Infusion Therapy
Intravenous (IV) infusion
Six infusions over 3-6 weeks + (optional) maintenance sessions
For high-intensity symptoms
Session with an InnerMost therapist or without a therapist & under medical supervision
Preparation & Integration with your existing psychotherapist or with an InnerMost therapist
Ketamine Assisted Psychotherapy
Intramuscular (IM) or sublingual lozenges
1-2 sessions per month
For ongoing, longer-term symptoms
Sessions always with an InnerMost therapist in the room
Preparation & Integration with your existing psychotherapist or with an InnerMost therapist
What to Expect?
Here’s a simple step-by-step guide so you’ll know exactly how to prepare and what to expect duringyoursession.
At InnerMost, your ketamine therapy journey begins with compassionate care and thoughtful preparation. Each treatment session takes place in a safe, supportive setting, followed by integration to help you weave insights into lasting change. Our team is with you every step of the way.
1.
Medical & Psychological Assessment
1h Zoom appointment
Medical & Psychological Assessment
You'll begin by meeting with an InnerMost clinician for a 1-hour appointment on Zoom. This call will cover a comprehensive medical and psychological assessment, to confirm whether ketamine is an appropriate treatment and if so, which course of treatment to take.
For high acuity cases, KIT is recommended as a series of six infusions scheduled over the course of three weeks. Cases of lesser acuity can generally be treated with KAP sessions of lesser frequency.
2.
Preparation
1h Week prior
Preparation
Administration methods: IV infusion, intramuscular injection, or sublingual lozenges:
• Process: Check-in, vital signs, ketamine administration (30–60 min)
• Environment: Calm setting, optional eye mask and relaxing music
• Safety: Vitals checked at start and end
• Duration: 90–120 minutes including recovery
3.
Treatment Session
~120 min recovery
Preparation
Administration methods: IV infusion, intramuscular injection, or sublingual lozenges
• Process: Check-in, vital signs, ketamine administration (30–60 min)
• Environment: Calm setting, optional eye mask and relaxing music
• Safety: Vitals checked at start and end
• Duration: 90–120 minutes including recovery
4.
Integration
1h Few days later
Preparation
Within a few days of your dosing session, each ketamine session is followed by a 1-hour integration with your therapist to process the experience and shifts in perspective.
This space helps you reflect, manage emotions, and apply insights in daily life. Sessions can be with your own therapist or an InnerMost therapist, and may also include practices like yoga, journaling, meditation, mindfulness, or revisiting music from your session.
5.
Follow-Up
Ongoing check-ins
Preparation
Following your integration session, you can check in with the InnerMost team to discuss how things are going and to assess the need for ongoing treatments.
For those following an infusion series, we recommend six infusion sessions over the course of three to six weeks.
Discover Group Ketamine Experiences
Our group ketamine-assisted psychotherapy (KAP) experiences create a safe space to share, connect, and grow alongside others on a similar journey.
FAQs
How is ketamine different from traditional antidepressants?
Unlike traditional antidepressants that can take weeks to work and often suppress symptoms, ketamine can provide rapid relief—sometimes within hours. Studies show that up to 85% of people don't respond fully to traditional antidepressants, while ketamine works through a different mechanism that addresses root causes rather than just masking symptoms.
Who is a good candidate for ketamine therapy?
Ketamine therapy may be beneficial for individuals with treatment-resistant depression, anxiety disorders, PTSD, suicidal ideation, substance use disorders, and certain chronic conditions like Lyme disease or long COVID. We conduct thorough medical and psychological assessments to determine if this treatment is appropriate for you.
How long do the effects of ketamine last?
The antidepressant effects of ketamine can last anywhere from days to weeks after a single treatment. With our comprehensive approach including preparation and integration therapy, many patients experience sustained improvements. Most people benefit from an initial series of treatments followed by maintenance sessions as needed.
Is ketamine safe?
