• What is ketamine?

    Ketamine is a synthetic pharmaceutical compound classified as a dissociative anesthetic. It is a widely used medication and is on the World Health Organization’s List of Essential Medicines. It was developed in 1963, approved for use in 1970, and adopted by many jurisdictions because of its rapid onset, proven safety, and short duration of action.

    Ketamine is most commonly used as an anesthetic agent in surgical and emergency department settings due to its good safety profile. It has also been utilized successfully in managing acute and chronic pain conditions due to its analgesic properties.

    While ketamine is known to be used recreationally as a street drug outside of medical applications, its use in this context is unrelated to medical and therapeutic use, which is known to be safe and associated with positive outcomes.

    In the last two decades, ketamine has been increasingly clinically applied at subanesthetic doses as an off-label treatment for various chronic treatment-resistant mental health conditions, such as depression, substance use disorder, post-traumatic stress disorder, obsessive-compulsive disorder, and other mental health diagnoses. If you have any questions or concerns about ketamine itself, don’t hesitate to inquire with the Numinus medical team about it during the screening process.

  • What is Ketamine-Assisted Psychotherapy?

    Ketamine-assisted psychotherapy combines structured psychotherapy with the medical administration of ketamine. When used in relatively small doses, ketamine is a psychoactive substance that can contribute to altered or ‘non-ordinary’ states of consciousness. Recent research has shown that, when combined with forms of counselling by trained mental health professionals, these psychedelic experiences can enable people to overcome a broad range of mental health challenges, ranging from depression and anxiety to addiction and trauma.

    In the context of ketamine-assisted psychotherapy, the idea is to harness the openness of this altered state with structured psychotherapy to engage with and process strong emotions that may otherwise be painful or simply difficult to access. Cultivating this emotional awareness with your therapist can then make it possible to ‘reorganize’ core experiences, see important relationships in a new light, and create a coherent and meaningful narrative that supports transformation, and coming into balance.

  • How does the process work? How many sessions do I have to do?

    At Mindspace we have carefully designed a protocol for ketamine-assisted psychotherapy that is meant to take place over 4 to 6 weeks, and which includes an initial medical screening, followed by 2 preparatory sessions, 3 ketamine administration sessions, 3 integration sessions (where you work with your therapist to harness the power of the experience), a closing session, and final medical follow-up. The idea is to do concentrated, well-supported work in a relatively short amount of time in order to facilitate therapeutic breakthrough, and set the conditions for long-term healing and recovery. Each of our clients who enters the program is assigned a personal Health Navigator in addition to the medical and therapeutic team to assist them through the various stages in the process.

  • How is the ketamine administered?

    Ketamine can be administered in a number of ways, including intravenous infusion (IV), intramuscular injection (IM), as well as via nasal sprays and lozenges or rapid dissolving tablets that are placed under the tongue. At Mindspace, presently only nasal spray and rapid dissolving tablets are used for ketamine-assisted psychotherapy. The specific dose and method is determined on a case-by-case basis with your medical team at Mindspace.

  • What is the actual experience like?

    At the dosages provided at Mindspace, while under the effect of ketamine, you will most likely experience mild reductions in pain, anxiety and depression, in addition to other possible psychoactive effects such as:

    ● Increased sensitivity to light and sound
    ● A dream-like or ‘floating’ feeling
    ● Diminished body sensations
    ● Altered sense of time
    ● Mild changes in perception of sound and vision
    ● Relaxation of ordinary concerns and usual mindset
    ● Disruption of negative feelings and preoccupations

    While many clients find the effects of ketamine to be pleasurable, ketamine-assisted psychotherapy can involve experiencing uncomfortable feelings, engaging in difficult interactions, revisiting painful experiences, or being challenged to see the world in new and different ways. Additional details of the therapeutic approach will be shared with you should you choose to go forward with ketamine-assisted psychotherapy.

