Refound Center
Integrative Ketamine and Wellness
Patient Journey
Below, you will find an overview of our program - The details, of course, will be tailored to you and your goals -but every infusion patient has access to the integrations, psychotherapeutic coaching, group support, and creative time. None of the supportive therapies noted below is an upsell or a surprise bill in waiting.
Fill out our contact form, call, text, or email any questions or to have a chat about our program. If you are ready to get started, you can fill out the consult request form (here), and we will contact you to schedule the assessment.
01 Getting Started
02 A Bit of Preparation
03 Assessment
04 Treatment Planning
05 Induction, Transition, and Maintenance
06 Pre-Infusion
Before your assessment, we ask that you complete a short, self-paced online course covering the history and science of ketamine therapy, how our program works and the research behind it, how to prepare for your assessment, a breakdown of costs, and your new patient forms. We want you to come in informed — so when we meet, we can spend our time going deeper on your specific questions, history, and goals rather than covering the basics.
The assessment is where we get to know you: your medical and psychiatric history, current symptoms and challenges, your goals for treatment, and the roadblocks you're navigating. Assessments are scheduled for 60 minutes and are conducted via telehealth.
All of the supportive therapies we offer are designed to leverage the neuroplasticity afforded by the psychopharmacological effects of ketamine. It is during this collaborative session that we begin your psychotherapeutic coaching; exploring your goals and how to build towards them.
Before each infusion, we'll check in with you about your experience during your last infusion, how you've been since we last saw you, and discuss any need to adjust the dosage. Then you'll have time to decompress and center yourself — to let go of whatever the day has brought. We suggest yin yoga, meditation, deep breathing, or journaling, but you're welcome to center in whatever way works for you. We're happy to give you privacy, or to guide you through poses, breathing exercises, or anything else that's helpful.
When you're ready, you'll settle into one of our oversized recliners. We'll place the vitals sensors—just a small band on your wrist and a soft, tape-like sensor on your finger—We take and record continuous vitals. We provide over-the-ear headphones, ketamine-specific playlists, soft blankets, and eye masks, though you're always welcome to bring your own. We won't begin the infusion until you tell us you're ready. As for the experience itself, there's a lot we could say about what it feels like—and we're happy to answer any questions and share everything we know. We've found that it's best explored in conversation, rather than something to capture on a page. What we'll say here is this: it's not Fear and Loathing in Las Vegas, and the effects ease quickly whenever the medication is slowed or stopped. Most importantly, if you feel any worry or fear about the experience, we'll build a plan to address it directly into your treatment. We're not here to push anyone into anything. We understand this can be a real hurdle—especially if you've found your safety and comfort in staying in control.
When your infusion is complete, the pump is turned off, and you're left undisturbed. The effects resolve gradually and gently — there's no abrupt ending. Most patients open their eyes naturally as the psychoactive effects resolve. We'll ask you to stay seated for a bit, as your perception tends to return before your steadiness does. Your IV and vitals monitor will still be in place. We'll monitor your vitals and check in as you come back. Once your vitals are within range, any nausea is managed, and you're steady on your feet, you're clear to move to the next step. We'll remove your IV and vitals monitor at that point. Most patients are thirsty, need to use the restroom, and sometimes want a small snack - all things we can help with.
07 The Infusion
08 Post Infusion
The induction phase of treatment typically consists of six infusions over three weeks. For some patients, eight infusions over four weeks is recommended before transitioning toward maintenance. After induction, most patients benefit from a transitional period, where we begin spacing infusions further apart—weekly, then biweekly, and so on. Once your infusions are comfortably four to six weeks apart, we usually suggest continuing at that interval for four to six months. This gives new patterns of thinking and new habits the time they need to take hold. Once you've built that solid foundation, we encourage you to return for a maintenance infusion whenever new stressors feel overwhelming or symptoms begin to creep back in. Many factors shape how the transition and maintenance phases unfold. Throughout, we help you develop tools to recognize if and when symptoms return—and we help you build a foundation you can keep building on.
Once your vitals return to normal and you are steady on your feet, you are invited to spend some time in our creative space. We have a bounty of art and craft supplies, and a comfy chair to journal in - and importantly, we will be around should you feel like talking. This time is unstructured but not without purpose (even, or especially, if you are 'not an artsy type'.) Ketamine promotes the release of BDNF — brain-derived neurotrophic factor — which drives neuroplasticity, the brain's ability to form new connections and reorganize existing ones. The period immediately following an infusion represents a heightened window of that plasticity, when the brain is more open to new patterns of thinking, feeling, and meaning-making than it typically is. Research suggests that engaging in creative or expressive activity during this window — drawing, writing, music — can help consolidate the insights and shifts that emerged during the experience, giving the brain something to work with while it's most receptive. In this way, creativity isn't an add-on to treatment; it's part of how the medicine takes root.
In between infusion days, we encourage you to join our group integrations. - Group integrations are supportive, communal, without expectation, and collaborative. If you would like more of a walk-through as to the how and why of our groups, click here! Lastly, our goal is to provide groups via video calls and in-person sessions, as well as message board-based discussions - though please keep in mind these options depend on the availability and participation of others.
09 Creative Time
10 Between Sessions