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Preparing for Ketamine-Assisted Psychotherapy (KAP): What to Bring & How to Make the Most of Your Sessions
Ketamine-Assisted Psychotherapy (KAP) is a growing therapeutic modality offering new pathways to healing, connection, and insight. Whether you’re a clinician providing KAP, a client preparing for your first session, or a psychonaut preparing for your 100th journey, the environment and tools you choose matter. How you prepare, how you experience, and especially how you integrate afterward can significantly influence therapeutic outcomes. How Important is Preparation? Keta

Meredith Futernick-Gerak (she/hers), LPC, LCPC, LMHC, LPCC, ACS
Nov 25, 20254 min read


Taking Out the Trash
I learned this exercise in a writing group with Serene Calkins , and it immediately brought me back to a practice I leaned on over a decade ago called the 'Morning Pages' from The Artist's Way . Serene calls it “taking out the trash.” The idea is simple. You set a timer for two minutes and you write down whatever is on your mind. The mental clutter, the to-do list, the half-formed thoughts, the things circling that don’t quite land anywhere. You don’t shape it. You don’t f

Meredith Futernick-Gerak, LPC, ACS, C-BSP, C-PAT
4 days ago3 min read


“I Love Offering KAP… But It’s a Terrible Business Model.”
Recently, a clinician said something to me that I haven’t been able to stop thinking about: “I love offering KAP in my practice… but it’s a terrible business model.” I immediately knew what she meant. The strange thing about effective therapy When KAP works the way we hope it will, something interesting often happens. A client might have a meaningful experience. They process something they’ve been carrying for years or access a sense of possibility that hasn’t felt availabl

Meredith Futernick-Gerak, LPC, ACS, C-BSP, C-PAT
Mar 73 min read


My Brain After Phase 5 Brainspotting Training
Phase 5 Brainspotting training this past weekend left me with incredible insights. And it did so by giving my brain permission to stop trying to produce them. We are conditioned to orient toward understanding: "What does this mean?" "Where did it come from?" "How do we resolve it?". Over time, “something is happening” becomes insufficient unless it can be named, contextualized, and fixed. The Neuroexperiential Model (NEM) , which lays the groundwork for Phase 5, is not c

Meredith Futernick-Gerak, LPC, ACS, C-BSP, C-PAT
Feb 263 min read


When You’ve Outgrown Your Original KAP Structure
Last week, I wrote about the idea that your KAP practice mirrors the way you hold session: that the architecture of your work reflects your clinical presence. If that’s true, then there’s something else we have to look at: What happens when you evolve, but your structure doesn’t? That’s usually where friction begins. Most KAP practices are built in an early season of intensity and inspiration. You complete your training, begin offering sessions, and refine your approach in r

Meredith Futernick-Gerak, LPC, ACS, C-BSP, C-PAT
Feb 162 min read


Your KAP Practice Is the Session
Whether you’re newly trained and building your KAP practice for the first time or you’ve been offering this work for years and feel yourself entering a new season, the same principle applies: The way we shape our practice mirrors the way we hold our sessions. Preparation Comes First (Whether We Acknowledge It or Not) Preparation isn’t an optional add-on in KAP. It is the container. Before medicine ever enters the space, we orient clients to what’s coming. We explore inte

Meredith Futernick-Gerak, LPC, ACS, C-BSP, C-PAT
Feb 113 min read


The Uncertainty Principle in KAP
One of the core principles I return to again and again in my work, both clinically and professionally, is the Uncertainty Principle / No Assumptions Model in Brainspotting. This model reminds us that we don’t ever fully know exactly what or how a nervous system needs to process. In Brainspotting, we practice releasing assumptions about where a session should go, what a client should process, or how healing is supposed to unfold. We trust that the brain-body system already ho

Meredith Futernick-Gerak, LPC, ACS, C-BSP, C-PAT
Feb 33 min read


You’re Not Behind: Why KAP Practices Grow Differently Than Traditional Therapy Practices
If you’ve completed KAP training and then found yourself thinking, “Why does this feel harder than I expected?” you’re not alone. And more importantly, you’re not behind. We might assume that once the training is complete, the practice will naturally follow. But building a KAP practice doesn't follow the same rules as building a traditional therapy practice. KAP isn’t just a new service, it’s a different nervous-system ask. Traditional therapy practices tend to grow increme

Meredith Futernick-Gerak, LPC, ACS, C-BSP, C-PAT
Jan 263 min read


There's No One-Size-Fits-All, for Clients or Clinicians
As clinicians we learn, often through lived experience, that what supports one client may cause harm for another. We learn to attune to capacity, pacing, and context. We do our best to individualize care and meet our clients where they are. And yet when it comes to our own practices, many of us have internalized the belief that there is a "right way" to do this. That if we just keep getting more certifications, find the best marketing approach, or implement the correct struc

