The PhaseForward Approach

Medicine is only one part of the treatment. The medicine creates a unique therapeutic opportunity, while preparation, psychotherapy, and integration help transform that opportunity into meaningful, lasting change.

At PhaseForward, ketamine-assisted psychotherapy is viewed as a collaborative therapeutic process rather than simply a medication treatment. The most meaningful moments rarely occur because of the medicine alone. They emerge through the interaction between the medicine, the therapeutic relationship, thoughtful preparation, and a willingness to engage with whatever arises during and after the experience.

Research and decades of clinical experience have demonstrated that ketamine-assisted psychotherapy can be practiced in many different ways. Some approaches emphasize gradual growth over time, while others facilitate more immersive therapeutic experiences that may create opportunities for profound psychological shifts over a shorter period. Neither approach is inherently better. Each offers unique therapeutic opportunities, and the most effective treatment depends on the individual.

Rather than asking, “Which medication is best?” PhaseForward asks, “What kind of therapeutic experience is most likely to help this person move forward?” That philosophy shapes every aspect of treatment planning. Therapeutic pathways are individualized to each client’s goals, treatment history, readiness, medical considerations, and life circumstances. As treatment progresses, those pathways can evolve, allowing therapy to move between different therapeutic states as needs change.

Ultimately, PhaseForward’s focus is not simply symptom reduction. The goal is to help clients cultivate greater psychological flexibility, deeper self-understanding, stronger relationships, and lives that feel more connected, meaningful, and aligned with their values.

Therapeutic Pathways

Therapeutic Pathway 1: Spravato®-Assisted Psychotherapy

An Interactive Therapeutic State

Spravato-assisted psychotherapy generally facilitates a more interactive therapeutic state. Although ketamine provides a temporary time out from the ordinary, most clients remain engaged enough to actively collaborate with their therapist throughout much of the medicine session. This creates opportunities for emotional processing, nervous system regulation, and active psychotherapeutic work while psychological flexibility is enhanced.

What treatment looks like

  • Preparation sessions

  • Spravato medicine sessions with integrated psychotherapy

  • Follow-up integration sessions to reinforce insights and apply them to daily life

Typical schedule

Month 1: Two Spravato-assisted psychotherapy sessions each week plus one integration session weekly.

Month 2: One Spravato-assisted psychotherapy session each week plus one integration session weekly.

Maintenance: Every 1–2 weeks as clinically indicated.

Cost

First therapy hour billed through behavioral health insurance. Optional second therapy hour: $200 self-pay. Spravato medication and medical monitoring are billed through the Spravato treatment center.

Therapeutic Pathway 2: Ketamine-Assisted Psychotherapy (Journey Clinical)

A More Immersive Therapeutic State

Journey Clinical KAP generally facilitates a more immersive therapeutic state. As attention naturally turns inward, clients may experience symbolic imagery, shifts in perspective, emotional insight, and experiences of meaning that are more difficult to access in ordinary consciousness. Preparation, the medicine session, and integration are intentionally woven together into a unified therapeutic process.

What treatment looks like

  • Preparation sessions

  • Two-hour ketamine-assisted psychotherapy sessions

  • Follow-up integration sessions

  • Ongoing psychotherapy as clinically indicated

Typical schedule

Months 1–2: Weekly sessions are preferred when clinically appropriate, with every-other-week scheduling available when indicated.

Maintenance: Every 2–4 weeks.

Cost

Journey Clinical medical services: Initial evaluation + first medication shipment: $362. Follow-up + medication refill (about every six sessions): $358. Journey currently accepts UHC for eligible medical evaluations and follow-ups. Therapy: first hour billed through insurance; second hour $200 self-pay.

Therapeutic Pathway 3: Integrated Ketamine-Assisted Psychotherapy

Integrating Multiple Therapeutic States

This pathway intentionally combines Spravato-assisted psychotherapy with Journey Clinical KAP, allowing treatment to move intentionally between more interactive and more immersive therapeutic states as your goals, readiness, and therapeutic needs evolve.

What treatment looks like

  • Spravato-assisted psychotherapy

  • Journey Clinical ketamine-assisted psychotherapy

  • Follow-up integration throughout treatment

Typical schedule

Month 1: Two Spravato-assisted psychotherapy sessions each week plus two Journey KAP sessions during the month.

Months 2–3: One Spravato-assisted psychotherapy session each week plus one Journey KAP session each week.

Maintenance: Individualized.

Cost

Combination of Spravato and Journey Clinical costs.

Frequently Asked Questions

If you are interested in beginning treatment or would like more information about KAP, you can call our office at 317-377-4396, email us at admin@phforward.com, or submit a form on our Contact Us page.