— Events — 

Ketamine-Assisted Psychotherapy Group


11/30/20 — 2:00 p.m. - 5:00 p.m.

1 Bodega Ave.  “Studio One”

Petaluma CA 94952


Followup Integration Group by Zoom — Tuesday evening 12/1/20 — time to be arranged


Fee for KAP group & integration group: $525


Facilitated by Jessica McIninch, PsyD and Carl Spitzer, MD


Temenos is offering a ketamine-assisted psychotherapy group. Group therapy with ketamine is a profound way to further the benefits of ketamine therapy as it blends the deep internal dive into resilience that KAP clients are familiar with, with an opportunity to connect with like-minded others. This can help open new areas of awareness and deepen trust, as well as offer an opportunity to meet people who are on a similar path. Participants must be experienced with KAP. 


Being part of a ketamine group can be a vulnerable experience. Our staff appreciates this vulnerability and does everything possible to create a safe place, on both physical and psychological levels. Safety protocols include: COVID-related, physical space considerations, confidentiality guidelines, management of psychological space so that no one need share anything that feels too vulnerable, and a follow-up group to help integrate the experience.


Of course there is no ultimate safety, except perhaps through a sense of being profoundly interconnected. As we feel increasingly stable in ourselves, we can accept the truth of our vulnerability and decide to live fully anyway. It is a commitment to this kind of living that allows us to step into a group such as this. And stepping in leads in turn to an increase in interconnectedness and thus increases our sense of safety in the world.  


COVID protocols: 

  • Maximum of 4 participants

  • All participants and staff will wear masks 

  • Studio One is a large room with good ventilation 

  • A HEPA-quality air purifier will be utilized

  • Anyone symptomatic or having been exposed to COVID within the prior week cannot attend 

  • A medical check will be administered upon entering 

  • Follow-up Integration Session will be via Zoom 

For more information please fill out our contact form or email.


Weekly KAP Integration Group


Temenos provides a weekly integration group for clients who have previously participated in ketamine-assisted psychotherapy. This group provides clients the opportunity to benefit from ongoing, depth-oriented integration work in a safe, consistent setting with peers interested in deepening the insights achieved in medicine sessions.

For more information contact Jessica.


Ketamine Training for Clinicians


Recorded didactic training 

Fee: $500 

Presenters: Carl Spitzer, MD;  Jessica McIninch, PsyD; Jim Matto-Shepard, PhD 


Temenos has a recorded training in ketamine-assisted psychotherapy (KAP) for clinicians and interns designed to train psychotherapists to become competent beginning-level providers for KAP.  It will also serve as a foundational course for medical professionals who want to be part of a treatment team for KAP.  The training is set within the context of psychedelic-assisted psychotherapy (PAP) as a healing modality for our culture. Participants will learn not only about ketamine as a stand alone medicine and one that facilitates psychotherapy, but will also increase awareness and skills for psychedelic-assisted psychotherapy in general.  

This training discusses ketamine when used as an adjunct to psychotherapy for therapeutic reasons.  These include three basic categories: for a psychiatric indication such as treatment resistant depression or suicidality, for the facilitation of psychological work (psycholytic), and for psycho-spiritual exploration. 


The Historical, Cultural & Medical Context of KAP


  • The importance of context or story

  • Set and Setting

  • The cultural and historical context of psychedelics

  • Clinical work with non-ordinary states

  • The cultural and historical context of ketamine

  • Ketamine as the poor step-child of psychedelics

  • Legality and prescribing off-label

The many Flavors of K


  • Subjective experiences with ketamine 

  • Ketamine — “medicine,” a tool to facilitate psychotherapy, or a psychedelic?  Are these all aspects of the same thing?

  • Different approaches to KAP, infusion w/o much psychotherapy to psycholytic with an emphasis on psychotherapy

  • the experiential differences between troches, rapid dissolving tablets, nasal sprays, IM and IV ketamine. (what about suppositories?) 

  • Differential diagnosis — who is KAP appropriate for?

  • Ketamine as a medicine for treatment-resistant depression and suicidality

  • Is it appropriate to do psychedelic work with “well” people in clinic?

  • Dosages based on the goals of treatment

  • The therapeutic team — roles and responsibilities



Relevant Psychophysiology of KAP and Clinic Setup 


  • Chemistry and pharmacological mechanisms and how they relate to the phenomenology of ketamine.

  • Dosages, route of administration and bioavailability

  • Physical dangers & medical contraindications 

  • Managing psychiatric emergencies

  • What are potential side-effects and how are they treated

  • How to determine appropriate route and dose

  • Variables in how to order and store injectable & sublingual ketamine

  • Paperwork

  • Legal issues and the MD/psychotherapist alliance

  • Setting up an office

  • Group/ At home lozenges/ COVID/ Couples and more 



The process of KAP


  • Intake variables — diagnosis and client selection

  • Clarifying intention with the client

  • Creating the psycho-spiritual space for the session

  • Monadic versus dyadic treatment

  • Administration of ketamine, how and by whom

  • How to be in the unfolding session — different roles

  • Transference, boundaries and therapeutic “cleanliness”

  • Integration — where the rubber meets the road

  • When to refer out​

Experiential Training may be available upon completion of this didactic training or the equivalent (as determined by eligibilty assessment). 

For more information about this training contact us here or call us at 707-992-5015.


Experiential Ketamine Training

for Clinicians

This two-day experiential training for ketamine-assisted psychotherapy (KAP) is for licensed clinicians and experienced interns. The training will build on Temenos didactic KAP training and provide entry-level skills for working as a KAP provider.  This training supports the skills and mindset for becoming a psychedelic-assisted psychotherapist.


This training will provide clinicians an understanding of the subjective and therapeutic effects of ketamine-assisted psychotherapy from the inside out.  The emphasis will be on creating intention, setting the stage, monitoring the client for safety, working verbally on ketamine, and integration. 


Clinicians will have the opportunity to both practice the skill of being a ketamine-assisted psychotherapist and to be a client receiving initial treatment. Participants will work in pairs, with each being a client one day and a therapist on the other.  All ketamine sessions will be low dose using sublingual lozenges. 


Learning Objectives:

    • Integrate knowledge about providing KAP in a clinic setting 

    • Develop skill in the practice of KAP

    • Understand the therapeutic benefits of ketamine 

        • As a tool for psychodynamic exploration

        • To build mindfulness & awareness of the body 

        • To strengthen a sense of inner resourcefulness

Completion of Temenos, didactic Ketamine-Assisted Psychotherapy training (above) is a prerequisite for this training.


COVID Safety:  In this experiential KAP training, we balance the need for in-person supervision and training with COVID safety by using a combination of in-person dyads and Zoom supervision. 


For questions about the clinical procedures outlined here, contact Jim at 707-762-1670 or jim@temenos.center.  For questions about enrollment, contact Alison at alison@temenos.center.


It should be noted that enrollment in this training is not a guarantee for acceptance.  Should a participant fail to qualify for the training, fees paid for the course will be fully refunded.  



Trainers:  Carl Spitzer MD, Jessica McIninch, PsyD and Jim Matto-Shepard, PhD


~ Links ~

Links to Websites of Colleagues

Multidisciplinary Association for Psychedelic Studies


Sage Integrative Health


Polaris Insight Center


Center for Transformational Psychotherapy


Kriya Institute


Psychedelic Support

Reference Material on Ketamine














Special edition of CNS Neuroscience
and Therapeutics devoted to ketamine. All of the articles are open access
and can be downloaded as PDFs



Reference Material on MDMA





Michael Corbin interviews Michael Pollan