Meredith Futernick-Gerak, LPC, ACS, C-BSP, C-PAT
Jan 212 min read


When KAP Meets Complex Trauma
Many clinicians are introduced to Ketamine-Assisted Psychotherapy (KAP) after having solid training in other modalities, thoughtful intention, and a deep respect for the medicine. And yet when KAP begins intersecting with developmental or complex trauma, something often shifts. Clients who have experienced complex trauma or C-PTSD are not simply integrating something that happened to them. Often, they are developing capacities that were never fully formed in the first place

Meredith Futernick-Gerak, LPC, ACS, C-BSP, C-PAT
Jan 103 min read


A Modern Approach to Treatment Planning
For many clinicians (especially those of us practicing in brain-body, somatic, psychedelic-assisted, or relational frameworks) traditional treatment planning can feel misaligned with how the work actually unfolds. The forms ask for clarity before clarity exists. They require linear goals in systems that heal non-linearly. They often prioritize diagnosis, compliance, and prediction over consent, pacing, and lived experience. And yet treatment planning remains a necessary part

Meredith Futernick-Gerak, LPC, ACS, C-BSP, C-PAT
Dec 30, 20253 min read


If Building a KAP Practice Feels Harder Than the Training, This Might Be Why
A calm therapy space designed for ketamine-assisted psychotherapy sessions If you’ve trained in Ketamine-Assisted Psychotherapy (KAP) and still feel unsure how to build a sustainable practice around it, you’re not doing anything wrong. You’re actually encountering a gap that many thoughtful clinicians hit; often quietly, and often alone. You learned the protocols. You understand safety, ethics, and preparation. You know ketamine can be powerful when used intentionally. A

Meredith Futernick-Gerak, LPC, ACS, C-BSP, C-PAT
Dec 22, 20254 min read


Practicing Trauma-Informed Therapy Without Becoming a Trauma Expert
In recent years, trauma-informed has become part of our shared clinical language. For many therapists, this shift has felt affirming; bringing long-overdue attention to safety, power dynamics, and the nervous system. At the same time, it has raised important questions: What does it actually mean to practice trauma-informed therapy? Does being trauma-informed mean we should treat trauma directly? How do we name our role clearly, without pressure to practice outside our traini

Meredith Futernick-Gerak, LPC, ACS, C-BSP, C-PAT
Dec 17, 20254 min read


Expanding The SUDS (Subjective Units of Distress Scale)
You may have heard Brainspotting's tagline " Where you look affects how you feel” (Grand, 2013). This means that when we access a Brainspot; we also access the emotional, physiological, and neurological charge associated with what is being processed. Tracking intensity and activation can help clients put language and measurement to a process that might feel otherwise abstract and unexplainable. One of the simplest tools we use to support this tracking is the Subjective Uni

Meredith Futernick-Gerak, LPC, ACS, C-BSP, C-PAT
Nov 19, 20253 min read


Brain-Body Approaches to Trauma
Explore how brain-body trauma therapy uses somatics, brainspotting, and ketamine-assisted integration to support lasting change.

Meredith Futernick-Gerak, LPC, ACS, C-BSP, C-PAT
Oct 28, 20254 min read


Brain-Body Approaches to Trauma
Explore how brain-body trauma therapy uses somatics, brainspotting, and ketamine-assisted integration to support lasting change.

Meredith Futernick-Gerak, LPC, ACS, C-BSP, C-PAT
Oct 28, 20254 min read


Applying Brainspotting in Ketamine-Assisted Psychotherapy (KAP)
Brain-Body Therapist Pointing to Brain Diagram The field of psychedelic-assisted therapy is rapidly expanding, with ketamine leading the...

Meredith Futernick-Gerak, LPC, ACS, C-BSP, C-PAT
Oct 9, 20253 min read


Applying Brainspotting in Ketamine-Assisted Psychotherapy (KAP)
Brain-Body Therapist Pointing to Brain Diagram The field of psychedelic-assisted therapy is rapidly expanding, with ketamine leading the...

Meredith Futernick-Gerak, LPC, ACS, C-BSP, C-PAT
Oct 9, 20253 min read


The Low-Down on Low-Dose Ketamine-Assisted Therapy
Ketamine-assisted psychotherapy (KAP) has gained popularity as an alternative to traditional talk therapy over the past several years. ...

Meredith Futernick-Gerak, LPC, ACS, C-BSP, C-PAT
Sep 2, 20253 min read


The Low-Down on Low-Dose Ketamine-Assisted Therapy
Ketamine-assisted psychotherapy (KAP) has gained popularity as an alternative to traditional talk therapy over the past several years. ...

Meredith Futernick-Gerak, LPC, ACS, C-BSP, C-PAT
Sep 2, 20253 min read
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