Program

Offering Psychedelic-Assisted Therapy with Ketamine

Therapeutic Program at ReWild Medicine | Malibu

ReWild Medicine is an outpatient / therapeutic nature retreat-based treatment program. Groups of 3 – 6 patients undergo an 8-week hybrid outpatient / therapeutic nature retreat-based ketamine-assisted psychotherapy treatment sequence.

With our emphasis on individualized attention and compassionate healing, the psychedelic therapy in awe-inspiring natural settings delivers a unique and curated luxury mental health treatment experience.

GETTING STARTED

Admission Requirements

  • Currently we are enrolling patients with:
    • Depression (major depression, treatment-resistant depression, bipolar depression)
    • Alcohol use disorder (completed detoxification and able to abstain during ReWild Medicine program)
    • Marriage or relationship problems requiring couples therapy
  • Patients with unstable psychiatric or medical conditions or those requiring inpatient or residential treatment are NOT appropriate for the ReWild Medicine program.
  • Patients with alcohol and/or substance use disorders should have completed a detoxification program and be stable prior to consideration for treatment at ReWild Medicine.
  • A referral and records from the patient’s treating physicians/therapist may be required to determine patient eligibility and overall safety for the program.
  • Ketamine causes a temporary increase in heart rate and blood pressure and patients with cardiovascular conditions may not be eligible. A cardiac evaluation may be required prior to admission.
  • Patients should be fit enough to participate in mild to moderate physical activities in an outdoor nature retreat setting.

ReWild Medicine Program Sequence

The synergistic therapeutic approach at ReWild Medicine in natural surroundings is conceptually ancient and well-established in ceremonial healing rituals from indigenous cultures. Recent decades of clinical work partner these concepts with clinical rigor presently unique in California and unavailable in conventional healthcare settings.

Our therapeutic sequence is an 8-week outpatient nature-based program of 6 ketamine-assisted psychotherapy sessions over two long weekends separated by a week with multiple prep and integration sessions as detailed below.

SET AND SETTING

Healing is enhanced with a strong intention in optimal environments

Psychedelic-Assisted Therapy With Ketamine

What is ketamine?

Ketamine is a dissociative anesthetic that is FDA-approved for use as a general anesthetic. Studies show that at lower doses, ketamine can be used as a rapidly acting antidepressant. With proper preparation and appropriate set and setting, ketamine can also facilitate a therapeutic alteration in perception or psychedelic experience. Ketamine injections are not FDA-approved for any mental health or substance use disorder but off-label use is supported by a growing body of research literature.

How does ketamine work?

Ketamine may work to treat mental health conditions by acting on both the brain and/or the mind. Psychedelics, including ketamine, trigger a “window of neuroplasticity” during which brain growth factors stimulate neurons to grow new dendrites and make new connections with other neurons. When patients feel better able to change or become unstuck after psychedelic therapy this may be due to underlying neuroplasticity changes in the brain. The subjective experience within a ketamine session may also open a patient’s mind and provide new insights or inspirations that the patient and therapist may use as a source of post-session transformation to transcend their symptoms and condition.

How is ketamine administered at ReWild Medicine?

ReWild Med sessions involve an off-label intramuscular injection of ketamine. We have developed specific safety and therapy protocols to provide clinically supervised ketamine treatment sessions in a outdoor/nature group ceremonial settings. All treatment is carried out by a two-clinician team, with one physician and one therapist. Patients recline on a couch or cushion, wear eyeshades, and listen to music selected to assist with the psychedelic experience. The ReWild Medicine Retreat format allows our clinical team to provide around the clock support and supervision to maximize patients’ preparation, integration, and treatment experience.

What happens during a ketamine session?

Patients may experience dissociation (disconnection of the mind from the body) or an out-of-body experience, visual hallucinations, the experience of ego death and rebirth, or a mystical experience. The ketamine experience may be filled with joy and beauty but also may involve anxiety, fear, or uncertainty. Although difficult, studies suggest that challenging experiences may be most likely to produced long term therapeutic change. Our physician and therapist clinical team is present throughout the experience to ensure that patients feel safe and can let go to achieve the deepest and most therapeutic experience.

How long do the effects of ketamine last?

The psychedelic and cardiovascular effects of ketamine typically resolve within 90 minutes at which point the clinical team will assist patients in post-session integration activities and counseling. The antidepressant effects of a single ketamine injection wane after a few days but studies show that repeated injections such as provided in the 8 week ReWild Medicine program increases the durability of the response to many months in responders. Also by providing intensive integration and ecotherapy activities during the potential post-ketamine “window of neuroplasticity” our ReWild Med nature retreat-based sessions may allow patients to make fundamental and sustainable changes in their life.

Are there any risks with ketamine therapy?

Potential risks of ketamine include cardiovascular complications due to an increase in heart rate and/or blood pressure, laryngospasm, bladder or lower urinary tract damage, addiction or dependence, nausea/vomiting, headache, and temporary alterations in perception or hallucinations. With proper screening and medical oversight, the chance of experiencing one of these complications can typically be minimized but as is the case with any medical treatment, there is always the possibility of complications.

BEGIN HEALING

Release. Renew. ReWild.