Qualifications for KAP - Eligibility
Eligible diagnoses may include (but are not limited to):
Anxiety, OCD, Depression, Trauma/PTSD, Bipolar, Eating Disorders, Adjustment Disorders, Primary Addiction Disorder, and other conditions such as Somatoform Disorders
In order to be eligible for KAP, a client must be 18+, live in a state where Journey Clinical is operating, have a therapeutic alliance in place or work with Journey to develop one, and have an eligible diagnosis.
Contraindications - Who Might Not Qualify for KAP:
The following would not be appropriate candidates for KAP:
- Those with unstable medical conditions. This includes uncontrolled glaucoma, uncontrolled hypertension, severe breathing problems, ketamine allergy or sensitivity
- Those with uncontrolled substance use disorder
- Those with contraindicated psychiatric disorders. This includes acute mania or mixed state, history of primary psychotic disorder, and active suicidal ideation or severe decompensation
Other considerations include pregnancy, liver disease, cystitis, hyperthyroidism, and history of ketamine use.
During a client’s intake session with a Journey Clinical medical team member, their full medical and psychiatric history will be reviewed. The medical team member will determine whether the client is eligible for KAP. If further information is needed, they may require medical clearance before deeming a client eligible. The safety of patients is our priority and Journey Clinical will only prescribe if clients meet criteria for treatment. If a client does not meet criteria for treatment, they may receive a refund for the cost of their initial consultation.
Q: Would a Client with Bipolar Disorder be Considered for KAP?
A: Bipolar Disorder is not a contradindication for KAP treatment. The medical team at Journey Clinical completes a thorough psychiatric history during the intake session with any potential clients, and will use their medical judgment to individually determine eligibility or treatment plans. The medical team reviews any referral information, so it's helpful to include any concerns and intentions in the referral note. Typically, those with moderately controlled bipolar disorder are able to undergo treatment, but it depends on the patient's individual history and current illness. Risks and benefits will be weighed while determining KAP eligibility, and the medical team will continue to reassess appropriateness of treatment during any follow ups.
Q: Sobriety: Would KAP be appropriate for someone who's been in recovery?
A: Clients with a history of substance use disorders may find KAP treatment helpful. Ketamine is used as a tool in therapy, and the usage is being monitored and supervised. Additionally, the mechanism of ketamine differs from many substances. The medical team conducts a thorough assessment during the initial intake session with any potential client, and will discuss any current and past substance use. The medical team will determine eligibility during the intake session, and can discuss the risks and benefits with the client, although in general we recommend that substance use is stable in order to start treatment.
Q: Would glaucoma be a contraindication?
A: Glaucoma is not a hard contraindication, however it’s something that our medical team may want to get some clearance from an ophthalmologist from. The main concern is about potential increased intraocular pressure, but if the glaucoma is well managed, they may still be eligible for KAP treatment.