Ketamine Services

Living Arts Ketamine Services

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4-1 Outpatient Groups

Living Arts facilitates several different outpatient ketamine series called 4-1 Outpatient Groups. The 4 represents the 4 virtual groups held in the evening with 2 before and 2 after the 1 medically monitored extended ketamine journey held at Living Arts in N. Raleigh. Group participants receive a 150-page custom Integration Journal & Workbook with exercise and information to help leverage the positive changes post ketamine treatment. All comfort and journey items are provided such as a curated playlist, synchronized headphones and Mindfold® blackout masks

“Reset to Calm” for women impacted by ADHD &/or Anxiety.

“Healer’s Group” for therapists managing burn-out, secondary trauma and transition.

“Next Chapter” designed for young adults stuck in transition to full independence.

“Rise Within” for women who a stuck due to depression and anxiety.

Ketamine Overnight Intensives

A new approach to reset-recharge. The Living Arts Ketamine Overnight Intensives (KOI) for women includes a medically monitored extended ketamine journey for increased safety and comfort. In collaboration with the prescriber, each participant will receive up to 3 IM injections with each dose customized to individual needs. KOI is designed to balance peaceful introspection with activities the encourage connection with self and others.

An overnight intensive offers the freedom to drive, therefore avoiding a need to find a ride, while also providing ample time to support a receptive mindset, relaxed reflection and connection with self and others. KOI is held locally in the Triangle to reduce travel time and investment.

The registration fee includes a virtual preparation group held a week prior, onsite medical care and all medications, expressive arts and integration groups, accommodations, meals, a KetKit and the Solo Integration Workbook & Journal. With extensive experience in retreat facilitation, Living Arts carefully curates every detail to promote a

Intensive Ketamine Treatment Retreats

Living Arts has facilitated three 2-night retreats at the beach and the foothills both in NC. Longer retreats in a special venue allow for a deeper experience and time to recharge more fully. IKTR is good for both new-to-ketamine individuals and those looking for a booster experience with more wraparound extras. See the summaries of past retreats below to get more of a feel if IKTR is a good fit for you.

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Past Ketamine Retreats

January 23-25, 2026
Intensive Ketamine Treatment Retreat

We returned to the mountain venue with views of Hanging Rock right out back and located ~2 hours from Raleigh. All women enjoyed a private Queen Bed cubby upstairs in the former hayloft with an open floor plan downstairs in the 4,200-sf renovated stable. With some alterations in journey timing we were able to return safely home before the impending ice storm which thankfully turned out to not cause major issues in the Triangle.

Our team: Dr. Danielle Sudler, DNP, PMHNP-BC, PMH-C provided medical services and monitoring; Susan Clifton, LCSW led the various groups including Journey Reflections, Integration, Mask Making and Kintsugi; Kimberly Kornegay, certified sound therapist and experienced retreat organizer, provided journey music and a live sound meditation and Suzanne George, our Deep Hospitality Coordinator made sure we all had what we needed.

Assorted snacks and fruits on a table.
Landscape with trees and distant mountains under sky.
Red barn with star in scenic landscape.

August 9-11, 2024
Intensive Ketamine Treatment

Our Mountain IKTR was a wonderful experience with beautiful changing mountain views, and plenty of wildlife right outside the windows. All our participants experienced gains over the month (preparation through the retreat) from noticeable to significant change in mood, thinking and ability to make desired changes in their lives.

Collage of nature, animals, and rustic interiors.

January 24-26, 2025
Intensive Ketamine Treatment

Three coastal scenes: beach, aerial, sunset.

Living Arts will partner again with Triangle Wellness and Recovery (TWR) for our second unique, healing retreat experience in January 2025 on Topsail Island, NC. Our focus are women who are negatively impacted by chronic trauma, depression anxiety and/or maladaptive coping behaviors including substance use. Everyone will have their own bedroom and private bathroom, some with balconies or decks, in our 5,000 sf oceanfront beach house.

Testimonial about healing and personal growth experience.
Brain activity comparison before and after stimulation.
Before and after brain scan comparison.

Research Shows Ketamine Promotes Synaptogenesis & Neuroplasticity

"...ketamine appears to promote synaptogenesis...countering the dendritic atrophy and synapse loss associated with chronic stress and depression. "  - Biological Psychology 2021

First picture shows the neural activity increasing in a depressed individual's brain after ketamine. The second picture shows new neural growth within 2 hours of receiving ketamine. Both allow for new and stronger connections allowing for “rewiring” of the brain.

