Start with what life feels like now
How does psychotherapy fit around ketamine treatment?
We help people with depression or anxiety that disrupts daily life by considering mental and physical symptoms together so that they can work toward participating in relationships and routines again.
How we look at the whole picture
You have tried to explain how difficult ordinary days have become, and you may have already tried more than one approach.
Sleep, concentration, energy and physical symptoms may be adding to what you are carrying.
You do not need to know which treatment to ask for. Start with what has changed and what you want to be able to do again.
The 7 Domains of Recovery™
Your symptoms may belong in the same conversation.
Psychological health is one of seven domains, not an isolated part of you. We consider how mood, cognition, sleep, physical symptoms and circumstances affect each other.
Neuregen's proprietary 7 Domains of Recovery framework organizes that conversation around seven connected parts of your life and health. We consider all seven, then focus the evaluation on the questions your history raises.
Explore our clinical framework- 1Brain function & neural networks
What has changed in your memory, concentration, balance or sensory tolerance?
- 2Autonomic & nervous system regulation
What happens when you stand, move, rest or encounter stress?
- 3Immune function & neuroinflammation
What immune history, reactions or symptoms need a closer look?
- 4Brain energy & metabolic health
What affects your energy through the day and after activity?
- 5Structure, stability & body-to-brain signals
How do pain, posture, movement and stability affect what you can do?
- 6Psychological flexibility & behavioral recovery
How are mood, stress and patterns of coping affecting your day?
- 7Life, relationships & environment
What demands, relationships and support shape your recovery?
A plan starts with the things you want to do again.
We review your history, current symptoms, previous responses and priorities. You and the clinical team discuss the options, tradeoffs and how progress will be assessed.
01
Tell us what you want your life to look like
We start with what has changed, what you have tried, and the activities you most want to return to.
02
Answer the questions the history leaves open
We review prior reports and select relevant assessments. You should understand what each assessment is meant to clarify.
03
Agree on the priorities and the first steps
We discuss the findings, possible approaches, costs and practical constraints. The plan sets an order that fits your situation.
04
Check what changes and adjust together
We compare your response with the starting point, including daily function. If something is not helping, we discuss what needs to change.
Only then do we discuss which therapies, if any, belong in your plan. The choice depends on the findings, the evidence, your preferences and how you respond.
Talk through your situationIntegrative Psychiatry
Ketamine-Assisted Psychotherapy
When a nervous system has been stuck in the same protective patterns for years, ketamine can open a window where real change becomes possible — and we make sure that window is used well.
Clinically: Sub-anesthetic ketamine, delivered within a psychiatrically integrated program — paired, where appropriate, with autonomic and structural rehabilitation rather than offered as an isolated infusion.
Conceptual artwork for the care discussion. Individual findings and treatment options require clinical evaluation.
KAP versus infusion-only ketamine
Standard ketamine infusions produce a neuroplastic window in the days following each session — but that window closes. KAP is a distinct tier that pairs the infusion with structured psychotherapeutic work, timed to the dosing session and the period of heightened neuroplasticity that follows.
KAP is not simply talking during the infusion. It involves preparation before the session, guided work during the dosing window, and integration afterward — the three phases that give the neuroplastic period a purposeful structure. Patients who have already had infusion-only ketamine and found the effect short-lived may benefit from the KAP tier.
Domains most involved:
Every plan starts from the same map: the 7 Domains of Recovery.
How it fits your plan
Ketamine-assisted psychotherapy includes preparation, the treatment experience and follow-up discussion. We review suitability and agree on how those parts would fit with your current care.
Mood, sleep, concentration and physical symptoms can affect the same parts of your day. We consider them together before discussing a specific psychiatric approach, so psychotherapy or medication decisions fit the wider care plan.
We review your history, explain the findings, agree on next steps and check how you respond.
Potential Therapies
We use established medicine where it works, and emerging medicine where it makes sense.
These are options to discuss after evaluation, not a predetermined treatment plan. Each label refers to the condition or indication described beside that therapy; evidence can differ for another use. An evidence label does not mean FDA approval.
- Preparation session (pre-dosing)Evidence: Emerging
Structured intake to clarify intentions, address anxiety about the experience, and establish therapeutic goals before the dosing session.
- Dosing session with psychotherapy integrationEvidence: Emerging
Psychotherapy component runs alongside and immediately after the infusion, capitalizing on the altered state and the neuroplastic window.
- Integration session (post-dosing)Evidence: Emerging
Follow-up session to consolidate material from the dosing experience into cognitive and behavioral change.
Where the evidence stands
KAP is supported by a growing body of clinical evidence, primarily in PTSD and depression, and is an active area of formal research. It is not yet a standard of care in the same way as infusion-only ketamine for TRD, and it is offered at Neuregen as an emerging but clinically justified tier.
How we grade evidence
Pricing
| Service | Price |
|---|---|
| Ketamine therapy, single session | Confirmed in writing at your Strategy Consultation |
| Ketamine therapy, 6-session series | Confirmed in writing at your Strategy Consultation |
| Ketamine-assisted psychotherapy (KAP) sessionIncludes the psychotherapy component; priced separately from infusion-only sessions | Confirmed in writing at your Strategy Consultation |
| Ketamine maintenance sessionBooster sessions after a completed series, scheduled by response | Confirmed in writing at your Strategy Consultation |
Ketamine therapy is typically not covered by insurance. Spravato (esketamine) is sometimes covered when prescribed under its approved indications; we will tell you which applies to you before you commit.
Financing options are reviewed at your Strategy Consultation before any plan is finalized.
The training behind this care
Neuregen combines integrative psychiatric care with nervous-system rehabilitation. Our team can discuss psychological and physical concerns in the same clinical context, while explaining the qualifications and role of each treating clinician.
Dr. David George: Board certifications and training in functional neurology, integrative psychiatry, and mental health; certified brain injury specialist.
Training most relevant to this area
- Certified Clinical Trauma Professional (CCTP)
- PMHNP-BC
- Active Psychotherapist
- Certified Hypnotherapist
- CBT-I (Cognitive Behavioral Therapy for Insomnia) trained
These are the founder’s qualifications. We confirm the treating clinician and their role when discussing your plan.
See Dr. George’s full credentialsFrequently asked questions
What is the difference between KAP and infusion-only ketamine?
Infusion-only ketamine delivers the pharmacologic effect — the rapid antidepressant action and the neuroplastic window that follows. KAP adds a structured psychotherapy component before, during, and after the dosing session. The goal is to use the neuroplastic window purposefully rather than simply waiting for it to pass.
What does a KAP course look like?
A KAP course involves a preparation session before dosing, the dosing session itself with therapeutic integration present, and one or more integration sessions afterward. The structure varies by patient and is set by our clinical team after a full clinical review.
Who is KAP most appropriate for?
KAP is most useful for patients whose illness pattern has a strong psychological or trauma-related component — where the neuroplastic window from ketamine, if left without structure, would be unlikely to produce durable change. It may also suit patients who have had infusion-only ketamine with limited lasting benefit.
Is KAP priced differently from standard ketamine infusions?
Yes. The KAP tier is priced separately from infusion-only sessions to reflect the additional clinical time and scope. All pricing is confirmed in writing at the Strategy Consultation.
Start with a Strategy Consultation
When distress or poor sleep keeps affecting relationships and everyday responsibilities, putting off a conversation leaves those concerns unresolved. You can ask about next steps without committing to medication or a procedure.
8090 N. 85th Way, Suite 100, Scottsdale, AZ 85258 · Mon–Thu, 9:00 AM – 5:30 PM