Phenomenology of the ketamine experience | Veronika Gold & Gregory Wells

MFT, Psychologist Veronika Gold
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PhD Psychologist Gregory Wells
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Phenomenology of the ketamine experience, reports from Ketamine Assisted Psychotherapy (KAP)
Ketamine is unique from the known and loved phenethylamines (MDMA), tryptamines (psilocybin), and ergolines (LSD), which tend to exert their effects by interacting with serotonin, dopamine, and/or norepinephrine receptors. Ketamine is classified as a dissociative anesthetic and is listed as a Schedule III drug in the United States. It has a novel mechanism of action as an N-methyl-D-aspartate (NMDA) receptor antagonist. In addition, its effects can be quite different from the more typical entheogens. Due to the dissociation occasioned by ketamine, we believe this supports non-ordinary states of consciousness (NOSC) that are quite unique from NOSC’s produced by other entheogens and this is an important piece of ketamine’s unique healing potential.
Ketamine was discovered in the 1960’s and was primarily used in surgical anesthesia, but soon after, its use by surgeons and anesthesiologists declined due to “emergence phenomena”, described as an “unwanted” side effect of the medicine. As anesthesia wore off, patients often reported travels through a wide range of realities and alternate realms - extraterrestrial civilizations and parallel universes, astrophysical worlds and the animal, botanical, and mineral kingdoms, visits to other countries and historical periods. These reports sometimes alarmed post-surgery teams, but psychedelic therapists and researchers became very interested in this “side effect”. Famed Mexican psychiatrist Salvador Roquet, described it as the “principal fascinating effect” of ketamine rather than an unwanted side effect. The emergence phenomenon is a non-ordinary state of consciousness (NOSC). We believe that healing and transformation can happen through NOSC and we are interested in the relationship of the phenomenological experience of ketamine-induced NOSC to the healing of mental health challenges.
Interest in the use of ketamine for the treatment of depression has grown steadily since Zarate and team published their article in 2006. In March 2019, Janssen received FDA approval for esketamine (brand name Spravato) for treatment of depression, which is bringing more interest to the field and greater acceptance of this extraordinary medicine.
We will discuss the phenomenology of ketamine experiences when used in the context of a therapeutic set and setting. This presentation will focus on the classification and description of reports of subjective experiences of Ketamine-Assisted Psychotherapy (KAP) clients. It is our belief that healing and transformation happens through direct experience and we will highlight the unique qualities of experiential learning under the influence of ketamine. We will also consider whether there may be a direct link between the types of phenomena in the ketamine experience and the depth of psychological healing and the subsequent discovery of meaning and life direction.
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Veronika Gold, a psychologist from the Czech Republic and a licensed Marriage and Family Therapist in California, has an expertise in the treatment of anxiety, depression, and PTSD. She is a co-founder and COO of Polaris Insight Center in San Francisco, clinic providing Ketamine Assisted Psychotherapy treatment for depression, anxiety, PTSD, and other mental health issues. She is also a sub-investigator and a co-therapist at San Francisco Insight and Integration Center, site participating in the Phase 3 MDMA-Assisted Psychotherapy clinical trial for the treatment of PTSD sponsored by MAPS. Veronika Gold is as well EMDR therapist, consultant, and a volunteer facilitator for EMDR Humanitarian Assistance Program. She is a certified Somatic Experiencing Practitioner and a Realization Process Teacher. Veronika provides Psychedelic Integration Therapy and serves as a consultant, trainer, and presenter on Psychedelic Assisted Therapies.
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Dr. Gergory Wells is a licensed psychologist in the San Francisco Bay Area providing individual therapy, psychological assessment, neuropsychological assessment and evaluation services to children, adolescents, and adults. He has a postdoctoral degree in clinical psychopharmacology along with extensive experience collaborating with psychiatrists and other prescribing professionals. He is a co-founder and CEO of Polaris Insight Center, a clinic that provies evidence-based Ketamine-Assisted Psychotherapy for treatment of depression, anxiety, PTSD, and other issues. He is also the founder and CEO of San Francisco Insight & Integration Center, one of 12 U.S. based sites participating in the Phase 3 clinical trial of MDMA-Assisted Psychotherapy to treat PTSD, sponsored by MAPS.