What is Ketamine?

  • Ketamine is an FDA approved, safe and effective dissociative anesthetic that is used regularly to sedate children and others for medical procedures.
  • Increasingly, Ketamine is prescribed off-label to provide quick-acting relief for those suffering from depression, trauma, anxiety, compulsive behaviors and other mental health and substance use conditions.
  • Traditional antidepressants provide improvement for only 20%-40% of individuals, have undesirable side effects and take many weeks to learn if they work. Ketamine provides relief for 55%-70% of individuals, often within hours or a handful of treatments and can foster behavior change for lasting gains.
  • In discussions, Ketamine is regularly lumped together with classic psychedelics, such as MDMA & psilocybin, even though the action on the brain is very different. Classic psychedelics can provoke a challenging mental state by overwhelming the chandelier cells; whereas Ketamine gently relaxes and opens them to an expanded state of awareness.
  • The dissociative effects of Ketamine can lead to hallucinations and other changes like classic psychedelics. In addition, individuals may experience nausea, raised blood pressure and increased heart rate, all of which can be addressed by medical staff during the Ketamine treatment.
  • Misuse of Ketamine may lead to addiction, mental health problems and serious medical conditions. Ideally, Ketamine is used with in-person monitoring by medical professionals to ensure safety and increase effectiveness.
  • Treatment ideally includes Integration, psychotherapy that capitalizes on the new perspectives and increased neuroplasticity, rather than Ketamine as a stand alone treatment.

Why Ketamine?

I have been curious about Ketamine and its potential in mental health treatment since my psychiatrist friend asked me to join his boutique Ketamine clinic about 12 years ago which at the time I declined. Since then, more and more promising research has been released supporting its effectiveness especially for those “stuck” in chronic patterns related to depression, anxiety, the impacts of trauma and maladaptive coping. In addition, my observations while working with my clients receiving Ketamine treatment convinced me it was time to take the leap. While Ketamine does not provide significant benefits for all, what I experienced with my clients felt like mini miracles. Clients are able to implement strategies they knew but struggled to do because they were stuck in the rut of well-worn neural pathways. Ketamine can have the power to impact individuals after one treatment. I witnessed this with a client who was facing hospitalization for SI; however, instead we scheduled a Ketamine treatment that day and within 24 hours the SI had lifted and we could move forward together.

Why Ketamine Retreats & Groups?

After graduating with my master’s from the University of Chicago in 1993 I was lucky enough to land a psychotherapist position at the hospital. For my clinical group work I was mentored by Dr. Robert Lipgar, who at the time was the Chairman of The Chicago Center for the Study of Groups, and my love and respect for the power of groups began. Over the years I have facilitated weekly groups, full-day workshops and overnight retreats all reinforcing my belief in the unique healing benefits of the group experience that cannot be replicated in individual psychotherapy. The IKTRs add the value of the group experience with the carve-out of time and immersion in nature --- it is the perfect Trifecta!

Ketamine Retreats/Training & Certifications

  • Triangle Wellness & Recovery KAP Certification - TWR KAP Privileges
  • Ketamine Training Center & PSYK-ed KAP Training (New Mexico) Phil Wolfson, MD and Mark Braunstein, MD
  • Group KAP Leadership (California) Eva Altobelli, MD and Katja Cahoon, LCSW, MBA
  • Group Ketamine Assisted Psychotherapy Training Katja Cahoon, LCSW, MBA
  • Certificate Course: Berkeley Psychedelics and the MindBerkeleyX, University of California
  • 2024 Global Summit: Psychedelic-Assisted Therapy Clinical Track
  • Manifest Mind III: The De-Centered Self in Psychedelic States New Center for Psychoanalysis, Los Angeles, CA
  • Cultivating Liberation: Exploration of psychedelic assisted psychotherapy Candace Oglesby, LCPC
  • Big Tent Ketamine Retreat, Menla, NY Carl Spitzer, MD, et al

Consultation Groups & Memberships

KTC Ketamine Psychotherapist Associates

https://ketaminepsychotherapyassociates.com/

KAPstone Clinics Association Member

https://kapstoneclinics.com/  

Member of Big Tent Ketamine Community

https://bigtentk.com/  

PsyKe Peer Group

https://groups.google.com/g/psyke-community

Abstract leaf design with KTR text.