Psychotherapy in Seattle’s East Lake Union

Ketamine-Assisted Psychotherapy (KAP) is a therapeutic approach that combines the administration of ketamine with structured psychotherapy to treat mental health conditions such as depression, anxiety, PTSD, and existential distress. Unlike standalone ketamine infusions, which primarily target biological mechanisms, KAP emphasizes preparation, supported experiential sessions, and integration to maximize therapeutic benefits.

1. Preparation: Before ketamine sessions, clients work with a trained therapist to set intentions, discuss expectations, and establish a framework for processing their experiences.
2. Ketamine Session: Under medical supervision, clients receive ketamine in a safe, supportive setting. The altered state of consciousness can help unlock new perspectives, reduce rigid thought patterns, and create a window for deeper psychological healing.
3. Integration: After the session, clients engage in therapy to process insights, make meaning of their experience, and incorporate lessons into daily life for sustained mental health improvements.

KAP is evidence-based, leveraging ketamine’s ability to enhance neuroplasticity and disrupt maladaptive patterns, while therapy helps translate those effects into real-world changes. It is often used for treatment-resistant conditions or in individuals seeking a deeper, more holistic healing process.

Therapy is most effective when it adapts to the unique needs, goals, and evolving experiences of each individual. Process-Based Therapy (PBT) moves beyond rigid, one-size-fits-all treatment models by focusing on the core psychological, emotional, and behavioral processes that drive meaningful change. At Madrona, we take an eclectic, process-based approach, integrating multiple evidence-based modalities to create dynamic, personalized treatment plans that evolve alongside you.

Our Eclectic, Process-Based Framework:

Rather than applying a fixed method to a diagnosis, we target key mechanisms of change using a flexible, research-driven approach. Our therapists draw from multiple evidence-based frameworks, including:

• Humanistic Therapy: Supports self-exploration and authenticity, helping individuals develop a deeper sense of meaning and personal growth within a non-judgmental environment.
• Acceptance and Commitment Therapy (ACT): Strengthens psychological flexibility, enabling individuals to navigate challenges through mindfulness, emotional acceptance, and values-driven action.
• Cognitive Behavioral Therapy (CBT): Identifies and modifies unhelpful cognitive patterns, promoting adaptive behaviors and emotional resilience.
• Psychodynamic Therapy: Explores unconscious patterns and relational dynamics to foster deeper self-awareness and long-term emotional healing.

By blending evidence-based interventions with a focus on key psychological processes, we create a holistic, personalized path to mental well-being, helping you gain insight, build resilience, and create meaningful, lasting transformation.

Group Therapy provides a structured yet supportive space for connection, healing, and personal growth. Each group consists of 6-12 participants, guided by an experienced facilitator, creating an intimate yet dynamic environment for meaningful discussions and shared learning.

Our groups integrate:

• Psychoeducation & Skill-Building – Practical tools from CBT and ACT to improve emotional regulation, resilience, and coping strategies.
• Interpersonal Process – A safe space to explore relational patterns, receive feedback, and build deeper connections.
• Mindfulness & Reflection – Practices from humanistic and psychodynamic therapy to enhance self-awareness and personal growth.
• Creative Exploration – Discussion of moving pieces of poetry, artwork, and literature to inspire insight, emotional expression, and deeper connection.

Whether focused on anxiety, depression, trauma, or personal development, our groups help individuals gain insight, build skills, and foster a sense of belonging in a community of shared experience.