Overview

Symbolically-Informed Ketamine-Assisted Psychotherapy (S-KAP) is an advanced clinical manual written for licensed mental health professionals and advanced trainees working with ketamine-assisted psychotherapy. Unlike introductory texts that focus primarily on dosing, set and setting, or pharmacology, this manual addresses the moment-to-moment psychological navigation of altered states during ketamine sessions. Its central aim is clinical precision: helping the practitioner recognize, orient to, and respond appropriately to rapidly shifting internal states without destabilizing the therapeutic process. The framework presented introduces a five-archetype clinical map-Child, Shadow, Trickster, Death-Rebirth, and Self-designed specifically for use during IM ketamine sessions. These archetypal fields are not treated symbolically or interpretively, but as observable clinical states that guide therapeutic stance, timing, and intervention. This manual is intended for clinicians who already understand the basics of ketamine-assisted psychotherapy and are seeking deeper clarity around: Distinguishing therapeutic fear from destabilization Recognizing when silence, grounding, reassurance, or containment is indicated Navigating chaos, looping, dissociation, or surrender events Maintaining a stable therapeutic container during high-intensity states Supporting integration without narrative contamination or premature meaning-making Content emphasizes clinical safety, restraint, and coherence, with particular attention to IM ketamine workflows. The tone is deliberately non-promotional and non-speculative, prioritizing real-world applicability over theoretical abstraction. This is not a patient self-help book and does not provide instructions for self-administration. It assumes clinical training, licensure, and professional responsibility. For clinicians and advanced trainees seeking a structured, symbolically-informed approach to ketamine-assisted psychotherapy that enhances safety, clarity, and therapeutic depth, this manual offers a disciplined and clinically grounded guide.

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