Yes, when administered by qualified professionals in appropriate settings. Ketamine has been used safely for over 60 years and is on the World Health Organization's list of essential medicines. We conduct thorough medical screenings and provide continuous monitoring during treatment to ensure your safety.
How should I prepare for my ketamine session?
We'll have a preparation session beforehand to set intentions and discuss what to expect. On the day of treatment, avoid alcohol and recreational drugs, eat a light meal 2-3 hours before, wear comfortable clothes, and arrange transportation home. We'll provide detailed preparation instructions.
How many sessions will I need?
This varies by individual. Many people start with an initial series of 6 treatments over 3-6 weeks, followed by maintenance sessions as needed. Some people benefit from ongoing ketamine-assisted psychotherapy sessions. We'll work with you to develop a personalized treatment plan and adjust it based on your response.
SPRAVATO®
Break free from the cycle of depression with FDA-approved Spravato® therapy.
What is Spravato®?
Spravato® is a treatment that provides transformative relief from depression symptoms. In a Spravato therapy session, a nasal spray form of ketamine (esketamine) is self-administered under the supervision of certified clinical staff.
For those who have difficulty responding to other treatments like medication or therapy, Spravato® can have transformative effects and help patients break free from the cycle of depression.
Improves depressive symptoms within hours to days
Officially recognized for treatment-resistant depression
Accepted by most major insurance providers
Why Spravato®?
Spravato has shown to be one of the most promising modalities for treatment-resistant depression (TRD) in patients with major depressive disorder (MDD) with suicidal thoughts or actions. Currently, it is the only FDA-approved ketamine therapy accessible to patients and is covered by most insurances, making it a more affordable treatment option.
- Spravato is covered by most insurance plans, making it more accessible.
- Spravato can improve depressive symptoms within hours to days, rather than weeks.
- Spravato is FDA-approved for clinical use and has been rigorously studied in clinical trials.
Benefits
- Effective for TRD: Spravato is shown to help individuals who haven’t responded to other depression treatments.
- Reduces Suicidal Thoughts: Spravato is proven to provide fast relief for MDD with suicidal ideation.
- Potential for Transformation: Spravato can help break cycles of depression and restore daily functioning.
Who Does Spravato® Help?
We work with people who are navigating and managing the following health conditions and associated challenges
Spravato is FDA-approved for people diagnosed with the following conditions:
Treatment-Resistant Depression
If you struggle with treatments that haven’t worked, Spravato® can help you find relief.
Major Depressive Disorder
If depression holds you back, Spravato® helps ease symptoms and restore balance.
Suicidal Ideation & Behaviors
If dark thoughts feel overwhelming, Spravato® brings fast support and hope.
What to Expect?
At InnerMost, your Spravato journey begins with compassionate care and thoughtful preparation. Each treatment session takes place in a safe, supportive setting, followed by integration to help you weave insights into lasting change. Our team is with you every step of the way.
1.
Medical & Psychological Assessment
1h Zoom appointment
Medical & Psychological Assessment
You'll start by meeting with a member of the InnerMost clinical team for a 1-hour appointment on Zoom to determine Spravato eligibility.
This call will cover a comprehensive medical and psychological assessment. We assess your medical history and medication to confirm Spravato is an appropriate treatment, and which course of treatment to take.
2.
Preparation
1h Week prior
Preparation
A preparation session where your therapist or an InnerMost therapist offers an opportunity to intentions and build safety and a rapport with your therapist.
We recommend scheduling at least one session, with the possibility of scheduling additional sessions, within a week leading up to your initial Spravato session. Preparation calls typically last one hour.
3.
Spravato Session
Solo or with therapy
Preparation
• Check-in & vitals
• Self-administer Spravato under clinician supervision
• With therapy: therapist guides integration
• Solo: clinician monitors remotely by video
• Calm setting with eye cover & music
• ~120 min + recovery, vitals rechecked
4.
