PTSD & trauma
When the past is still setting the terms
Trauma-focused therapy is the treatment with the strongest evidence, and it is where we start. For people it has not reached, ketamine-assisted psychotherapy opens a window that talk therapy alone sometimes cannot.
- Therapy-led
- trauma-focused psychotherapy is the first-line treatment
- Therapist present
- through every ketamine session, by design
- You set the pace
- nothing is revisited before you are ready
01How we treat it
Therapy first, and therapy throughout
The treatments with the best evidence for PTSD are psychological: EMDR, cognitive processing therapy, prolonged exposure. They are demanding, and they work.
Where medicine earns its place is with the people trauma-focused therapy has not been able to reach — because the work is too activating to tolerate, because dissociation makes it hard to stay present, or because it has plateaued. In those cases, ketamine-assisted psychotherapy can make the therapy possible rather than replacing it.
That is why our ketamine sessions for trauma always have a therapist in the room. The medicine is not the treatment. The medicine is what makes a difficult conversation survivable.
The treatments with the best evidence for PTSD are psychological: EMDR, cognitive processing therapy, prolonged exposure. They are demanding, and they work.
Where medicine earns its place is with the people trauma-focused therapy has not been able to reach — because the work is too activating to tolerate, because dissociation makes it hard to stay present, or because it has plateaued. In those cases, ketamine-assisted psychotherapy can make the therapy possible rather than replacing it.
That is why our ketamine sessions for trauma always have a therapist in the room. The medicine is not the treatment. The medicine is what makes a difficult conversation survivable.
02What we offer
The routes open to you, in the order we would suggest them
Which of these is right depends on your history and what you have already tried. That is decided in a consultation with a physician.
- 01Trauma-focused psychotherapyEMDR, cognitive processing, somatic and pain-focused modalities, with a therapist matched to what you are carrying. The first-line treatment, and covered on many plans.
- 02Ketamine-assisted psychotherapyFor PTSD that trauma-focused therapy has not reached. Preparation, a monitored session with a therapist present throughout, and dedicated integration afterward.
- 03Psychiatry & medication managementSleep, hyperarousal, and the depression that so often accompanies PTSD. Treating those well makes the trauma work more tolerable.
03The evidence
What the research shows, including the limits
Rapid & sustained
IV ketamine in treatment-resistant PTSD
In a real-world clinical setting, intravenous ketamine produced rapid and lasting reduction in PTSD symptoms that had not responded to other care.
J Psychopharmacol 2024
72 studies
Ketamine combined with psychotherapy
A systematic review across psychiatric indications found the combination strengthened engagement and extended the duration of gains relative to therapy alone.
Clin Psychol Rev 2025
Not approved
MDMA-assisted therapy
The FDA declined the application in August 2024 and required a new Phase 3 trial. MDMA is not an available treatment, here or anywhere in the US, and we do not offer it.
FDA Complete Response Letter, 2024
The medicine is not the treatment. It is what makes the treatment possible.
04Is this for you
Where this helps, and where it does not
Yes
Often a good fit
- Trauma-focused therapy has helped but plateaued, or has been too activating to continue
- PTSD alongside treatment-resistant depression
- Dissociation that makes conventional trauma processing hard to stay present for
- You want the therapist and the prescriber to be part of the same team
No
Not the right tool
- You have not yet tried trauma-focused therapy. It is the best-evidenced treatment and it comes first
- You are seeking MDMA-assisted therapy. It is not FDA-approved and we do not provide it
- Active, untreated psychosis or mania
- You are in crisis right now. Call or text 988, or 911 if you are unsafe
Trauma work moves at the pace of the person doing it. Nothing is revisited before you are ready, and stopping is always available to you, in any session, without having to justify it.
05Common questions
Do I have to talk about what happened?
Not on any schedule but your own. Some trauma treatments involve revisiting the memory directly and others work on how your body holds it, without a detailed retelling. Which route you take is decided with your therapist, and you can stop at any point in any session without explaining yourself.
Is a therapist actually in the room during a ketamine session?
Yes, for trauma work specifically. That is the difference between ketamine-assisted psychotherapy and ketamine given on its own. You are prepared beforehand, a licensed therapist stays with you throughout, and there is a dedicated integration session afterward to make sense of it.
What about MDMA-assisted therapy?
It is not FDA-approved. The FDA declined the application in August 2024 and asked for a new Phase 3 trial, so approval is realistically years away. We do not offer MDMA. Our clinical evidence page includes the published research, clearly labelled as investigational.
Will ketamine make me relive the trauma?
That is not how it typically works, and it is a reasonable thing to worry about. Most people describe a sense of distance rather than immersion, which is often what makes difficult material approachable in the first place. A therapist is present to help you stay oriented, and preparation beforehand covers exactly this.