Psychedelic Experiences, Psychology, Perceptual, Therapeutic Alliance
Conditions
Keywords
psychedelic-assisted therapy, therapeutic competency, training program, ketamine, mood disorders
Brief summary
This study investigates the use of low-dose (0.5-0.75 mg/kg; maximum dose of 60 mg regardless of body weight) ketamine hydrochloride injection, USP administered intramuscularly to healthy clinicians as part of an experiential learning practice within a psychedelic-assisted therapy (PAT) training program. The primary objective of this study is to test the hypothesis that competencies required for mental healthcare professionals providing PAT are enhanced by undergoing a single ketamine-assisted therapy experience, as part of a PAT training program. Primary outcomes of this study are self-reported measures of therapeutic efficacy and competency for providing both general and psychedelic-assisted therapy, measured at baseline and four weeks following an academic in-person retreat with optional ketamine administration. Secondary endpoints include measures of personality and magnitude of perceived mystical experiences. Individual changes in scores across time will be calculated, and differences in therapeutic efficacy and competency between clinician trainees who choose to participate in a personal ketamine-assisted therapy session and those who do not will be assessed.
Interventions
Individuals will be administered a single dose of sub-anesthetic (0.5-0.75 mg/kg; maximum dose of 60 mg regardless of body weight) ketamine hydrochloride injection intramuscularly as part of a ketamine-assisted therapy experience.
Sponsors
Integrative Psychiatry Institute
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
This is an observational study following clinicians enrolled in a psychedelic-assisted therapy training program. It will investigate changes in measures of therapeutic efficacy and competency following those who choose to undergo a personal ketamine-assisted therapy experience and those who do not.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Age 18-85 years old * Are proficient in reading and speaking English * Competent in decision making capacity * Enrolled in the IPI Psychedelic Assisted Therapy Training Program * For those being administered ketamine, able and willing to commit to medication dose, attending all study sessions during the In-Person Experiential Training Weekend, and evaluation instruments * For those being administered ketamine, willing to refrain from using stimulants, anxiolytics during the day of the study session * May continue but not change psychiatric medications during the course of the study * Agree to refrain from using stimulants, anxiolytics during the day of the study sessions * Agree to refrain from alcohol and marijuana for 24 hours before and the day of study sessions * Agree to refrain from the use of any psychoactive drug during the course of the study * Willing to be recorded by video and audio for safety purposes only * Agree to not operate a car or any other heavy equipment for the rest of the day after the ketamine administration * If necessary, are willing to be contacted via telephone on a daily basis by the therapist or team after each experiential session * Able to identify one or two caregiver support persons who can drive participant home, be reached by the team, and provide collateral information as needed * Willing to inform the investigator within 48 hours if any medical conditions occur or procedures are planned
Exclusion criteria
* Unable to provide informed consent * Anyone currently taking medications contraindicated for ketamine, such as benzodiazepine or lamotrigine * Anyone deemed at medical screening medically unfit for ketamine exposure including but not limited to: * prior history of psychotic disorder * prior history of unstable bipolar disorder * prior history of personality disorder * prior history of ketamine use disorder * active substance use disorder * untreated migraine headaches * uncontrolled hypertension * cardiovascular disease without approval of physician of record * active or recent suicidal ideation * pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Psychedelic-Assisted Therapist Self-Efficacy Scale | 5 weeks | Scale designed to assess psychedelic-assisted therapy-related competencies as defined in the IPI PAT Training Program; Likert scale ranging from 1 (worst outcome) to 5 (best outcome) for each of 45 items. |
| Counseling Self Estimate Inventory | 5 weeks | Scale measuring self-reported measures of general counseling efficacy; Likert scale ranging from 1 (worst outcome) to 6 (best outcome) for each of 37 items. |
| Development of Psychotherapists Common Core Questionnaire | 5 weeks | Scale measuring perceived determinants of professional development as a therapist; this study uses Subscales 8 (21 questions) and 10-1 (1 question) of the DPCCQ. This multi-dimensional measure of therapist development uses questions based on a Likert scale that range from 0 (worst outcome) to 5 (best outcome), -3 (worst outcome) to 3 (best outcome), and 1 (worst outcome) to 6 (best outcome). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Columbia Suicide Severity Rating Scale- Baseline and Since Last Visit versions | 5 weeks | Self-reported assessment of suicidal ideation and behavior; Yes or No questions assess suicidal ideation and behavior, while Likert scales ranging from 0 (best outcome) to 5 (worst outcome), 1 (best outcome) to 5 (best outcome), or 0 (best outcome) to 2 (worst outcome) for 7 items assess severity. |
| Big-Five Inventory-2 | 5 weeks | Self reported personality questionnaire; Likert scale ranging from 1 (worst outcome) to 5 (best outcome) for each of 60 items. |
| Mystical Experiences Questionnaire | 3 days | Self-reported scale that assesses ketamine-associated mystical experience and its impact on personal and professional life; Likert scale ranging from 1 (worst outcome) to 5 (best outcome) for each of 30 items. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Demographic questionnaire | 1 day | Self-reported baseline demographic information about participants that may be associated with outcomes |
Outcome results
None listed