Integration
1h Few days later
Preparation
Each Spravato session is followed within a few days by a 1-hour integration with your therapist to process insights, emotions, and shifts in perspective.
This helps translate the experience into daily life. Sessions can be with your own therapist or an InnerMost therapist, and may also include practices like yoga, journaling, meditation, mindfulness, or music.
5.
Follow-Up
Ongoing check-ins
Preparation
Following your integration session, you can check in with the InnerMost team to discuss how things are going and to assess the need for ongoing treatments.
FAQs
Is Spravato covered by insurance?
Yes, Spravato is covered by most major insurance plans because it's FDA-approved for treatment-resistant depression and major depression with suicidal ideation. We'll help verify your benefits and work with your insurance company to maximize coverage for your treatment.
How is Spravato administered?
Spravato is self-administered as a nasal spray under the supervision of our clinical staff. You'll remain in our clinic for monitoring for at least 2 hours after each dose to ensure your safety and monitor for side effects.
How often will I need Spravato treatments?
Initially, Spravato is typically administered twice weekly for the first 4 weeks, then weekly or every other week for ongoing maintenance. The exact schedule will be determined by your response to treatment and your psychiatrist's recommendations.
What are the common side effects of Spravato?
Common side effects include dissociation, dizziness, nausea, sedation, and increased blood pressure. These effects typically occur shortly after administration and resolve within a few hours. That's why we monitor you for at least 2 hours after each treatment.
How quickly does Spravato work?
Many patients begin to notice improvement in depression symptoms within hours to days after starting Spravato treatment, though it may take several weeks to see the full benefits. This is much faster than traditional antidepressants, which can take 4-8 weeks to show effects.
Can I drive after a Spravato treatment?
No, you should not drive or operate machinery until the next day after a good night's sleep. Spravato can cause sedation, perceptual changes, and dissociation that can impair your ability to drive safely. We recommend arranging transportation home after each session.
PSYCHOTHERAPY
FOR DEPRESSION
A safe, supportive, and ordinnary-state path to lasting change.
What is Psychotherapy?
Psychotherapy is a safe, supportive space to explore the patterns and experiences that shape your life. At InnerMost, our therapists use evidence-based, trauma-informed care to help you:
Build resilience.
Gain new perspectives.
Develop healthier relationships with yourself and others.
Why is it important?
We recognize that not everyone wants to begin with ketamine therapy.
Ordinary-state psychotherapy offers a safe place to reconnect with your wholeness and create lasting change.
For some, this may be all they need; for others, it can serve as a foundation before exploring ketamine or Spravato.
Benefits
- Reduced symptoms of stress, anxiety, and depression.
- Stronger coping skills for daily challenges.
- Improved relationships and sense of connection.
- Greater self-awareness and emotional well-being.
Who Does Psychotherapy Help?
We work with people who are navigating and managing the following challenges:
Stress Relief
If you feel overwhelmed by stress, psychotherapy helps you find calm and balance.
Life Transitions
If you’re facing big changes, psychotherapy helps you adapt and move forward with strength.
Personal Growth
If you want to know yourself more deeply, psychotherapy helps you build resilience and connection.
Anyone Seeking Support
If you need a safe space to be heard, psychotherapy helps you feel understood and empowered.
Anxiety
If anxiety keeps you on edge, psychotherapy helps you feel grounded and at ease.
Depression
If sadness weighs you down, psychotherapy helps you regain hope and motivation.
FAQs
How long are therapy sessions?
Individual therapy sessions are typically 50 minutes long. Couples or family therapy sessions may be 50-90 minutes depending on the specific needs and approach. We'll discuss the optimal session length based on your treatment goals during your initial consultation.
How often should I attend therapy sessions?
Most people benefit from weekly sessions initially, though some may need twice weekly or biweekly sessions depending on their needs. As you make progress, sessions may become less frequent. Your therapist will work with you to determine the best schedule for your healing journey.
