Welcome to your step by step guide to Ketamine at Selva.

At Selva Wellness Collective, we believe your healing journey should be as unique as you are. That’s why we curate personalized treatment plans tailored to your mental health goals, financial needs, and personal preferences. Whether you’re drawn to traditional or ceremonial sessions, prefer specific medicine administration methods, or want to set the pace of your treatment frequency, we empower you to design a path that aligns with your vision for wellness. Healing on your terms starts here.

Schedule A Complimentary Consultation

Step 1. Initial Assessment & Consultation

Complimentary Consultation: The client and medical provider discuss therapeutic goals, such as which protocol is best and how often the KAP sessions will occur based on your needs. They will also walk you through what form of administration you want (oral, IM, or IV) and frequency of sessions based on your needs. These can be tailored as needed at any time.

Comprehensive Evaluation: A thorough psychological and medical evaluation with our psychiatric team is conducted to determine if KAP is an appropriate and safe option. This may include reviewing mental health history, medication use, and current symptoms.

Medical Screening: Clients undergo a medical screening to ensure there are no contraindications (such as uncontrolled high blood pressure, certain heart conditions, or substance use issues) that might make ketamine unsafe to use.

Meet Your Psychiatric Nurse Practitioner, Emma

Selva offers personalized types of administration & experience.

Oral Sublingual

Oral sublingual KAP involves placing a ketamine lozenge under the tongue, where it dissolves and is absorbed through the mucous membranes.
Sublingual ketamine offers a gradual onset and an waving experience, often lasting 50-90 minutes. This method allows for a gentler entry into the therapeutic experience. It is ideal for those who prefer a less intense introduction to ketamine's effects and for clients who may require a more subdued approach to therapy.
• Depression (including treatment-resistant depression)
• Anxiety disorders, such as generalized anxiety, social anxiety, and panic disorders
• Post-Traumatic Stress Disorder (PTSD)
• Chronic pain conditions, including fibromyalgia and neuropathic pain
• Obsessive-Compulsive Disorder (OCD)
• Bipolar depression
• Emotional regulation challenges stemming from trauma or life transitions
• Suicidal ideation (providing rapid relief during crises)
• Addiction recovery (by reducing cravings and addressing underlying trauma)
This method is carefully guided by our team of experienced practitioners, ensuring a safe, personalized, and transformative healing journey. Whether used as a standalone treatment or in combination with psychotherapy, oral sublingual ketamine therapy offers a compassionate and effective path to improved mental health.

Intramuscular (IM)

Intramuscular KAP involves the administration of ketamine via an injection, allowing for a more controlled absorption rate into the bloodstream. This method typically leads to a quicker onset of effects, providing a more immediate experience that can be essential for deep therapeutic work. IM KAP is often preferred for its efficiency and the ability to finely tune dosages for optimal results.
IM ketamine offers a quicker onset and an expansive experience, often lasting 45 minutes. IM KAP is particularly suited for clients seeking a highly immersive and deeply introspective journey, often ideal for addressing treatment-resistant conditions.
• Severe depression, including treatment-resistant depression
• Major depressive episodes within bipolar disorder
• Generalized anxiety disorder (GAD) and other anxiety disorders
• Post-Traumatic Stress Disorder (PTSD)
• Obsessive-Compulsive Disorder (OCD)
• Chronic pain conditions, such as fibromyalgia, migraines, and complex regional pain syndrome (CRPS)
• Suicidal ideation, offering rapid stabilization and relief
• Trauma-related disorders, including emotional dysregulation
• Addiction recovery support, by reducing cravings and promoting emotional clarity
• Mood disorders, helping to reset emotional patterns and improve quality of life
Guided by our trained practitioners, IM ketamine therapy provides a structured and supportive environment to facilitate healing and transformation. This treatment is ideal for those seeking a more intensive approach to breakthrough symptoms and begin their recovery journey.

Intravanenous (IV)

IV Ketamine-Assisted Psychotherapy (IV KAP) is a cutting-edge treatment that combines intravenous (IV) ketamine infusion with guided psychotherapy to provide profound mental health and emotional breakthroughs. Administering ketamine directly into the bloodstream allows for precise control over dosage and ensures a consistent therapeutic effect. This approach creates a deeply immersive experience, fostering neuroplasticity and facilitating lasting change.
IV ketamine offers a smoother onset and a consistent experience, often lasting 40-60 minutes. IV KAP is particularly suited for clients seeking a highly immersive and deeply introspective journey, often ideal for addressing treatment-resistant conditions.
• Treatment-resistant depression
• Severe anxiety disorders, including generalized anxiety, panic disorders, and social anxiety
• Post-Traumatic Stress Disorder (PTSD)
• Obsessive-Compulsive Disorder (OCD)
• Bipolar depression
• Suicidal ideation, offering rapid stabilization in crisis situations
• Chronic pain conditions, such as migraines, fibromyalgia, and complex regional pain syndrome (CRPS)
• Addiction and substance use disorders, by addressing underlying trauma and reducing cravings
• Emotional dysregulation, often stemming from trauma or life transitions
• Trauma-related disorders, fostering healing from unresolved emotional wounds
IV KAP is particularly effective for individuals who have not found success with traditional medications or therapies, offering a unique pathway to healing through neuroplasticity and emotional exploration. Each treatment is carefully guided and personalized to ensure safety and optimize outcomes.

Step 2: Curate Your Experience

It’s time to pick your facilitator. Whether you prefer a traditional, medical approach with our nurse practitioner or a more holistic and ceremonial experience with our therapists and wellness facilitators, Selva provides personalized treatment plans tailored to your unique needs and preferences. We will help you pick which one is best for your needs!

Meet Your Guides

Emma Smith, MSN, APRN, PMHNP-BC

Psychiatric Nurse Practitioner
Offers Medical Screening & Medical Protocol KAP

Read Bio
Ana Rodriguez MS LPC

Founder & Owner of Selva
Offers Ceremonial & Holistic KAP

Read Bio
Hiral Patel, OTR/L

Somatic Occupational Therapist
Offers Ceremonial & Holistic KAP

Read Bio

Step 3: Begin Your Treatment

1. Preparation Sessions

2.Dosing and Ketamine Session

The day has arrived! You will come into the office at Selva and have a safe, beautiful space to experience your session. The ketamine session itself typically lasts between 45-150 minutes depending on the type of administration you chose and the facilitator and experience you chose. During the session, the client is supported by your facilitator and the experience is often introspective or even transformative. A trained therapist or medical professional remains present to guide and ensure safety.

3. Post Session Integration

If you are participating in the holistic route, you will meet with a psychedelic facilitator the day after your sit for an 80 minute integration session. The integration session is a crucial part of the healing process. During this time, you work with a skilled practitioner to unpack the insights, emotions, and experiences uncovered during your ketamine journey. Integration bridges the gap between the psychedelic experience and real-world application, helping you process and ground your breakthroughs into actionable change. This session leverages the brain’s heightened state of neuroplasticity after ketamine, allowing new patterns, perspectives, and behaviors to take hold more effectively. It’s in the integration phase that transformation takes root, making it an essential step in your healing journey.

4. Follow Up & Additional Sessions

Begin Your Journey