1.Bari Michele Langbaum, LPC, ATR-BCVerified
1001 Southeast Water Avenue, Portland, OR 97214
ADHD · Anxiety · Art Therapy
barimichele.com · orcounselors.com/provider/elephant-rising-inc
Therapy approaches
Ketamine-Assisted Therapists in Oregon
Find Oregon therapists who practice Ketamine-Assisted.
Ketamine-Assisted also matches related specialties: Ketamine-Assisted Psychotherapy, Animal-Assisted Therapy, Equine-Assisted Psychotherapy, Ketamine Assisted Pscyhotherapy. Results below include all of them.
RelatedSomatic (128)Psychedelic Integration (9)Ketamine-Assisted Psychotherapy (3)Psychedelic Integration (3)Animal-Assisted Therapy (1)Equine-Assisted Psychotherapy (1)Ketamine Assisted Pscyhotherapy (1)Ketamine Assisted Psychotherapy (KAP) (1)
Ketamine is an FDA-approved Schedule III medication that can be prescribed off-label or via the FDA-approved Spravato (esketamine) protocol. Ketamine-assisted psychotherapy (KAP) pairs medical administration with structured talk therapy before and after each session. This page lists Oregon-licensed therapists who provide preparation and integration support — they do not prescribe ketamine themselves.
Always confirm any prescribing provider is Oregon-licensed and confirm with your medical team before starting treatment.
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Frequently asked questions
Common questions about this coverage in Oregon.
Is ketamine therapy legal in Oregon?
Yes. Unlike psilocybin, ketamine is FDA-approved (Schedule III) and can be prescribed off-label by licensed medical providers in Oregon. Ketamine-assisted psychotherapy (KAP) is delivered through one of the providers listed on Oregon Counselors paths: (1) at a ketamine clinic with a prescribing physician/PMHNP, or (2) by a psychiatrist/PMHNP who prescribes ketamine and partners with a licensed therapist for integration. Spravato (esketamine) is FDA-approved for treatment-resistant depression and must be administered in a certified clinic. This page lists Oregon mental-health therapists who provide preparation and integration support — they do NOT prescribe ketamine themselves.
What's the difference between ketamine and psilocybin therapy?
Both are psychedelic-assisted therapies but operate under very different legal and clinical frameworks. Ketamine is FDA-approved, prescribed by medical providers, and accessible across Oregon at clinics or via at-home programs (oversight varies). Psilocybin is legal in Oregon ONLY through a licensed Service Center under Measure 109 — there's no FDA approval and no prescribing path. Ketamine effects last 45–90 minutes and are typically less intense; psilocybin sessions run 4–6 hours and produce a more profound altered state. Ketamine is most often used for treatment-resistant depression, suicidality, and PTSD; psilocybin services in Oregon are open-access for adults 21+.
Is ketamine therapy covered by insurance in Oregon?
Coverage is mixed. Spravato (the FDA-approved esketamine nasal spray) is covered by most commercial insurance and OHP for treatment-resistant depression with prior authorization. IV or compounded oral ketamine (off-label use) is typically NOT covered by insurance and is paid out-of-pocket — usually $400–$700 per IV session, $200–$400 for at-home oral programs. The integration TALK THERAPY provided by a licensed mental health therapist is separately billable to insurance under standard mental-health codes.
Who shouldn't use ketamine therapy?
Personal or family history of psychosis, schizophrenia, or untreated bipolar disorder are common contraindications. Active substance-use disorders (especially opioids) require careful evaluation. Uncontrolled hypertension, certain heart conditions, severe liver disease, and pregnancy are typically exclusions. A prescribing provider must conduct a medical screening before any ketamine administration. Integration therapists also flag concerns and may recommend stabilization first if a client is in active crisis or severe dissociation.
How does ketamine integration therapy work?
Integration is the structured talk-therapy process before and after ketamine sessions. Preparation typically takes 1–3 sessions over 2–4 weeks: setting intentions, addressing any concerns about the medical process, screening for suitability. Integration sessions follow each ketamine treatment, weekly for 6–12 weeks, helping clients translate the altered-state insights into sustained change. Common modalities used: IFS, somatic work, depth psychology, trauma-informed therapy.
How do I find an Oregon ketamine prescriber + therapist team?
Two paths: (1) some Oregon ketamine clinics provide both the prescriber and an integration therapist on one team — useful for a streamlined experience. (2) you can work with a separate prescriber (psychiatrist, PMHNP, or anesthesiologist who runs a ketamine clinic) and pair with a private-practice integration therapist on this directory. Always confirm the prescriber is Oregon-licensed and that the integration therapist is comfortable coordinating with your prescribing team.
Is this directory endorsing ketamine use?
No. This directory lists licensed Oregon mental-health professionals who provide preparation and integration support for clients receiving prescribed ketamine treatment from a separate medical provider. Listing a provider does not constitute medical advice, an endorsement of ketamine, or a recommendation that any specific person pursue ketamine therapy. Ketamine has real risks (cognitive effects, dissociation, bladder concerns with frequent use, addiction potential) and benefits (rapid antidepressant action, neuroplasticity) that should be weighed in close consultation with a prescriber.
How many Oregon therapists specialize in ketamine-assisted therapy?
there are several therapists specializing in ketamine-assisted therapy, providing an alternative treatment option for various mental health conditions.
Do Oregon ketamine-assisted therapists accept OHP / Oregon Health Plan?
Yes, several ketamine-assisted therapists accept the Oregon Health Plan (OHP), which may help eligible individuals access this specialized therapy at a reduced cost.
Is telehealth available for ketamine-assisted therapy in Oregon?
Yes, telehealth sessions are available for ketamine-assisted therapy in Oregon. Several therapists offer telehealth services, expanding access to this treatment option for individuals across the state.
Do Oregon ketamine-assisted therapists offer sliding scale fees?
Yes, one of the Oregon ketamine-assisted therapists listed on Oregon Counselors offers sliding scale fees. This makes the therapy more accessible to individuals with varying financial circumstances.
Oregon Counselors Directory lists several therapists specializing in ketamine-assisted therapy. This innovative approach offers an alternative treatment for individuals seeking relief from conditions such as depression or anxiety. With several therapists listed on Oregon Counselors offering telehealth sessions, individuals across Oregon, including those in remote areas, have the opportunity to participate in ketamine-assisted therapy from the comfort of their homes. Several therapists accept the Oregon Health Plan (OHP), providing an affordable care option for eligible individuals. Furthermore, one therapist offers sliding scale fees, making treatment more accessible to those with financial constraints. All therapists offer in-person sessions, and as of our last update. These providers are equipped to use ketamine in a controlled setting to potentially enhance the therapeutic process.