Intermediate presentation KAP
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This document provides an introduction to ketamine-assisted psychotherapy (KAP) from the Polaris Insight Center in San Francisco. It discusses clinical issues treated with KAP such as complex PTSD and depression. It describes a case study of a client named Beatrice and reviews concepts from polyvagal theory and window of tolerance. The document outlines types of therapeutic touch and working with transpersonal experiences. It provides an overview of non-ordinary states of consciousness with ketamine and their potential therapeutic value. Finally, it announces future KAP training opportunities.
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Intermediate presentation KAP
- 1. POLARIS INSIGHT CENTER SAN FRANCISCO Ketamine-Assisted Psychotherapy, Training & Consultation www.polarisinsight.com
- 2. Introduction to Ketamine-Assisted Psychotherapy COPYRIGHT 2020 POLARIS INSIGHT CENTER – SAN FRANCISCO . Focused Clinical Issues Veronika Gold, LMFT, Eric Sienknecht PsyD, Harvey Schwartz, PhD
- 3. Rick Doblin Stanislav and Christina Grof Julane Andries and Phil Wolfson Raquel Bennett Annie and Michael Mithoefer
- 4. In gratitude to our known and unknown lineage • Stanislav and Christina Grof • Ralf Metzner • Rick Doblin • Anne and Michael Mithoefer • Marcela O’Talora • Phil Wolfson and Julane Andries • Raquel Bennet • Chris Bache • Sandor Ferenczi • Stephen Mitchell • Maria Sabina • Timothy Leary • Peter Levine • Steve Hoskinson • Bessel van der Kolk • R.D. Laing • Rollo May • Dick Schwartz • Francine Shapiro • Donald Winnicott • Michal Vancura • John C. Lilly • Terrence McKenna • Ram Dass
- 5. KETAMINE
- 11. Touch in Psychedelic Assisted Sessions
- 12. Beatrice • 72-year-old Asian America female • Complex PTSD, symptoms of severe depression, hopelessness, insomnia • Born premature and placed in incubator, emotional, physical, and sexual abuse during childhood, assault as adult, abusive marriage, years of taking care of mentally ill mother • Successful in her career as an interior designer • During earlier years enjoyed creativity, outdoor activities, bird watching and volunteering in an animal shelter
- 13. W.A.I.T. ?
- 14. From Chaos to Responsive Organization • Assessment of client’s nervous system – dysregulated, controlled, self-regulated • Interventions based on where the client is on the continuum • Understanding the cycles of activation and deactivation – assessment of resiliency • Interventions based on where the client is in regards to the window of tolerance
- 15. Window of Tolerance • Activation = Energy • Anxiety – Fight / Flight • Depression – Freeze • Global High Activation of the Nervous System • Coming down from Freeze through Fight/Flight response • Non-pathological view of Activation including Dissocciation
- 16. Polyvagal Theory Stephen Porges AROUSAL – Fight/ Flight Dorsal Vagal – Freeze/ Submit Ventral Vagal – Social Engagement Sympathetic Nervous System Parasympathetic Nervous System
- 17. The Inner Healing Intelligence Systems’ Tendency to Completion Holotropic States
- 18. Types of Therapeutic Touch Supportive • Containing/Stabilizing • Listening • Soothing • Integrating • Energetic/non-physical Active • Following • Directing • Stimulating • Exploring • Inhibiting • Energetic/non-physical
- 20. Features of Transpersonal Psychology • Recognizes Multiple Ways of Knowing • Some phenomena can't be empirically measured (e.g. OBE's, NDE's, etc..) • William James - Radical Empiricism – finding invariant features across subjective accounts • Prioritizes Experiential over Conceptual Knowledge • Shift of focus to SLOW TIME • Gamma brain waves ( >40 Hz) - High performance cognitive tasks • Beta brain waves (13- 39 Hz) – Normal waking consciousness- calculative mode of thinking • Alpha brain waves (7 – 13 Hz) – Resting state – wakeful relaxation, meditative • Theta brain waves (4 – 7 Hz) – Reverie state – intuitions, inspirations, trance and visionary experiences • Delta brain waves ( <4 Hz) – Lowest level of brain activity – deep sleep
- 21. Dissociation is Good! • Karl Jansen MD PhD- Kriya conference 2017 • Healthy Dissociation is natural and needed (e.g. sleep, driving a car, listening to music) • Even “pathological” trauma-based dissociation is life-saving! • Healing through Trance is oldest Medicine?