What therapeutic approaches do you use?
Our therapists use evidence-based approaches including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), EMDR, Psychodynamic therapy, Mindfulness-based interventions, and others. The approach is tailored to your specific needs and preferences after an initial assessment.
Can I do therapy without medication?
Yes, many people benefit greatly from therapy alone. However, for some conditions, the combination of therapy and medication can be most effective. Your therapist can help you explore all options and will coordinate with your medical providers if medication is something you'd like to consider.
How long will I need to be in therapy?
The length of therapy varies greatly depending on your goals, the issues you're working on, and your personal progress. Some people see improvement in a few months, while others benefit from longer-term therapy. Your therapist will regularly check in with you about your progress and goals.
Do you offer both virtual and in-person sessions?
Yes, we offer both in-person sessions at our NoMad clinic and secure virtual sessions via HIPAA-compliant video platforms. Many clients prefer the convenience of virtual sessions, while others prefer in-person interaction. You can choose what works best for your lifestyle and comfort.
Integration & Harm Reduction
Safe, confidential, and judgment-free support for psychedelic use and integration.
What is Integration & Harm Reduction?
We are committed to helping individuals engage with psychedelics more safely and intentionally.
Rather than judging or pathologizing use, harm reduction honors patient autonomy and focuses on minimizing risks and promoting well-being—through education, post-psychedelic experience support, and integration psychotherapy.
Tools to knowledge to navigate psychedelic use safely
Making meaning of your experience afterward
Meeting you with empathy and without judgment
Why is it important?
A pragmatic approach acknowledges that people are using psychedelics in underground contexts, recreationally, and even legally while abroad, but don’t have a psychedelic informed aftercare program in place. Instead of abstaining from helping people, we acknowledge this use is happening and meet people where they are—regardless of what society thinks about their life choices.
Benefits
- Mitigating harm and ensuring safety
- Optimizing the therapeutic benefits of psychedelic experiences
- Providing education to individuals and their support systems
Who Does This Help?
Harm reduction and integration services at InnerMost can support the following:
Seeking Growth
If you want to deepen the benefits of your psychedelic experiences, this service helps you integrate insights into daily life.
Processing Experiences
If you’re struggling with the effects of a past or recent journey, this service helps you make sense of it and find balance.
Loved Ones & Caregivers
If someone you love is navigating a psychedelic experience, this service helps you support them safely and with understanding.
FAQs
When should I schedule integration sessions?
Integration sessions are typically scheduled within 24-72 hours after a ketamine treatment, while the experience is still fresh. However, integration can be helpful weeks or even months later as you continue to process and implement changes. The timing depends on your individual needs and processing style.
What happens in an integration session?
Integration sessions involve discussing your experience, processing any emotions or insights that came up, identifying patterns or themes, and creating actionable plans for implementing positive changes. Your therapist will help you make sense of your experience and translate it into meaningful growth.
What is your harm reduction approach?
Our harm reduction approach focuses on safety, education, and non-judgmental support rather than prohibition. We provide accurate information, help minimize risks, offer support during challenging experiences, and assist with integration afterward—meeting you where you are without judgment.
Do you provide support during psychedelic experiences?
When our services launch, we'll offer real-time support for individuals navigating challenging psychedelic experiences. This includes compassionate guidance, grounding techniques, and stabilizing presence from trained professionals who understand non-ordinary states of consciousness.
Do you offer preparation services?
Yes, preparation services will be available to help you set intentions, prepare mentally and emotionally, understand what to expect, and create a safe framework for your experience. Proper preparation can significantly enhance the safety and benefit of transformative experiences.
How do you ensure privacy and confidentiality?
We maintain strict confidentiality standards and HIPAA compliance for all our services. For harm reduction support, you're not required to share personal information—not even your name. We prioritize your privacy while providing the support you need in a safe, non-judgmental environment.
