Ketamine Therapy in Oakland & The San Francisco Bay Area

Trauma-informed ketamine therapy that integrates ketamine-assisted psychotherapy, EMDR, and IFS to help you work through experiences, emotions, and patterns that haven’t shifted through talk therapy alone.

Mary Fleisch LCSW; Oakland Ketamine trauma intensive and EMDR Retreat Therapist
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What is Ketamine Therapy and Ketamine-Assisted Psychotherapy?

Ketamine therapy can take different forms. In Ketamine-Assisted Psychotherapy (KAP), ketamine is used as part of a therapeutic process with the support and guidance of a trained therapist.

While some ketamine treatment focuses primarily on medication administration, ketamine-assisted psychotherapy integrates the ketamine experience into a broader therapeutic process. In my practice, that process is trauma-informed and designed to help you work with underlying patterns, emotions, and experiences, not just symptoms.

For some people, ketamine may make it easier to approach emotions, memories, and experiences that have felt difficult to access in traditional therapy. Clients may experience familiar protective responses differently, creating an opportunity to explore underlying patterns with greater curiosity and openness.

In my practice, I integrate ketamine-assisted psychotherapy with EMDR therapy to address trauma, attachment wounds, and patterns that can feel difficult to shift through talk therapy alone.

This approach may be especially helpful for people who understand their trauma intellectually but still feel stuck in the same emotional, physical, or relational patterns. Ketamine assisted EMDR (KA-EMDR) creates another way to work with those patterns when insight alone hasn’t created the change you’re looking for.

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Hi, I’m Mary (she/her)

Mary Fleisch ketamine assisted therapy Oakland
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I am a licensed therapist, Certified EMDR Therapist, trained Ketamine therapist, and EMDRIA-approved consultant in Oakland, CA.
I offer ketamine therapy in Oakland in collaboration with a licensed medical prescriber, with preparation and integration therapy built in.

My approach is integrative and intentional, combining ketamine therapy with IFS-informed EMDR to support deeper, more lasting trauma processing.


My goal is to help you use ketamine therapy as more than a standalone experience. Preparation, therapeutic support, and integration are built into the process so we can connect what comes up during ketamine work to the patterns and experiences you want to change in everyday life.

Why Combine Ketamine Therapy with EMDR?

Ketamine may help create greater emotional openness and flexibility, while EMDR gives us a structured way to work with the memories, beliefs, and experiences keeping you stuck.

This approach may be especially helpful if you:

  • Understand your patterns but can't seem to change them

  • Have done therapy before but feel like you've hit a wall

  • Become overwhelmed or shut down when approaching difficult material

  • Struggle with long-standing anxiety, trauma, shame, or relationship patterns

How Does Ketamine Therapy Work?

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Intake Session

We’ll start by getting to know your history and background, clarifying your goals for treatment, and exploring whether ketamine-assisted therapy is an appropriate fit for you. We’ll also review the KAP process, discuss what you’d most like to shift, and talk through what to expect if we move forward.

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Medical Evaluation and Prescription

Before beginning Ketamine therapy, you'll have a consultation with a medical prescriber to assess your suitability for treatment. This meeting ensures that ketamine therapy is a safe and appropriate option for you based on your medical history and current health status. The prescriber will answer any questions you may have and work with you to create a personalized treatment plan that aligns with your goals.

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Preparation

Before your ketamine session, we’ll spend time preparing for the experience together. We’ll discuss what to expect, identify intentions for the work, and explore the patterns or experiences you want to focus on so you feel informed and prepared going into your dosing session.

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Ketamine-Assisted Therapy Sessions

In my Oakland office, you’ll take your prescribed ketamine in a private, comfortable setting while I support you throughout the experience. These sessions are designed to create space for inward focus, emotional exploration, and therapeutic work in a grounded and supportive environment.

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Integration Session

After each dosing session, we’ll work together to process your experience and explore any emotions, insights, memories, or themes that emerged. Integration helps connect the ketamine experience to your ongoing therapeutic goals and identify ways to bring what you learned into your everyday life.

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Ketamine Assisted EMDR Therapy

EMDR is an integral part of how I provide ketamine therapy. After preparation and initial ketamine-assisted sessions, treatment incorporates low-dose ketamine with EMDR to help you work directly with the memories, beliefs, emotions, and patterns underlying what brings you to therapy.

Ketamine assisted EMDR therapy (KA EMDR) involves taking a low dose of ketamine combined with active EMDR Therapy.

Rather than treating the ketamine experience as a standalone intervention, I use ketamine within a structured therapeutic process that includes preparation, EMDR, and integration.

Ketamine Therapy Structure & Investment

Initial Ketamine Therapy Intensive

Total package: $3,550

Includes:

  • 90-minute intake

  • Client workbook

  • Collaboration with medical/ other treatment providers

  • Preparation session- 2 hrs

  • Two guided ketamine meditations- 3 hrs

  • 2 Integration sessions- 50 mins

Ketamine Assisted EMDR

Sessions are $600 for 2 hours and are paid individually at the time of treatment.

Between EMDR sessions, you’ll engage in self-guided ketamine meditations at home to support and deepen the therapeutic work.

Medical evaluation, prescribing, and medication costs are paid separately and directly to your medical provider. Estimated cost: $250 medical intake and prescription, $150 follow up visits, and $100-200 for the prescription.

Every event we host is designed with intention, from the atmosphere we create to the way each session flows.

Financing Available Through CareCredit

CareCredit financing is available to help make ketamine therapy more manageable, with promotional financing options available for qualifying clients.


Learn more about CareCredit financing here.

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Is Ketamine Therapy Right for You?

Ketamine therapy may be a good fit for people experiencing:

  • Complex trauma, childhood trauma, or unresolved emotional wounds

  • PTSD, depression, and anxiety

  • Emotional numbness, dissociation, or a sense of being “stuck.”

  • Persistent negative thought patterns, self-criticism, or self-limiting beliefs

  • Feeling easily overwhelmed in traditional therapy when processing difficult emotions or memories

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The Science Behind Ketamine Therapy and EMDR

Ketamine has been extensively studied and is known to have rapid effects on both the brain’s neural circuits and emotional regulation. Research suggests ketamine may promote neuroplasticity, supporting the brain’s ability to form and strengthen new neural connections. This powerful effect helps reduce symptoms of trauma, anxiety, depression, and more.

By fostering neuroplasticity, Ketamine encourages new ways of thinking, feeling, and responding, which is why it’s such a valuable tool in trauma therapy. Its use in psychological healing is supported by decades of research, with promising results in treating trauma-related conditions.

When ketamine is paired with active EMDR therapy, the benefits of both approaches can be amplified. Ketamine can help reduce the emotional intensity and protective barriers that often make trauma difficult to access, while EMDR provides a structured, evidence-based approach for reprocessing and healing traumatic memories.

Dig into the Research Supporting Ketamine Assisted Therapy here.

Ready to Explore Ketamine Therapy in Oakland?

Schedule a free 20-minute consultation to learn more about ketamine therapy and whether this approach may be a good fit for you.

Frequently Asked Questions