- 22. Types of Non-Ordinary/Holotropic States • Spontaneous (e.g. daydreaming, NDE’s) • Physical and Physiological (e.g. fasting, sex) • Psychological (e.g. meditation, hypnosis, music) • Pathological (e.g. epilepsy, brain damage) • Pharmacological (e.g. psychoactive substances)(Vaitl) KAP is technology that combines Pharmacological and Psychological Trance-Induction Methods
- 23. KETAMINE-INDUCED NON-ORDINARY STATES OF CONSCIOUSNESS (Kolp) - Feelings of leaving one’s body/out of body experience - Awareness of becoming a non-physical being - Emotionally intense visions (e.g., of deceased relatives, angels, spirits) - Encounters with archetypal beings (e.g., Christ, Buddha, Krishna) - Encounters with non-terrestrial beings (e.g., space aliens) - Visits to mythological realms of consciousness - Re-experiencing the birth process - Vivid dreams or memories of past or future incarnations
- 24. - Experience of psychological death and rebirth of self (i.e., near-death experience) - Feelings of ego-dissolution and loss of identity - Experience of reliving one’s life - Deep feelings of peace and joy - Sense of transcending normal time and space - Feelings of interconnectedness with all people and nature - Feelings of cosmic unity with God/Goddess and the Universe - Sense of sacredness - Profound sense of ineffability of the experience - Intuitive experience of "peeking through the veil" into the nature of “absolute reality”
- 25. What is the Therapeutic Value of Transpersonal Experiences? • SLOWING DOWN - Shifting temporarily into a different state of consciousness, quality of being, way of knowing • SPACIOUSNESS - Calculative à Meditative -Wandering, Wondering, Reverie • REFRESHMENT - Unplugging from calculative programming - Example of Computer freezing and requiring reboot • DISCOVERY - Possibility of stumbling upon something new • RESTORING/HEALING disconnection from self, nature, cosmos, divinity, and the symbolic world
- 26. Transpersonal Practices • Holding Space & Witnessing via Mindfulness • Music – Resonating and Activating • Invitation for exploration and entering more deeply into the experience • Positive affirmations, encouragement, and supporting trust in the process • Invocations, prayers, and meditative techniques • Therapist’s use of inner imaginal experience and associations (Active Imagination) • Working with imaginal/symbolic/archetypal/mythical • Monomyth – Story of Personal Healing • Perennial Philosophy • Divination cards • Mandala-drawing
- 28. The Call A wanderer from the West Did go upon an unclear path. As bone and flesh, alone they went Through dark unholiness. A wonder, “Can I find myself?” Brought clearing and a voice, “Nobly Born, seek spiritual dawn The path is open, it’s your choice.”
- 31. Integrating, Synergizing, Linking, Cross-pollenating • Biographical and Transpersonal • Ordinary and Non-Ordinary States • Analytical and Meditative/Reverie • Mystery and Mastery • Goal is to weave dualities together in a harmonious, non- compartmentalizing, and mutually supportive relationship • How does dipping into the Mystical translate into being a better partner?
- 32. Polaris Insight Center – At-Home Session Date of session: Number of lozenges: Describe your set and setting going into the session: How were you feeling before the session? What had you been doing that day prior to the session? How did you prepare? What music did you use? What was the experience in your body? What feelings have you experienced during the session? What images have you experienced during the session? What messages/insights have you received from the session? Please note any plans for integration: Notes about the environment and ideas for next session: Do you have any questions for the therapist?
- 33. Future Training Opportunities • Introduction to KAP Webinars • Intermediate KAP Webinars • Advanced KAP Webinar for practicing providers • Experiential Trainings in fall 2020; dates TBD after COVID-19 safety is established • Polaris Intensive KAP retreat
- 34. Polaris Insight Center 4257 18th St. San Francisco, CA 94114 415.800.7083 polarisinsight.com info@polarisinsight.com harvey@polarisinsight.com eric@polarisinsight.com veronika@polarisinsight.com THANK YOU