Ketamine-Assisted Psychotherapy (KAP) in Pittsburgh

A research-supported approach for treatment-resistant depression, anxiety, and trauma

For those living with depression, anxiety, PTSD, or other conditions that have not responded fully to traditional therapy or medications, Ketamine-Assisted Psychotherapy (KAP) may offer a new path forward.

KAP combines the therapeutic use of ketamine—a medication shown in research to create rapid shifts in mood and perspective—with the support of psychotherapy. In a safe and guided setting, clients often experience increased openness, insight, and the ability to process emotions in new ways.

How Ketamine-Assisted Psychotherapy Works

Before beginning KAP, we’ll first make sure this approach is the right fit for you. This includes reviewing your history, current symptoms, and treatment goals, as well as collaborating with our medical partner for a full medical evaluation.

• Medical Partnership – I partner with Journey Clinical, a medical provider specializing in ketamine treatment. Journey Clinical conducts your medical intake, prescribes the medication if appropriate, and manages ongoing medical follow-up.
  
  

• Preparation – Once cleared, we’ll meet to clarify your intentions, discuss what to expect, and prepare you for the session.
  
  

• Ketamine Sessions – Dosing sessions take place either in my office or virtually, depending on your needs. During the experience, I provide therapeutic support, grounding, and a safe space for whatever arises.
  
  

• Integration – Afterward, we’ll process your experience together. Integration sessions help you make meaning of what emerged and translate insights into lasting, sustainable change.
  
  

KAP is not a quick fix or a miracle pill. Instead, it serves as a catalyst for growth when paired with compassionate, structured psychotherapy.

What KAP Can Help With

• Treatment-resistant depression
  
  

• Anxiety disorders
  
  

• PTSD and trauma-related conditions
  
  

• Grief and loss
  
  

• Emotional numbness or disconnection
  
  

• Existential or spiritual distress
  
  

My Approach to KAP

I approach KAP with the same relational, integrative, and client-centered philosophy that guides all of my work. My role is to help you prepare for the experience, accompany you through it with presence and care, and support you in weaving the insights back into your daily life.

The focus is always on building resilience, fostering balance, and creating sustainable growth beyond the session itself.

Important Information About KAP at Iterations Counseling

Please note: Ketamine-Assisted Psychotherapy at Iterations Counseling does not include medical intake, prescribing of medication, or medical follow-up appointments.

These services are provided exclusively through Journey Clinical, our trusted medical partner. My role is to guide the therapeutic process of preparation, dosing support, and integration once medication has been prescribed.

At this time, insurance does not cover KAP-guided sessions. Sessions are billed directly, and I’m happy to discuss costs and options during your consultation.

Considering Ketamine-Assisted Psychotherapy in Pittsburgh?
If you’d like to explore whether KAP may be a good fit, I’d be glad to answer your questions and discuss next steps.

Justin Knizek, MS, LPC, NCC, CMNCS

Schedule a consultation today and begin your path toward healing and resilience.

Frequently Asked Questions About KAP

Is ketamine safe?
Ketamine has been used safely in clinical settings for decades. In KAP, it is prescribed and monitored by licensed medical professionals through our partnership with Journey Clinical, ensuring appropriate screening and follow-up.

How many sessions will I need?
The number of sessions varies. Some clients notice shifts after just a few sessions, while others engage in a longer course of treatment. We’ll discuss your goals and progress together to determine the right approach for you.

Where do KAP sessions take place?
Preparation, dosing support, and integration sessions take place either in my office in Pittsburgh or virtually, depending on what’s most supportive for you. The medical evaluation and prescribing process is completed through Journey Clinical.

Will insurance cover KAP?
At this time, insurance does not cover KAP-guided sessions. These sessions are billed directly. I’m happy to discuss fees and options during your consultation.

What makes KAP different from taking ketamine alone?
Research shows that ketamine treatment tends to be more effective when combined with psychotherapy than when used on its own. While ketamine can temporarily shift mood and open access to new perspectives, it is through integration therapy that these insights are supported, reinforced, and connected to your everyday life.

In KAP, the dosing session is only one part of the process. The preparation helps you set intentions, the ketamine experience allows for new emotional and cognitive flexibility, and integration sessions help translate those experiences into lasting growth and resilience.