    During the ketamine dosing sessions, you will be in a room that has been specifically designed to support ketamine and other psychedelic-assisted psychotherapies, and to feel as comfortable as possible. Most clients will prefer to rest in a semi-reclined or reclined position. You will have the opportunity to wear eye-shades if desired, and preselected music, specifically designed to enhance the experience, will be offered.

  • Should I take MBSR or MBCT?

    MBSR is open to anyone who is interested in decreasing stress and learning a new way of relating skillfully to their experience. It is not recommended for individuals with recurrent clinical anxiety or depression, but rather is meant to help improve management of everyday stressors (e.g., work, relationships, health).

    In contrast, MBCT is designed specifically to help prevent relapse in individuals who have struggled with acute/clinical anxiety or depression. If you’ve been treated for an anxiety disorder or for one ore more depressive episodes in the past, and are ready to learn new skills for preventing further episodes, MBCT is for you.

    MBSR and MBCT teachers will confirm participant eligibility at the mandatory orientation session one week prior to the start of the program.

  • Who benefits from mindfulness training?

    Mindfulness training benefits anyone who is:

    • Looking for new tools for managing stress
    • Recovering from anxiety or mood problems
    • Having difficulty coping with a particular life stressor such as an illness, separation, or significant transition
    • Having difficulty coping with health problems such as chronic pain
    • Interested in enhancing well-being and preventing future health problems
    • Interested in starting a meditation practice
  • Do I need to know anything about mindfulness or meditation to take your courses?

    No, Intro to Mindfulness, Individual Training and our MBSR program are ideal places to start, but all our programs are suitable for people with no experience in meditation or mindfulness. MBCT is designed specifically for individuals recovering from recurrent clinical anxiety or depression.

  • Do I have to do anything between sessions?

    We give homework at the end of most sessions. The homework usually consists of meditation and informal mindfulness practice, adding up to about 20 mins per day. The assignments are an essential component of the course. The more you put into the practice, the more likely you are to enjoy the benefits of mindfulness.

  • How are the sessions structured?

    We usually spend 20-30 minutes debriefing on home meditation practice or other homework assigned the previous week. The next portion of the session is devoted to psychoeducation, discussion, and exercises related to the topic of the session. We usually close with a meditation.

  • What is ketamine?

    Ketamine is a synthetic pharmaceutical compound classified as a dissociative anesthetic. It is a widely used medication and is on the World Health Organization’s List of Essential Medicines. It was developed in 1963, approved for use in 1970, and adopted by many jurisdictions because of its rapid onset, proven safety, and short duration of action.

    Ketamine is most commonly used as an anesthetic agent in surgical and emergency department settings due to its good safety profile. It has also been utilized successfully in managing acute and chronic pain conditions due to its analgesic properties.

    While ketamine is known to be used recreationally as a street drug outside of medical applications, its use in this context is unrelated to medical and therapeutic use, which is known to be safe and associated with positive outcomes.

    In the last two decades, ketamine has been increasingly clinically applied at subanesthetic doses as an off-label treatment for various chronic treatment-resistant mental health conditions, such as depression, substance use disorder, post-traumatic stress disorder, obsessive-compulsive disorder, and other mental health diagnoses. If you have any questions or concerns about ketamine itself, don’t hesitate to inquire with the Numinus medical team about it during the screening process.

  • What is Ketamine-Assisted Psychotherapy?

    Ketamine-assisted psychotherapy combines structured psychotherapy with the medical administration of ketamine. When used in relatively small doses, ketamine is a psychoactive substance that can contribute to altered or ‘non-ordinary’ states of consciousness. Recent research has shown that, when combined with forms of counselling by trained mental health professionals, these psychedelic experiences can enable people to overcome a broad range of mental health challenges, ranging from depression and anxiety to addiction and trauma.

    In the context of ketamine-assisted psychotherapy, the idea is to harness the openness of this altered state with structured psychotherapy to engage with and process strong emotions that may otherwise be painful or simply difficult to access. Cultivating this emotional awareness with your therapist can then make it possible to ‘reorganize’ core experiences, see important relationships in a new light, and create a coherent and meaningful narrative that supports transformation, and coming into balance.

  • How does the process work? How many sessions do I have to do?

    At Mindspace we have carefully designed a protocol for ketamine-assisted psychotherapy that is meant to take place over 4 to 6 weeks, and which includes an initial medical screening, followed by 2 preparatory sessions, 3 ketamine administration sessions, 3 integration sessions (where you work with your therapist to harness the power of the experience), a closing session, and final medical follow-up. The idea is to do concentrated, well-supported work in a relatively short amount of time in order to facilitate therapeutic breakthrough, and set the conditions for long-term healing and recovery. Each of our clients who enters the program is assigned a personal Health Navigator in addition to the medical and therapeutic team to assist them through the various stages in the process.

  • How is the ketamine administered?

    Ketamine can be administered in a number of ways, including intravenous infusion (IV), intramuscular injection (IM), as well as via nasal sprays and lozenges or rapid dissolving tablets that are placed under the tongue. At Mindspace, presently only nasal spray and rapid dissolving tablets are used for ketamine-assisted psychotherapy. The specific dose and method is determined on a case-by-case basis with your medical team at Mindspace.

  • What is the actual experience like?

    At the dosages provided at Mindspace, while under the effect of ketamine, you will most likely experience mild reductions in pain, anxiety and depression, in addition to other possible psychoactive effects such as:

    ● Increased sensitivity to light and sound
    ● A dream-like or ‘floating’ feeling
    ● Diminished body sensations
    ● Altered sense of time
    ● Mild changes in perception of sound and vision
    ● Relaxation of ordinary concerns and usual mindset
    ● Disruption of negative feelings and preoccupations

    While many clients find the effects of ketamine to be pleasurable, ketamine-assisted psychotherapy can involve experiencing uncomfortable feelings, engaging in difficult interactions, revisiting painful experiences, or being challenged to see the world in new and different ways. Additional details of the therapeutic approach will be shared with you should you choose to go forward with ketamine-assisted psychotherapy.

    During the ketamine dosing sessions, you will be in a room that has been specifically designed to support ketamine and other psychedelic-assisted psychotherapies, and to feel as comfortable as possible. Most clients will prefer to rest in a semi-reclined or reclined position. You will have the opportunity to wear eye-shades if desired, and preselected music, specifically designed to enhance the experience, will be offered.

  • Are your services covered by my insurance?

    The majority of Mindspace staff therapists are licensed by the Quebec Order of Psychologists (OPQ), and doctoral interns are supervised by a licensed OPQ psychologists. If your insurance covers psychotherapy sessions, you’ll be able to submit your receipts from your Mindspace therapist for reimbursement.

  • What is the fee per session?

    The standard fee per session is between $120 and $160. The fee to meet with the clinic director is higher, and our doctoral interns see clients for a reduced rate.

  • What are your hours? Can I see you before or after work?

    Mindspace therapists do their best to accommodate their clients’ schedules. Appointments are typically during regular business hours and in the early evening (after work or school).

  • How many sessions will I need before I see results?

    The Mindspace approach to therapy is short-term and goal-directed. Our therapists aim for quick symptom reduction, and will teach you the skills you need to maintain long-term change. You can expect to see some changes within the first few weeks. Typical courses of CBT range from 6 to 12 weeks, depending on your objectives. Many clients schedule a few booster sessions in the months following the end of therapy.

  • How is therapy at Mindspace different from therapy at other Montreal clinics?

    First, Mindspace is the only clinic in Montreal whose therapists are trained in cognitive-behavioural therapy (CBT), but routinely integrate mindfulness into sessions to help focus therapy and to increase the effectiveness of CBT. Second, there are many kinds of psychotherapists in Montreal, but all Mindspace Clinic therapists have PhD-level training. The rigorous scientific and clinical training required for a doctorate degree guarantees that your MindSpace therapist is knowledgeable and competent, with a wide range of clinical experience.